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The machine-readable files are available here.
However, these files are large and cannot be opened on a regular computer. The files are expected to be used by researchers, government entities and data aggregators to develop comparative data across health insurance issuers.
The machine-readable files are not intended for use by members. The cost comparison tool that will be available on January 1, 2023 is designed for members to get cost and out-of-pocket estimates.
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Last updated:
Jun 29,2022
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Related FAQs
- What is the Transparency in Coverage rule?
- Will Horizon allow for merging other vendors’ data (for example, data from a Pharmacy Benefits Manager or specialty network)?
- How often will the information in the machine-readable files be updated?
- How will Horizon address missing values such as NPI (National Provider Identifier) or procedure codes?
- Will Horizon provide data to a third party (a data warehouse or health care pricing vendor) if a group account customer engages with a third party to ensure compliance with the federal requirements?
- Which data file format does Horizon use (JSON, XML or YAML)?
- Will machine-readable files be available for prescription drug pricing?
- Will administrative fees change as a result of the Rule?
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Our data file format is JSON.
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Last updated:
Jun 29,2022
Category:
Topic:
Audience:
Related FAQs
- What is the Transparency in Coverage rule?
- Will Horizon allow for merging other vendors’ data (for example, data from a Pharmacy Benefits Manager or specialty network)?
- How often will the information in the machine-readable files be updated?
- Where are the machine-readable files stored?
- How will Horizon address missing values such as NPI (National Provider Identifier) or procedure codes?
- Will Horizon provide data to a third party (a data warehouse or health care pricing vendor) if a group account customer engages with a third party to ensure compliance with the federal requirements?
- Will machine-readable files be available for prescription drug pricing?
- Will administrative fees change as a result of the Rule?
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Horizon will not make changes to administrative fees at this time, but may revisit this position in the future. .
Was this helpful?
Last updated:
Jun 29,2022
Category:
Topic:
Audience:
Related FAQs
- What is the Transparency in Coverage rule?
- Will Horizon allow for merging other vendors’ data (for example, data from a Pharmacy Benefits Manager or specialty network)?
- How often will the information in the machine-readable files be updated?
- Where are the machine-readable files stored?
- How will Horizon address missing values such as NPI (National Provider Identifier) or procedure codes?
- Will Horizon provide data to a third party (a data warehouse or health care pricing vendor) if a group account customer engages with a third party to ensure compliance with the federal requirements?
- Which data file format does Horizon use (JSON, XML or YAML)?
- Will machine-readable files be available for prescription drug pricing?
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Horizon will make the required data available for public access. Third-party developers will have access to this data.
Was this helpful?
Last updated:
Jun 29,2022
Category:
Topic:
Audience:
Related FAQs
- What is the Transparency in Coverage rule?
- Will Horizon allow for merging other vendors’ data (for example, data from a Pharmacy Benefits Manager or specialty network)?
- How often will the information in the machine-readable files be updated?
- Where are the machine-readable files stored?
- How will Horizon address missing values such as NPI (National Provider Identifier) or procedure codes?
- Will Horizon provide data to a third party (a data warehouse or health care pricing vendor) if a group account customer engages with a third party to ensure compliance with the federal requirements?
- Which data file format does Horizon use (JSON, XML or YAML)?
- Will machine-readable files be available for prescription drug pricing?
- Will administrative fees change as a result of the Rule?
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The requirement for machine-readable files for prescription drug pricing is currently on hold pending further rulemaking. We expect to comply with the requirements once they are finalized.
Was this helpful?
Last updated:
Jun 29,2022
Category:
Topic:
Audience:
Related FAQs
- What is the Transparency in Coverage rule?
- Will Horizon allow for merging other vendors’ data (for example, data from a Pharmacy Benefits Manager or specialty network)?
- How often will the information in the machine-readable files be updated?
- Where are the machine-readable files stored?
- How will Horizon address missing values such as NPI (National Provider Identifier) or procedure codes?
- Will Horizon provide data to a third party (a data warehouse or health care pricing vendor) if a group account customer engages with a third party to ensure compliance with the federal requirements?
- Which data file format does Horizon use (JSON, XML or YAML)?
- Will administrative fees change as a result of the Rule?
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The information will be updated monthly.
Was this helpful?
Last updated:
Jun 29,2022
Category:
Topic:
Audience:
Related FAQs
- What is the Transparency in Coverage rule?
- Will Horizon allow for merging other vendors’ data (for example, data from a Pharmacy Benefits Manager or specialty network)?
- How will Horizon address missing values such as NPI (National Provider Identifier) or procedure codes?
- Will Horizon provide data to a third party (a data warehouse or health care pricing vendor) if a group account customer engages with a third party to ensure compliance with the federal requirements?
- Which data file format does Horizon use (JSON, XML or YAML)?
- Will machine-readable files be available for prescription drug pricing?
- Will administrative fees change as a result of the Rule?
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Horizon is developing procedures to research and resolve data discrepancies. Horizon will make a good faith effort to make all NPIs and TINs (Tax Identification Numbers) available.
Was this helpful?
Last updated:
Jun 29,2022
Category:
Topic:
Audience:
Related FAQs
- What is the Transparency in Coverage rule?
- Will Horizon allow for merging other vendors’ data (for example, data from a Pharmacy Benefits Manager or specialty network)?
- How often will the information in the machine-readable files be updated?
- Where are the machine-readable files stored?
- Will Horizon provide data to a third party (a data warehouse or health care pricing vendor) if a group account customer engages with a third party to ensure compliance with the federal requirements?
- Which data file format does Horizon use (JSON, XML or YAML)?
- Will administrative fees change as a result of the Rule?
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For the July 1, 2022 effective date, we will provide our data and data that we control. We will also provide access to data from other Blue Cross Blue Shield plans across the country, for applicable plans.
However, we will not include or merge other vendors’ data or data from third parties that are contracted by our group account customers.
Was this helpful?
Last updated:
Jun 29,2022
Category:
Topic:
Audience:
Related FAQs
- How often will the information in the machine-readable files be updated?
- How will Horizon address missing values such as NPI (National Provider Identifier) or procedure codes?
- Will Horizon provide data to a third party (a data warehouse or health care pricing vendor) if a group account customer engages with a third party to ensure compliance with the federal requirements?
- Which data file format does Horizon use (JSON, XML or YAML)?
- Will machine-readable files be available for prescription drug pricing?
- Will administrative fees change as a result of the Rule?
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