🟡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.
Payerset Notes
Table of Contents
https://mrf.payerset.com/highmark-bcbs-pennsylvania
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%...
Schema: HIGHMARK_BCBS_PENNSYLVANIA
Rates Records: 18,252,040,262
Provider Records: 176,891,788,423
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:
Last updated