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The Carrier File includes fee-for-service claims submitted by professional providers, including physicians, physician assistants, clinical social workers, nurse practitioners.

Claims for some organizational providers, such as free-standing facilities are also found in the Carrier Claims File.  Examples include independent clinical laboratories, ambulance providers, free-standing ambulatory surgical centers and free-standing radiology centers.

Researchers rarely use this file alone.

This file is based on information from the CMS claim form 1500

What does this file include? (variable highlights)

  • diagnosis (ICD diagnosis)
  • procedure (CPT code)
  • dates of service
  • charges
  • allowed amounts
  • reimbursement amount
  • provider NPI number
Program
Medicare
Privacy Level
Research Identifiable Files