🟒Ambetter (Centene)

This data contains the price transparency machine-readable files provided by Ambetter that have been normalized into easy-to-use tables.

Payerset Notes

Table of Contents

https://mrf.payerset.com/ambetter

Compliance Scorecard

Overall Rating: 4/5 - Good

Table of Contents

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5/5

  • Are the MRFs kept up to date each month?

  • Is the Table of Contents link easily accessible?

  • Is the Table of Contents properly formatted?

File Accessibility

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5/5

  • Are there any barriers to downloading the files?

  • Do the Table of Contents links expire before publishing new links?

Data Quality

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4/5

  • Is the data present in the files complete

  • Are there significant gaps in any type of data

  • Is the payer compliant with the regulations

Schema: AMBETTER

Rates Records: 28,736,135

Provider Records: 121,392,257

Additional Observations

Machine-Readable Price Transparency Files Review

  • MRFs Up-to-Date: βœ”οΈ Yes, the MRFs are kept up to date each month.

  • Table of Contents Accessibility: βœ”οΈ The Table of Contents link is easily accessible.

  • Table of Contents Formatting: βœ”οΈ Yes, the Table of Contents is properly formatted.

  • File Download Barriers: βœ”οΈ No download barriers

  • File Accessibility Percentage: βœ”οΈ 100% of the files are accessible.

Overall Assessment: These files are posted by Centene and are generally pretty good, however we have received feedback that they are missing data for which there is definitely a contracted rate, specifically for Imaging and ED codes for a few hospitals in Arkansas. We are looking into this issue and will make Ambetter aware of any findings.

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