AmeriHealth Bronze - Limited
Exchange
DE
Network Quality History
September 2024
Poor, Use With Caution
- Codes
- 0
Number of unique codes
- Rows
Rows of data in the file
- Prices
- 0 100%
Count of prices after exploding NPIs
- NPIs
- 0
Number of unique NPIs
- EINs
- 0
Number of unique EINs
Professional Fees
Data includes professional fees for either of the CPT / HCPCS code types
Institutional Fees
Data includes institutional fees for any of the *-DRG / CPT / HCPCS / APC / RC code types
Common Codes
Data includes fees across a set of highly utilized and/or queried billing codes (e.g., 871, 27447, 99203, 90837)
Common Taxonomies
NPIs included in the dataset cover all common taxonomies (e.g., Family Medicine, LCSW, Dermatologist, Physical Therapist, ASC, Hospital)
Priced Providers
Adequate number of providers have prices in the dataset (based on network region and size)
Low Ambiguous Rates
Data does not have significant instances of multiple rates posted for the same ein/npi list, service, and billing details
- Methodology
In order to determine the overall status for a payer network posting for a given month, the above tests are applied and evaluated.
- If all tests pass, status is green.
- If 1 test fails, status turns yellow.
- If 2 or more tests fail, status turns red.
227 Available Payers
-
Aetna
Aetna - Allina Health
- First Health
- Meritain Health
- Texas Health Aetna
- Allegiance
- Alliant Health Plans
- Allied National
- AllWays Health Partners
- AmeriBen
- American National
- Americas PPO
- Amerihealth Caritas Next
- AmeriHealth Insurance Company of New Jersey
- Angle Health
- Aspirus Health Plan
- Asuris Northwest Health
- AultCare Insurance Company
- Avera Health Plans Inc
- AvMed
- Baylor Scott and White Health Plan
-
BCBS
Anthem - Blue Cross Blue Shield of Alabama
- Blue Cross Blue Shield of Arizona
- Arkansas Blue Cross and Blue Shield
- Blue Shield of California
- Blue Cross of Idaho
- Blue Cross and Blue Shield of Illinois
- Blue Cross and Blue Shield of Kansas
- Blue Cross and Blue Shield of Kansas City
- Blue Cross Blue Shield Louisiana
- Blue Cross Blue Shield of Massachusetts
- Blue Cross Blue Shield of Michigan
- Blue Cross Blue Shield of Minnesota
- Blue Cross Blue Shield of Mississippi
- Blue Cross and Blue Shield of Montana
- Blue Cross and Blue Shield of Nebraska
- Blue Cross and Blue Shield of New Mexico
- Blue Cross and Blue Shield of North Carolina
- Blue Cross Blue Shield of North Dakota
- Blue Cross and Blue Shield of Oklahoma
- Blue Cross Blue Shield of Rhode Island
- BlueCross BlueShield of South Carolina
- Blue Cross and Blue Shield of Texas
- Blue Cross and Blue Shield of Vermont
- Blue Cross and Blue Shield of Wyoming
- Blue Card
- Capital BlueCross
- CareFirst BlueCross BlueShield
- Excellus BlueCross BlueShield
- Florida Blue
- Hawaii Medical Service Association
- Highmark Blue Cross Blue Shield Delaware
- Highmark Blue Shield of Northeastern New York
- Highmark Blue Cross Blue Shield Western New York
- Highmark Blue Shield Pennsylvania
- Highmark Blue Cross Blue Shield Pennsylvania
- Highmark Blue Cross Blue Shield West Virginia
- Horizon Blue Cross Blue Shield of New Jersey
- Independence BCBS
- Premera Blue Cross
- Regence BlueShield of Idaho
- Regence BlueCross BlueShield of Oregon
- Regence BlueCross BlueShield of Utah
- Regence BlueShield of Washington
- BCBS Puerto Rico (Triple S)
- Truli
