- The user will be able to view the Files associated with an employer鈥檚 name. Users will visit to access their table of contents (TOC) file. (This website will be publicly available on July 1, 2022.) Once a user clicks on the TOC file with their employer name, they will see the File(s) associated with the health plan(s).
- In-network files:
- Each employer鈥檚 name may be associated with one or more files, depending on the number of provider networks used by the employer group. Each in-network file contains negotiated rates for providers in one contracted network. Reasons why a user could see more than one in-network file include:
- If the employer uses more than one Blue Cross NC network.
- If the employer uses multiple networks for employees outside of North Carolina.
- In-network files will be compressed, and users must decompress the files to read the content. Details about how are available here: .
- Users of the Files, like health care researchers or application developers, may choose to integrate the data across all the in-network rate files.
- Each employer鈥檚 name may be associated with one or more files, depending on the number of provider networks used by the employer group. Each in-network file contains negotiated rates for providers in one contracted network. Reasons why a user could see more than one in-network file include:
- Out-of-network historical rates files: There will be one out-of-network historical rates file associated with each employer group鈥檚 name based on experience of their members during the lookback period. Even if the employer uses more than one network or uses multiple networks for employees outside of North Carolina, there will only be one out-of-network historical rates file per employer group.
- In-network files:
If you have questions, please contact Emilia DePablo at (919) 683-2413 x2344 or edepablo@measinc.com.