Table 3.

Top 25 high-effort diagnoses.

Diagnosis description (ICDa short description)	Average number of people in a household	Average number of out-of-network visits	Average number of claim adjustments	Average number of claim denials	Average number of phone inquiries	Average number of Web or mobile app inquiries	Total effort risk
Chronic kidney disease	1.61	7.10	1.38	15.87	0.57	1.13	5.11
Drug dependence	2.18	11.62	0.97	8.61	0.95	1.79	3.91
Heart failure	1.39	3.64	0.77	12.61	0.41	0.55	3.82
Complic medical care nec/nos	1.61	0.74	0.28	11.89	0.69	1.17	3.58
Sprain of the knee and leg	2.32	5.46	0.60	8.27	0.81	1.72	3.25
Chr airway obstruct nec	1.41	2.45	0.46	10.38	0.35	0.85	3.16
Malig neo female breast	1.74	3.40	0.97	7.89	0.85	2.47	3.11
Intervertebral disc dis	1.91	5.17	0.64	8.00	0.74	1.41	3.06
Somatic dysfunction	2.18	6.17	0.52	7.69	0.56	1.74	3.05
Dis of muscle or lig or fascia	2.00	5.33	0.47	7.49	0.63	1.48	2.91
Other cervical spice dis	1.96	5.04	0.52	7.14	0.68	1.68	2.85
Periph enthesopathies	1.95	4.27	0.52	7.22	0.67	1.78	2.82
Dislocation of the knee	2.14	4.48	0.57	7.11	0.65	1.72	2.80
Osteoarthrosis etal	1.59	3.33	0.66	7.20	0.74	1.64	2.73
Cardiac dysrhythmias	1.56	2.34	0.50	8.03	0.51	1.20	2.69
Nurit or metab or devel symp	2.40	3.97	0.72	6.28	0.75	1.53	2.59
Malign neopl prostrate	1.69	2.52	0.71	7.04	0.60	1.56	2.57
Back disorder nec and nos	1.87	4.04	0.47	6.23	0.60	1.54	2.48
Radius and ulna fracture	2.51	3.41	0.61	5.98	0.71	1.56	2.45
Oth-ill def morbid or mortl	1.55	2.15	0.33	6.80	0.62	1.41	2.43
Joint disorder nec and nos	1.96	3.64	0.46	5.88	0.69	1.42	2.38
Oth dis synov or tend or bursa	1.82	3.37	0.52	5.88	0.61	1.55	2.34
Normal pregnancy	2.19	2.45	0.59	5.16	1.06	1.84	2.34
Oth chr ischemic hrt dis	1.56	1.97	0.53	6.43	0.48	1.26	2.26
Sprain of the back nec or nos	1.84	4.02	0.37	5.39	0.54	1.10	2.17

^aICD: International Classification of Diseases.