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: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 Pawtucket:BCBSRI",
"plan_id_type": "EIN",
"plan_id": "056000307",
"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/2024-07_370_BCH1_in-network-rates.json.gz"
}
],
"allowed_amount_file": {
"description": "allowed amount file",
"location": "https://api.bcbsri.com/public/price-transparency/2024-07_BCH1_allowed-amounts.json"
}
},
{
"reporting_plans": [
{
"plan_name": "BasicBlue Direct WPDAcu:BCBSRI",
"plan_id_type": "HIOS",
"plan_id": "15287RI119",
"plan_market_type": "individual"
},
{
"plan_name": "BlueSolutions for HSA Direct WPDA:BCBSRI",
"plan_id_type": "HIOS",
"plan_id": "15287RI082",
"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": "BasicBlue Direct WPD:BCBSRI",
"plan_id_type": "HIOS",
"plan_id": "15287RI070",
"plan_market_type": "individual"
},
{
"plan_name": "VantageBlue Direct:BCBSRI",
"plan_id_type": "HIOS",
"plan_id": "15287RI027",
"plan_market_type": "individual"
},
{
"plan_name": "BlueSolutions for HSA Direct:BCBSRI",
"plan_id_type": "HIOS",
"plan_id": "15287RI002",
"plan_market_type": "individual"
},
{
"plan_name": "VantageBlue Direct WPDAcu:BCBSRI",
"plan_id_type": "HIOS",
"plan_id": "15287RI117",
"plan_market_type": "individual"
},
{
"plan_name": "VantageBlue Direct WOPDAcu:BCBSRI",
"plan_id_type": "HIOS",
"plan_id": "15287RI118",
"plan_market_type": "individual"
},
{
"plan_name": "VantageBlue Direct Modified:BCBSRI",
"plan_id_type": "HIOS",
"plan_id": "15287RI068",
"plan_market_type": "individual"
},
{
"plan_name": "BlueSolutions for HSA Direct WOPDAcu:BCBSRI",
"plan_id_type": "HIOS",
"plan_id": "15287RI116",
"plan_market_type": "individual"
}
],
"in_network_files": [
{
"description": "in-network shared file",
"location": "https://bcbsri.mrf.bcbs.com/2024-07_020_02I0_in-network-rates_2_of_2.json.gz?&Expires=1724248839&Signature=1j7Qz312mqQv9IWOB~rHiV1KhVEn52k8P7NglhCAkhfdEqZURxQ54qfafzdm20iujSFiM1a1uPFLVIZZWq6NZvGkPDJL~lZ638HOd6p0D0Tzq7s4rjQcxufICdQt-oo4my3i9OOuXN2zzu8Z9qwXu-igH99Z3~Tk41929tL~CvUgpR0PPsOiJR~RQL0Nr7JQ6g~dGy-wuNo47sRQNloPLFtxxFWZL0SC1RdyZId~MGonOk9ARN6QFUMAbyNB1nehcPOzESUGr-KVOnIwePxSUyhj8UvaMsazKaUXE8uCGEyD6eJ4QotLTZikPaqFm5bu3E84zJtU0iT5xW6~Wq7fuA__&Key-Pair-Id=K27TQMT39R1C8A"
},
{
"description": "in-network shared file",
