🟢Blue Cross Blue Shield North Carolina

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

BCBS NC occasionally doesn't update their TOC link. You can derive the link using this base link and the latest update date (https://mrfmftprod.bcbsnc.com/prod/etl/outbound/table-of-contents/non-aso/2024-01-29_blue-cross-and-blue-shield-of-north-carolina_index.json)

We will update it at the link below if it is not updated, so each quarter it will update, but if you want it more than quarterly you may have to derive it.

Payerset Notes

Table of Contents

https://mrf.payerset.com/bcbs-north-carolina

Compliance Scorecard

Overall Rating: 5/5 - Excellent

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: BCBS_NORTH_CAROLINA

Rates Records: 19,595,539,910

Provider Records: 160,253,339,539

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.

Overall Assessment: Despite not updating their Table of Contents link (which we have taken care of for them above 🙂), BCBS North Carolina does a great job of posting these files each month. We aren't going to take a full star off for the TOC issue. They duplicate provider data substantially, but that can be a result of interpretation of the CMS rules.