6 Medical Claims Data
- Data Generation Process - Aaron
- Claims Forms & Key Data Elements
- EHR → Billing → 837s → Clearinghouses ect…
- Adjustments, Denials, & Reversals - Mike (already written, revisit)
- Incurred vs. Paid dates & Runout - Paul
- Cost field relationships - Paul
- Claim Types & Payment Codes - Paul
- Header vs. Line - Paul/Coco
- Claims Data Sources: - Paul/Aaron
- Direct from Payers
- Clearinghouses
- Aggregators
- CMS
- LDS
- RIF
- VRDC
- Synthetic/Synpuf
- CCLF/BCDA formats
- State All Payer Claims Datasets