Payer Transparency Mandate

The below link will direct users to the Blue Cross Blue Shield Machine-Readable Files, per the 2022 Payer Transparency Mandate.

Important Notes:

These machine-readable files are extremely large, and should not be downloaded onto employer computers. Please exercise care if you choose to download onto a personal computer.
The information contained in this Machine-Readable File may be difficult to access without certain technology.
- These files may be large and require a computer that can download at least up to 1TB (terabyte)of data. Most modern hard drives store half of this amount of data. Based on your computer’s storage and hard drive, attempting to open or download large files may cause instabilities in Windows, cause performance issues resulting in downloads that could take hours, days or weeks depending on the file size and hard drive combination. For reference: 1TB = 243 high-definition streaming movies (average 2 hours per movie).
This mandate is a building block for future customer-facing mandates, including the Price Transparency Tool and the Advanced Explanation of Benefits.
The data in the files may not be useful for the average consumer. For example, facilities that are paid based on a percentage of charge will not have a dollar amount representing the amount paid for a service.
The machine-readable files will be updated monthly to ensure accuracy of the data and reflect changes in pricing and regulatory requirements.

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