Non-Public Data

When will Non-Public Data be available? 

Non-Public Data releases will begin in Summer 2024.

How much will Non-Public Data cost? 

The fee schedule is under development and will be posted in Spring 2024. There will be a nominal application fee that will go towards the cost of the data for approved applications. 

Who is eligible to request Non-Public Data?

Types of data requestors include researchers, state/federal entities, payers, providers/health systems, industry, and employers. Data requesters must be affiliated with an organization.

What are the requirements for receiving access to Non-Public Data?

All Non-Public Data releases must align with Georgia APCD objectives. Within the data request application, the requestor must justify how the data use will benefit the public. Data requestors must also have the methodological expertise and security infrastructure to analyze and protect the data. Data requests should be limited to the minimum data necessary to answer a research question. Additional justification may be required for certain data elements to ensure antitrust compliance and to protect sensitive data.

Non-Public Data Request Application Content

Requestors of Non-Public Data will need to submit an application, including the following:

Requestor information
  • Organization information
  • Personnel & collaborators
  • Prior experience using claims data
Project plan
  • Project description (background, goals, & objectives)
  • Project purpose & alignment with APCD objectives
  • Project start & end date
Data specification
  • How APCD data will be used
  • Specific data elements requested
  • Justification for requesting sensitive data elements
Expected outputs
  • Intended products or reports
  • Plans for publishing or disseminating findings
Data privacy
  • Plans & infrastructure for protecting the data
  • Techniques to prevent reidentification of data

Additional application elements may include:

  • A copy of an Institutional Review Board (IRB) protocol for the research
  • A Data Use Agreement (DUA)
  • A Data Management Plan

The full application will be released in Spring 2024.

What is the process for requesting Non-Public Data?

The Non-Public Data Request process is as follows.  Step 1: Submit pre-application.  Step 2: Work with Intake Coordinator to refine request.  Step 3: Submit data request application.  Step 4: Application intake.  Step 5: Application review by Security Team (if necessary).  Step 6: Application review by Data Release Review Committee (DRRC).  Step 7: Administrator makes final release decision.  Step 8: Execute Data Use Agreement (DUA) and make payment.  Step 9: Data release.

What data elements are contained in Non-Public Data?

There are four categories of Non-Public Data: Eligibility, Medical Claims, Pharmacy Claims, and Provider. Dental Claims will be added in the future.

All data requests should be limited to the minimum necessary data. Most Non-Public Data releases will be fully de-identified. When necessary for the research topic, "limited identifiers" such as 5-digit zip codes or dates of service can be made available.

Some data may be classified as sensitive for a variety of reasons including antitrust regulations and sensitive conditions, medications, and procedures, or other criteria as defined by the Data Governance Planning Team.

The table below shows the types of data that fall under each category.

  • Member demographics 
  • Member location 
  • Dates of coverage 
  • Submitter Information 
  • Insurance plan information
Medical Claims
  • Dates of service 
  • Dates of payment 
  • Place of service (type) 
  • Procedure code(s) 
  • Diagnosis code(s) 
  • Cost information 
  • Medical service line 
  • Member location 
  • Member age, sex 
  • Member ID 
  • Provider ID 
  • Submitter information 
Pharmacy Claims
  • Prescription information (e.g., drug, strength, days supply) 
  • Prescription filled date 
  • Cost information 
  • Member location 
  • Member age, sex 
  • Member ID 
  • Pharmacy provider ID 
  • Prescribing provider ID 
  • Submitter information 
  • Provider name 
  • Provider specialty 
  • NPI 
  • Organization name and type 
  • Provider location