Texas Pharmacy Medical Billing Header Records

Texas Department of Insurance maintains a database of pharmacy medical billing services for workers' compensation claims. The header data identifies insurance carriers, injured employees, employers, place of service, and diagnostic information, grouping individual line items from the last five years.

Use Cases

• Analyze billing patterns by insurance carrier and place of service across workers' compensation claims
• Group individual line items into single bills using the bill selection date and bill ID fields
• Link header records with detail information using diagnostic information and employer identifiers

Strengths

• Data covers the last five years of pharmacy medical billing services
• Includes header information for grouping detailed line items into complete bills
• Provided by the Texas Department of Insurance, Division of Workers' Compensation

Limitations

• Row count and column structure are unknown from available input
• Requires joining with separate detail dataset for complete billing analysis
• Data dictionary is provided in a separate Excel file requiring additional download

Provenance

Source

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

Collection Method

Billed charges, payments, and prescriptions submitted on DWC Form-066 by pharmacies

Time Range

Last five years (with historical data available back to 2010)

Freshness

Updated March 2026

Geography

Texas, United States