File:Number of Applications, by Category and Resolution Status, for Federal Health Insurance Marketplace Unmodified Applications.jpg

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English: This image is excerpted from a U.S. GAO report:

www.gao.gov/products/GAO-16-29

PATIENT PROTECTION AND AFFORDABLE CARE ACT: CMS Should Act to Strengthen Enrollment Controls and Manage Fraud Risk

Notes: A single application may represent more than one person, and different people on an application may have different number or types of inconsistencies. Because subsidy information is at the application level, subsidy amounts are not mutually exclusive by category.

a) Other inconsistency types are American Indian status, and presence of qualifying employer-sponsored coverage or other minimum essential coverage.

b) Resolved status indicates inconsistencies resolved by consumer action, such as document submission, or removed due to events such as life change, application deletion, or consumer cancellation.

c) Open status indicates applications with inconsistencies that had no reported resolution as of April 2015. Figures by category of inconsistency do not sum to total because the categories are not mutually exclusive.

d) Terminated/adjusted status indicates the federal Health Insurance Marketplace has terminated policies or adjusted subsidies based on failure to submit documentation to resolve inconsistencies.

A Government Accountability Office Photo
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Source https://www.flickr.com/photos/usgao/25737478142/
Author U.S. Government Accountability Office

Licensing[edit]

This image was originally posted to Flickr by U.S. GAO at https://flickr.com/photos/58220939@N03/25737478142. It was reviewed on 31 March 2023 by FlickreviewR 2 and was confirmed to be licensed under the terms of the United States Government Work.

31 March 2023

Public domain This image is a work of an employee of the Government Accountability Office or a predecessor organization, taken or made as part of that person's official duties. As a work of the U.S. federal government, the image is in the public domain in the United States.

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