Comments (1)
Per the rule we are required to report all negotiated rates for in-network provider. If the contract has different rates for the same procedure code both rates should be displayed on the MRF. If needed the additional_field could be used to show one rate is for a Tier 1 network.
from price-transparency-guide.
Related Issues (20)
- In-Network Schema list 'description' as required, README says it is optional HOT 1
- Sample format for pharmacy claims information
- PBM NDC information level HOT 1
- PBM negotiated rates HOT 1
- PBM further explanation of field billing_code_type_version
- Mixed Bundles
- Using Custom Billing Code for all codes not listed (all remaining codes = CTSM-RM)
- Introducing FROM and THRU range ( When applicable ) for billing_codes in-network-rates HOT 1
- Price Transparency Guidance Question HOT 1
- navigating internal provider networks and national wrap networks HOT 1
- JSON validator returns error "should be array" for a null allowed amounts file HOT 1
- Disjoint of version numbers between this site and the CMS Validator HOT 1
- Reading a Transparency File is NP Complete
- Cosmetic: wrong MS-DRG Grouper Version specified in In Network schema's billing_code_type_version "For example"
- MRF Validator - Schema file 'schema/schema.json' not found HOT 2
- Do allowed_amounts include the participants' cost? HOT 3
- In-network bundled code type enums
- Update documentation for billing_code_type_version
- How did ya'll import the JSON files to SSMS? HOT 1
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from price-transparency-guide.