🟢Avera Health Plans

This data contains the price transparency machine-readable files provided by Avera Health Plans, which have been normalized into easy-to-use tables.

Payerset Notes

Table of Contents

https://mrf.payerset.com/avera

Compliance Scorecard

Overall Rating: 4/5 - Good

Table of Contents

★★★★☆

4/5

• 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

★★★★★

5/5

• Are there any barriers to downloading the files?

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

Data Quality

★★★★★

5/5

• What percentage of the MRFs are properly formatted and parseable

  • 5 Stars - 100%

  • 4 Stars - 80%...

Schema: AVERA

Data Validation

Record Type	Record Count
Negotiated Rates	162,082
Nonstandard Codes	0
Providers	5,641,551
Bundled Codes	0
Covered Services (Capitation)	0

Additional Observations

Machine-Readable Price Transparency Files Review

• MRFs Up-to-Date: ❌ No, the MRFs are not kept up to date each month and there have been delays in the past of getting them updated.

• 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 barriers to download

• File Accessibility Percentage: ✔️ All files available.

Overall Assessment: Avera Health Plans has had some issues with delays in updating MRFs in a timely manner. Other than occasional delays, the quality is fair and consistent amongst peers.