Nationwide Claims Data
500+
Commercial, Medicaid & Medicare plans
250M
Patient lives covered
9B+
Unique claims records
How we use the data
Claims data is our validation layer — ensuring price transparency filings reflect real-world reimbursement and providing deep utilization context.
01
Data Sourcing
Serif Health sources nationwide claims data through strategic partnerships with major health plans, clearinghouses, and data aggregators. Our claims dataset spans 500+ commercial, Medicaid, and Medicare health plans, covering approximately 250 million patient lives across the United States with over 9 billion unique claims records.
02
Validation & Analysis
Our claims data serves as a critical validation layer for price transparency filings. By comparing published rates with actual claims payments, we identify discrepancies, assess accuracy of machine readable files, and provide confidence scores for pricing data across different payers and providers.
03
Contextual Insights
Beyond validation, our claims data provides rich contextual information including utilization volumes, referral patterns, seasonal trends, and geographic variations in healthcare delivery. Updated monthly, it includes detailed breakdowns by specialty, procedure type, patient demographics, and care settings.