This link leads to the machine-readable files that are made available in response to the federal Transparency in Coverage Rule and includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators and application developers to access and analyze data more easily.
{
"reporting_entity_name": "Blue Cross & Blue Shield of Rhode Island",
"reporting_entity_type": "health insurance issuer",
"reporting_structure": [
{
"reporting_plans": [
{
"plan_name": "BlueCHiP Coordinated Health Plan With Flex:Town of North Kingstown:BCBSRI",
"plan_id_type": "EIN",
"plan_id": "056000271",
"plan_market_type": "group"
},
{
"plan_name": "BlueCHiP Coordinated Health Plan With Flex:City of Pawtucket:BCBSRI",
"plan_id_type": "EIN",
"plan_id": "056000307",
"plan_market_type": "group"
},
{
"plan_name": "BlueCHiP Coordinated Health Plan With Flex:Bristol Warren Regional:BCBSRI",
"plan_id_type": "EIN",
"plan_id": "050462803",
"plan_market_type": "group"
},
{
"plan_name": "BlueCHiP Coordinated Health Plan With Flex:City of Warwick:BCBSRI",
"plan_id_type": "EIN",
"plan_id": "056000562",
"plan_market_type": "group"
},
{
"plan_name": "BlueCHiP Coordinated Health Plan With Flex:Navigant Credit Union:BCBSRI",
"plan_id_type": "EIN",
"plan_id": "050125860",
"plan_market_type": "group"
},
{
"plan_name": "BlueCHiP Coordinated Health Plan With Flex:City of Newport:BCBSRI",
"plan_id_type": "EIN",
"plan_id": "056000260",
"plan_market_type": "group"
},
{
"plan_name": "BlueCHiP Coordinated Health Plan With Flex:Town of Glocester:BCBSRI",
"plan_id_type": "EIN",
"plan_id": "056000168",
"plan_market_type": "group"
},
{
"plan_name": "BlueCHiP Coordinated Health Plan With Flex:Town of Tiverton:BCBSRI",
"plan_id_type": "EIN",
"plan_id": "056000534",
"plan_market_type": "group"
},
{
"plan_name": "BlueCHiP Coordinated Health Plan With Flex:BCBSRI",
"plan_id_type": "HIOS",
"plan_id": "15287",
"plan_market_type": "group"
}
],
"in_network_files": [
{
"description": "in-network file",
"location": "https://api.bcbsri.com/public/price-transparency/2024-04_370_BCH1_in-network-rates.json.gz"
}
],
"allowed_amount_file": {
"description": "allowed amount file",
"location": "https://api.bcbsri.com/public/price-transparency/2024-04_BCH1_allowed-amounts.json"
}
},
{
"reporting_plans": [
{
"plan_name": "BlueSolutions for HSA Direct WPDA:BCBSRI",
