🟡Meritain (TPA)

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

Payerset Notes

Table of Contents

https://mrf.payerset.com/meritain

Compliance Scorecard

Overall Rating: 3/5 - Average

Table of Contents

★★★★★

4/5

• 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

★★★☆☆

3/5

• 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: MERITAIN

Rates Records: 39,680,331,464

Provider Records: 377,118,363

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: ❌ 100% of the files are accessible.

Meritain uses the same source and provider as Aetna and so their files are similarly duplicated, but overall there are not very many and they appear to be complete.

There are currently 175 files that are not accessible, which we are working to understand why and get Meritain to fix.