Proprietary Payer Data Master

Payer Data Master: Precision’s turnkey data-agnostic payer master with data enrichment provides the foundation for actionable insights - Establish a series of actionable, recognizable, and differentiated payer names through three hierarchical levels for use across managed markets reporting platforms - Provide a master payer spine and create a common definition of a payer for use across functional areas of a life sciences company to allow meaningful integration of data across vendors - Continuously reviewed names and bridge files to capture the most current data available and appropriately classify payers in the most relevant manner, with updates delivered to client partners - Separate pharmacy and medical master and associated bridge files - Support all major forms of third-party vendor data via bridge files used in life sciences - Bridge files also available for specialty pharmacy, hub data, health plan rebates including BIN/PCN/GROUP Samples/Tables Included: - Pharmacy Payer Master - Medical Payer Master - Payer Master to Source ID Bridge (e.g. Formulary, Claims, Rebate Claims, Pharmacy, Hub, et al.) - Majority Status (where formulary data is mapped) Fields Included: - Pharmacy Payer - Medical Payer - Enterprise - Population Description (Commercial, Medicare, Medicaid) - Subpopulation Description (Employer, HIX, EGWP, et al.) - PBM - Relationship Type (National, Custom)

搜集汇总

背景与挑战

背景概述

该数据集是一个数据无关的支付方主数据解决方案，通过三层层次结构建立可操作的支付方名称，并创建主数据框架以整合跨供应商数据。它持续更新支付方分类，分离药房和医疗主数据，并支持第三方数据桥接文件，包含药房和医疗支付方主数据、桥接文件及相关字段。