in a few minutes we'll have uhc discuss the impact on the specific errors we identified. we wanted to provide you with our claim sample statistics. we have the total submitted with our sample as well as total paid for strata and the last column is a percent of charges paid within each strata. then you have the overall population of claims. so for the period january 1st-december 3rd # 1, these are claims and processed so we wouldn't have claims prior to 2013. you see within the entire universe a little over 76,000 claims processed by uhc >> can i ask a question. on the zero payment strata. if you look at the last column which you title percent of claims, that's not actually percent -- >> percent of charges paid. percent of claims charges paid. >> so my question is is if you actually, i'm just trying to look at because what it does to me is under value the zeroes that they are not a part of anything. if you paid 0, it's consistently 0. where the truth is maybe we were supposed to pay on some of those. it doesn't show there is an actual risk to us. am i making sense because

in december 11, 2012, we discussed the metrics pool for the kaiser and uhc and at that time we were able to get from vendors a very clean set of rx tapes, pharmacy tapes and run the analysis and we presented that analysis. what we suggested at that time was that the kaiser had a much better set of risk and the differential was approximately 5 percent. so we presented this material, we used the information that we could and risk scorings where you take all the drug use over the period of one 1 year and you say if they took this drug you add it to go and accumulate it and say this risk that is this data and the end result is if one is normal, or above that, it means you used less resources or more resources. this is the actuarial tool to establish what the set of risk looks like and they like to take into consideration what is going on that we can probably effect through wellness program and they call that perspective analysis. for a diabetes program for that. you like to score your population. when you have a big population you want to be current and you want to say how they stack up agai

so uhc, i'm sorry i have forgotten your name, i apologize, does your report of the last time address this finding? >> >> renÉ marcus, united health care. i do have an update on this, i don't have it in writing as of yet. >> okay. why don't you give it to us orally and provide it later. >> so additional research investigation was conducted and i am happy to report that united health care does have an internal control in place for billed charges currently right now the threshold is $25,000 in claims and greater. if it goes 0 , it goes through a second review to ensure it was denied correctly. the recommendation that the threshold be lower to billed charges from $10,000 and that recommendation is being considered. >> okay, we'll look forward to hearing from you the final answer on uhc on that one and thing you for accepting the staff and an hewitt's recommendation. any more questions? >> any public comment? >> great. thank you very much. i very much appreciate your work on this. next item. cl eric clerk item 12. approval of all payer claims data base vendor. marina cole ridge. >> given

. >> i heard the request for uhc. >> it's better for next month. >> all right. any other items? >> any public comment on this item? >> seeing none. next item. city clerk: item 16. opportunity for the public to comment on any matters within the board's jurisdiction. >> thank you. this used to be the last chance opportunity. no. 1, i hope that all of the blue shield retirees, the plus 65s were checked for open enrollment because we had a couple more people that they checked and they had problems and they were trying to call blue shield and we said call health service first if your information says you were inadvertently put in the plan and you should be in the 65 plus. i understand the retirement board is having' retry -- retreat through cortex and it's been many many years since this board has had a retreat. i would suggest that in terms of evaluations and retreats that we keep cortex and we recognize their ability and i was reminded when i saw the retreat schedule for the board. it's changed over time and i think it would be very valuable to consider both for board retreat and e

. >> i heard the request for uhc. >> it's better for next month. >> all right. any other items? >> any public comment on this item? >> seeing none. next item. city clerk: item 16. opportunity for the public to comment on any matters within the board's jurisdiction. >> thank you. this used to be the last chance opportunity. no. 1, i hope that all of the blue shield retirees, the plus 65s were checked for open enrollment because we had a couple more people that they checked and they had problems

. >> i heard the request for uhc. >> it's better for next month. >> all right. any other items? >> any public comment on this item? >> seeing none. next item. city clerk: item 16. opportunity for the public to comment on any matters within the board's jurisdiction. >> thank