# Premera Blue Cross

### Payerset Notes

**Table of Contents**

<https://mrf.payerset.com/premera-blue-cross>

### Compliance Scorecard

Overall Rating: <mark style="color:green;">**4/5**</mark>**- 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: OSCAR

#### **Data Validation**

| Record Type                   | Record Count   |
| ----------------------------- | -------------- |
| Providers                     | 18,620,483,452 |
| Rates                         | 2,152,153,847  |
| Bundled Codes                 | 0              |
| Covered Services (Capitation) | 0              |

### Additional Observations

**Machine-Readable Price Transparency Files Review**

* **MRFs Up-to-Date:** ✔️ Yes, the MRFs are kept up to date each month, though each region appears to be updated separately and at different times.
* **Table of Contents Accessibility:** ✔️ The Table of Contents link is easily accessible.
* **Table of Contents Formatting:** ✔️ Table of Contents is properly formatted.
* **File Download Barriers:** ✔️ There are no barriers to downloading the files, though there are mostly zip files that contain thousands of other files, which makes processing a little challenging.
* **File Accessibility Percentage:** ❌ 99% of the files are accessible and uncorrupted, there are 5 files that are not accessible, leading to a lower rating.

**Overall Assessment:** Premera 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://premerabc.mrf.bcbs.com/2022-09_378_49B0_in-network-rates_01_of_01.json.gz?&Expires=1666122659&Signature=Nctt4H5YaFqlUrv9f1hGkhU86-azXxCMySdXeTLQEH7UqMPwjUj-uA0Mgi315TCwh49eqAjP5Ao6MQ~RdX5~toMPhxTlCyKy59JnzAIwC4hol9BFJntGdU3KVMxtMCG1hVcqrW45h9rlxHvVstfJNzAfrvNN~IqWZrVGwvhHmgXIIB0r9e2MG0lxkmhZe3~RqsDzjA3RPf8eARChhDWHzC6fcDPQ~6mnL~ahcfqE-pHTCVuOPYQg-T7h~U9fTRiE-NmbuG7pMY~SsbHK1cJeqse~sOwocQxkJE4jKmTge3Ec23q5QAzS0d~IlysyRKw8pnbbvi9nqtK8hnfYuXiX3Q__&Key-Pair-Id=K27TQMT39R1C8A
An error occurred: 403 Client Error: Forbidden for url: https://premerabc.mrf.bcbs.com/2023-07_302_42A0_in-network-rates_3_of_3.json.gz?&Expires=1692367246&Signature=VYvjy8gsGTqBOizDNkdqHX1nOgtf9vcxNh63H9oKajy0FM3sj5e5owtkrL1jvmuQHaGFetAWzq7dvpc2yB~rNIOSKqdFP4fL9A0XFvo1qtBT3O8ZA1JtNw7V4vEvzgHxa7bQQhbZVkD6e8LiXZHS1MKx5bFs8-ix0PWpXtR1dLBDb7kosKRJHnShulKaJoS6k8dg293jIFrM0IPX2YQ~As3E5JTtsVpKqZNdmoRH7NMNax1c6nXlcvUuVhEAFAORfYEBicvQ6NiXsAlE3j-ZC2cQEI1nnYgJiyJyFvbQXc8ZkGatHTLWaSugLUQrf7OVhHGHbQzNAV0sMfldpNhzxQ__&Key-Pair-Id=K27TQMT39R1C8A
An error occurred: 403 Client Error: Forbidden for url: https://premerabc.mrf.bcbs.com/2023-07_302_42A0_in-network-rates_2_of_3.json.gz?&Expires=1692367246&Signature=Q51isOFKPdAADBOiimaVrRwSACCLfaj1NQxy90ft~gaXE62Z4vfXKluLVhgrjDnH4P2kKq-5VCX5K8AN7fQvu8cnHopJ2rGDlvFo16Ins2~IgjHHkqJCKO1nw6Iquyh69v74CsCFkdNnAXT7Uz5gUaRaWMnPQdFP6SZFsioYgSdbybOIIHeuSJvwtnGdDDnrCkBvhDeqnxSKP03YGvYGkhjdB6WBljxubdvUSVwrRLfIx8OuY7zT3IYMKWavhV1Zkajcd98lIK9Vx9bzL5J0FL7AckqsDycFeeFc2GqMHhOMwCtMhn3tQRCXVYcG-y-39WxZbEzPgURdE81Yve7g1A__&Key-Pair-Id=K27TQMT39R1C8A
An error occurred: 403 Client Error: Forbidden for url: https://premerabc.mrf.bcbs.com/2023-07_302_42A0_in-network-rates_1_of_3.json.gz?&Expires=1692367246&Signature=uI0sU6fS4dfyY3LbLKUi~QEL65KPFc5z3ulF7w-Tp1HBJYdCyLKDK8J5-STfip953OEkU8Vjwmm7CdRGed3jfxC8b4TXMNi7GKPc2M0qEhyS9h32XIcXbconpsFd2Bw9R811HzifE5WQ~oPS95L~BnsVh7yjQPHutgu1i7xoUVpa-nUiPzrBggboXdd8Cz3IONn17p4QepCAi9CVEN37VTS-Btqd~e8D0JGB0E-fEOLVrTC3wmaV9RyDQwxWjcdiL7Z2KooSd7sv0RDz~TdUXqfKcxqAlSaN7egdq6nRw3Gk0a2ix4B7JKaVPD0GWfK9OOQyzd~qLIqRrfMzyTkPWw__&Key-Pair-Id=K27TQMT39R1C8A
```