Patient ReadyData - Multi-Payer Closed Claims [SAMPLE]

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.

<p><br/></p>

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

<p><br/></p>

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

<p><br/></p>

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