"plan_id_type": "HIOS",
"plan_id": "15287RI082",
"plan_market_type": "individual"
},
{
"plan_name": "BasicBlue Direct WPDAcu:BCBSRI",
"plan_id_type": "HIOS",
"plan_id": "15287RI119",
"plan_market_type": "individual"
},
{
"plan_name": "BasicBlue Direct WPD:BCBSRI",
"plan_id_type": "HIOS",
"plan_id": "15287RI070",
"plan_market_type": "individual"
},
{
"plan_name": "BlueSolutions for HSA Direct WPDAcu:BCBSRI",
"plan_id_type": "HIOS",
"plan_id": "15287RI115",
"plan_market_type": "individual"
},
{
"plan_name": "BasicBlue Direct WOPDAcu:BCBSRI",
"plan_id_type": "HIOS",
"plan_id": "15287RI120",
"plan_market_type": "individual"
},
{
"plan_name": "BlueSolutions for HSA Direct WOPDAcu:BCBSRI",
"plan_id_type": "HIOS",
"plan_id": "15287RI116",
"plan_market_type": "individual"
},
{
"plan_name": "VantageBlue Direct WOPDAcu:BCBSRI",
"plan_id_type": "HIOS",
"plan_id": "15287RI118",
"plan_market_type": "individual"
},
{
"plan_name": "BasicBlue Direct:BCBSRI",
"plan_id_type": "HIOS",
"plan_id": "15287",
"plan_market_type": "individual"
},
{
"plan_name": "VantageBlue Direct Modified:BCBSRI",
"plan_id_type": "HIOS",
"plan_id": "15287RI068",
"plan_market_type": "individual"
},
{
"plan_name": "VantageBlue Direct:BCBSRI",
"plan_id_type": "HIOS",
"plan_id": "15287RI027",
"plan_market_type": "individual"
},
{
"plan_name": "VantageBlue Direct WPDAcu:BCBSRI",
"plan_id_type": "HIOS",
"plan_id": "15287RI117",
"plan_market_type": "individual"
},
{
"plan_name": "BlueSolutions for HSA Direct:BCBSRI",
"plan_id_type": "HIOS",
"plan_id": "15287RI002",
"plan_market_type": "individual"
}
],
"in_network_files": [
{
"description": "in-network shared file",
"location": "https://bcbsri.mrf.bcbs.com/2024-04_020_02I0_in-network-rates_1_of_2.json.gz?&Expires=1716300043&Signature=sn~SbbAPUMUC1MyDTorREXORgvfLHutq~-xFVy6V~DyJcXbMoEASSa5qx8nMHud2jVo~rFFQT4vy4Fr3EUJRNVmSwSrlf11B-Fep1QCCGQVRzr0G8EpPK3siXK1NakOwg-LrDqm0urY8TrCu5PprTPrk9Jow8TuySWMbvf~NAnuTuyQniCSbtdlJoGHYS~AzwYi~j6UyjDi6N9C-Q6oHSygQJWvzCD8S1YPHHYMUI0j21HgaNy4KBiWxvIdtbxKmaVSE3Xv~DnsD4LflyJYulbT6syPqrJW7WlghFibtfdOSwSeePpwSS5Zm42QfL1s-ZF-UeLToZX9kDBfhwcG6XA__&Key-Pair-Id=K27TQMT39R1C8A"
},
{
"description": "in-network shared file",
