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🟢Highmark Blue Cross Blue Shield Pennsylvania

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

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Payerset Notes

Table of Contents

https://mrf.payerset.com/highmark-bcbs-pennsylvaniaarrow-up-right

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Compliance Scorecard

Overall Rating: 4/5 - Good

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

★★★★☆

4/5

  • What percentage of the MRFs are properly formatted and parseable

    • 5 Stars - 100%

    • 4 Stars - 80%...

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Schema: HIGHMARK_BCBS_PENNSYLVANIA

Rates Records: 1,138,049

Provider Records: 4,397,291

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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: ❌ 99% of the files are accessible, but unfortunately 2 of the files are gated and inaccessible, and since they appear to be valid files in the Table of Contents, we must assume there is some missing data.

Overall Assessment: Highmark does a great job of posting these files each month with accurate rates. They duplicate provider data substantially, but that can be a result of interpretation of the CMS rules.

File Error Details:

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