Patient ReadyData - Open Claims

Access a nationally representative sample of open claims data going back to January of 2017. Refreshed weekly and enhanced with bonus health system information from our Provider 360 ReadyData™, Patient ReadyData - Open Claims provides high-quality real-world data (RWD) that's ready to work when you are.

<p><br/></p>

With this dataset, you'll benefit from:

- Claims data supplemented with provider reference data for more complete roll-ups
- Remittance information that's automatically appended to nearly 40% of open claims data for deeper insights

<p><br/></p>

Patient ReadyData – Open Claims contains 5 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 information

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)
- Primary & secondary payer name 
- Primary & secondary 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 
- 100+ additional fields available 

<p><br/></p>

**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 - Open Claims 数据集概述

数据集基本信息

• 提供商: McKesson Compile
• 数据集名称: Patient ReadyData - Open Claims
• 描述: 提供自2017年1月以来的全国代表性开放索赔数据样本，每周更新，并包含来自Provider 360 ReadyData™的额外健康系统信息。

数据内容

• 数据表数量: 5
• 数据类型:
  • 医疗索赔信息（如诊断、程序、提供者和付款人）
  • 药房索赔信息（如处方者、产品/药物、付款人和状态）
  • 患者人口统计信息

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)
• 付款人相关: Primary & secondary payer name, Primary & secondary payer channel
• 医疗相关: Procedure code, NDC code, Diagnosis code
• 药房相关: 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
• 其他: 100+ additional fields available

数据更新与覆盖

• 更新频率: 每周
• 时间覆盖: 最近8年（按周）
• 地理覆盖: 美国（所有州）

业务需求

• 真实世界数据 (RWD): 提供高质量的实时数据，支持业务决策。
• 生命科学商业化: 支持目标市场分析、推荐分析、市场细分和付款人动态理解。
• 定价分析: 提供全面的付款人、提供者和医疗组织关系视图，支持定价策略。

使用示例

1. 特定疾病的年度患者计数: 例如高脂血症（ICD 10: E78.5）。
2. HCP专科推荐患者分析: 例如2023年心脏病专科的推荐分析。

提供商其他产品

• Provider 360 ReadyData: 提供者参考、隶属关系和组织层次数据。
• Patient ReadyData - Multi-Payer Closed Claims: 来自80个付款人的医疗和药房索赔数据。

技术支持与获取

• 销售联系: [e-mail]
• 支持联系: [e-mail]
• 获取流程: 通过Snowflake市场请求，McKesson Compile团队将联系安排初步通话、提供数据样本、商定价格和条款，并在48小时内提供数据共享。

法律与区域

• 法律条款: 标准
• 云区域可用性: AWS多个区域（如亚太、孟买、大阪、首尔等44个区域）