
Overview
Veradigm’s Medical Claims and Remittance Data are nationally representative data sets which come from over 24,000 ambulatory provider practices across the U.S. and include over 100 payers; Commercial, Medicare and Medicaid. The Medical Claims Data (837-p) and Remittance Data (835-p) can be licensed separately or together and licensed data updates are provided on a daily basis.
Medical Claims provide the data relating to an encounter with a medical professional for which reimbursement is requested from the patient’s insurer. Remittance records relate to the claims submitted and include the information the insurer provided back to the medical professional, including the data related to payment of the claims and/or the reject reasons, should the claims have been rejected by the insurer. Veradigm’s Medical Claims and Remittances are submitted electronically using EDI 837/835 transactions.
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You will receive access to the following data sets.
Data set name | Type | Historical revisions | Future revisions | Sensitive information | Data dictionaries | Data samples |
|---|---|---|---|---|---|---|
VERADIGM_ADX_REMITS_SAMPLE | All historical revisions | No future revisions | Not included | Not included |
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