Exploring "Swiss Cheese" Machine Readable Files from Florida Blue
This March edition of MRF Processing Notes explores a Swiss Cheese MRF from Florida Blue's Blue Options PPO. There's some meat to the file, so it retains the shell of a compliant MRF, but otherwise has so many holes you can’t get the complete pricing picture for entities that matter. Interestingly, the gaps also shift month over month, suggesting with some nonintuitive analysis, it still might be possible to get useful price intelligence from the data.