Cov lus qhia rau cov neeg tsim

Blue Cross Blue Shield ntawm Minnesota siv Cov Kab Ntawv Teev Ncauj Lus rau Lub Tshuab-Nyeem Cov Ntawv. Hauv kab ntawv ncauj lus, cov phiaj xwm tau muab tso rau hauv txhawm rau suav sau cov koom tes nrog cov ntaub ntawv uas cuam tshuam txog cov chaw kho mob thiab cov nqi rau cov phiaj xwm koom tes nrog uas tau xaiv tseg. Cov ntaub ntawv npaj tau nthuav tawm raws li qhov loj me, thaj chaw, los sis lwm yam qauv xaiv. Rau qhov laj thawj no, nws tsim nyog uas tus zauv daim ntawv sau nqi yuav raug rov sau dua hauv ntau daim ntaub ntawv. Txawm li cas los xij, cov chaw kho mob thiab cov nqi yuav muaj qhov sib txawv thiab yuav tsis muaj qhov sib tshooj thoob plaws daim ntawv.

Daim ntawv cov kab ntawv teev ncauj lus yuav muaj raws li kev ua tiav qhov kev txheeb xyuas muaj txiaj ntsig zoo ua ntej xa mus. Peb cia siab tias cov ntawv yuav muaj ze rau thaum pib ntawm lub hli raws li qhov ua tau. 

Lub npe daim ntawv ntawm cov kab ntawv teev ncauj lus yuav ib txwm ua raws li tus qauv - XYOO-HLI-01_BlueCrossBlueShieldMinnesota_index.json. Piv txwv li: daim ntawv thaum Lub Kaum Hli 2022 yuav yog '2022-10-01_BlueCrossBlueShieldMinnesota_index.json'.  

Nco cim tseg: Txawm hais tias muaj ib hnub hauv lub hli - tus nqi no yuav tsis hloov thiab yuav ib txwm yog 01.

Txoj kev hauv paus rau cov ntaub ntawv no yog https://mktg.bluecrossmn.com/mrf/YYYY/ - qhov no yuav nyob tas mus li. 
Piv txwv li: Lub Kaum Hli 2022 daim ntawv nyob ntawm URL https://mktg.bluecrossmn.com/mrf/2022/2022-10-{[ #4]_BlueCrossBlueShieldMinnesota_index.json

Cov lus pom zoo:

1. Tsim ib txoj hauj lwm uas pings qhov URL no txhua hnub tom qab thawj lub hlis, nrhiav lub hli tus nqi hloov ntawm koj lub hli dhau los.  
2. Rub tawm thiab txheeb xyuas cov kab ntawv teev ncauj lus raws li cov phiaj xwm tau teev tseg los ntawm CMS ntawm no: https://github.com/CMSgov/price-transparency-guide/tree/master/schemas/table-of-contents

Ceeb Toom: Blue Cross Blue Shield ntawm Minnesota txhawb ntau txoj kev npaj, thiab peb cov phiaj xwm muaj thoob plaws hauv lub teb chaws ua ib feem ntawm Blue Cross Blue Shield cov koom tes nrog. Cov kab ntawv teev ncauj lus nws yog ib daim ntawv uas loj dua 10MB - txawm li cas los xij, qee cov ntaub ntawv ua pov thawj tuaj yeem muaj ntau pua GB qhov loj thiab muab kaw kom me.  

Tsis yog txhua cov ntaub ntawv siv tib lub kaw ua ke, thiab koj yuav tsum tau kuaj xyuas cov txheej txheem ntawm cov chaw kaw kom me raws li cov lus kawg ntawm cov ntaub ntawv (.gz los sis .zip). 

Tom qab muab kaw kom me lawm, cov ntaub ntawv hom yuav ua raws CMS schema rau hauv cov ntaub ntawv koom tes nrog raws li tau hais tseg ntawm no: https://github.com/CMSgov/price-transparency-guide/blob/master/schemas/in-network-rates/in -network-rates.json
Thiab rau cov ntaub ntawv tso cai raws li tau teev tseg los ntawm lub tswv yim ntawm no: https://github.com/CMSgov/price-transparency-guide/blob/master/schemas/allowed-amounts/allowed-amounts.json.​​​​​​​

Cov Ntsiab Lus

Cov tuam txhab tuav pov hwm thiab cov phiaj xwm yuav tsum tau ua kom muaj rau zej tsoom, cov ntaub ntawv tus nqi yuav tsum tau hloov kho txhua hli, siv tau rau cov phiaj xwm xyoo rau thaum thiab tom qab Lub Ib Hlis 1, 2022.

