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Report #0076

Infinite X2 - Borno | June 2026

Approved
Back to List View Data
Total Enrolled
1,650
100% of target
Facilities
13
Contracted
Total Visits
1,040
Visit Rate: 630.3 Per 1,000
Claims Approved
0
0% approval rate
1. Administrative Information
Report ID:
#0076
HMO:
Infinite X2
HMO Code:
HMO-002
State:
Borno
LGAs Covered:
Bayo, Kaga, Mafa
Reporting Month:
June 2026
Submission Date:
14 Jul 2026
Status:
Approved
2. Enrollment and Coverage
Target Enrollees:
1,650
Total Enrolled:
1,650 100%
Males:
675 40.91%
Females:
975 59.09%
Pregnant Women:
1,012 61.33%
Under-5 Children:
510 30.91%
Persons with Disabilities:
10 0.61%
Elderly (60+):
10 0.61%
Others
108 6.55%
Active Enrollees:
1,650
Gender Distribution
Vulnerable Groups
3. Provider Network
Target PHC Facilities:
9
PHC Accredited:
9 100%
Target SHF:
4
SHF Accredited:
4 100%
4. Facility Visits
Total Enrollee Visits:
1,040
B. Visit Type Mix
Total PHC Visits:
1,040 100%
Total SHC Visits:
0 0%
C. Visit Type Breakdown
OPD/Consultation:
732 70.38%
Admissions/Inpatients:
237 22.79%
Deliveries:
7 0.67%
Emergency:
43 4.13%
Other Visits:
21 2.02%
5. Service Utilization
A. Service Encounters
Total Encounters (Total Services Utilized):
1,321
Total number of service interactions delivered, including multiple services within a single visit
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%
Total Encounters ÷ Active Enrollees × 100
D. Preventive Care Services
Total Preventive Services:
891
% Total Preventive Services Rate
67.45%
Preventive Service Types
Antenatal Care
269 30.19%
Post Natal Care:
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
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%
Percentage of Total Encounters (1,321)
F. Referral & Care Transitions
Enrollees Referred:
0
Referrals Completed:
0 0%
Referrals Denied:
0
Back-Referrals:
0 0%
G. Disease Burden Among Enrollees

Number of Encounters by Disease Category

Malaria:
739
Respiratory Infections:
8
Gastrointestinal Diseases:
118
Hypertension:
59
Diabetes:
46
Maternal Conditions:
316
Injuries / Trauma:
22
Mental & Behavioral Conditions:
0
Other Communicable Diseases:
0
Total Other NCDs:
0
6. Finances
Capitation
Total Facilities Paid Capitation:
9 100.00%
Facilities Pending Capitation:
0 0.00%
Total Amount of Capitation Paid:
₦1,155,000.00
Total Amount of Capitation Pending:
₦0.00
Capitation to Utilization Ratio:
₦874.34
Fees for Service (Claims) Management
Claims Submitted:
0
Claims Processed:
0
Claims Approved:
0 0%
Claims Denied/Rejected:
0
Total Amount Submitted:
₦0.00
Total Amount Paid:
₦0.00
Total Amount Rejected:
₦0.00
Fee-For-Service (FFS)
Amount of FFS Received:
₦0.00
Amount of FFS Spent:
₦0.00
Reserve Fund
Amount of Reserve Fund Received:
₦0.00
Amount of Reserve Fund Spent:
₦0.00
7. Quality Assurance
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 (%):
0.00%
Complaints Management
Complaints Received:
0
Complaints Resolved:
0
Complaint Rate (%):
0.00%
Complaints Redressed (%):
0.00%
Complaints Channel Coverage
Facilities with Complaints Channel:
13
Facility Complaints Coverage Rate (%):
100.00%
8. Data Management
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%
10. 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.

Enrollees were advised to always come to the facility with their health insurance cards during every visit. In addition, hard copies of the enrollee register, containing the names and photographs of enrolled beneficiaries, were provided to the facility managers to facilitate identification and verification of enrollees when necessary.

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