Suchergebnisse - "Insurance Claim Review"

Evaluating the generalizability of commercial healthcare claims data.

Autoren: Dahlen A Deng Y Charu V

Quelle: American journal of epidemiology [Am J Epidemiol] 2025 Oct 07; Vol. 194 (10), pp. 2999-3006.

Publikationsart: Journal Article

Info zur Zeitschrift: Publisher: Oxford University Press Country of Publication: United States NLM ID: 7910653 Publication Model: Print Cited Medium: Internet ISSN: 1476-6256 (Electronic) Linking ISSN: 00029262 NLM ISO Abbreviation: Am J Epidemiol Subsets: MEDLINE

MeSH-Schlagworte: Insurance Claim Review*/statistics & numerical data , Insurance Claim Review*/standards , Insurance, Health*/statistics & numerical data, Humans ; United States ; Female ; Male ; Middle Aged ; Socioeconomic Factors ; Adult ; Bias ; Databases, Factual ; Aged ; Patient Discharge/statistics & numerical data

Comparison of Linked EHR-Pharmacy Data and Administrative Claims Data: Medication Fills During Pregnancy.

Autoren: Jansen GP Vazquez-Benitez G Ehresmann K et al.

Quelle: Pharmacoepidemiology and drug safety [Pharmacoepidemiol Drug Saf] 2025 Dec; Vol. 34 (12), pp. e70271.

Publikationsart: Journal Article; Comparative Study

Info zur Zeitschrift: Publisher: Wiley Country of Publication: England NLM ID: 9208369 Publication Model: Print Cited Medium: Internet ISSN: 1099-1557 (Electronic) Linking ISSN: 10538569 NLM ISO Abbreviation: Pharmacoepidemiol Drug Saf Subsets: MEDLINE

MeSH-Schlagworte: Electronic Health Records*/statistics & numerical data , Insurance Claim Review*/statistics & numerical data , Drug Prescriptions*/statistics & numerical data , Administrative Claims, Healthcare*/statistics & numerical data, Humans ; Pregnancy ; Female ; Adult ; Minnesota ; Databases, Factual/statistics & numerical data ; Young Adult

Real-world healthcare resource utilization of Alzheimer's disease in the early and advanced stages: a retrospective cohort study.

Autoren: Fazio-Eynullayeva E Cunnington M Mystkowski P et al.

Quelle: Journal of medical economics [J Med Econ] 2025 Dec; Vol. 28 (1), pp. 81-88. Date of Electronic Publication: 2024 Dec 24.

Publikationsart: Journal Article

Info zur Zeitschrift: Publisher: Taylor & Francis Country of Publication: England NLM ID: 9892255 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1941-837X (Electronic) Linking ISSN: 13696998 NLM ISO Abbreviation: J Med Econ Subsets: MEDLINE

MeSH-Schlagworte: Alzheimer Disease* , Insurance Claim Review* , Patient Acceptance of Health Care*/statistics & numerical data, Humans ; Female ; Male ; Retrospective Studies ; Aged ; Aged, 80 and over ; Severity of Illness Index ; Health Resources/statistics & numerical data ; Health Resources/economics ; Mental Status and Dementia Tests

Fraud detection and explanation in medical claims using GNN architectures.

Autoren: Muhammad R Tbaishat D Nazir A et al.

Quelle: Scientific reports [Sci Rep] 2025 Nov 25; Vol. 15 (1), pp. 41734. Date of Electronic Publication: 2025 Nov 25.

Publikationsart: Journal Article

Info zur Zeitschrift: Publisher: Nature Publishing Group Country of Publication: England NLM ID: 101563288 Publication Model: Electronic Cited Medium: Internet ISSN: 2045-2322 (Electronic) Linking ISSN: 20452322 NLM ISO Abbreviation: Sci Rep Subsets: MEDLINE

MeSH-Schlagworte: Fraud*/prevention & control , Neural Networks, Computer* , Insurance Claim Review*, Humans ; Algorithms

Preventing tomorrow's high-cost claims: the rising-risk patient opportunity in Medicaid.

Autoren: Patel SY Pollack HA Basu S

Quelle: The American journal of managed care [Am J Manag Care] 2025 Nov; Vol. 31 (11), pp. 647-649.

Publikationsart: Journal Article

Info zur Zeitschrift: Publisher: Clinical Care Targeted Communications Group, LLC Country of Publication: United States NLM ID: 9613960 Publication Model: Print Cited Medium: Internet ISSN: 1936-2692 (Electronic) Linking ISSN: 10880224 NLM ISO Abbreviation: Am J Manag Care Subsets: MEDLINE

MeSH-Schlagworte: Medicaid*/economics , Medicaid*/statistics & numerical data , Health Expenditures*/statistics & numerical data , Insurance Claim Review*, United States ; Humans ; Cost Control/methods ; Chronic Disease/economics ; Chronic Disease/prevention & control

[Treatment pathways in the outpatient care of patients with depression - An analysis of statutory health insurance claims data].

Transliterierter Titel: Behandlungspfade in der ambulanten Versorgung von Patienten mit Depression – Eine Routinedatenanalyse.

Autoren: Schlierenkamp S Werner S Schlesiger P et al.

Quelle: Psychiatrische Praxis [Psychiatr Prax] 2025 Nov; Vol. 52 (8), pp. 442-450. Date of Electronic Publication: 2025 Nov 12.

Publikationsart: English Abstract; Journal Article

Info zur Zeitschrift: Publisher: Georg Thieme Verlag Country of Publication: Germany NLM ID: 0423204 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1439-0876 (Electronic) Linking ISSN: 03034259 NLM ISO Abbreviation: Psychiatr Prax Subsets: MEDLINE

MeSH-Schlagworte: Ambulatory Care*/statistics & numerical data , Ambulatory Care*/legislation & jurisprudence , National Health Programs*/statistics & numerical data , Depressive Disorder*/therapy , Depressive Disorder*/psychology , Depressive Disorder*/diagnosis , Depressive Disorder*/epidemiology , Psychotherapy*/legislation & jurisprudence , Psychotherapy*/statistics & numerical data , Critical Pathways*/statistics & numerical data , Insurance Claim Review*/statistics & numerical data, Humans ; Germany ; Male ; Female ; Middle Aged ; Adult ; Health Care Reform ; Aged

[Can information on patients' whereabouts after an emergency department visit be used for analyses? A comparison between linked electronic health records and health claims data].

Transliterierter Titel: Können Informationen von Patientinnen und Patienten zum Verbleib nach dem Notaufnahmebesuch für Analysen herangezogen werden? Ein Abgleich zwischen verknüpften Behandlungsdaten und GKV-Routinedaten.

Autoren: Goldhahn L Bienzeisler J Otto R et al.

Quelle: Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) [Gesundheitswesen] 2025 Nov; Vol. 87 (S 02), pp. S260-S271. Date of Electronic Publication: 2025 Sep 04.

Publikationsart: Journal Article; Comparative Study; English Abstract

Info zur Zeitschrift: Publisher: Thieme Country of Publication: Germany NLM ID: 9204210 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1439-4421 (Electronic) Linking ISSN: 09413790 NLM ISO Abbreviation: Gesundheitswesen Subsets: MEDLINE

MeSH-Schlagworte: Emergency Service, Hospital*/statistics & numerical data , Electronic Health Records*/statistics & numerical data , Insurance Claim Review*/statistics & numerical data , Medical Record Linkage*/methods , Patient Discharge*/statistics & numerical data, Humans ; Germany/epidemiology ; Male ; Female ; Middle Aged ; Aged ; Adult ; Adolescent ; Young Adult ; Hospitalization/statistics & numerical data ; Quality Indicators, Health Care/statistics & numerical data ; Emergency Room Visits

Defining the Pediatric Radiology Workforce in the United States Using Insurance Claims Data.

Autoren: Morales-Tisnés T Pelzl CE Christensen EW et al.

Quelle: Journal of the American College of Radiology : JACR [J Am Coll Radiol] 2025 Nov; Vol. 22 (11), pp. 1429-1435. Date of Electronic Publication: 2025 Sep 09.

Publikationsart: Journal Article

Info zur Zeitschrift: Publisher: Elsevier Country of Publication: United States NLM ID: 101190326 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1558-349X (Electronic) Linking ISSN: 15461440 NLM ISO Abbreviation: J Am Coll Radiol Subsets: MEDLINE

MeSH-Schlagworte: Radiologists*/supply & distribution , Radiologists*/statistics & numerical data , Insurance Claim Review* , Pediatrics*/statistics & numerical data , Radiology*, United States ; Humans ; Child ; Databases, Factual ; Workforce/statistics & numerical data

Enrichment of health insurance claims data with official death certificate information from three German cancer registries: Proportions of successful linkages and differences by region, year, and age.

Transliterierter Titel: Anreicherung von Routinedaten der Gesetzlichen Krankenversicherung mit offiziellen Todesursacheninformationen von drei Krebsregistern: Trefferquoten und Unterschiede nach Region, Jahr und Alter.

Autoren: Heinze F Langner I Bartholomäus S et al.

Quelle: Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) [Gesundheitswesen] 2025 Nov; Vol. 87 (S 02), pp. S246-S253. Date of Electronic Publication: 2025 Feb 03.

Publikationsart: Journal Article

Info zur Zeitschrift: Publisher: Thieme Country of Publication: Germany NLM ID: 9204210 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1439-4421 (Electronic) Linking ISSN: 09413790 NLM ISO Abbreviation: Gesundheitswesen Subsets: MEDLINE

MeSH-Schlagworte: Death Certificates* , Registries*/statistics & numerical data , Breast Neoplasms*/mortality , National Health Programs*/statistics & numerical data , Insurance Claim Review*/statistics & numerical data , Medical Record Linkage*/methods, Humans ; Germany/epidemiology ; Middle Aged ; Female ; Aged ; Adult ; Aged, 80 and over ; Mammography/statistics & numerical data ; Age Distribution ; Cause of Death

[Insured-Specific Outpatient Claims Data in Private Health Insurance - Part 2: Data Origin and Data Flow].

Transliterierter Titel: Versichertenbezogene ambulante Rechnungsdaten der privaten Krankenversicherung – Teil 2: Datenentstehung und Datenfluss.

Autoren: Stallmann C Achstetter K Goldhahn L et al.

Quelle: Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) [Gesundheitswesen] 2025 Nov; Vol. 87 (S 02), pp. S226-S237. Date of Electronic Publication: 2025 Sep 25.

Publikationsart: Journal Article; Review; English Abstract

Info zur Zeitschrift: Publisher: Thieme Country of Publication: Germany NLM ID: 9204210 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1439-4421 (Electronic) Linking ISSN: 09413790 NLM ISO Abbreviation: Gesundheitswesen Subsets: MEDLINE

MeSH-Schlagworte: Insurance, Health*/statistics & numerical data , Ambulatory Care*/statistics & numerical data , Insurance Claim Review*/statistics & numerical data , Private Sector*/statistics & numerical data , Insurance Claim Reporting*/statistics & numerical data , Information Storage and Retrieval*/methods, Germany ; Humans

Are observation codes underused for emergency psychiatric patients with an extended length of stay? A retrospective commercial claims analysis from 2016 to 2022.

Autoren: Priest KC Havlik J Wilson MP et al.

Quelle: General hospital psychiatry [Gen Hosp Psychiatry] 2025 Nov-Dec; Vol. 97, pp. 209-217. Date of Electronic Publication: 2025 Oct 27.

Publikationsart: Journal Article

Info zur Zeitschrift: Publisher: Elsevier/North-Holland Country of Publication: United States NLM ID: 7905527 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-7714 (Electronic) Linking ISSN: 01638343 NLM ISO Abbreviation: Gen Hosp Psychiatry Subsets: MEDLINE

MeSH-Schlagworte: Length of Stay*/statistics & numerical data , Emergency Service, Hospital*/statistics & numerical data , Mental Disorders*/therapy , Insurance Claim Review*/statistics & numerical data, Humans ; Adult ; Middle Aged ; Male ; Female ; Retrospective Studies ; Young Adult ; Adolescent ; United States

Utilization of dental services of older persons after onset of home care --- an observational study from the InSEMaP research project based on German insurance claims data.

Autoren: Henken E König HH Konnopka A et al.

Körperschaften: Henken E König HH Konnopka A et al.

Quelle: BMC geriatrics [BMC Geriatr] 2025 Oct 15; Vol. 25 (1), pp. 776. Date of Electronic Publication: 2025 Oct 15.

Publikationsart: Journal Article; Observational Study

Info zur Zeitschrift: Publisher: BioMed Central Country of Publication: England NLM ID: 100968548 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2318 (Electronic) Linking ISSN: 14712318 NLM ISO Abbreviation: BMC Geriatr Subsets: MEDLINE

MeSH-Schlagworte: Home Care Services*/trends , Home Care Services*/statistics & numerical data , Insurance Claim Review*/trends , Patient Acceptance of Health Care*/statistics & numerical data , Dental Care for Aged*/statistics & numerical data , Dental Care*/statistics & numerical data, Humans ; Aged ; Male ; Female ; Retrospective Studies ; Germany/epidemiology ; Middle Aged ; Aged, 80 and over ; Cohort Studies ; Follow-Up Studies ; Oral Health

The T-MSIS Analytic Files (TAF) Analysis Reporting Checklist: A Guide for Research Using Medicaid Claims Data.

Autoren: Schpero WL McConnell KJ Bushnell G et al.

Quelle: JAMA health forum [JAMA Health Forum] 2025 Oct 03; Vol. 6 (10), pp. e253622. Date of Electronic Publication: 2025 Oct 03.

Publikationsart: Journal Article

Info zur Zeitschrift: Publisher: American Medical Association Country of Publication: United States NLM ID: 101769500 Publication Model: Electronic Cited Medium: Internet ISSN: 2689-0186 (Electronic) Linking ISSN: 26890186 NLM ISO Abbreviation: JAMA Health Forum Subsets: MEDLINE

MeSH-Schlagworte: Medicaid*/statistics & numerical data , Checklist* , Health Services Research*/standards , Insurance Claim Review*/statistics & numerical data, United States ; Humans ; Centers for Medicare and Medicaid Services, U.S. ; Research Design/standards

Development and Validation of a Claims-Based Algorithm for Identifying Incident Colorectal Cancer and Determining Progression Phases.

Autoren: Agatsuma N Utsumi T Inoue T et al.

Quelle: JCO clinical cancer informatics [JCO Clin Cancer Inform] 2025 Oct; Vol. 9, pp. e2500107. Date of Electronic Publication: 2025 Oct 23.

Publikationsart: Journal Article; Validation Study

Info zur Zeitschrift: Publisher: American Society of Clinical Oncology Country of Publication: United States NLM ID: 101708809 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2473-4276 (Electronic) Linking ISSN: 24734276 NLM ISO Abbreviation: JCO Clin Cancer Inform Subsets: MEDLINE

MeSH-Schlagworte: Algorithms* , Colorectal Neoplasms*/epidemiology , Colorectal Neoplasms*/diagnosis , Colorectal Neoplasms*/pathology , Insurance Claim Review*, Humans ; Retrospective Studies ; Disease Progression ; Male ; Female ; Japan/epidemiology ; Aged ; Middle Aged ; Incidence

Effect of lookback period length on disease incidence estimates in claims databases.

Autoren: Vabre C Pitel B Goussiaume G et al.

Quelle: Journal of epidemiology and population health [J Epidemiol Popul Health] 2025 Oct; Vol. 73 (5), pp. 203144. Date of Electronic Publication: 2025 Nov 05.

Publikationsart: Journal Article; Observational Study

Info zur Zeitschrift: Publisher: Elsevier Masson Country of Publication: France NLM ID: 9918769574106676 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2950-4333 (Electronic) Linking ISSN: 29504333 NLM ISO Abbreviation: J Epidemiol Popul Health Subsets: MEDLINE

MeSH-Schlagworte: Databases, Factual*/statistics & numerical data , Insurance Claim Review*/statistics & numerical data , HIV Infections*/epidemiology , Liver Diseases*/epidemiology , Heart Failure*/epidemiology, Humans ; Incidence ; Retrospective Studies ; France/epidemiology ; Longitudinal Studies ; Male ; Female ; Middle Aged ; Adult ; Chronic Disease/epidemiology ; Aged ; Time Factors

Regional anaesthesia-related complications in Switzerland: Lessons learned from the national closed claims analysis over the past 30 years.

Autoren: Ganter MT Girard T Stadelmann VA et al.

Quelle: European journal of anaesthesiology [Eur J Anaesthesiol] 2025 Oct 01; Vol. 42 (10), pp. 924-933. Date of Electronic Publication: 2025 Jun 04.

Publikationsart: Journal Article

Info zur Zeitschrift: Publisher: Lippincott Williams & Wilkins, 2009- Country of Publication: England NLM ID: 8411711 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2346 (Electronic) Linking ISSN: 02650215 NLM ISO Abbreviation: Eur J Anaesthesiol Subsets: MEDLINE

MeSH-Schlagworte: Anesthesia, Conduction*/adverse effects , Anesthesia, Conduction*/trends , Malpractice*/legislation & jurisprudence , Malpractice*/trends , Malpractice*/statistics & numerical data , Malpractice*/economics , Insurance Claim Review*/trends , Postoperative Complications*/epidemiology, Humans ; Male ; Switzerland/epidemiology ; Female ; Retrospective Studies ; Middle Aged ; Adult ; Aged ; Young Adult ; Adolescent ; Databases, Factual/trends ; Aged, 80 and over ; Child

Quantification of Information Gained by Linking Claims Data to an Electronic Health Record Cohort of Patients With Metastatic Breast Cancer.

Autoren: Geddes J Katz J Asiimwe A et al.

Quelle: Pharmacoepidemiology and drug safety [Pharmacoepidemiol Drug Saf] 2025 Oct; Vol. 34 (10), pp. e70213.

Publikationsart: Journal Article

Info zur Zeitschrift: Publisher: Wiley Country of Publication: England NLM ID: 9208369 Publication Model: Print Cited Medium: Internet ISSN: 1099-1557 (Electronic) Linking ISSN: 10538569 NLM ISO Abbreviation: Pharmacoepidemiol Drug Saf Subsets: MEDLINE

MeSH-Schlagworte: Electronic Health Records*/statistics & numerical data , Breast Neoplasms*/epidemiology , Breast Neoplasms*/pathology , Insurance Claim Review*/statistics & numerical data , Medical Record Linkage*/methods, Humans ; Female ; Aged ; Middle Aged ; Cohort Studies ; Adult ; Age Factors ; Aged, 80 and over ; Neoplasm Metastasis ; Databases, Factual/statistics & numerical data

Anonymization of Health Insurance Claims Data for Medication Safety Assessments.

Autoren: Halilovic M Otte K Meurers T et al.

Quelle: Studies in health technology and informatics [Stud Health Technol Inform] 2025 Sep 03; Vol. 331, pp. 283-291.

Publikationsart: Journal Article

Info zur Zeitschrift: Publisher: IOS Press Country of Publication: Netherlands NLM ID: 9214582 Publication Model: Print Cited Medium: Internet ISSN: 1879-8365 (Electronic) Linking ISSN: 09269630 NLM ISO Abbreviation: Stud Health Technol Inform Subsets: MEDLINE

MeSH-Schlagworte: Data Anonymization* , Confidentiality* , Insurance Claim Review* , Insurance, Health* , Drug-Related Side Effects and Adverse Reactions*/epidemiology, Germany ; Humans

Leveraging Electronic Health Records and Claims Data to Improve HIV and Comorbidity Care Trajectories: A Scoping Review.

Autoren: Sugarman OK; Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, 1812 Ashland Ave, Rm 390, Baltimore, MD, 21211, USA. osugarm1@jh.edu.

Quelle: Current HIV/AIDS reports [Curr HIV/AIDS Rep] 2025 Aug 15; Vol. 22 (1), pp. 43. Date of Electronic Publication: 2025 Aug 15.

Publikationsart: Journal Article; Scoping Review

Info zur Zeitschrift: Publisher: Current Science Country of Publication: United States NLM ID: 101235661 Publication Model: Electronic Cited Medium: Internet ISSN: 1548-3576 (Electronic) Linking ISSN: 15483568 NLM ISO Abbreviation: Curr HIV/AIDS Rep Subsets: MEDLINE

MeSH-Schlagworte: Electronic Health Records* , HIV Infections*/epidemiology , HIV Infections*/therapy , Insurance Claim Review*, Humans ; Comorbidity ; COVID-19/epidemiology ; SARS-CoV-2

Transforming the Medicare Claims Data to the OMOP Common Data Model.

Autoren: Lee YA Lu Y Bian J et al.

Quelle: Studies in health technology and informatics [Stud Health Technol Inform] 2025 Aug 07; Vol. 329, pp. 1570-1571.

Publikationsart: Journal Article

Info zur Zeitschrift: Publisher: IOS Press Country of Publication: Netherlands NLM ID: 9214582 Publication Model: Print Cited Medium: Internet ISSN: 1879-8365 (Electronic) Linking ISSN: 09269630 NLM ISO Abbreviation: Stud Health Technol Inform Subsets: MEDLINE

MeSH-Schlagworte: Medicare*/statistics & numerical data , Medicare*/organization & administration , Electronic Health Records*/organization & administration , Electronic Health Records*/standards , Insurance Claim Review*/organization & administration , Common Data Elements*, United States ; Humans