"location": "https://bcbsri.mrf.bcbs.com/2024-07_040_05C0_in-network-rates_3_of_5.json.gz?&Expires=1724248839&Signature=MQbUnUlDw-lAr22V5BU6C6NurFVUlxHXeTovkSZd6sBbBr5SPPMUe~54RO029mihNAIq8dHoSivsolKQWme2D~BoMPa1dT~hi-uBS5gG5IMxPBpq~L3VadPjgD6fer1umFaPiBjDW90hPX2go3yK0UcsWn2RaPEmRzXsaqC8~ju6RM4R-6s2vHmyBKLwumMlVDDoNJtptgYwj4u4bXmOVeeLQUEY-8m6hMpUL5v9uwNl1bCJpOxvklg8bTHww8tKRI7PPqsPHJtIiwhXoUwKLvaXWY~9~dvqavYwWl-~Vb~rYL801BYCrGcgW-6ax8bREwMPCT3E7o1RPt~pLL~NcA__&Key-Pair-Id=K27TQMT39R1C8A"
},
{
"description": "in-network shared file",
"location": "https://bcbsri.mrf.bcbs.com/2024-07_070_09B0_in-network-rates_03_of_03.json.gz?&Expires=1724248839&Signature=DxYmCK3wJjhLcBdoneNnjqqG5hDN61R4GidfgrRWQwanQ7vfHXqRlty~jVeU5c6KecozVgzxIpy3DsT7nzTlEUNK9RGxyzLD~ac7lmX366XSuCaoVutgUTbAl~w577h99vsOPnlKyeyAxTpjdYtd21MXPnCa97IbirFjsEncojRea-yDV4K8dDNrUPXbv6I3g4Z9Gc8LOa4A8uuO1lHapcxKgldbazAHRV3Ds0jU32bn25zxaEJO6k3GUYGWt4F0u5AEEtPk~Yd7-nxfuI-f2ORa4rbnrl-F0gbXQfFiTqijG-QoM5OA-Q9F5oSC7NCu3dT6EJo-nXDnlF5YqX4CRQ__&Key-Pair-Id=K27TQMT39R1C8A"
},
{
"description": "in-network shared file",
"location": "https://bcbsri.mrf.bcbs.com/2024-07_102_11B0_in-network-rates_1_of_6.json.gz?&Expires=1724248839&Signature=3mv4lU~0HQgG8vBkVIj0jBm2bcSTT79W2MOhHW8Ivv7juU6ULL9FqwhNS8ERq21j6G2KBF4Vz-gryaVO8dgNTYefvp0Tfk~cNzkVe~bVeu8vThV4lgrx8kW0wne-TiKu-Vzz9spCiNo~ZvlV~bj~OZE11WEheAMDCCARNRDltxgWSegcJFa5hw~8oKKI2dJ02O3-bKD-BYJO0yp4g5cKzQsiFJuhodG1OcHUyPLJHmI1u8XTrhHuMB~8XNldTDkknJGIrBi2racXsSxQ9Ga18VAGxZAzC2VfPlDiKOvRX-UFbxgbNk9TnATFLkLRuoCh65Z7U6tmtnOhFhePozXLzQ__&Key-Pair-Id=K27TQMT39R1C8A"
},
{
"description": "in-network shared file",
"location": "https://bcbsri.mrf.bcbs.com/2024-07_302_42B0_in-network-rates_2_of_2.json.gz?&Expires=1724248839&Signature=zD~gvcDgtkHiQ9dx089zJIoOyldF~4sPkmlb8SsTIyzPJxa1KtrHRo5-EFVThHiFXOm-8Xk3RuzMpbfja2uimXu-n~hrSi9kZ2j-bPc8Zgz3r9acQWkSETmOuoiMeAmgZuIXZspHohMsd8fJ5gb29s0kiR~NbEqpHbFgkZzd4vYvlQM-HJXacrRtOjtX~E82zuBF4HkQjR-aCw~S51hje5D-U0k6PNed0ZexPvWtRtY0rWMmnLOWLy3j8m~UlN7XS5q0z-fbAMsWiOqMm3LbhzDKiJLZJfgiVjqCLFyDscj4HyBmGfJ~UIBn5BRtrZawSaqZAdCZfhg6NehmkI13Uw__&Key-Pair-Id=K27TQMT39R1C8A"
},
{
"description": "in-network shared file",
