Patient ReadyData - Multi-Payer Closed Claims

Reveal insights that make a difference with access to medical and pharmacy touchpoints from 80 payers across commercial, individual, Medicare, and Medicaid plans. Our closed claims data can help you perform more granular analyses and inform decision making with a deeper level of understanding of your target market.

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With Multi-Payer Closed Claims from McKesson Compile™ you'll benefit from:

- Details on payer channel (e.g., Medicare FFS, CHIP, Marketplace) and plan type information (e.g., HMO, PPO)
- Unique details such as comprehensive payment information, chronic condition groups, and patient economic burden
- Frequent data refreshes that happen every other month, so you'll always have up-to-date information

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Patient ReadyData – Open Claims contains 6 tables which include information on:

- Information from medical claims (e.g., diagnoses, procedures, providers, and payers)
- Information from pharmacy claims (e.g., prescriber, product/drug, payers, and status)
- Patient demographic and enrollment information

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Key fields included:

- Claim ID 
- Claim type  
- Episode ID 
- Site of care category 
- Place of service  
- Date of service 
- Patient gender 
- Patient birth year 
- Patient zip3
- Provider NPIs (HCPs – Rendering, Referring, Prescribing, HCOs – Billing, Facility)
- Payer channel 
- Procedure Code
- NDC Code 
- Diagnosis code 
- Fill number 
- Date authorized 
- Claim status 
- Reject codes
- Days supply 
- Number of refills authorized 
- Payer amount paid 
- Patient amount paid, copay, co-insurance, deductible 
- Enrolled month 
- Enrolled year 
- 100+ additional fields available 

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**Expected engagement workflow**

Once a request for additional information is made through the Snowflake marketplace, the McKesson Compile team will:

1. Contact the requestor to schedule an introductory call so that we can learn about the specific business needs and use cases of interest
2. Work up and deliver an initial sample of the data to validate that the final deliverable will meet the customer need
3. Create mutually agreed upon pricing and business terms for the customer to sign
4. Provision the contracted data via Snowflake datashare within 48 hours of signed contract
5. Provide ongoing support to customer for the duration of the engagement to ensure customer obtains the desired insights

原始信息汇总

Patient ReadyData - Multi-Payer Closed Claims 数据集概述

数据集基本信息

• 提供商: McKesson Compile
• 数据内容: 包含80个支付方（商业、个人、医疗保险和医疗补助计划）的医疗和药房索赔数据
• 数据更新频率: 每两个月更新一次
• 地理覆盖范围: 美国所有州
• 云区域可用性: AWS多个区域（包括亚太、北美等44个区域）

数据集内容

包含的表格和信息

• 医疗索赔信息: 诊断、程序、提供者和支付方
• 药房索赔信息: 处方者、产品/药品、支付方和状态
• 患者人口统计和注册信息

关键字段

• 索赔相关: Claim ID, Claim type, Episode ID, Site of care category, Place of service, Date of service
• 患者相关: Patient gender, Patient birth year, Patient zip3
• 提供者相关: Provider NPIs (HCPs – Rendering, Referring, Prescribing, HCOs – Billing, Facility)
• 支付方相关: Payer channel
• 医疗相关: Procedure Code, Diagnosis code
• 药房相关: NDC Code, Fill number, Date authorized, Claim status, Reject codes, Days supply, Number of refills authorized
• 财务相关: Payer amount paid, Patient amount paid, copay, co-insurance, deductible
• 注册相关: Enrolled month, Enrolled year
• 其他: 100+ additional fields available

商业需求

• 真实世界数据 (RWD): 提供全面的医疗和药房接触点数据，支持更精细的分析
• 患者360视图: 提供完整的患者索赔数据，消除数据缺口
• 生命科学商业化: 支持目标市场分析、患者旅程分析、持久性和合规性分析、预测和市场份额分析以及报销分析

使用示例

1. 特定疾病的年度患者计数: 示例代码展示了如何查询高脂血症（ICD 10: E78.5）的年度患者计数
2. 转诊到特定专科的HCP专科: 示例代码展示了如何查询转诊到放射科医师的患者数量和转诊专科

预期工作流程

1. 通过Snowflake市场请求更多信息
2. McKesson Compile团队联系请求者安排介绍电话
3. 提供初始数据样本以验证最终交付物
4. 商定价格和业务条款
5. 在签署合同后48小时内通过Snowflake数据共享提供数据
6. 在合作期间提供持续支持

其他相关信息

• 文档: 无具体链接
• 联系信息:
  • 销售: [e-mail]
  • 支持: [e-mail]
• 类别: 健康与生命科学、真实世界数据 (RWD)、患者360、生命科学商业化