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.

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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

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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。