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An official website of the United States Government.

Healthcare Carriers

Routine Reports

Monthly Incurred Claims Report

Report Category
Required of
Fee-for-service plans
Due Date
15 days after end of month
Contract §1.7
Office of Actuaries Instructions
Trust Funds Group/ Green ( and FEIO/HI Contract Specialist
Reporting Form
This is an electronic submission of data. Office of Actuaries will contact you directly and send the information and programs you need to prepare your report.
Information about the report is available upon request to the Office of the Actuaries contact on the reports summary.
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