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All Payer All Claims Reporting Program

Overview

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.

About APAC

APAC Overview
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
Use this form to request an exception to mandated reporting requirements.

Effective January 1, 2017

Administrative Rule (OAR 409-025-0100 to 409-025-0170, filed 6/22/2016)
Appendix A-H: Version 2017.1.0 (revised May 3, 2017)
Schedule A: Healthcare Claims Data File Submissions
APAC Submission Memo for Version 2017.1.0

Effective January 1, 2018

Administrative Rule (OAR 409-025-0100 to 409-025-0170, filed 6/23/2017)

Reports

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

Additional Resources

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.

Requesting Data?

Visit our new APAC Data Request page.

Contact Us

Questions?

APAC.Admin@dhsoha.state.or.us


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