> For the complete documentation index, see [llms.txt](https://docs.payerset.com/llms.txt). Markdown versions of documentation pages are available by appending `.md` to page URLs; this page is available as [Markdown](https://docs.payerset.com/payers/hawaii-medical-service-association-price-transparency.md).

# HMSA (Hawaii Medical Service Association)

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

### Payerset Notes

**Table of Contents**

<https://mrf.payerset.com/hmsa>

### Compliance Scorecard

Overall Rating: <mark style="color:yellow;">**3/5**</mark>\*\* - Needs Improvement\*\*

<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:yellow;"><strong>3/5</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:green;"><strong>5/5</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:green;"><strong>4/5</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: HMSA

#### **Data Validation**

| Record Type                   | Record Count |
| ----------------------------- | ------------ |
| Providers                     | 29,577       |
| Rates                         | 73,781,767   |
| Nonstandard Codes             | 51,405       |
| Bundled Codes                 | 0            |
| Covered Services (Capitation) | 0            |

*Data was not available for August 2026.*

**August 2026 Status:** The most recently published files are dated 2026-07-01, which predates the August 2026 reporting cycle; no new data was loaded.

### Additional Observations

**Machine-Readable Price Transparency Files Review**

* **MRFs Up-to-Date:** ❌ No, the most recently published files predate the August 2026 cycle.
* **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: ❌** Only 17 of the 554 files are inaccessible, but that is enough to lose a star and get a rating downgrade.

**Overall Assessment:** HMSA 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. Rescored to 3/5 in August 2026 because the July 2026 files were posted after the reporting cutoff and no August 2026 files were available.

