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Report ID #0076
Status Approved HMO Name Infinite X2
HMO Code HMO-002 State Borno
Reporting Month June 2026 LGAs Covered Bayo, Kaga, Mafa Submission Date 14 Jul 2026
Submitted By Isa Bukar
Target Enrollees 1,650
Total Enrolled 1,650 100% Males Enrolled 675 40.91%
Females Enrolled 975 59.09% Active Enrollees 1,650 Vulnerable Groups Pregnant Women 1,012 61.33%
Under-5 Children 510 30.91% Persons with Disabilities 10 0.61%
Elderly (60+) 10 0.61% Others (incl. IDPs) 108 6.55%
Primary Health Care (PHC) Target PHC Facilities 9
PHC Accredited 9 100% Secondary Health Facilities (SHF) Target SHF 4
SHF Accredited 4 100% Total Contracted Facilities 13
A. Summary Active Enrollees 1,650
Total Enrollee Visits 1,040 Enrollee Visit Rate (per 1,000) 630.3
B. Visit Type Mix (Facility Level) Total PHC Visits 1,040 100%
Total SHC Visits 0 0% C. Visit Type Breakdown OPD/Consultations 732 70.38%
Admissions/Inpatients 237 22.79% Deliveries 7 0.67%
Emergency 43 4.13% Other Visits 21 2.02%
A. Service Encounters Total Encounters (Total Services Utilized) 1,321 B. Access to Care Enrollees Accessing Care (Last 30 Days) 899
% Enrollees Accessing Care 54.48% C. Service Utilization Rate (SUR) Service Utilization Rate (%) 80.06% D. Preventive Care Services Total Preventive Services 891 % Preventive Rate (of Encounters) 67.45% Antenatal Care (ANC) 269 30.19%
Post Natal Care (PNC) 19 2.13% Immunization Services 283 31.76%
Family Planning Services 10 1.12% Nutrition/Health Education 308 34.57%
Other Preventive Services 2 0.22% E. Most Frequently Used Services
# Service Number % of Total Encounters
1
Outpatient Consultations (OPD)
810
61.32%
2
Basic Laboratory Tests/Investigations
62
4.69%
3
Treatment of Common Ailments (Malaria, Diarrhoea, Cough and Chest Infection)
507
38.38%
4
Pharmacy/Drug Prescription
226
17.11%
5
Immunization Services
283
21.42%
F. Referral & Care Transitions Enrollees Referred 0
Referrals Completed 0 0% Referrals Denied 0
Back-Referrals 0 0% G. Disease Burden Among Enrollees Malaria 739
Respiratory Infections 8 Gastrointestinal Diseases 118
Hypertension 59 Diabetes 46
Maternal Conditions 316 Injuries/Trauma 22
Mental & Behavioral 0 Other Communicable Diseases 0
Total Other NCDs 0
Capitation Facilities Paid Capitation 9 69.23%
Facilities Pending Capitation 0 0% Total Capitation Paid ₦1,155,000.00
Total Capitation Pending ₦0.00 Capitation-to-Utilization Ratio (CUR) ₦874.34 per encounter
Claims Management (FFS) Claims Submitted 0
Claims Processed 0 Claims Approved 0 0%
Claims Denied 0 Amount Submitted ₦0.00
Amount Paid ₦0.00 Amount Rejected ₦0.00
Fee-For-Service (FFS) FFS Received ₦0.00
FFS Spent ₦0.00 Reserve Fund Reserve Fund Received ₦0.00
Reserve Fund Spent ₦0.00
Total Facilities Assessed 13
Facilities Meeting QA Standard 13 QA Compliance Rate 100.00% Periodic Quality Checks Facilities with Completed Checks 13
Total Accredited Facilities 13 Periodic Check Coverage 100.00% Enrollee Satisfaction Satisfied Enrollees 810
Total Respondents 0 Enrollee Satisfaction (%) % Complaints Management Complaints Received 0
Complaints Resolved 0 Complaint Rate (%) 0.00%
Complaints Redressed (%) % Complaints Channel Coverage Facilities with Complaints Channel 13
Facility Complaints Coverage Rate (%) 100.00%
PHC Facilities Submitted Data 9
% PHC Submission 100.00% SHF Facilities Submitted Data 0
% SHF Submission 0.00% Daily Data Submission PHC Facilities Submit Daily Data 9
% Daily Submission 100.00%
Corrective Actions Some enrollees visit the health facility without their health insurance identification card, making it difficult to verify their enrollment status and process services efficiently.
Certified By Isa Bukar
Submission Date 14 Jul 2026
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