Database Description

North Carolina Medicaid and Blue Cross Blue Shield of North Carolina (BCBSNC) claims data are available as limited datasets. Patient identifiers are encrypted and no identification of individual patients is possible. Data are updated approximately every 6 months.

NC Medicaid Claims Data 

The NC Medicaid database contains claims data from the North Carolina Department of Health and Human Services Division of Health Benefits.

The database includes the following:

  • Claims information (including doctor visits, inpatient and outpatient care, prescription medications, dental treatments, charge amounts, dates of service, and diagnoses and procedures).
  • Provider information (including specialty and location).
  • Member information (including date of birth, gender, county/ZIP code of residence, race and ethnicity).

Dates available: January 2011 – December 2018

Blue Cross Blue Shield of North Carolina (BCBSNC) Claims Data 

The BCBSNC database contains claims data on health care services reimbursed by BCBSNC. The database includes claim records from insured groups, administrative services only (ASO) groups, and individual market and Affordable Care Act Exchange Plans.

The database includes the following:

  • Claims information (including doctor visits, inpatient and outpatient care, prescription medications, dental treatments, charge amounts, dates of service, and diagnoses and procedures).
  • Provider information (including specialty and location).
  • Member information (including date of birth, gender, county/ZIP code of residence).

Dates available: January 2006 – September 2018.