**Error Details by File:**

```
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An error occurred: 403 Client Error: Forbidden for url: https://bcbshi.mrf.bcbs.com/2024-02_040_05C0_in-network-rates_1_of_4.json.gz?&Expires=1711116038&Signature=eNdAPmMpyR7P1eWAj6zfcEhE-pw2j94kX91D8~xnp3X5FHYFzYkFs-2XXe5T09Jqz7vNFt05gmNxM4dS7ew1eqNV6hgCr3NjlRRazn1Rlfbd4XaYrIBHmI94cHDsB7pwenjaK5W-RCpo84InIz4AQ4n3QgtJmaf7ZKQx5otfcE8rjZrHsi6YGjCS~3O3wjVxSx~IPtcgRjR4o7~dInKYBHSOHAp21kpwVVpN1itAgTvNxZakN9dPg4Sna15igOMFHx49jYeUF21KP9P-GSeXLO-NElHpAP5ekeHbJrZUt18gU0Ka8zY-v5eD9tCkM40Qe3uQUmUVdURTI3cJF~UdJA__&Key-Pair-Id=K27TQMT39R1C8A
An error occurred: 403 Client Error: Forbidden for url: https://bcbshi.mrf.bcbs.com/2024-02_131_17B0_in-network-rates_1_of_17.json.gz?&Expires=1711116038&Signature=Z97ExAE99wZu4KXfJEaEJGNU9nU5uuMpgMzYjamS7oYsetnLoJ8l7GuSyierzNMSpq0jbsVSog6Lc6aD72k3lC8AhZXwSGMXDcJOWEkI4lkjxdXJA8kZCW1iQJG-z2WKCpDSNPu6hhAo8Dzd545Pf~jC~U4LBb0fX3GbjbuscrL9JyfT9hdCg~je7cBoTRyRzVC51n9S2G2RtUJOvhZc4EoOT5cd159D~av0hxsalPDT1py2s6O4HLNMyfRDx6HvPBXSjJvO3xquAC-29eX2ei6ejpJbXuKShAvJ~NKqxBupyQRL68TwZEYNjx6pt0Z9YK9EZO9G7~mKVbLeHfSC~g__&Key-Pair-Id=K27TQMT39R1C8A
An error occurred: 403 Client Error: Forbidden for url: https://bcbshi.mrf.bcbs.com/2024-02_430_65Q0_in-network-rates.json.gz?&Expires=1711116038&Signature=TYjDbr09M0XRCIIh3LuARxO0uBhMyWsYsXsXQm2v9CtzjZlJIoj5Z-m6AI69q3skFRAOyhB-nHgVYBc~lPdyyY92rgMMiUT2~L6PianatWQkCF2jN4RcNmpJuqjsyss-sqGfGRGMvZtwD6bGPJbtMvagjZFOFiZ1bPeTrbWOUaolgfEWHZdeEEAU5DCHTTNFxS19sHdRNuai6g8cXnkd~GaUena-MsxqJXk2WsSHGxgXJFyrZt2eBROVo-hQRfT-4cHCVUrHnz7nXVXcE~sLoOgBwolc81ZnuhdkkSjvfU~Qpk9BO9BzCPhg2uFnM2M1KtDZ3~ZcbPRm2jvUdSqmLw__&Key-Pair-Id=K27TQMT39R1C8A
An error occurred: 403 Client Error: Forbidden for url: https://bcbshi.mrf.bcbs.com/url/2024-02_280_36B0_in-network-rates.json.gz?&Expires=1711116038&Signature=Ty4i6hSLvAqrnTspo-TKoQV9njfk3v4IRC0ne2kpKgnqmff~yGu4YYiHYM79yML3u2B9ecaWZrva9r~KaGyC31d~GNaNf6gwFusqsf-gKy~NjfO8YTYZ7bmDQJPJF5epb8OaeLXfEST51JgJ3Xa6xDXaPvoHnbc~HksLTBkUJyNQ9kDgRT~QPoyW0N7WwZTCyf2Skad3JBfG8NlCousTG9Om1S89N3MHehz7tBSOtOwPUq-ijbV7FISosI9v~mMLybw4Cguwgp-Xm9BRhn9ZIBVYd18PoiXIoaPRu-PZO0ziswD3PRt1reK0gtY1FS1oby8vmzks5cRpHrR9nqrLYQ__&Key-Pair-Id=K27TQMT39R1C8A
An error occurred: 403 Client Error: Forbidden for url: https://bcbshi.mrf.bcbs.com/2024-02_430_65B0_in-network-rates.json.gz?&Expires=1711116038&Signature=nyvgbjANFq3F4zlAixCUXa4CSaa4YrbV8JqbIpvNKmlcDjjOSMr-KawOQeLOIG8QGQu~NMqrt6LJMfqcRJDwBxrH6Lw62mE~5hUOHhzQKskhSalDScyI0wl-wSs5RU23ZAq0p9flVIwbC8yd~hdiweakwrOLIEeQrXnLTpSuSKJUZZAs5SUqT-LKnbhxNbije7aZHaC05JK-TS85lMTcURkc~nV91d88S~hxZQQ3aWiQZvBMeloiKdrir7DZhxI27I3DsZ4nK1AF4E0rq4I6Ae6uWNxJIs4nIrMc49JqxE-Xc7GhnZ4cd4oJpDbisUaX7ahiTAiig0p2f~JMLUluCw__&Key-Pair-Id=K27TQMT39R1C8A
An error occurred: 403 Client Error: Forbidden for url: https://bcbshi.mrf.bcbs.com/2024-02_590_10E0_in-network-rates.json.gz?&Expires=1711116038&Signature=duHcu077~32LBaNWXsOSFdbhP1aaVb0pVGuF0cQE-jat7lwr7FYxQYepvBK14zSRUz-EupPku5vxpYz5TLXKIPF0thBN8IR2YUPy39tY-OGuGrsE06Ci1mzG706eOGhnSVOb-HesvUSmyVuYfDC1qWbceZLHgO5hOZLzCa~Bfnd8T1Oz8U-TdyO1LejQjXZa6PDoId8~pJXUaEcVBk85pJQJw6~m18YhQUj7eQdXgWR1j306TDiibEHO9ztFJA5FpFl~5e7gwdhT9PZYS1ysxslyyZ~6lFdlkB19aeOz9~~6u1ApUhqY-2tGCY8aQWuU1ti-wWgw2VGWrUss5bscZg__&Key-Pair-Id=K27TQMT39R1C8A
An error occurred: 403 Client Error: Forbidden for url: https://bcbshi.mrf.bcbs.com/2024-02_040_05C0_in-network-rates_3_of_4.json.gz?&Expires=1711116038&Signature=nNa6qE9xxyEZ~Z4BCfGvtwcn5yRWlZBWO4hRK4Ue~LCnvkSbI9YZwJNGf5C~v8eJ28DxPU30mO9Hrh-abb2nKk-HmnGrNXeoVfe2IcG9esZKud98dMP0VNm-UDBW1ZbpYNqcmjifUusJsHAsrFAds1nFJj-35MSUHQOgOw-AS2mrQhcUQvWDQUo2Ax~c8hQZnp487hOE0OPzB90xZLkxPY2b4od7LtNluXmVm4gI7F0SshShujql-Dw~URl3Ua9JoE7RF6p~AixYDWCzVF80gfcibVgUYWnIKErL~zSAtPYAfc8E3Do0LVZ9eo~hgIz0aSPrcADH8Ua24X9pFDpozQ__&Key-Pair-Id=K27TQMT39R1C8A
