Claims Data 101

Claims Data 101 is a plain-language introduction to healthcare claims data: where it comes from, what's inside it, and how it's used to create value.

In about 23 minutes, you'll learn what a healthcare claim is, what goes into making one, what information it carries, how claims come together in a claims database, the legal and ethical obligations that come with the data, how it's used, and its strengths and limitations.

Chapters

  • 0:00 Introduction
  • 1:11 What we'll cover
  • 2:00 Part I: What is a healthcare claim?
  • 2:44 Part II: What goes into the making of a claim?
  • 7:31 Part III: What information is included in a claim?
  • 11:22 Part IV: What is in a claims database?
  • 16:26 Part V: Legal and ethical obligations
  • 18:20 Part VI: How is claims data used?
  • 19:16 Part VII: Strengths and limitations
  • 22:35 Key takeaways

Introduction by Norm Thurston, Executive Director, NAHDO. Narration is AI-generated.

Questions? E-mail info@apcdcouncil.org.