- Wellmark Blue Cross and Blue Shield of Iowa
- Wellmark Blue Cross and Blue Shield of South Dakota
- Beacon Health Options
- BlueCross BlueShield of Tennessee
- BPA
- BridgeSpan
- Capital District Physicians Health Plan
- Capital Health Plan Inc
- Caresource
-
Centene
Ambetter - Centene Corporation
- Fidelis Care
- Health Net
- MHN
- Qualchoice
- Wellcare of North Carolina
- CenterCare
- Centivo
- Central California Alliance for Health
- Chorus Community Health Plans
- Christus
- Cigna Corporation
- Common Ground Healthcare Cooperative
- Community Health Choice
- Community Health Options
- Community Health Plan of Washington
- CommunityCare
- ComPsych
- Connecticare
- Contra Costa Health
- Coventry Health Plan of Florida
- Cox Health Systems
- Curative
- DakotaCare
- Dean Health Plan
- Denver Health Medical Plan
- Edison Health Solutions
- EHN
- Emblem Health
- EMI Health
- Encore
- Evolutions Healthcare Systems
- Fallon Health
- First Choice Health
- Florida Health Care Plans
- Friday Health Plan
- Geisinger Health Plan
- GlobalHealth
- Group Health Cooperative of Eau Claire
- Group Health Cooperative of South Central Wisconsin
- HAP
- Harvard Pilgrim Healthcare
- Hawaii Medical Assurance Association
- Health Advantage HMO Partners
- Health Alliance
- Health First
- Health New England Inc
- Health Payment Systems
- Health Plan Inc
- Health Plan of Nevada
- Health2Business
- Healthcare Highways
- Healthchoice
- Healthfirst
- HealthLink
- HealthPartners
- HealthPlan Services
- Healthsmart
- Henry Ford Health System
- Highmark Health
- HMA
- Hometown Health Plan
- Humana
- Imagine360
- Independent Health
- Innovation Health Plan
- IU Health Plans
- Jefferson Health Plans
- Johns Hopkins Health Plans
- Kaiser Foundation Health Plan
- LA Care Health Plan
- Lantern
- Lifewise
- Magellan Health
- MagnaCare
- McLaren
- Medcost
- Medica
- Medical Associates Health Plan
- Medical Card System Puerto Rico
- Medical Mutual of Ohio
- MercyCare
- MetroPlus
- Midlands Choice
- Moda Health
- Molina Healthcare
- Mountain Health COOP
- MultiPlan
- MVP Health Care
- Neighborhood Health Plan of Rhode Island
- Network Health
- Networks By Design
- Nippon
- Ohio PPO Connect
- Optima Health
- Oscar Insurance Corporation
- Pacificare
- PacificSource Health Plans
- Paramount Insurance Company
- PEHP
- Physicians Health Plan of Northern Indiana
- Physicians Health Plan
- Piedmont Health Plan
- Point32Health
- Preferred Health Professionals
- Preferred One
- Presbyterian Health Plan
- Prime Health Services
- Priority Health
- Prominence Health Plan
- Providence Health Plan
- ProviDRs Care
- Quartz
- Sagamore Health Network
- Samaritan Health Plans
- Sana Benefits
- Sanford Health Group
- Security Health Plan of Wisconsin
- SelectHealth
- Sentara Health Plans
- Sharp Health Plan
- Sidecar Health
- Sierra Health and Life
- SIHO Insurance Services
- SmartHealth
- StayWell Insurance
- Summa Care
- Sutter Health Plus
- The Alliance
- The Health Plan
- Trilogy
- Tufts Health Plan
- UCare
- UHA
-
UHG
Optum - Oxford Health Plan
- Rocky Mountain Health Plan
- UnitedHealthcare
- Univera Healthcare
- University of Utah Health Plans
- UPMC Health Plan
- Valley Health Plan
- Vantage Health Plan
- Viva Health
- Wellpoint
- WellSense Health Plan
- Western Health Advantage
- WPS Health Plan
- Yale University Health Plan
- Zelis
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