Healthcare claims data definition

Healthcare claims data means information consisting of or derived directly from member eligibility files, medical claims files, pharmacy claims files and other related data pursuant to the Vermont Healthcare Claims Uniform Reporting and Evaluation System (VHCURES) in effect at the time of the data submission. “Healthcare claims data” does not include analysis, reports, or studies containing information from health care claims data sets if those analyses, reports, or studies have already been released in response to another request for information or as part of a general distribution of public information by BISHCA.
Sample 1Sample 2Sample 3
Healthcare claims data means information consisting of, or derived directly from, member enrollment, medical claims, and pharmacy claims that this rule requires a carrier to report.
Sample 1Sample 2
Healthcare claims data means information consisting of,
Sample 1

Examples of Healthcare claims data in a sentence

  • Healthcare claims data also provide information on medication use and compliance.

  • Healthcare claims data represent a holistic view of services rendered whether it is delivered in the hospital, rehabilitation facility or the home.

  • Healthcare claims data files for the period 1/1/2009 through 6/30/2010 shall be submitted no later than 2/15/2012.

  • Healthcare claims data files for the period 7/1/2011 through 12/31/2011 shall be submitted no later than 4/30/2012.


More Definitions of Healthcare claims data

Healthcare claims data means information consist- ing of or derived directly from member eligibility files, medical claims files, pharmacy claims files and other related data pursuant to the Vermont Healthcare Claims Uniform Reporting and Evalua- tion System (VHCURES) in effect at the time of the data submission. “Healthcare claims data” does not include analysis, reports, or studies containing
Sample 1Sample 2

Related to Healthcare claims data

  • Healthcare provider means a healthcare practitioner, person, or facility licensed, authorized, certified, registered, or regulated under title 33, title 63, title 68, federal law or order, or an executive order of the governor, including but not limited to any employees, agents, or contractors of such a practitioner, person, or facility, and residents, interns, students, fellows, or volunteers of an accredited school or of such school's affiliated teaching or training hospitals or programs in this state;

  • Information Technology means computers, software, databases, firmware, middleware, servers, workstations, networks, systems, routers, hubs, switches, data communications lines, and all other information technology equipment and associated documentation.

  • Health care plan means any contract, policy or other arrangement for benefits or services for medical or dental care or treatment under:

  • Information Technology Resources means agency budgetary resources, personnel, equipment, facilities, or services that are primarily used in the management, operation, acquisition, disposition, and transformation, or other activity related to the lifecycle of information technology; acquisitions or interagency agreements that include information technology and the services or equipment provided by such acquisitions or interagency agreements; but does not include grants to third parties which establish or support information technology not operated directly by the Federal Government. (0MB M-15-14)

  • Licensed health care provider means a physician, physician assistant, chiropractor, advanced registered nurse practitioner, nurse, physical therapist, or athletic trainer licensed by a board.

  • Health care professional means a physician or other health care practitioner licensed, accredited or certified to perform specified health care services consistent with state law.

  • Health care provider or "provider" means: