Learn about the research sample set available for your custom research.
Learn about the specifics that can be researched.
Explore the details of data validation performed before research begins.
PearlDiver has partnered with Comprehensive Health Insights to integrate Humana’s full claims database in to the PearlDiver research program.
As of June, 2018 Humana represents 25 million patients throughout the duration of the set including claims from 2007 through Q1 2017. No sampling is performed on this data. Research is conducted over the full set including commercial and Medicare advantage populations. While de-identified and HIPAA compliant, this research set is fully capable of longitudinal research based upon unique patient identifier codes.
Research can be performed utilizing any one or combination of identifiable fields on the claim record processed by Humana. Fields include but are not limited to; ICD-9 & ICD-10 diagnosis coding, DRG procedural coding, ICD-9 & ICD-10 procedural coding, CPT procedural coding, prescription NDC coding, lab record LOINC coding, discharge status, demographic, physician specialty, and geographic region or state.
Scope: National Time Period: 2007 – Q1 2017
Total Patient Volume: 25 million
Longitudinal: Yes, time specific capable
Providers: Facility, physician, ancillary services, pharmacy
Geographic Inclusion: All U.S. states and territories
Researchable procedure/drug/lab coding: DRG, ICD-9 Diagnosis, ICD-10 Diagnosis, ICD-9 procedural, ICD-10 procedural, CPT, NDC, LOINC
Additional filters: Age, date, discharge status, drug group, field number (primary, secondary, tertiary, etc.), gender, length of stay, physician specialty, plan type, race, region, service location, and state
Payer Types: Individual commercial, state-based Medicaid, Medicare stand alone PDP, group Medicare Advantage, and Individual Medicare Advantage
Modifiers included: Yes
Cost of Care Availability: Insurer reimbursed amount per claim
Updates: Data is updated on a quarterly basis