# Blue Cross Blue Shield Tennessee

### Payerset Notes

**Table of Contents**

<https://mrf.payerset.com/bcbs-tennessee>

### 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>4/5</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><p>What percentage of the MRFs are properly formatted and parseable</p><ul><li>5 Stars - 100%</li><li>4 Stars - 80%...</li></ul></li></ul></td><td></td></tr></tbody></table>

### Schema: BCBS\_TENNESSEE

#### **Data Validation**

| Record Type                   | Record Count  |
| ----------------------------- | ------------- |
| Providers                     | 4,283,212,654 |
| Rates                         | 100,875,560   |
| 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 but not updated at the beginning of each month.
* **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:** BCBS Tennessee does not post until the end of each month, but does keep up with posting their data. There is a link in their table of contents that is invalid (<https://d7k0rj9u1dp84.cloudfront.net/TCR_Output_JSON/C_$folder$>) but this appears to be a result of a system error and we don't feel it's valid. They duplicate provider data substantially, but that can be a result of interpretation of the CMS rules.

### Customer Anecdotes

A customer has noted that for some codes, BCBS Tennessee includes many hundreds of rates for the same providers/modifiers. This is likely a mistake, as much of the data is clean, but it is important to note that this does cause BCBS Tennessee to be out of compliance.


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