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Report ID #0099
Status Approved HMO Name Infinite X2
HMO Code HMO-002 State Borno
Reporting Month September 2026 LGAs Covered Bayo, Kaga, Mafa Submission Date 16 Oct 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 1,735 Enrollee Visit Rate (per 1,000) 1051.52
B. Visit Type Mix (Facility Level) Total PHC Visits 1,726 99.48%
Total SHC Visits 9 0.52% C. Visit Type Breakdown OPD/Consultations 951 54.81%
Admissions/Inpatients 193 11.12% Deliveries 7 0.4%
Emergency 121 6.97% Other Visits 463 26.69%
A. Service Encounters Total Encounters (Total Services Utilized) 1,974 B. Access to Care Enrollees Accessing Care (Last 30 Days) 1,315
% Enrollees Accessing Care 79.7% C. Service Utilization Rate (SUR) Service Utilization Rate (%) 119.64% D. Preventive Care Services Total Preventive Services 946 % Preventive Rate (of Encounters) 47.92% Antenatal Care (ANC) 158 16.7%
Post Natal Care (PNC) 76 8.03% Immunization Services 324 34.25%
Family Planning Services 36 3.81% Nutrition/Health Education 352 37.21%
Other Preventive Services 0 0% E. Most Frequently Used Services
# Service Number % of Total Encounters
1
Outpatient Consultations (OPD)
951
48.18%
2
Basic Laboratory Tests/Investigations
594
30.09%
3
Treatment of Common Ailments (Malaria, Diarrhoea, Cough and Chest Infection)
847
42.91%
4
Pharmacy/Drug Prescription
743
37.64%
5
Immunization Services
324
16.41%
F. Referral & Care Transitions Enrollees Referred 0
Referrals Completed 0 0% Referrals Denied 0
Back-Referrals 0 0% G. Disease Burden Among Enrollees Malaria 1,057
Respiratory Infections 26 Gastrointestinal Diseases 353
Hypertension 46 Diabetes 24
Maternal Conditions 456 Injuries/Trauma 41
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) ₦585.11 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 951
Total Respondents 951 Enrollee Satisfaction (%) 100.00% Complaints Management Complaints Received 5
Complaints Resolved 5 Complaint Rate (%) 0.30%
Complaints Redressed (%) 100.00% 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 4
% SHF Submission 100.00% Daily Data Submission PHC Facilities Submit Daily Data 9
% Daily Submission 100.00%
Corrective Actions Overcrowded PHCC with both enrollee beneficiaries and non enrolled
Certified By Isa Bukar
Submission Date 16 Oct 2026
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