The Colorado All Payer Claims Database (CO APCD) contains over 1.1 billion claims, with more added every month. These claims are submitted by commercial health insurance plans, including Medicare Advantage, voluntarily submitted Employee Retirement Income Security Act (ERISA) and mandated non-ERISA self-insured employer plans, Medicaid, and Medicare Fee-for-Service (FFS). The CO APCD Read more…
The Colorado All Payer Claims Database (CO APCD) contains over 1.1 billion claims, with more added every month. These claims are submitted by commercial health insurance plans, including Medicare Advantage, voluntarily submitted Employee Retirement Income Security Act (ERISA) and mandated non-ERISA self-insured employer plans, Medicaid, and Medicare Fee-for-Service (FFS). The CO APCD Read more…
A previous query defined the different nuances encompassed under the term “data quality” to help shed light on the myriad factors that can impact the contents of an output from the Colorado All Payer Claims Database (CO APCD). This piece will outline some baseline expectations for users who are new to claims Read more…
Previous queries have outlined that the CO APCD contains medical, dental, and pharmacy claims for the majority of insured individuals in Colorado. However, there are numerous other behind-the-scenes factors that provide insight into how an individual interacts with the health care system. One of the ways the CO APCD is Read more…
As of June 2023, the Colorado All Payer Claims Database (CO APCD) contained over 1 billion claims, representing over 5 million insured lives in Colorado, spanning from 2013-2022. Of these claims, there are over 65 million behavioral health claims contained in the CO APCD, representing over three million unique Coloradans Read more…
Collecting reliable, standardized, high-quality data on race and ethnicity is a challenge most organizations working with health data across the country have grappled with for years, including administrators of All Payer Claims Databases (APCDs). However, all agree that this data is essential for to identifying health inequities across communities, gaining Read more…
Previous queries have detailed the process for the monthly submission and intake of claims data to the Colorado All Payer Claims Database (CO APCD). This query explores the steps the data undergo after being accepted into the warehouse. Once payer-submitted data has successfully passed the extensive initial validation and quality Read more…
Each month, health insurance payers submit millions of medical, professional, pharmacy, and dental claims for inclusion in the Colorado All Payer Claims Database (CO APCD). CIVHC along with data managers, Human Services Research Institute (HSRI) and NORC at the University of Chicago, continually work closely with submitters to ensure they Read more…
In fiscal year 2023-2024, CIVHC’s Data Operations team is implementing a new project management process, PhaseGate, to ensure projects moving through CIVHC’s teams are successful. The process divides development into distinct stages, or phases, separated by decision points, known as gates. The PhaseGate process is effective because it helps teams Read more…
As administrator of the Colorado All Payer Claims Database (CO APCD), CIVHC is required by statute not only to maintain the database, but to continually improve the quality and utility of the CO APCD. One of the most essential activities to enhancing the CO APCD is annually updating the CO Read more…