"location": "https://bcbsri.mrf.bcbs.com/2024-07_051_06B0_in-network-rates_1_of_5.json.gz?&Expires=1724248839&Signature=vR92j35B9zeCdfujpkdzYLLh0rZZ-T2uEy4qD4oPUEQIfD-LFh22TukfVv1wn7W3F5OBY-~Zs6WQU2yqc~LIRAizIQo4q045JFtwHnsx1H7pxjZfSSIoOsc1k5NCxO5mv0o85LySMFLroho-gQ0k2vEsXSmsbc59OcOHX-pEOlF0DDtO82xijVE2Vt9yGWZhOuMhFrBtgjYlFV7OW3i1WozxVzne2c7VsHPGkjcccvTyv0R8m9X2DH~r6LR-PfLFmL5Gbgl0kr9WGZeeM0pU0W3ZYppdtD7xOYhtbpgqfHJ9fqSRfk4cw9OddsGcotZPgXDb1ToiOAKe7t0ZGv6Y6g__&Key-Pair-Id=K27TQMT39R1C8A"
},
{
"description": "in-network shared file",
"location": "https://bcbsri.mrf.bcbs.com/2024-07_110_14B0_in-network-rates.json.gz?&Expires=1724248839&Signature=wwwVhooBxcfSg1uS-oKvGw10HJ0c9tAYa6vkXtC42tn2ug9-X6O8GlEU8e6sA~PnSZ8ZPFKjh47txphhflErJpSXx0HXFgEc2UxzRnzQesnQbLI3LiE2x~SCEjtE2qOkOLUm~82CvyNmgoRN4kw7gWWqLdi9HjKQcUq8UnzOyV1v23aekKsjo2CM0iaGGVIWmK3P0IdAPd~iaXqQPkwtexNOBw0n7JDkkhIEhh4wOQP0H~OvAT1oD9-3NdzvTgP41ZJYu8R6fhMJX8c4jxXCwhRr~7p-1-FBbk7rYT7G~oUNhEs-woq~FUog6wKyBJ7JyfqNU5jwAx0ddbiM5rmnpg__&Key-Pair-Id=K27TQMT39R1C8A"
},
{
"description": "in-network shared file",
"location": "https://bcbsri.mrf.bcbs.com/2024-07_131_17B0_in-network-rates_8_of_18.json.gz?&Expires=1724248839&Signature=cVaBriGR3HGmWUe7LPyn~5pGd6bCBxWEivgYti~jCfanDjzPrEy03wrG0cRRLsKeJo2tLdnnmg7ukQAfxPklCIEWX5I~HJG1facY3ImusgeWQrrOxBzUcV1HTDFhYjgxNT-ZmdBhddvpDVjwpMnYb8kWZ4BEvEOHHv5D2LlMWgxCEDoUKMO36oqAlc3HLaVRp5DFK13wUDbjHSVKja6g0GrkiaHQOBKeGlgiQiteaTOWhqkd9yAsMFZjtMNnvH0oPCfTc-wJkO-TXacyoJm4oIH7i0zh23SaGF~m1J1Tqa-oBvg9b-BmTejilehzL4uisIOiMh4K83aGh~53mFRqHg__&Key-Pair-Id=K27TQMT39R1C8A"
},
{
"description": "in-network shared file",
"location": "https://bcbsri.mrf.bcbs.com/2024-07_240_28J0_in-network-rates.json.gz?&Expires=1724248839&Signature=nilxEgMCQJQaG6I2YxbB-jCSyTybH4cK2Y935YL9roFCPdu6xrOwRni3Tvruq2jZxLFzQtwePrPhDfa821-oVTc-XuCp8d6qrkCwq3VTSdO8mXxln8r4B3GHfyuOdDXcp10nvxRJ08uc8hAwKJyPdgKTmrFSP-Mtr05ei9xdZis0K5V-a7SjZZod8GiSWVjeIhFvvI700Vs8VqRHvgrwY3wpsZX~G~o2LLuRoRU4maHt3VR5BIWgKFJXxgb4nINVivVlNmvd1lzBsf4oOdYTOU4DQGLaH-D2ZqMQeuvE2--DDEmtmGDp4qy26UngkVqjCQeB34zMEDqT6gkN4Ihfaw__&Key-Pair-Id=K27TQMT39R1C8A"
},
{
"description": "in-network shared file",
"location": "https://bcbsri.mrf.bcbs.com/2024-07_040_05C0_in-network-rates_5_of_5.json.gz?&Expires=1724248839&Signature=kb0xCJGYWib97mmg5tqUuoFrufdA9d9zO3OFtWbxbQSFa0YV09Lco1a0ly0dyEd58s~dFSHJORBOQ0RXAwE3XrOJUIYxGjZutFNsF8jP39qaCqHSN4dgnxeG6vCP-boboNg0n4fu1SCb4v7LpTgp6BtabW3Ibpbr~y1uDNxTdj7bYONN4X~cHfHDSmzgv0CHve1b3jrDOI0WyVUc~O1I51wHvqCi7lDY48BFzhofKCOo6GzCHlovcnDdJzmi2uvXV1-njUekS0eGQeuPWUaAH1x9ICPTAZ~ncaE51MPxj~~VXIw~gdbhAaX5ri0GNIQCVOSjtXRwurUqouO1zVHPGg__&Key-Pair-Id=K27TQMT39R1C8A"
