Max Rady College of Medicine

Term: Medical Services / Medical Claims Data

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Glossary Definition

Last Updated: 2014-06-24

Definition:

The Medical Services / Medical Claims data is an administrative health database consisting of medical (hospital/physician) claims for physician visits in offices, hospitals, and outpatient departments; fee-for-service components for tests such as lab and x-ray procedures performed in offices and hospitals; and payments for on-call agreements. In Manitoba, fee-for-service providers must submit claims to Manitoba Health for reimbursement and a small proportion of salaried physicians also submit evaluation claims (shadow billing).

For more information on Medical Services data, see the:

  • Medical Services Data Description that contains a brief summary of the content of the data set and information on the Source Agency, Purpose, Years, Type, Size, Data Level, Components, Scope, Data Collection Method, Data Highlights, Data Cautions, Access Requirements, More Information, and Last Updated date;

  • MCHP Metadata Repository - Medical Services - [Internal Access Only] - for technical and programming related information, including an Overview, Data Model, Data Quality, Data Dictionary, Documents and Reports, and Blog.
NOTE: In MCHP research, the Medical Services data has also been referred to as: Physician Claims data, the Medical Services Database, the Medical Claims File, and the Physician Claims File.

Related concepts 

Related terms 

Links 

References 

  • Katz A, Martens P, Chateau D, Bogdanovic B, Koseva I, McDougall C, Boriskewich E. Understanding the Health System Use of Ambulatory Care Patients. Winnipeg, MB: Manitoba Centre for Health Policy, 2013. [Report] [Summary] (View)

Term used in 

  • Chateau D, Enns M, Ekuma O, Koseva I, McDougall C, Kulbaba C, Allegro E. Evaluation of the Manitoba IMPRxOVE Program. Winnipeg, MB: Manitoba Centre for Health Policy, 2015. [Report] [Summary] (View)
  • Fransoo R, Martens P, The Need to Know Team, Prior H, Burchill C, Koseva I, Bailly A, Allegro E. The 2013 RHA Indicators Atlas. Winnipeg, MB: Manitoba Centre for Health Policy, 2013. [Report] [Summary] [Additional Materials] (View)
  • Fransoo R, Martens P, The Need to Know Team, Prior H, Burchill C, Koseva I, Rajotte L. Who is in our Hospitals.and why? Winnipeg, MB: Manitoba Centre for Health Policy, 2013. [Report] [Summary] [Additional Materials] (View)
  • Katz A, Chateau D, Bogdanovic B, Taylor C, McGowan K-L, Rajotte L, Dziadek J. Physician Integrated Network: A Second Look. Winnipeg, MB: Manitoba Centre for Health Policy, 2014. [Report] [Summary] [Updates and Errata] (View)
  • Martens P, Nickel N, Forget E, Lix L, Turner D, Prior H, Walld R, Soodeen RA, Rajotte L, Ekuma O. The Cost of Smoking: A Manitoba Study. Winnipeg, MB: Manitoba Centre for Health Policy, 2015. [Report] [Summary] [Updates and Errata] [Additional Materials] (View)


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Manitoba Centre for Health Policy
Community Health Sciences, Max Rady College of Medicine,
Rady Faculty of Health Sciences,
Room 408-727 McDermot Ave.
University of Manitoba
Winnipeg, MB R3E 3P5 Canada

204-789-3819