Patient ReadyData - Open Claims [SAMPLE]

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

搜集汇总

背景与挑战

背景概述

该数据集提供自2017年1月以来的全国代表性开放索赔数据样本，每周更新并整合额外健康系统信息，以支持高质量真实世界数据分析。它涵盖医疗和药房索赔信息，包括患者人口统计、诊断代码、提供者详情及支付方数据等关键字段。