},
{
"description": "in-network shared file",
"location": "https://bcbsri.mrf.bcbs.com/2024-07_250_31H0_in-network-rates.json.gz?&Expires=1724248839&Signature=YiWuAK64askEqpeBMxbNfv3Nzrv-uNNmsborXM9WA4fv2g-V1wXx~ZxdYNUx6INLAp1bxKay8dFiLwriVZ1LhIxP1NyXr4d3nA5JmgY7Oo7wjfhy8-ZY~ghtBhTHEGdC6io1MECxh80eQItUy4Dm-s3fYEprzdvztcRaIP4CtkSHJNebfC74OVErb6Npy~yOOpqt8wm3bgSrqEthEN-Ind~zxC1TdkqOuRZBUmdAxhJqGm5tp-gX0eK69Mnn~GZJvcgIHLEZ6GsULuiGzH4zGevvst000AEMFxTG5mKV8FQNl-q1KfE-WjL4SFJa6aUTD5KOT79j6ghdoGrZ1CbAfg__&Key-Pair-Id=K27TQMT39R1C8A"
},
{
"description": "in-network shared file",
"location": "https://bcbsri.mrf.bcbs.com/2024-07_131_17B0_in-network-rates_11_of_18.json.gz?&Expires=1724248839&Signature=cHYhmnZ~STmMOxFT-g7zlUg1E2Pd6GoYTXrfwQLUkTxxHmiUVD31omiXF2w9OCRTd2vHpxqKH4GbqWWKk1jrLADo2hEPdAUA3KN093c4dO9huxF6P9s8HugEhVka4hPqUbichmFG9D4N2ldAHQCBRsDYHsNnC5cH5~TNv1ZTa5fnNNn8UEn8Yu1yhset1aqYcUD1MsSylP0lE0FCQ0aKqBCcBYKvk180M6zCuC~c2JGh1YlUYoq8rElT~WDhans0RygUXlsEWwgnQc4qYKfrASc7bt5Jvjbwk2oqihYiPNHBH9N1lWEhnOfJFWXX7pRa3rtsZpo7qsTLrdF6Mh3Epw__&Key-Pair-Id=K27TQMT39R1C8A"
},
{
"description": "in-network shared file",
"location": "https://bcbsri.mrf.bcbs.com/2024-07_020_02I0_in-network-rates_1_of_2.json.gz?&Expires=1724248839&Signature=GJWuxaScKgawWK-UuwO9Fn2HmV-foePW2hLjezBjl7~9pgOvB7pKkpRYNdEu~8S7Ca3K0~6yeRQx~1XizMMFdgEqaLI2lr1foMbyfoq1NC7CP5-44ZTIxOngPGT7AZuS9sq3UyxrHbXVXVnuA8KmjXb0qkbbEe7NEziGQfNC5cd5GDNe87y9fVntAW~auCnFDSL6tdeOnTf20eiYAJGev7jdsh8HoUzynFUVO2hUk14WN75N11mEboo7TKBhh6we2U3RO9SaDlLmgWrCQxAPwQ2Pj~WJCBScVu0pLxk5bEye7jNF6Jz6Qkm3fxbX8SvSy5I09XHV3vVhgn5E5vUqwA__&Key-Pair-Id=K27TQMT39R1C8A"
},
{
"description": "in-network shared file",
"location": "https://bcbsri.mrf.bcbs.com/2024-07_030_03J0_in-network-rates.json.gz?&Expires=1724248839&Signature=j2GK5xMHpdLKwH4o4DRRmRZkxiUK5sNWN6p0GPSILjew9zkt1KYXDBB6rBKTOjQ-FRa80Kjyv2rEF2Z1Woi6ExlKFy46DVp4kfVozESQKUMh-ooMz8QNdGQICFnun2ubvi3exScVKCH4BDOSm7~daAFLMkJSuGv6tgz3NfuvuxBwyIVmbwzrV1yMU6i~l27yYXMAjlN7i8PoGJKsOH7WuKVulZyaofKBsFmP0Bk8tETTMj~88hCctzfv3sY85NvPxj0bUwgNYsRXM6Oh974Hq0z27~-33yAm~izHbZ53dN6U1ohEhYB~COcl1YPQHalfmKgsEfAZzH8ANN62jU2u0g__&Key-Pair-Id=K27TQMT39R1C8A"
},
{