"location": "https://bcbsri.mrf.bcbs.com/2024-04_020_02I0_in-network-rates_2_of_2.json.gz?&Expires=1716300043&Signature=0U74ulvzYM~Uj7wlphe9IP-lNcqoy3H4trHrlbmql6mUja0iJlMaTMzLlkvMrs8Aj9WXV-5kigA-sn4omqaq3kwAEIk~TwX6TkBUKSlsMNIwFQSywlZEkTwokngrB6ZUp8-X2T36Ml~oZDDRbF~E3LG12Gyk9a4HveL0RWJ1C5nuGmn9Z6f~UjT6p8TS2e5hlN3Re1feBbym4tJF~db7TLC8pmHBxOJqQ85kilSGEmlcJz3a25Hfu25Xor4Uw9w9iC1hnQrXHuyqW-A2R3luWxadm9uV1lcnje~YfF4WH6Wvv5AQosnp7MXFvXnu57lHXtxp-vsFckg7ZI3K4W3WCw__&Key-Pair-Id=K27TQMT39R1C8A"
},
{
"description": "in-network shared file",
"location": "https://bcbsri.mrf.bcbs.com/2024-04_040_05C0_in-network-rates_2_of_5.json.gz?&Expires=1716300043&Signature=qvrpKWBQ~e7Joy78N~L5PkyrBzlv3O9FOCMNu~ZxXnw4sx2zoRDWWT-ptZTfEOskqSX9V6ls574mYAFVd~aSn-qbKpSX9FNo6a~FGS5gZnBC9PW8RICDpK-dYipPI9db28nuSkva6BH8129HN5AYoah-yAPpcPKCon6IGQGGP379LLNMyi0YkZzktl-JU1udKPDd9K4O55mTiNy3zWJX2yjLWXbeJ3f5eXUIrozVnru0k4oLn~jZyTJkgY9N~EUWuvIeracr5k7d-riWCEG683wRuZ5PlctNipvas9v9pA1MRT8g6GfefgiahAc79A09z8-Xx7Mi2nK9TLL9vgELcQ__&Key-Pair-Id=K27TQMT39R1C8A"
},
{
"description": "in-network shared file",
"location": "https://bcbsri.mrf.bcbs.com/2024-04_040_05C0_in-network-rates_4_of_5.json.gz?&Expires=1716300043&Signature=ZCiuqNUlrtnQiGOKNqiTW9k0CQtFBlAFF2Z1E~BjqhoFxwvW77nR3RIia2TGzdGHNfXmd4nFXB1V6YLuFic2AsvocSO0xKv5wDgTfP-VQjtXP4kmYrctSueS7Cv~954Rs2Ef~jD~3Hoe3a7JxnUrcJWreTfyyyH3ChJMyQLBMgcJx6ba26oZNkP4rx7wrXlh4JTx1zC9q7FMiIMQH1-lqhIZQFKamMh7GkxXAfU8iV0mafCjjWFQlgm3qVMy0EdfY74P7~CMs~1U680vPptSei7ukoPOUPDZeFsL~Y7v-yN2Q0LG7YLGxZXkH3YDSNhxDsAI5NIHm6czjgT-YUxjWA__&Key-Pair-Id=K27TQMT39R1C8A"
},
{
"description": "in-network shared file",
"location": "https://bcbsri.mrf.bcbs.com/2024-04_040_05C0_in-network-rates_5_of_5.json.gz?&Expires=1716300043&Signature=mIqf1nWIZbBd0poCbh5Kd8jw0VoeI9S2MUIdBvo4BGYhcMCYNzN9c8fvEHbI6J22oxO0lRpFnnATibwrWtqM9pgXTKPnq-8bLcAltdWoQCEeq8lkUmRrhrWNYRiPGL31TPjLgwevQJPsOWEp45~YLs~ZBjotSEfYOHKCkDPbJx0SRi~glJipbTXw-g0fN475c6vuHU5Ng~VekDKjM2PmCZWiPcNeCdIBEyWoTy4Le8EJoZiGAd4KZTPUwpZ4z~i~QeU6RBGQXSGqt6tPTLb-B1aP3Uac1X0b5zNxaIgzFVeoc1wEoOyepPcsVTxAJzAEHGNOxppRxGuGUDDMzNuo7Q__&Key-Pair-Id=K27TQMT39R1C8A"
},
{
"description": "in-network shared file",
"location": "https://bcbsri.mrf.bcbs.com/2024-04_051_06B0_in-network-rates_3_of_5.json.gz?&Expires=1716300043&Signature=VYhNtZRyTM8mgfg-z9sXxf5YzlAC-YySu693daxwvwqjFlTsIsnlLDbNRaSnXTa~qp5WAGqw4bL3kP~lTctRMN1yH4mEluWfgeHLzkNuzbK~SO0~xNx-TIKXqQyxTlWBxQT3vrcMsvRI6Elr2D-e3Vix-ChVPQVj7u02EBX5nduo2N0s6TKzGJ5dZMJ8WJFyU9o7n3jtAnnETqV585-Xjo~-utqQxusaP6V1RnIBpu8KkuIaLAAKs92i9hd9wVwh0edC3XkfpXJRxHy4sUq6gVV-G0TJDdWqMr2xbA80h2hRzRudCv6wfdaYqNlPH2kCQEje3oNaV7tLwJWOPBOTPA__&Key-Pair-Id=K27TQMT39R1C8A"
