Claims Data Service | Claims Data Reporting

Summary of Our New Claims Data Service

Quicker pre-screens designed to move your cases forward, faster.

The NRR team is pleased to announce a new DX/RX claims data service that enables law firms to identify where clients received treatment and to “pre-screen” whether a client had specific treatments or medications associated with the criteria you are evaluating. This service is available for both single-event and mass-tort cases.

The following sample reports illustrate how to review and interpret the claims data provided (link to full sample reports below):

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National Record Retrieval’s Claims Data Reporting

Overview of Claims Data Service:

A summary document will outline the main components of a patient’s claims report.
Simple color-coded criteria will indicate matches for tort claims: Green (match), Orange (possible match), Gray (no match).
Exclusion criteria may also be included in the tort criteria set.

Prescription Information Includes:

Lists medications filled by the patient in alphabetical order.
Provides names and contact information of prescribing providers and pharmacies.
Details the number of doses and days supplied for each prescription.
Includes a timeline of when each prescription was filled.

Medical Claims Overview:

Presents a chronological listing of diagnosed medical conditions for the patient.
Includes the name and contact information of the current provider on the report date.
Lists dates of service along with diagnosis and procedure codes submitted for billing.
Continues the chronological listing of medical claims related to the patient.

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National Record Retrieval’s Claims Data Reporting | Sample Reports

National Record Retrieval’s Claims Data Service provides a comprehensive and organized report of a patient’s claims data, including prescriptions and medical diagnoses. It uses a color-coded system to indicate matching criteria for tort cases, helping users quickly identify relevant information. Additionally, it includes detailed contact information for providers and pharmacies, as well as timelines for prescriptions and medical services, ensuring efficient and accurate data retrieval.

To better illustrate this new service, here’s a few sample reports to click and review:

CLAIMS REPORT QUICK GUIDE

OZEMPIC SAMPLE

DEPO-PROVERA

*Please note these sample reports represent fictional characters and information. These documents should be treated as confidential and only for use by the intended audience. Claims data won’t replace the need to retrieve the actual records but it is a quick and efficient way to evaluate cases.

Have questions? Contact a NRR team member or peruse our FAQs below.

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Frequently Asked Questions | Claims Data Service

Q: What components are included in a patient’s report?

A: A patient’s report includes the following components:

Criteria Set: Summary of matching criteria for the tort case using a color-coded scale (Green = match, Orange = possible/partial match, Gray = no match).
Patient Details: Information specific to the patient.
FILLS: An alphabetical listing of prescriptions filled by the patient, including medication details, provider and pharmacy information, dosage, supply timeline, and matching criteria.
Medical Claims: A chronological listing of diagnosed medical conditions, including provider details, diagnosis and procedure codes, and service dates.

Q: How are medications listed in the report?

A: The prescriptions are listed in alphabetical order and each listing has the name, form and dosage of medication as well as a timeline indicating when each prescription was filled.

Q: How is provider contact information presented?

A: Provider name, address and/or phone number will be provided if that information exists with the claims data database.

Q: Is there a cost associated with this new claims data service?

A:$75 per claimant if there is a “hit”. A hit is defined as whenever any claims data is returned. If no claims data is returned then there is no charge to the law firm

Q: Do I still need to request and retrieve full records?

A: Yes, while this quick summary of claims data is helpful in identifying case support, you’ll still need to request records to properly support your case.

Q: How can I get started?

A: Simply reach out to your NRR client representative or Albert Ong to get started. You can also schedule a time to discuss that fits best with your availability.