Payer Transparency Data
200+
Commercial payers
500+
Networks across PPOs, HMOs & ASOs
350B+
Rates processed monthly
Jan 2023
Historical data available since
How we process the data
A rigorous three-step pipeline turns raw payer MRF filings into reliable, actionable pricing intelligence.
01
Ingestion
Each month, Serif Health ingests 200+ commercial payers' in-network MRF disclosures across their core fully-insured, self-insured, and exchange lines of business. This translates to 500+ networks spanning PPOs, HMOs, ASOs, exchange plans, rental networks, and behavioral health networks, encompassing roughly 90%+ of commercial lives covered in the US. A month's worth of data contains 350+ billion rows detailing each provider's in-network negotiated rates across all codes available in their fee schedule.
02
Quality Assurance
Once ingested, Serif Health normalizes and cleans the data to eliminate the noise. We screen and filter out clinically unbillable or 'zombie rates' by utilizing nationwide commercial claims data to track what codes various providers actually bill in practice. This means you will not see a dentist show up with a knee surgery rate, just because the payer included that procedure code on that dentist's fee schedule.
03
Enrichment
After cleaning the data, we add several fields to make it powerful for your use cases, including provider details (name, address) at the group EIN and NPI level, a provider's specialty, and CMS reference rates so you can benchmark rates as a percent of Medicare. We also enable our customers to analyze historical price transparency data and trends back to January 2023.
Start with your first question
You bring the question. We'll bring the signal.