},
{
"description": "in-network shared file",
"location": "https://bcbsri.mrf.bcbs.com/2024-04_051_06B0_in-network-rates_4_of_5.json.gz?&Expires=1716300043&Signature=3Dl0tdnUckUMraoPpreky9lIh9GrQFq9bjUSEFOwJZo1bZSeHOEOBxvNM2H9VXOi5DLsSmFFGyOkCWMSnhar7U9lozGASAjq5lMpMALeuHiCeUt1RlEkujKLJi2HyTsvrQ7AbDphe284rt6LPv9SfMbL4e8RCNlL2qhP8q9tc8UdF3auWgiX7UzGcpMaDntJdA82CkZ1pPM6Mtw4qHuvyln3fa~-GM0d4y-KPzLDHqiwZXCtN0vguKGhbJkgFiF5gfDn9bFoLQXEBCnAdZm5KYEdtBWfc-qzkLuQzSnhClXG2M8puZgcMmRGfShJkcMAF3yN-7tIKgEsg6wEqE1ZlQ__&Key-Pair-Id=K27TQMT39R1C8A"
},
{
"description": "in-network shared file",
"location": "https://bcbsri.mrf.bcbs.com/2024-04_062_07B0_in-network-rates_1_of_2.json.gz?&Expires=1716300043&Signature=hFffjjmtP5WX32-QYIPAMfB2VGXORo1yQRqoq4Ryhl~KXhUgoWp5ajrEDliIc3y7iwRYuAYH4rDdjELoB-2AQDPgAFYhwwxPhZ4l1nnyWqacU8HigLzBoouIkQUQ-xncfMb2uRjVamo-rodkohMd6~hM6Ya1la4jgUTcETXZcOM3wG~kK1ySSOe1JWnalMInAqN6atlIyhx~gsvFoRNGhhLRVRa3r4gs4pt6cXQRPGEa6NKTDUxhs3POwKpgfVM-cfKwPxfIGHg6RH-Yg2ikuXPqKDAM8dc06ogNyRTFQHWumX4TYD2UrtDrRYIb6YqKplYXypdVdt78WzquLfJcuQ__&Key-Pair-Id=K27TQMT39R1C8A"
},
{
"description": "in-network shared file",
"location": "https://bcbsri.mrf.bcbs.com/2024-04_070_09B0_in-network-rates_01_of_04.json.gz?&Expires=1716300043&Signature=ePKGeAwNI0LTml3mveUqfDfuUW~GCN1CvwNVL7kL8tVZ7W9MXMBHUATSi5t-sGEUnx2E1SacE7WnJiuG8-mHOYcundBJgsp0lUhkGmvNxX8CG4pHHrtOpgkTh3m0PVW9yfNSNUAl9gOjPiJs5Qzm5g1jd9b9DHcvGOM-BgCqs7lyEW4pJZVu6ccZhn0vu~sdU8wIkU6WB0bH7C2MULoKwZMzd61RmghRx1Bz09K22vihG0KnXqBesiwzIHq99p6sp3XyHAReRgLhWr9QclsWilQJqekhMRPbZcrAFpPNtE3fQ1kxtFbfPAo6q97fP~5tl2aQMyaXrsc9i24a0r1JFg__&Key-Pair-Id=K27TQMT39R1C8A"
},
{
"description": "in-network shared file",
"location": "https://bcbsri.mrf.bcbs.com/2024-04_040_05C0_in-network-rates_1_of_5.json.gz?&Expires=1716300043&Signature=MXPEUKRFCJ-V-kCSI2vHn8vOi6XVUFtxGmB~D6NCbaKJiHVSlstdzp2d96wCpB8aN2j-PLc5TMAmJe~9CCM2gaFEvHKENN3HzakgrCoTIpAmVI8eondcFkQmBuZ6PUA-vsutywzYbpcNhHFN-xYZHfScgci4VrG0mOm9XvvqC0whCal3eizTfosjUGFmUDyQSok-DivDBTXJ32GvS8gDp4tbqZQ6GzpaQ9uf4h2k9qUALNSMU3Q9V3w0TBFZ~fF8F19pEdvtSkc6NMqBvHPCATiDBlNAoqWLIKVqGN90mPAQDAfSZAL4CNs-CsaZUA-Qcv62Xh46pwUy4XPQ10buSA__&Key-Pair-Id=K27TQMT39R1C8A"
