Texas Pharmacy Medical Billing for Workers Compensation

Pharmacy medical billing services data from the Texas Division of Workers' Compensation, covering charges, payments, and prescriptions billed on DWC Form-066. The dataset includes details to identify insurance carriers, injured employees, employers, place of service, and diagnostic information, with dates of service for the last five years. Individual line items can be grouped into single bills using the bill selection date and bill ID.

Use Cases

• Analyze charges and payments per bill ID to assess cost patterns in workers' compensation pharmacy claims.
• Examine prescription details and diagnostic information to study treatment trends for injured employees.
• Group line items by bill selection date to reconstruct complete pharmacy service bills for auditing.
• Investigate relationships between place of service, insurance carriers, and billed amounts.

Strengths

• Data is maintained by the authoritative Texas Department of Insurance, Division of Workers' Compensation.
• Covers five years of pharmacy medical billing service records.
• Includes detailed fields for bill reconstruction, such as bill ID and bill selection date.

Limitations

• The exact number of rows and columns is unknown, limiting assessment of dataset scale and feature completeness.
• Requires joining with a separate header information dataset for complete bill context.
• Data structure and specific column names are not provided in the input.

Provenance

Source

Texas Department of Insurance, Division of Workers' Compensation (DWC).

Collection Method

Maintained database of pharmacy medical billing services (SV4) submitted on DWC Form-066.

Time Range

Dates of service for the last five years (relative to dataset update).

Freshness

Last updated March 2026, indicating planned maintenance.

Geography

Texas, United States.