The Oregon All Payer All Claims Database (APAC) is a large database that houses administrative health care data for Oregon’s insured populations. It includes medical and pharmacy claims, enrollment data, premium information, and provider information for Oregonians who are insured through commercial insurance, Medicaid, and Medicare.
The Oregon State Legislature established APAC in 2009 as a tool to measure health care costs, quality, and utilization, and commissioned the Oregon Health Authority (OHA) to operate the database. An integral component of the state’s ongoing health care improvement efforts, APAC provides access to timely and reliable data essential to improving quality, reducing costs, and promoting transparency.
Provides an overview of the APAC database, including its purpose, what data is collected, how data is used, and the data request process.
Frequently Asked Questions
Answers questions about APAC data collection, management, access and use.
APAC Use Cases
Showcases previous projects for which APAC data has been approved and used.
For Data Requesters
For information about how to use APAC data, the data request process, and applications, visit our APAC Data Request Page.
For Data Submitters
Current and new data submitters can find information about submission specifications, schedules, and waivers below.
APAC-1: Waiver or Exception of Reporting Requirements
Effective January 1, 2018
Use this form to request an exception to mandated reporting requirements.
Primary Care Alternative Payment Methods - Contract Reporting
Separate from APAC and Appendices G & H related to APM payments, coordinated care organizations (CCOs) and commercial carriers participating in the national primary care medical home payment model conducted by the Center for Medicare and Medicaid Innovation must file a report under OAR 409-028-0100 to 409-028-0130 for CCOs (effective 2/1/2018) and under OAR 836-053-1520 to 836-053-1530 for commercial carriers (effective 3/8/2018) using the Annual Supplemetal Provider Level Support form.
This report must be submitted before September 30, 2019 and each year thereafter to PC.ServicesReport@dhsoha.state.or.us. Questions related to the report can be sent to PC.ServicesReport@dhsoha.state.or.us.
Leading Indicators for Oregon's Health Care Transformation
This report presents quarterly data from Oregon's All-Payer All Claims Reporting Program.
Leading Indicators Report, September 5, 2015
Leading Indicators Report, April 30, 2015
Oregon Revised Statute (ORS 442.464, 442.466, & 442.993)
Statute that mandates reporting of health care claims data.
Gobeille v. Liberty Mutual and APAC
This document describes a recent Supreme Court case that affects all payer claims databases and how this impacts APAC submissions.
Claim Exclusions version 2018.0.1
Per OAR 407-014-0020, information related to the receipt of substance abuse treatment will not be disclosed without written authorization, unless disclosure is otherwise permitted under 42 CFR part 2. This document contains all diagnosis, procedure and revenue codes that result in claims line exclusions.