🟡Elevance (Anthem)

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

Payerset Notes

Table of Contents

https://mrf.payerset.com/elevance

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

★★★★☆

4/5

• 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: ELEVANCE

Rates Records: 34,628,517,904

Provider Records: 2,871,631,392,106

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 the file is unnecessarily large, repeating plans and networks hundreds of thousands of times, and file references many millions of times.

• Table of Contents Formatting: ✔️ Yes, the Table of Contents is properly formatted.

• File Download Barriers: ✔️ No barriers to downloading the MRFs.

• File Accessibility Percentage: ❌ 99% of the files are accessible.

One thing to watch out for is that there are many links that have different URL parameters but point to the same files, so it's best to ensure you're only parsing the root files or you will end up with 10k+ instead of ~1k files

Overall Assessment: Elevance does a great job of posting these files each month, though there are a lot of them and the Table of Contents is unnecessarily large. Additionally, they duplicate provider data substantially, but that can be a result of interpretation of the CMS rules.