"description": "in-network shared file",
"location": "https://bcbsri.mrf.bcbs.com/2024-07_040_05C0_in-network-rates_1_of_5.json.gz?&Expires=1724248839&Signature=wP7igG1oddVqLUSIPAr3vW7RN4M~uZlwshqu4KVGhJQPDsdaND4sXbg~u3LZ-dt1Rb-XuQ8PO4J4iTnOnocUfqakS4hoie~UYcJrA0rMufwPAid-jN8U0i6HnangeAp~mJvoVjxQI0yS-u8kib0nJ8lywV7-xfMAvXJD8bULJapEWcld66tsWA0fkh9CCaSgrJ4epiAPGP4tYZx~jtRLOuD9flNXy~y0NV8~y69T4pGZ1Ri-Oio2upJ2whRQM88VTrqrCMl22fd~DHPQVAZXUTLYTVS6LbHScpgp2IeLfSa-ACSPWXRUBrO7W~G36ch5at~kdITA-eHeuhtvS940nw__&Key-Pair-Id=K27TQMT39R1C8A"
},
{
"description": "in-network shared file",
"location": "https://bcbsri.mrf.bcbs.com/2024-07_182_25E0_in-network-rates_2_of_2.json.gz?&Expires=1724248839&Signature=EWNmINCy~-Cz-K81wWKMPqDrE86zuI4T04vH65DwP424IFsp~Dgeocj6S80MkW3iEMett7hBz4yY9UKksUl6svieNGh5dvQRlEEJx-~6pc0~s4B0-1RzJmjY7KzYC7UbVSadchWz3SVCsDtGANP0-mo6rtaA5Ie3zS1gLR~Setisvzry6~YJvD0nEQelxqnaNu8OyNJ4JfQAiN-h9WtVHlwexOXh7IkB5k1z9FDKtekursRsWOtJn31bA7XiIIZL~CWf6ZvfYzXJ41QQ2VbHR7uT~BC4spIlcyj18WnEuQv8n-j4pgyB0tJldjlvYkLsAxapv1YsnFPVaw2tDr~hdw__&Key-Pair-Id=K27TQMT39R1C8A"
},
{
"description": "in-network shared file",
"location": "https://bcbsri.mrf.bcbs.com/2024-07_131_17B0_in-network-rates_17_of_18.json.gz?&Expires=1724248839&Signature=iKVT5ybBYcjd2eEmWADl7qWAM9qIDlI3On0s8bX5zL65hQmuoR-NFm8KCFfL76F407PwPKoihANaDEiK~kTb8B4jWjtapCtmsEHJKZ16gTBUNteYpIjwKCGBADeX95cNcBVyTYyU7nohhFGQvnz1gj3qSFRc8HoxummZG4T~R1dKeI1-kHt19pqrugpnRMpsfvF4e-rps7jmFdLl2PBQQNKNNxgiTEOTj9V9PCZ4BBKjo5gEdw9RaQ2JPFfLsaYX6xuFTQ3y90i4vRAH~QAPJ-~N2U9Pgrim62Ma7NzqLexPZBZsKvbqZf9Add38zo95hoBwcrXiQJtNFa61Y97l~w__&Key-Pair-Id=K27TQMT39R1C8A"
},
{
"description": "in-network shared file",
"location": "https://bcbsri.mrf.bcbs.com/2024-07_102_11B0_in-network-rates_3_of_6.json.gz?&Expires=1724248839&Signature=JEI-Dzfi5bebQ~C68isdHLor45lYsFqqYEIGDB0vigmi7EoycMoTUjF2OsBBFzprBtUJdQpPdJLZZw7M9cFF8N6bHpwpNWSTW~DvkU3~TmQJoJNMfRgsl5m3bJakqLp4kPkyI~4jN7UQA-nkdjMCkY2OoQ1vlo9w6CHRf9NL42FgOD0NMjup9xQvc5Xjrn4JS3TPdP3E-fwX0vnRnDvl6Lv6jgnjhTiv1bQJY3aNyXOqNf3KU9ucMyLcvkckK9L55ewXJ6zHtPWmkGPVk38GyQH5wQLCuEw1l9-ewCVpBmQxr1cjo6p9Ttk~U2gHa27IMWvMPzNAzkTXim4QYhNBAg__&Key-Pair-Id=K27TQMT39R1C8A"
},
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{
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{
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