CMS has some free databases for Part B claims - like this one for annual Excel spreadsheets and this one for a cloud database x CPT code x Provider Name. And CMS sells anonymous data files of claims data, too.
Now there's a new vender in town.
I'll copy below an email I got today about LUMA CLAIMS dot COM. It includes nearly real-time CMS claims processing data (through February 28, about four months ago). Wow. Pricing info was not readily available.
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Continuing our partnership with medicareclaimreports.com (now https://lumaclaims.com/), Parrish Law Office is pleased to announce that initial claim approval/denial information for ALL Medicare Part B CPT codes is now available from January 2020 through February 28, 2026. Using a new interactive interface, custom reports examining approval differences by Medicare Administrative Contractor, provider, and State, and time based analyses can be created. Charts, graphs, and raw data of the reports can be downloaded. The data is particularly useful in identifying approval/denial trends and issues, and where Medicare has not issued a local or national coverage determination.
We use these reports to show that Original Medicare has been covering something when a denial asserts that the item is experimental/investigational.
If this information would be useful in your business, please contact Parrish Law Office for more information or click on this link: www.lumaclaims.com
Debra M. Parrish, Bridget Noonan
Parrish Law Offices www.dparrishlaw.com
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