External MRF Data

Summary

Summary

Using the External MRF For Cost Index

  • MRF JSON files need to be compliant and usable
  • Provider Reference files associated with INN file need to be included in data set
  • INN file needs to have no errors when processed through CMS Validator Tool
    • https://github.com/CMSgov/price-transparency-guide-validator
  • Provider Reference needs to contain valid identifiers

Common Issues

  • Provider Groups referenced in INN MRF file does not have a provider reference file associated with it
  • Missing required fields in INN MRF rate objects (ex. Billing Code Type)
  • Provider NPI not valid