🟡Blue Cross Blue Shield Tennessee
This data contains the price transparency machine-readable files provided by BCBS Tennessee that have been normalized into easy-to-use tables.
Payerset Notes
Table of Contents
https://mrf.payerset.com/bcbs-tennessee
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
★★★★☆
4/5
What percentage of the MRFs are properly formatted and parseable
5 Stars - 100%
4 Stars - 80%...
Schema: BCBS_TENNESSEE
Rates Records: 14,979,485,224
Provider Records: 292,222,979,632
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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