Professional Medical Billing Services (SV1) Header Information

The Texas Department of Insurance maintains a database of professional medical billing services for workers' compensation claims. It contains charges, payments, and treatments billed on CMS-1500 forms by healthcare professionals treating injured employees, with dates of service for the last five years. The header information identifies carriers, employees, employers, place of service, and diagnoses, and must be joined with detail records using bill ID and selection date.

Use Cases

• Analyze medical charge and payment trends for injured workers based on the described billing data.
• Study treatment patterns and diagnostic information associated with workplace injuries.
• Model relationships between insurance carriers, employers, and healthcare providers based on the header identifiers.
• Investigate temporal trends in workers' compensation claims using the five-year date of service range.

Strengths

• Data covers a five-year period of service dates.
• Includes key identifiers for insurance carriers, injured employees, and employers.
• Linked to a detailed companion dataset and a provided data dictionary.

Limitations

• Row count is unknown, which may limit suitability assessment.
• Column-level documentation is absent; field semantics must be inferred after download.
• Description metadata is limited; actual data quality requires manual inspection after download.

Provenance

Source

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

Collection Method

Administrative database of medical billing services submitted on CMS-1500 forms.

Time Range

Dates of service for the last five years (as of dataset publication).

Freshness

Last updated 2026-03-25 14:41:54.354888; freshness should be verified.

Geography

Texas, United States