NJPICPA Monthly Report 03/01/ /31/2018

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1 Month ed ed Partial Full or Partial No Withdrawn Withdrawn MAR

2 Payer Cased / by Payer Partial Full or Partial No AETNA AMERICHOICE NJ AMERIGROUP NJ AMERIHEALTH HMO, INC. AMERIHEALTH INSURANCE CO. OF NJ CIGNA HORIZON BCBS HORIZON NJ HEALTH HORIZON NJ HEALTH NJ OXFORD HEALTH PLANS UNITED HEALTHCARE UNITED HEALTHCARE COMMUNITY PLAN UNITED HEALTHCARE COMMUNITY PLAN NJ - AMERICHOICE Mar2018 Total

3 Provider ALLIANCE SPINE ASSOCIATES ATLANTIC ORTHOPAEDIC ASSOCIATES Cased / by Provider Partial Full or Partial No Withdr, CHRIST HOSPITAL GRAND VIEW HEALTH HACKENSACK UMC MOUNTAINSIDE HACKENSACK UNIVERSITY HOBOKEN UNIVERSITY LHS M SAHOTA MD PC MITCHELL F REITER MD PC OUR LADY OF LOURDES RICHARD M. VITALI, PA-C RODOLFO COLACO MD SACRAMENTO MIDTOWN ENDOSCOPY CENTER SAINT FRANCIS MEDICAL CENTER SPINE EXPOSURE SPECIALISTS LLC THE VALLEY HOSPITAL

4 Provider Cased / by Provider Partial Full or Partial No Withdr, UNIVERSITY HOSPITAL Mar2018 Total

5 Requestor ALLIANCE SPINE ASSOCIATES ENSEMBLE HEALTH PARTNERS Cased / by Requestor Partial Full or Partial No GRAND VIEW HEALTH HACKENSACK UNIVERSITY LHS M SAHOTA MD PC MITCHELL F REITER MD PC OUR LADY OF LOURDES PRECISE REVENUE SOLUTIONS, LLC RODOLFO COLACO MD SACRAMENTO MIDTOWN ENDOSCOPY CENTER SAINT FRANCIS MEDICAL CENTER SCHNEIDER-ZENNA & GAFFNEY SPINE EXPOSURE SPECIALISTS LLC THE VALLEY HOSPITAL UNIVERSITY HOSPITAL Mar2018 Total /19/18 Requestor is Same Value as Provider, if Provider Filed Their Own Claim NJPICPA

6 Total Amount ed by Payer Sum TotalAmt cases Payer AETNA $4, AMERIGROUP NJ $ CIGNA $20, HORIZON BCBS $99, HORIZON NJ HEALTH $ HORIZON NJ HEALTH NJ $ OXFORD HEALTH PLANS $31, UNITED HEALTHCARE $ UNITED HEALTHCARE COMMUNITY PLAN $ UNITED HEALTHCARE COMMUNITY PLAN NJ - AMERICHOICE $21, All $178,

weights& measures 60% 20% 20% What PayerView Measures Weight What it Measures

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