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. 2022 Oct 19;104(Suppl 3):15-17.
doi: 10.2106/JBJS.22.00607. Epub 2022 Oct 19.

Commercial Claims Data Sources: PearlDiver and Individual Payer Databases

Michael P Bolognesi  1 , Elizabeth B Habermann  2
Affiliations

Commercial Claims Data Sources: PearlDiver and Individual Payer Databases

Michael P Bolognesi et al. J Bone Joint Surg Am. .

Abstract

Individual or pooled commercial claims data sources such as the IBM MarketScan and PearlDiver provide information from health-care encounters by individuals enrolled in participating health insurance plans. These data sources contain deidentified data on demographic characteristics, enrollment start and end dates, inpatient and outpatient procedures and medical diagnoses with associated service dates and settings, and dispensed medications. Although there are concerns that long-term follow-up is limited because of interruptions in the continuity of coverage and reliance on billing data may overrecord or underrecord diagnoses and confounders, these data sources are nevertheless valuable for orthopaedic studies focusing on short-term complications, costs, and utilization.

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Conflict of interest statement

Disclosure: This work was funded by a grant from the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) (P30AR76312) and the American Joint Replacement Research-Collaborative (AJRR-C) https://ajrrc.org/. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJS/H197).

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