• Hnub siv rau hauv thiab tawm ntawm lub koom nrog lub tshuab nyeem cov ntaub ntawv yog Lub Xya Hli 1, 2022
• Hnub siv txoj cai rau lub tsev muag tshuaj cov ntaub ntawv-nyeem tau tau ncua sij hawm tseem tab tom txiav txim siab ntxiv

Tsoom fwv cov cai

Zam los ntawm thawj daim ntawv Tag Nrho Tsab Cai Kawg​​​​​​​

Hnub Tim Lub Kaum Ib Hlis 12, 2020

Tshuaj Xyuas Tag Nrho Tsab Cai Kawg

"3. Cov Yuav Tsum Tau Ua rau Kev Tshaj Tawm Txog Cov Nqi Hauv Cov Chaw Kho Mob Koom Tes Nrog rau Cov Khoom Siv thiab Cov Kev Pab Uas Raug Duav Roos, Pob Nyiaj Tso Cai Rau Kho Cov Chaw Kho Mob Tsis Koom Tes Nrog thiab Cov Ntaub Ntawv Txog Cov Nqi Tshuaj Muaj Ntawv Yuav Tshuaj los ntawm cov ntawv uas siv Lub Tshuab-Nyeem raws li 26 CFR { [#2]}. #9]}A3, thiab 45 CFR 147.212."

Zam los ntawm Daim Ntawv Tsab Cai Kawg

Hnub Tim Lub Kaum Hli 29, 2020

Tshuaj Xyuas Daim Ntawv Tsab Cai Kawg

"Cov phiaj xwm kev noj qab haus huv hauv pab pawg los sis cov tuam txhab tuav pov hwm kev noj qab haus huv uas tsis yog yawg koob pov hwm kev noj qab haus huv hauv ib tus neeg thiab pab pawg lag luam yuav tsum tau ua kom muaj rau zej tsoom, suav nrog cov neeg muaj feem xws li cov neeg siv khoom, cov kws tshawb fawb, cov tswv ntiav, thiab cov neeg tsim tawm thib peb, peb lub tshuab - nyeem tau cov ntaub ntawv uas suav nrog cov ncauj lus kom ntxaws txog tus nqi.

• Thawj cov ntaub ntawv yuav qhia tus nqi sib tham rau txhua yam khoom thiab cov kev pab cuam ntawm cov phiaj xwm los sis tus tsim tawm thiab cov chaw muab kev pab cuam hauv cov koom tes nrog. (Nco tseg: kev tswj xyuas ncua mus kom txog thaum 7/1/22 tauj ib FAQS TSAB CAI KEV KHO MOB PHEEJ YIG THIAB SUAV SAU YAM TSIM NYOG, 2021 KEV NQIS TES UA NTU {[ #4]} (PDF))

• Cov ntaub ntawv thib ob yuav qhia ob qho tib si keeb kwm kev them nyiaj rau, cov ntawv sau nqi los ntawm, cov chaw kho mob tsis koom nrog hauv. Keeb kwm cov kev them nyiaj yuav tsum muaj tsawg kawg nkaus yog nees nkaum qhov txhawm rau tiv thaiv ntaub ntawv ntiag tug ntawm tus neeg siv. (Nco tseg: kev tswj xyuas ncua mus kom txog thaum 7/1/22 tauj ib FAQS TSAB CAI KEV KHO MOB PHEEJ YIG THIAB SUAV SAU YAM TSIM NYOG, 2021 KEV NQIS TES UA NTU {[ #4]} (PDF))

• Cov ntaub ntawv thib peb yuav piav qhia txog tus nqi sib tham hauv lub chaw koom tes nrog thiab cov nqi keeb kwm yav dhau los rau tag nrho cov tshuaj uas tau them los ntawm cov phiaj xwm los sis tus tsim tawm ntawm qib tsev muag tshuaj. (Nco tseg: ncua sij hawm tseem tab tom txiav txim siab ntxiv, raws li FAQS TSAB CAI KEV KHO MOB PHEEJ YIG THIAB SUAV SAU YAM TSIM NYOG , 2021 KEV NQIS TES UA NTU 49 (PDF))

Cov phiaj xwm thiab cov chaw tuav pov hwm yuav qhia pom cov ntaub ntawv no hauv hom qauv ntawv thiab yuav muab hloov kho txhua lub hli. Cov ntaub ntawv no yuav muab sij hawm rau cov kev tshawb fawb ntxaws, kev txheeb xyuas cov ntaub ntawv, thiab muab cov neeg tsim khoom thib peb thiab cov neeg tsim kho tshiab muaj peev xwm los tsim cov kev daws teeb meem ntiag tug los pab txhawb kev sib piv tus nqi ntxiv thiab cov neeg siv khoom hauv kiab khw kev kho mob. Cov ntaub ntawv no yuav tsum tau tshaj tawm rau pej xeem rau cov phiaj xwm xyoo uas pib rau thaum los sis tom qab Lub Ib Hlis 1, 2022."