🟡Horizon Blue Cross Blue Shield New Jersey

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

Payerset Notes

Table of Contents

https://mrf.payerset.com/horizon-bcbs-nj

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

★★★★☆

4/5

• Are there any barriers to downloading the files?

• Do the Table of Contents links expire before publishing new links?

Data Quality

★★★★★

5/5

• What percentage of the MRFs are properly formatted and parseable

  • 5 Stars - 100%

  • 4 Stars - 80%...

Schema: HORIZON_BCBS_NJ

Rates Records: 13,685,544,758

Provider Records: 15,191,518,344

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: ✔️ All but 3 files are accessible.

Overall Assessment Summary

Horizon has substantially improved their file accessibility, only a few files are not available as compared to previously. This is a result of a combination of cleaning up old ToC links and also ensuring general file accessibility.

Data Integrity Findings

3 files inaccessible An error occurred while downloading file https://urldefense.com/v3/https://horizonbcbsnj.mrf.bcbs.com/2023-07_302_42A0_in-network-rates_2_of_3.json.gz?&Expires=1692367244&Signature=u1Vj82IXUxz1qTGSfLI1VGOepn970mdI87dlm71UV2Ayl11Rut4G4VGLCTKLHDXXkWcE6eCYnEATWfL-FXPr6JTGvqxO9dZIAMR3vyJVb-lkoaxU5Dreqmyu31gtH2GBtUPLgt1XXiqU6S8TQKZXrMWVQ1CDj5XuQd3cm3hqpTLOO3YuhdXjHgvAtId1R-U9KiRnqiq6yQ40KMeqbM1-1dnUKM5k69QQV735ofNiEEWbPve01JWOiJAydcHh4rc6O2zZmMxGvvHJwU-8nVe9qZ7qNV93F46zFQYuQOFJZH3UE-VdG0tGCFCiBgPIor5GmVY0mOI5X8eGFbt-Tg&Key-Pair-Id=K27TQMT39R1C8A__;fn5-fg!!OUZQVuLPJGsF!zloRASAEJNecri-m5YbmTDvDyblg8CPkWNgavr7a-Z3ociQodA4nep9EEEDJX9v_pemx6CnlfZFYItmUu9orGJl1PXCst_A$ 41d4f6dd47c509d64bff24ec6d07f2a68c2797fa: 403 Client Error: Forbidden for url: https://horizonbcbsnj.mrf.bcbs.com/2023-07_302_42A0_in-network-rates_2_of_3.json.gz?&Expires=1692367244&Signature=u1Vj82IXUxz1qTGSfLI1VGOepn970mdI87dlm71UV2Ayl11Rut4G4VGLCTKLHDXXkWcE6eCYnEATWfL-FXPr6JTGvqxO9dZIAMR3vyJVb-lkoaxU5Dreqmyu31gtH2GBtUPLgt1XXiqU6S8TQKZXrMWVQ1CDj5XuQd3cm3hqpTLOO3YuhdXjHgvAtId1R-U9KiRnqiq6yQ40KMeqbM1-1dnUKM5k69QQV735ofNiEEWbPve01JWOiJAydcHh4rc6O2zZmMxGvvHJwU-8nVe9qZ7qNV93F46zFQYuQOFJZH3UE-VdG0tGCFCiBgPIor5GmVY0mOI5X8eGFbt-Tg_&Key-Pair-Id=K27TQMT39R1C8A

Additionally, there are cases where billing code modifiers are both blank and non-blank, which can be confusing but should be interpreted that the given rate applies to both no modifier as well as the present modifier value. In the case below, the $1223.23 rate applies to no modifiers and RR modifiers.