FAIR Health Commercial Data Repository Surpasses 50 Billion Claim Records

April 24, 2025

FAIR Health’s collection of commercial health insurance claims recently surpassed 50 billion claim records, the latest milestone for what was already the nation’s largest such repository. Spanning the period from 2002 to the present, the repository is growing at a rate of more than three billion claim records a year. The data include billed charges from providers and negotiated, in-network allowed amounts for medical and dental services actually delivered to patients.

FAIR Health’s data collection continues to grow and deepen as new contributors, confident in our stewardship of the data and our neutrality, submit data in a wide range of fields. The 75-plus payors and administrators who submit commercial claims data to our repository insure or process claims for both fully insured and self-insured plans, covering individuals located in all 50 states; Washington, DC; Puerto Rico; and the US Virgin Islands. Their contributions allow us to deliver greater insights into the healthcare system and provide a variety of data and analytics to consumers, providers, payors, policy makers, researchers and others, and afford the contributors many benefits. Not least among those benefits is the representation of their experience in a database increasingly used by government agencies as an official data source for numerous health policy and consumer protection initiatives, in addition to many other uses within the industry.

A Growing Repository Enhances Our Data Products
FAIR Health’s ever-expanding commercial dataset forms the basis of our charge and allowed benchmark modules and other industry-standard claims data resources that meet varied stakeholder operational needs. FAIR Health data support provider reimbursement as well as provider network, benefit and premium rate design, in addition to many other uses. Our data also power a broad range of custom analytics, designed to meet the specifications of inquiries into different corners of the healthcare system. Because our database of commercial healthcare claims includes a subset of longitudinal data, custom analytics can include the tracking of individual de-identified patients over time, revealing key aspects of patient migratory patterns, treatment regimens and venue of care selection.

Government Uses
The growth of FAIR Health’s repository means that it is always refreshed with recent data to serve governmental, consumer and research needs. FAIR Health’s conflict-free, representative claims data are used to support federal and state agencies and legislative bodies responsible for a broad range of policy initiatives. For example, FAIR Health’s data support state healthcare fee schedules around the country for workers’ compensation, auto liability or personal injury protection (PIP), crime victims’ funds, women’s wellness and cancer screenings, and a medical indemnity fund for birth-related neurological injuries, among others.

Consumer Resources
The FAIR Health data repository powers the medical, dental and shoppable services cost lookup tools on our free, award-winning consumer website, fairhealthconsumer.org, also available in Spanish (fairhealthconsumidor.org). FAIR Health Consumer allows consumers to look up typical costs for healthcare procedures in their own geographic areas and adjacent areas. The costs are put in context with a rich, original educational curriculum about health insurance. The website also contains shared decision-making tools that offer decision aids with clinical and cost information, and a dedicated section for older adults (fairhealtholderadults.org).

Research
FAIR Health data—increasingly enriched with more claim fields—help academics and policy makers by fueling research that leads to new studies in peer-reviewed journals and government publications. The data also serve as the foundation for varied white papers, briefs and infographics undertaken by FAIR Health, which are widely disseminated.

For more information on FAIR Health’s data repository and its uses, contact us by email at info@fairhealth.org or call us at 855-301-FAIR (3247), Monday through Friday, 9 am to 6 pm ET.