Standard Analytical Files

These files are available by type of claim. Subject to privacy release approval, you may order 5% sample files for each claim type. The 5% sample is created based on selecting records with 05, 20, 45, 70 or 95 in positions 8 and 9 of the Health Insurance Claim (HIC) number. You may request extracts from the 100% data based on beneficiary identification number, state of residence, diagnosis code, provider type or location. Please see the Data Use Checklist for all options. The term ‘providers' is used universally to refer to physicians, as well as, institutions.

These files contain final action claims data in which all adjustments have been resolved. Files are scheduled to be released in late November.

Media: DVD or Hard Drive
Available: 2000 and forward

All requests for identifiable data must be developed and reviewed with the assistance of the Research Data Assistance Center (ResDAC), who may be contacted at www.resdac.umn.edu or at resdac@umn.edu.

Once your data request has been reviewed by ResDAC, the final request can be sent to the Centers for Medicare & Medicaid Services (CMS) as directed by ResDAC.

NOTE:  The documents identified below are for requests that are processed internally at CMS.  SAFs processed by our Research Data Distribution Center (RDDC) are provided in the Chronic Condition Data Warehouse (CCW) format which can be obtained by visiting the ResDAC websites listed in the Related Links Outside CMS below.