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Professional Medical Billing Services (SV1) Header Information - Historical

Published by data.austintexas.gov

Description

The Texas Department of Insurance, Division of Workers' Compensation (DWC) maintains a database of professional medical billing services (SV1). It contains charges, payments, and treatments billed on a CMS-1500 form by doctors and other health care professionals who treat injured employees, including ambulatory surgical centers, with dates of service more than five years old going back to 2010. For datasets from the past five years, see <a href="https://data.texas.gov/dataset/Professional-Medical-Billing-Services-SV1-Header-I/pvi6-huub" target="_blank"><u>professional medical billing services (SV1) header information</u></a>. The header identifies insurance carriers, injured employees, employers, place of service, and diagnostic information. The bill header information groups individual line items reported in the detail section. The bill selection date and bill ID must be used to group individual line items into a single bill. Find more information in our <a href="https://www.tdi.texas.gov/wc/information/documents/pudfdictionary2.xlsx" target="_blank"><u>professional medical billing services (SV1) header data dictionary</u></a>. See <a href="https://data.texas.gov/dataset/Professional-Medical-Billing-Services-SV1-Detail-I/7au4-j7bg" target="_blank"><u>professional medical billing services (SV1) detail information – historical</u></a> for the corresponding detail records related to this dataset. Go to our page on <a href="https://www.tdi.texas.gov/wc/information/pudfpricelist.html" target="_blank"><u>DWC medical state reporting public use data file (PUDF)</u></a> to learn more about using this information.

Tags

billing cms-1450 cms-1500 dwc-066 facility hospital insurance medical pharmacy professional ub-04 ub-92 workers' compensation

Dataset Information

Last Harvested
July 10, 2025 at 04:28 AM
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DCAT Metadata

accessLevel public
identifier https://data.austintexas.gov/api/views/gh5j-28a7
issued 2021-10-19
landingPage https://data.austintexas.gov/d/gh5j-28a7
modified 2025-03-13
publisher
{
  "@type": "org:Organization",
  "name": "data.austintexas.gov"
}

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