BCBSIL – MedHQ Master Plan

BCBSIL has made machine readable files available on their website www.bcbsil.com, while those specific to each client (including the MedHQ Master Plan) will be published no later than the 25th of the month prior to renewal. What this means for the MedHQ Master Plan is that the specific machine-readable files will be published no later than October 25, 2022, for the November 1, 2022 renewal.

 

Vomoda, Select Chef and MedHQ FL – All Fully Insured with UHC

 

Surgery Center of Lynchburg Anesthesiology –Fully Insured with Anthem

 

Leigh Orthopedic –Fully Insured with Optima

By July 1, 2022, Optima Health will post the required files in JSON format on our website. The Centers for Medicare & Medicaid Services (CMS) has posted additional technical information. To learn more about MRF data and access, you can review our frequently asked questions .

 

RWJ Endosurgical –Fully Insured with Horizon BCBS

The file can be viewed here.

 

Robert Olson –Fully Insured with Regence of OR

Please visit the following link for an FAQ on the CAA/TIC: http://www.regence.com/employer/resources/caa-tic-rule
We will continue to update the information on the FAQ as it becomes available

 

MedHQ CA –Fully Insured with Blue Shield of CA

Here is a link pertaining to the matters on Transparency in Coverage and Machine Readable for Blue Shield, you will also find within the site, that there is a FAQ available.

Consolidated Appropriations, Transparency in Coverage – Producer Connection (blueshieldca.com)A webpage for MRF, publicly available to anyone visiting the Blue Shield home page, is available here.

 

Plaza –Fully Insured with Providence

For Fully Insured and Administrative Services Only (ASO Groups)

Providence Health Plan is committed to ensuring that machine-readable file data is produced consistently and correctly. This is important data, and we take our responsibility not only to produce it but to do so accurately very seriously.

Like most insurers across the healthcare industry, we have come up against many technical and logistical difficulties to make these files accessible and are still working through some of these challenges.

We anticipate MRF data will be available on our website by July 30, 2022. This will NOT meet the mandated July 1, 2022, deadline.

For our fully insured and Administrative Services Only groups, Providence Health Plan will assume liability for this delay including any fines that are incurred. If you decide not to post the link…..the above statement from Providence should be saved by the plan administrator in your fiduciary file. You must have this statement from Providence on record.