Dictionary

The Dictionary provides concise definitions of health economics terms, arranged alphabetically for quick reference. Use it to understand unfamiliar terminology or confirm the meaning of a specific term.

6 terms matching “Claims Data”

A

Administrative DatabaseAdmin Database, Administrative Claims Database
A large-scale collection of administrative data, such as insurance claims or government health records, made available for secondary research use.

C

Claims DataBilling Data, Payer Claims Records
Records generated when providers bill insurers for services, capturing diagnoses, procedures, and prescriptions filled, though not direct clinical detail such as lab values.
Claims DatabaseClaims Data Warehouse, Insurance Claims Repository
A large, structured collection of insurance claims data assembled from one or more payers, used to study healthcare utilisation and cost.

F

Fraud Analytics HealthHealthcare Fraud Analytics, Claims Fraud Detection
The application of data analysis to identify patterns suggestive of healthcare fraud or abuse within claims data, prioritising compliance investigation.

P

Patient Safety IndicatorPSI, Safety Indicator
A standardised measure identifying potentially preventable complications during hospital care, using administrative claims data to flag cases for review.

S

Secondary Data AnalysisSecondary Analysis, Retrospective Data Analysis
The use of data originally collected for a purpose other than the current research question, such as insurance claims data used to study treatment patterns.