},
{
"description": "in-network shared file",
"location": "https://bcbsri.mrf.bcbs.com/2024-04_121_16B0_in-network-rates.json.gz?&Expires=1716300043&Signature=WUpqWsqq00jamqLcO3Wp5nrxAEs41esVwoe3nhgp6KsdOe521EAbAfT-ydO8b0ulMrhtfe4M2JDvoOPb2b298uO34tYSvQIlLaw5MmIFnL8fmqgQPRWzslJk~lUlybFy0oYxIOqsIw8qUtUKFVsYcogL7rks652Y5Ji-j4fSx5fOdnBQTTRkSZ0xmffuAdJYALaUygo5vdVExoDZGXlHVHXTKdTTIde6QqhIukBIi-Wy0HUNm9D8cHoDUg7g2ECetXebi~N8nbJCL5x-eicUOF3LpXy1-W43VToAhRiLo5iwE8wRPW9MKsa6pmpyhC4YwVArvyAD81AwFWQOfIAY7A__&Key-Pair-Id=K27TQMT39R1C8A"
},
{
"description": "in-network shared file",
"location": "https://bcbsri.mrf.bcbs.com/2024-04_131_17B0_in-network-rates_10_of_18.json.gz?&Expires=1716300043&Signature=sdZy74gWGCWWuGl41VgBX1TNPObgWuRKtC5UNYp3d0avZaU6dkw4M2SiWrrQQDUXdxtgcPi6R72oqJTP0YeKUvULm88nKivswtYeA6SUM2lF69m9JV8jKuEDuTa~uuaLjBl1k1NM60B9AqnO8EIwxJO4e8cHl7HEP4UfRUHPRmidsq7mmCwKg-pXY0JLq-9jI~FcZq8~pzaJ6YGNsWbXvU30tcVouTYjTDcZY37L0BpbOFgG1bSrr4pZCD54bk0c4HRdaLF6goysdFffcMcfyL8ZqA23z90SObFhdv8IV8uDEzs2l1dHWEqg8AshJMAUXsLZiUpWtFRgJpWvAtUwhg__&Key-Pair-Id=K27TQMT39R1C8A"
},
{
"description": "in-network shared file",
"location": "https://bcbsri.mrf.bcbs.com/2024-04_030_03J0_in-network-rates.json.gz?&Expires=1716300043&Signature=ULFpOYLoN8~gUAclhii2OV2nra3MlrIHnIrpj-T-TDULGSdt4yQFeKK9fuFWXg7MQr5n1LpvphoqKEJBJR5VcpbwrOhh-ld4G4t~ahx~NrBNhm2Qm1EqEgoo29whMR2GmmwIsuDJayZ3br4eMsoOarFkKMTbeHmZo71OKQdLtnJa5Dlu6pIpUeHwFXC6ISoanz-DomCRc~qBGwEhPdXYTue7IPhHcy43udUwaHOAktaiQWNBWkG7qqYmZ5YHpWFc-DcXyxslXlGnFx9S7i62EnZQGNxqjt6lqEGdF31Tqk5TxfWSq40yXNpAfiEidSSvo7SiSaqtL6zf1un-4iWDKA__&Key-Pair-Id=K27TQMT39R1C8A"
},
{
"description": "in-network shared file",
"location": "https://bcbsri.mrf.bcbs.com/2024-04_040_05C0_in-network-rates_3_of_5.json.gz?&Expires=1716300043&Signature=RFIvIwip6YG4FWiHzN4s2dTdNNE2lhlxOiz4abrqxZ--dU2L~2PQFnkBC~rSL6GdB4zMfh5oNIoDedLQ6h1phFPoEjGp~5mxI8a1cNmfUpxWExNxkOiV~2M41-eo1QboPFFcc4yOTOKT~6LeiXV2jRl9dzvsy482yWBe1SHCbDDsWB3yGjN6hr-kMloj-C~vxowZygtCyRTewQcUtee9YzwtRigVFy~srbahT4Ma-AQS2vKLefxrKNPMUTgJ5jxr6RlM9FWkkZUnoxLL3cltuqxGpesFhTLIdvTkBjbTSGRIcOCkFJbQrZWT9jhVdPTxj6GgI6J1MPv6s0AawQX4sw__&Key-Pair-Id=K27TQMT39R1C8A"
},
{
"description": "in-network shared file",
