# Ambetter (Centene)

### Payerset Notes

**Table of Contents**

<https://mrf.payerset.com/ambetter>

### Compliance Scorecard

Overall Rating: <mark style="color:green;">**4/5**</mark>**&#x20;- Good**

<table data-view="cards"><thead><tr><th></th><th></th><th></th><th></th><th data-hidden data-card-cover data-type="files"></th></tr></thead><tbody><tr><td><strong>Table of Contents</strong></td><td><strong>★★★★★</strong></td><td><mark style="color:green;"><strong>5/5</strong></mark></td><td><ul><li>Are the MRFs kept up to date each month? </li><li>Is the Table of Contents link easily accessible?</li><li>Is the Table of Contents properly formatted?</li></ul></td><td></td></tr><tr><td><strong>File Accessibility</strong></td><td><strong>★★★★★</strong></td><td><mark style="color:green;"><strong>5/5</strong></mark></td><td><ul><li>Are there any barriers to downloading the files?</li><li>Do the Table of Contents links expire before publishing new links?</li></ul></td><td></td></tr><tr><td><strong>Data Quality</strong></td><td><strong>★★★★☆</strong></td><td><mark style="color:green;"><strong>4/5</strong></mark></td><td><ul><li>Is the data present in the files complete</li><li>Are there significant gaps in any type of data</li><li>Is the payer compliant with the regulations</li></ul></td><td></td></tr></tbody></table>

### Schema: AMBETTER

#### **Data Validation**

| Record Type                   | Record Count |
| ----------------------------- | ------------ |
| Negotiated Rates              | 7,039,078    |
| Nonstandard Codes             | 0            |
| Providers                     | 140,257,643  |
| Bundled Codes                 | 0            |
| Covered Services (Capitation) | 0            |

### Additional Observations

**Machine-Readable Price Transparency Files Review**

* **MRFs Up-to-Date:** ✔️ Yes, the MRFs are kept up to date each month.
* **Table of Contents Accessibility:** ✔️ The Table of Contents link is easily accessible.
* **Table of Contents Formatting:** ✔️ Yes, the Table of Contents is properly formatted.
* **File Download Barriers:** ✔️ No download barriers
* **File Accessibility Percentage:** ✔️ 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.