# Highmark Blue Cross Blue Shield Pennsylvania

### Payerset Notes

**Table of Contents**

<https://mrf.payerset.com/highmark-bcbs-pennsylvania>

### Compliance Scorecard

Overall Rating: <mark style="color:green;">**4/5**</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: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: HIGHMARK\_BCBS\_PENNSYLVANIA

**Rates Records**: 1,138,049

**Provider Records**: 4,397,291

### 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:**

```
An error occurred: 403 Client Error: Forbidden for url: https://highmarkbcbspa.mrf.bcbs.com/2024-02_102_11R0_in-network-rates_1_of_2.json.gz?&Expires=1711116037&Signature=mSlWmMbjMnZBLVt7OUDo9hBU~uDK9NUD8ligtuorGyn0ccHWlU3NgeeOsrLcG~OV6-JBkle465f66F8zLr7rOaPWZqsIFs1ki~5I35p0m1ebS4boaqNuaok6B~y--236NdS28Uhd7Ny89Sb7XkLRS9K9o844~3Fs-urN~4o04YzXFESd38bGno5lsprsYS-cmUT6iAXJ5L~EeVjg9lW-N-hwqOhNBRXsK2~PXvx0cIxptvfbmIj68HEoID~A1VBmEbGxJ4gZvJYB1~oTXMLdjGL2HPOeMy7KI5fw-ewMI7MzGf9SLyQPimgBnWH5e2MWnESJFJ~H2bFS61GknUKtKg__&Key-Pair-Id=K27TQMT39R1C8A
An error occurred: 403 Client Error: Forbidden for url: https://highmarkbcbspa.mrf.bcbs.com/2024-02_131_17B0_in-network-rates_1_of_17.json.gz?&Expires=1711116037&Signature=BfsW6rB-VS6RIDFqkOkz8M0fB1Tsy3QRqLTzSjIfw5ajeh3tEXmY08D6lJaVAZkGugIYZdfxZbHu~TrRf61fYtOA5ElKk2HtixcKy1Cvidi51iWKPvzX143rSb-RWcer410aDfkmh04rOH3bAIkgi7plJHhlxru8y19CIemhtFiRRD1qc~rjJBxZ7qjNkkjrqmyBZFK7np1ibJus5ec35GEHr7YEq~omsBaoE2Yb4dZOAX1DsfM3q-6i-yZ1nrpQSgU93KGlupTB02SDXkdrUBAZx3~XrrNrtlFqTgJMozvq1Ebc7ypwHaTrhDl3xVWWQlgyEtoT1o4b4bnVym2PBQ__&Key-Pair-Id=K27TQMT39R1C8A
```