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 output from the Colorado All Payer Claims Database (CO APCD). This piece will outline some baseline expectations for users who are new to claims data. Claims Data Read more
Claims data is very different than other types of data typically encountered by actuaries, accountants, analysts, and researchers. If not prepared for the unique challenges it presents, it is easy to conclude that something is wrong with a data set. The phrase “data quality” is frequently used as a catch-all Read more
Non-Claims Data in the CO APCD The Colorado All Payer Claims Database (CO APCD) contains medical, dental, vision, and pharmacy claims from the majority of insured individuals in the state. However, claims data highlights only a portion of how the health care system functions. There are numerous other non-claims components Read more
Previous queries have outlined that the CO APCD contains medical, dental, vision, and pharmacy claims for the majority of insured individuals in Colorado, roughly 74 percent of covered lives in the state. However, numerous other behind-the-scenes factors provide insight into how an individual interacts with the health care system. One Read more
The Colorado All Payer Claims Database (CO APCD) contains over 1.1 billion claims, representing over 5 million insured lives in Colorado, with more added every month. Of these claims, there are over 75 million behavioral health claims contained in the CO APCD, representing over 10 million unique Coloradans who have Read more
Collecting reliable and complete patient demographic data, especially race and ethnicity information, is a challenge most health data organizations, including other state All Payer Claims Databases (APCDs), have grappled with for years. However, all agree that this data is essential to help communities understand drivers, inform solutions and assess progress Read more
Once payer-submitted data has successfully passed the extensive initial validation and quality tests performed by CIVHC and data manager Human Services Research Institute (HSRI) and NORC at the University of Chicago, the data are ready to be ingested into the warehouse. Previous queries have detailed the process for the monthly submission and intake Read more
Each month, health insurance payers submit millions of medical, professional, pharmacy, dental, and vision claims for inclusion in the Colorado All Payer Claims Database (CO APCD). CIVHC continuously works closely with submitters to ensure they understand the submission requirements and that the process is as smooth as possible. After submissions pass 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 APCD Rule and Data Submission Read more
In fiscal year 2023-2024, CIVHC’s Data Operations team implemented 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 break Read more