The collection includes clinical, demographic and financial information for privately insured admitted patient services. The collection has episodic, benefit and charge data for privately insured admitted patient episodes nationally from 1996/97. The collection is unique and is a valuable tool for services evaluation and research for both industry and Government.
Please note: The Department of Health has made every effort to ensure that the documents contained on this page meet accessibility requirements. If you are experiencing difficulty accessing the information contained within these documents, please contact Casemix Queries to arrange for an alternative format to be provided to you.
User guide for data submission to the department
A guide for hospitals and funds to validate and submit the following data files to the department for collections under the Private Health Insurance Act 2007:
- Private Hospital Data Bureau (PHDB)
- Hospital Casemix Protocol (HCP) – (validation only)
- Hospital Casemix Protocol 1 (HCP1)
- Hospital Casemix Protocol 2 (HCP2)
- General Treatment Dental (GT-Dental )
- Private Health Insurance Act (PHIA) – Data submission user guide v1.7 February 2021 (PDF 1969 KB)
- Private Health Insurance Act (PHIA) – Data submission user guide v1.7 February 2021 (Word 2245 KB)
HCP and PHDB Annual Report
- Hospital Casemix Protocol (HCP) – Annual reports
- Private Hospital Data Bureau (PHDB) – Annual reports
Reporting requirements
- Reporting requirements for Hospitals and Insurers (PDF 158 KB)
- Reporting requirements for Hospitals and Insurers (Word 17 KB)
Note:
There are two types of HCP specifications: One for hospitals to funds and the other for funds to the Commonwealth.
Current Specifications
Hospital Casemix Protocol (HCP)
- Changes in 2022-23 Data Specifications (PDF 256 KB)
- Changes in 2022-23 Data Specifications (Word 56 KB)
- HCP – Hospital to Insurer data specifications 2022-23 – effective 1 July 2022 (Excel 67 KB)
- HCP1 – Insurer to Department data specifications 2022-23 – effective 1 July 2022 (Excel 79 KB)
- HCP2 – Insurer to Department data specifications 2022-23 – effective 1 July 2022 (Excel 27 KB)
- GT-Dental – Insurer to Department data specifications 2022-23 – effective 1 July 2022 (Excel 26 KB)
Private Hospital Data Bureau (PHDB)
- PHDB – Hospital to Department 2022-23 data specifications – effective 1 July 2022
- PHDB – Hospital to Department 2021-22 data specifications – effective 1 July 2021
- PHDB – Hospital to Department 2020-21 data specifications – effective 1 July 2020
Historical Specifications
Historical Data Specifications are available on our Hospital Casemix Protocol (HCP) and Private Hospital Data Bureau (PHDB) Historical Data Specifications page.Related Private Health Insurance Circulars
- PHI 10/21 Release of final 2021-22 Data Specifications for HCP, HCP1, GT-Dental and PHDB data collections
- PHI 34/20 Release of final 2020-21 Data Specifications for HCP, HCP1, GT-Dental and PHDB data collections
- PHI 33/19 Release of final 2019-20 Data Specifications for HCP, HCP1, GT-Dental and PHDB data collections
- PHI 33/18 Release of final 2018-19 data specifications for the HCP, HCP1, HCP2, GT-Dental, and PHDB data collections
- PHI 32/18 Private Health Insurance (Data Provision) Rules 2018 and Private Health Insurance (Health Insurance Business) Rules 2018
- PHI 15/17 Release of Final Data Specifications for HCP, HCP1 and PHDB Data Collections
- PHI 36/16 Release of Final Data Specifications for HCP, HCP1 and PHDB Data Collections
- PHI 28/15 Release of Final Data Specifications for HCP, HCP1 and PHDB Data Collections
- PHI 01/14 Release of Final Data Specifications for HCP, PHDB and GT-Dental 2013-14 Data Collections
- PHI 27/13 Release of Revised Data Specifications for the 2012/13 HCP, HCP1 and PHDB Data Collections, Effective 1 July 2013
- PHI 43/12 Release of Final Data Specifications for HCP and PHDB 2012-13 Data Collections
- PHI 42/11 Release of Final Data Specifications for HCP and PHDB 2011-12 Data Collections
- PHI 36/10 Release of Final Data Specifications 2010-11 for HCP and PHDB Data Collections This circular replaces PHI circular 32/10
- PHI 32/10 Release of Final Data Specifications 2010-11 for HCP and PHDB Data Collections
- PHI 8Y/13 Release of Final Data Specifications for HCP, PHDB and GT-Dental 2013-14 Data Collections
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