🔴CareSource

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

Payerset Notes

Table of Contents

https://mrf.payerset.com/caresource

Note that the employer files for CareSource are created and maintained by UnitedHealthcare - https://mrf.payerset.com/united-healthcare

Compliance Scorecard

Overall Rating: 2/5 - Poor

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

★★★★☆

4/5

• Are there any barriers to downloading the files?

• Do the Table of Contents links expire before publishing new links?

Data Quality

★★☆☆☆

2/5

• What percentage of the MRFs are properly formatted and parseable

  • 5 Stars - 100%

  • 4 Stars - 80%...

Schema: CARESOURCE

Rates Records: 0

Provider Records: 398,000

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: ❌ Several files linked in the Table of Contents are not accessible.

• File Accessibility Percentage: ❌ only a few of the files are accessible and several of those have no data. Several files are corrupted (see below).

Overall Assessment: CareSource is somehow less compliant as of May 2024 than previously.

Not only do they have .zip files nested within .zip files for several layers, but they also are not putting the correct fields into their machine-readable files. See the screenshot and description below:

The issues:

1. The main key is in_networks instead of in_network (it is not supposed to be plural)

2. The Price field should be negotiated_price

3. The Exp_Date field should be expiration_date

4. The Expiration Date should not have a timestamp

These are easily-fixable issues and we hope CareSource will make the necessary changes to their files.