🟢Blue Cross Blue Shield Michigan

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

Payerset Notes

Table of Contents

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

Compliance Scorecard

Overall Rating: 5/5 - Excellent

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

★★★★★

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: BCBS_MICHIGAN

Data Validation

Record Type	Record Count
Negotiated Rates	21,262,028
Nonstandard Codes	4,435
Providers	9,648,150,077
Bundled Codes	475,842,213
Covered Services (Capitation)	335,390

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 barriers to downloading the MRFs.

• File Accessibility Percentage: ✔️ 100% of the files are accessible - though there is one file with an unsupported extension, but we believe this is not a "real" MRF.

Overall Assessment: BCBS Michigan does a great job of posting these files each month. They duplicate provider data substantially, but that can be a result of interpretation of the CMS rules.

As of May 2024, there is a single file that has invalid JSON, but it appears to be an old file from April, specifically this file: https://bcbsm.sapphiremrfhub.com/mrfs/202405/2024-04-08_BCBSMI_IH0000000015_ffs_in-network.json.gz_14016f858662e4a37ed266f4f29eb7a54ad44ae1