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August 17, 2011 at 08:00 PM
Standards group say they hope to free health insurers, public health plans and other payers from variations in state medical claims reporting requirements.
The Accredited Standards Committee X12 (ASC X12), Falls Church, Va., and the All-Payer Claims Database (APCD) Council, Durham, N.H., are starting a Uniform Medical Claims Payer Reporting Standard project to help states with single reporting standard.
The Patient Protection and Affordable Care Act of 2010 (2010) and other legal and market changes have increased states’ interest in gathering and pooling medical claims data.
Today, 14 states have agreed to try to streamline data collection and analysis by supporting creation of state all-payer claims databases (APCDs), ASC X12 says.
ASC X12 is an established insurance data standards group; the APCD Council represents states participating in the APCD effort.
Many states are collecting dental and pharmacy claims, and eligibility and provider files, along with medical claims, ASC X12 says.
