# Florida Blue

### Payerset Notes

**Table of Contents**

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

### Compliance Scorecard

Overall Rating: <mark style="color:yellow;">**3/5**</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>5/5</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:yellow;"><strong>3/5</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:yellow;"><strong>3/5</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\_FLORIDA

#### **Data Validation**

| Record Type                   | Record Count  |
| ----------------------------- | ------------- |
| Providers                     | 1,253,235,330 |
| Rates                         | 3,284,291,717 |
| 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:** ❌ MRF Links in the TOC expire before new links are posted, making it important to download/parse the data by the 20th of each month.
* **File Accessibility Percentage: ❌** 98% of the files are accessible.

**Overall Assessment:** BCBS Florida has a number of issues, including that their Table of Contents links expire before new links are posted (usually by the 20th of the month), and **8 of their 557** files are not accessible. Additionally, some of the data for major health systems in Florida is missing, which could be part of the inaccessible 8 files but it's more likely that these are not being reported on at all.\
\
Lastly, several **known in-network fee schedules are missing as reported by hospitals in Florida**. For network fee schedules that are present in the data, the rates are verified and match existing contracts.


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