An error occurred: 403 Client Error: Forbidden for url: https://bcbshi.mrf.bcbs.com/2024-02_170_22B0_in-network-rates.json.gz?&Expires=1711116038&Signature=mIKff3Qvr-tXoOnECAZ8sP7xU-vurfnw~4zJBGGW7bWfrc~NEwR04NRM5vFnAEGP1Z10U7gbVOhXT70ZeAOhxlx~XXRwX4ZIiMv1CmJS0vUTY73h1KNR0qo1xXXlShIlWegE~UVObA20lXa1Oc73g7UjE9IP9aWKlgeFkuFiclF73SjeEWxDU3dN7FyCqGlJDTUbwqkdDlFXAcQ~K3lSI-bx0bGcuDrSVeiDUpHkSYAKEd--wvT13Eiua7LANqyNRfn8d4EYvfFuV4Ll8lYxWrLJ25UMNRyjONnb22dx807CsrdlADUJum19CxVDVsWv~flh-tzCkwNIvbGLrwzPYw__&Key-Pair-Id=K27TQMT39R1C8A
An error occurred: 403 Client Error: Forbidden for url: https://bcbshi.mrf.bcbs.com/2024-02_131_17B0_in-network-rates_2_of_17.json.gz?&Expires=1711116038&Signature=lH5vIzTJ2Uh2~GWaCdxRyqDdzCd4M3sp066MO6h1sQUPmGbDgutbOnXir9nYHGMd6tKW9UzN5fy--zp9nu4puBVWdstuhMUooIbhhtpH39eRMpqHNjLXLw7RB2OANcIDzsksPmVGNTOdpz1O5vdaXd3dvD8iljDzCei7f7mQTPaz1vzit~kFSmWVhu4j5xE7hFFb~XbqYC2koJOkHXbCXA44Sna~tr9I6DDaklKAU~0zUE4YPd0iviQC~ZNaI3ZMml6AAbF8Nspr4tLA3yD1-gNN96jSh6uVKtoJLgpbBcw-N8eHgu2b~EdhGFeX2uJ7pJwoSEw3Rg5DNmSWo4XIuw__&Key-Pair-Id=K27TQMT39R1C8A
An error occurred: 403 Client Error: Forbidden for url: https://bcbshi.mrf.bcbs.com/url/2024-02_280_36F0_in-network-rates.json.gz?&Expires=1711116038&Signature=RBiqX-o~YNLNMppQMZw8thK1Ujtlr3F9MRLJpU~F6fuj8-2zcr4Uuwu6Sn~jfiY~qUNSKrtJJCTQUVxQrE9RdhioBlgl8i8DcSomVSPx2SJeS-i3NJYerWUwFD4szUGqT2qpbng-JEfb1DI~1~J2lrxKhMlgz2n0yCbk-OFHL0Tz6CnImL0TpTVVueeL7fuxRcQAuXmy1p4B3noWo3q01k04nR2ZfpfiPhSdXmr~ly1d1gCMcUI5hNR3XB5wVnXT06BTcGTkN7gui6j0p7rO0KMMMUqLJeloFqfFLyiCty6SB7GK1UCOlJrmI~4KJaOzhHkRvVIBCJgO5bmjJV6iYw__&Key-Pair-Id=K27TQMT39R1C8A
An error occurred: 403 Client Error: Forbidden for url: https://bcbshi.mrf.bcbs.com/2024-02_430_65E0_in-network-rates.json.gz?&Expires=1711116038&Signature=kPGN5PONSZ3hNhVco4RYdx7WZ0niMOl6n6Ws3DsY9~QhAhBCnwns92MKIrR~bTPj0lrbz-kigbHdkzsTTWjsjsNRizbWRZZFfU~gvaNNfrt804f74ZMIEi59nt6TYoCx7AvoZHqdG94FPhnP75eubCQ0N5abjp043WowK4rZMzeRyOxTF~aAmuDBoaJEIVVSzSD-4Pa0DyvWK-LqNKpEl5~X8cZT8GohiLqN11dkeet6ejeBj8tp9P27oaPOm4ZnNP9GK-6ITI1ML8dNS8HtdcT9KW0y-dfkbMwQXlHaTC5Rw9nBjyem1v84iBpCl88j4TmQvylnNpIWbre33FhyFA__&Key-Pair-Id=K27TQMT39R1C8A
An error occurred: 403 Client Error: Forbidden for url: https://bcbshi.mrf.bcbs.com/2024-02_040_05C0_in-network-rates_2_of_4.json.gz?&Expires=1711116038&Signature=2l~qNtiVBxyXhUI2gNtgTu3AJqU2TMr9kgI~kToPwLDrdpMxc4Rj6hPfT5fBqRylzB5BVS4Xxs24igtm8FgRHNtEgdgrWdz8KLP2SGayHPZVg74fk04emX7TTizvoTYmuwJEnjAjOzQd3M7ikawkYG8bCo9UbB26IGzmB~yHkbp2KsyMWBiwz4UcFThUJYMJiq711Lr6ULEn9fxctgOdOUhVX52piuHjxDlpNydPLwRdqiCrFUcRS7ePz98mtj-eS3WtVBASCEHrSDezrMNTHZGk1P6KvhvuQi0mnUmm9bX8DrEFdq0IuaddKsN3P5AHJLDIMpJRnC9oT~3sozd4Jw__&Key-Pair-Id=K27TQMT39R1C8A
An error occurred: 404 Client Error: Not Found for url: https://hmsa-cost-transparency.s3.us-west-1.amazonaws.com/in-network-file-compcare.json.gz
An error occurred: 404 Client Error: Not Found for url: https://hmsa-cost-transparency.s3.us-west-1.amazonaws.com/in-network-file-vision.json.gz
An error occurred: 404 Client Error: Not Found for url: https://hmsa-cost-transparency.s3.us-west-1.amazonaws.com/in-network-file-hmo.json.gz
An error occurred: 404 Client Error: Not Found for url: https://hmsa-cost-transparency.s3.us-west-1.amazonaws.com/in-network-file-ppo.json.gz
```


---

# Agent Instructions
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