The Level 3 standard data set was created for researchers without a monetary interest from a payer or health care provider perspective and can be paired with a finder file (for an additional fee) to identify a patient or study population.

Use cases:

  • Analyze public health trends or research a variety of topics
  • Identify high-priority conditions and services for population health management
  • Assess population health and inform and assist in policy decisions
  • Identify differences in cost and utilization between payer lines of business (Commercial vs. Medicaid, etc.)
  • With finder file:
    • Track churn and associated care patterns
    • Conduct intervention or control retrospective analyses

What’s Included?

  • Member and provider composite IDs
  • Member demographics
  • Diagnosis and procedure codes
  • Paid amounts (plan and patient paid portions)
  • Out of network flag
  • Pharmacy data
  • Dental data
  • Payer code
  • Provider NPI, specialty, and location

Download the data elements dictionary here.

Not sure which level is right for you? Contact us at ColoradoAPCD@civhc.org to connect with a Health Data Solutions Consultant who can help determine the right data set for you.

Other available data sets: