Office Visits (CPT 99213 & 99214) Negotiated Rates National Datasets

# HexIQ Transparency in Coverage Data

More than 5 trillion negotiated healthcare rates on tap. Updated monthly. This sample dataset contains roughly 2 billion national rates for Blue Cross Blue Shield, Anthem, United Healthcare, Cigna, and Aetna for common office CPT codes 99213 and 99214 across all specialties.

The Transparency in Coverage Rule that went into enforcement in July of 2022 makes it possible to peek behind the curtain to see any negotiated rate for any reimbursement code between any commercial payer and provider in any service setting. HexIQ distills this game-changing data set into a decision-maker friendly format on Snowflake, so you can answer your team’s most pressing questions by interrogating the latest available rate data every month. Same day access is available.

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搜集汇总

背景与挑战

背景概述

该数据集基于2022年7月生效的《透明度覆盖规则》，提供了全国范围内Blue Cross Blue Shield、Anthem、United Healthcare、Cigna和Aetna等保险公司针对常见办公室CPT代码99213和99214的协商费率，包含约20亿条费率记录，每月更新，旨在以决策者友好的格式支持费率查询和分析。