"location": "https://bcbsri.mrf.bcbs.com/2024-04_102_11B0_in-network-rates_1_of_5.json.gz?&Expires=1716300043&Signature=D8OaJmNrObkCf1XAgdEzbe4XHS0RDG~lBUFhCG8Rz~JHHVOvtWG3t4yUh9DI-vFxY8Hj3wsBp7mecRE5vuPAtLBpN~rt7WJQxIEO7HfVp3PQPNzB06u402cKjFJK9WtE6jtalITvkGHedKBxRG6PtEbHoOqPUEYp-cxOrpj~pIn9zOb0UBKDRjsGqwhOUnmFoDS6IMyBe2Nmj~4a~wNqC4rxQoBuBIIWu62c6HHMeQ-rEcU~6y5jx5AGncTAHO66CUNrQ2SIIYdgddWzkt9quRT9-Fq5F00JpATPLFsZrO64Sfkx~8aUBNuc4G--mV9fE6MDOw4iq9JAps7ivgikqQ__&Key-Pair-Id=K27TQMT39R1C8A"
},
{
"description": "in-network shared file",
"location": "https://bcbsri.mrf.bcbs.com/2024-04_131_17B0_in-network-rates_13_of_18.json.gz?&Expires=1716300043&Signature=kDy5uwkKp-aDc9qJ8c5DZGvj7rTLaJzLXHfILncNo2lydJkoJG-JkixukDKFxI~j7qdtII2IdikpjbQLSB90mf18Vu4wOoheKUVWhYWARG8qWxvUdI-l0B7aHaNTDASKmbmSzyOBqORXdhn0UmSRu4aYqvzw-MqIWJ0MXIluu0Eo3nptsiM7CYI5U3iVM1MEp17X7zVDW9HKg32vW0IwnceZspQNHm5KWZh0etd27Nru79-uRYVZDDAE6TQymZPOZpHML0cf0-6bANjSFAtvBZKR6zCNXZvDpzOSosWasqQgDEanGfNjQ5Zpm1uU4VDHAR8HR8QeogOHYOjxKlDChw__&Key-Pair-Id=K27TQMT39R1C8A"
},
{
"description": "in-network shared file",
"location": "https://bcbsri.mrf.bcbs.com/2024-04_131_17B0_in-network-rates_17_of_18.json.gz?&Expires=1716300043&Signature=D4EouMy2FLmFKK8PBqvqxfLD2SjR8-j~1kGrhEWkvskV1ZG0Qs28zRnhJz8ETGi5cakUMtgOgXwcOw0UH9Y3Bmw80EcAwjS-uGZhj075RMFkbi8CrIDPlfIfHTUuR3NGBNYnfqm-q7SLJ-Rbh0vfVqesUcFifXzkhwbg7DcZRtgoDbTcYq9Cop~qVl-Vckk9NNKq5WFxrLW-J3dxUk07rd1SLIWAydM~98LR2lfvT0jY~sverfN8-kwWe0nvdPzNWrDJAOpxlrS3ySy3hP4hFp7WtyzidWrO~3p~derFhtT75eOEGwbtv2E7GWZ3fmU6beFsNXaMbNLxmqEWDbhHVA__&Key-Pair-Id=K27TQMT39R1C8A"
},
{
"description": "in-network shared file",
"location": "https://bcbsri.mrf.bcbs.com/2024-04_271_35B0_in-network-rates_3_of_4.json.gz?&Expires=1716300043&Signature=D514FytkssC4IOeJ-7m8QNXTwfr-HmjA3SPXlEDzw6ykFHBTs7GewwN0t3Hn-2diJ~IyJbO2tjg~XKREEsIuQ8LGOLdkz6X8XXoJrVRrbDPysvL7cVV~xZByfrGNUyFHHLg8XQhpFgSgoK15IW~hi--x~OEhz4t6OHEAJolYoCQiiZYBgLdN6xSqL-iBJ0sQAV~srgQ2cMLDHM-YE~ssbCmDlsG-8919cGXDV8EvlJphLmu4s9W18WC35RVs0aM-YnbIC-uWY9dr-vzy303XwSNQKzy3t7ySbAdoEO4ALERYRDy~q6EfPC1xiEA28PW5-aDcPlwll5wP7P~gSDxdeQ__&Key-Pair-Id=K27TQMT39R1C8A"
},
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{
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{
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{
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