🟡Blue Cross Blue Shield Florida

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

Payerset Notes

Table of Contents

https://mrf.payerset.com/bcbs-florida

Compliance Scorecard

Overall Rating: 3/5 - Good

Table of Contents

★★★★★

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

★★★☆☆

3/5

• Are there any barriers to downloading the files?

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

Data Quality

★★★★☆

3/5

• What percentage of the MRFs are properly formatted and parseable

  • 5 Stars - 100%

  • 4 Stars - 80%...

Schema: BCBS_FLORIDA

Rates Records: 17,280,082,609

Provider Records: 163,610,247,812

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: ❌ MRF Links in the TOC expire before new links are posted, making it important to download/parse the data by the 20th of each month.

• File Accessibility Percentage: ❌ 98% of the files are accessible.

Overall Assessment: BCBS Florida has a number of issues, including that their Table of Contents links expire before new links are posted (usually by the 20th of the month), and 8 of their 557 files are not accessible. Additionally, some of the data for major health systems in Florida is missing, which could be part of the inaccessible 8 files but it's more likely that these are not being reported on at all. Lastly, several known in-network fee schedules are missing as reported by hospitals in Florida. For network fee schedules that are present in the data, the rates are verified and match existing contracts.