🟢Blue Shield California

This data contains the price transparency machine-readable files provided by Blue Shield of California that have been normalized into easy-to-use tables.

Payerset Notes

Table of Contents

https://mrf.payerset.com/bs-california

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: BS_CALIFORNIA

Data Validation

Record Type	Record Count
Providers	312,635,476
Rates	94,399,806,603
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.

• 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 medical files are accessible.

Several Dental files (apparently hosted by UnitedHealthcare) are inaccessible. This does not impact their overall rating, but is an area to address.

File Links: https://uhc-tic-mrf.azureedge.net/private-mrf/2023-12-01/2023-12-01_Blue-Shield-of-California_Dental_0229_in-network-rates.json.gz

Overall Assessment: Blue Shield California 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.