🟢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:

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