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The Potential of Claims Data to Support the Measurement of Health  Form

The Potential of Claims Data to Support the Measurement of Health Form

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Let us discuss data sources in the health care industry. So the industry is data-rich, but data may be hard to access. Sometimes it involves unstructured data like doctor's notes. Often the data is hard to get due to differences in technology. Hospitals in southern Massachusetts versus California might use different technologies and different platforms. Finally there are strong privacy laws, HIPAA, around health care data sharing. So what is available? Claims data is a major source. Claims data are requests for reimbursement submitted to insurance companies or state-provided insurance from doctors, hospitals and pharmacies. Another source of data is the eligibility information for employees. And finally demographic information: gender and age. Let me give you some examples on claims data. So this shows six different claims. Let's consider this one. So this is the provider's name. The corresponding diagnostic code. This is about upper respiratory disorders. This is another code associat

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