Steps to Consider When Requesting a Claim File

Content Summary

The Consolidated Appropriations Act (CAA) provides access to claims data and is a valuable resource for employers, providing them with a treasure trove of information about employee healthcare utilization, costs, and demographic patterns. By effectively harnessing this data, employers can gain valuable insights and make data-driven decisions to optimize their benefits programs. However, it is essential to prioritize privacy and security when handling sensitive information. In this article, we will explore key considerations for self-insured employers who have access to claim files and highlight the importance of engaging experts to manage and interpret this valuable resource. It is always best to consult your cybersecurity expert and consider all applicable regulations, but here is a quick list of security provisions to consider.

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