{"schemaVersion":2,"hospital":{"key":"040017","name":"NORTH ARKANSAS REGIONAL MEDICAL CENTER","displayName":"North Arkansas Regional Medical Center","displayCity":"Harrison","location":"HARRISON, AR","identifiers":{"ccn":"040017","npi_type_2":"1275523912"}},"date":"2026-09-28","planKey":"national:2026-09-28:cdc5e7a710039c158be06a0521bcf44d9455bccf","publishedAt":"2026-09-29T05:48:53.466Z","summary":{"total":33,"passed":11,"failed":7,"blocked":8,"notApplicable":1,"couldNotDetermine":2,"notAssessed":4,"checked":26,"passRate":0.4230769230769231},"files":[{"runKey":"national-work:2026-09-28:cdc5e7a710039c158be06a0521bcf44d9455bccf:mrf-0980a7de4aef2237d05f","evaluatedAt":"2026-09-28T06:25:11.222Z","sharedWithOthers":0,"sourceLinks":{"homepage":"https://www.narmc.com/","cms_hpt_txt":"https://www.narmc.com/cms-hpt.txt","current_mrf":"https://www.narmc.com/images/710787860_north-arkansas-regional-medical-center_standardcharges.csv","transparency_page":"https://www.narmc.com/bill-pay/price-transparency"},"artifact":{"sha256":"bf710e434619734586ba5db371f81d69dcf3f343c48ac9c0dd3f224326415224","size_bytes":16858247,"display_size":"16.9 MB","display_format":"CSV","last_observed_change_at":"2026-09-27T20:25:42.155Z"},"ruleset":{"key":"hpt-v3","version":"catalog v2","dataDictionaryVersion":"3.0.0"},"summary":{"total":33,"passed":11,"failed":7,"blocked":8,"notApplicable":1,"couldNotDetermine":2,"notAssessed":4,"checked":26,"passRate":0.4230769230769231},"groups":[{"key":"attestation","rules":[{"title":"MRF correctly encodes the accuracy and completeness attestation","detail":null,"result":"FAIL","ruleKey":"hpt.mrf.cms.attestation","authority":["45 CFR 180.50(a)(3)(iii)"],"statusLabel":"Failed","affectedRecordCount":1,"display":"FAIL","detailItems":["Header column \"To the best of its knowledge and belief, this hospital has…\" is miscoded or missing."],"detailNote":"Each header listed must be included and encoded as the CMS data dictionary specifies."},{"title":"MRF correctly encodes the attester's name","detail":null,"result":"FAIL","ruleKey":"hpt.mrf.cms.attester_name","authority":["45 CFR 180.50(a)(3)(iv)"],"statusLabel":"Failed","affectedRecordCount":1,"display":"FAIL","detailItems":["Header column \"attester_name\" is miscoded or missing."],"detailNote":"Each header listed must be included and encoded as the CMS data dictionary specifies."}],"title":"Attestation and responsible official","groups":[],"result":"FAIL","authority":"45 CFR 180.50(a)(3)","statusLabel":"2 failed","distribution":{"FAIL":2,"PASS":0,"BLOCKED":0,"INDETERMINATE":0,"NOT_APPLICABLE":0},"display":"FAIL","displayCounts":{"FAIL":2}},{"key":"hospital_mrf_information","rules":[{"title":"MRF declares this hospital's Type 2 NPI","detail":"The MRF does not declare a Type 2 NPI.","result":"INDETERMINATE","ruleKey":"hpt.mrf.identity.npi","authority":["45 CFR 180.50(b)(2)(i)(A)"],"statusLabel":"Couldn't determine","display":"COULD_NOT_DETERMINE","reason":"The hospital's file does not include a value this check needs."},{"title":"MRF correctly encodes its template version and update date","detail":"The completed structural evaluation reported no deficiency for this nonconditional check.","result":"PASS","ruleKey":"hpt.mrf.cms.version_and_date","authority":["45 CFR 180.50(b)(2)(i)(B)"],"statusLabel":"Passed","display":"PASS"}],"title":"Hospital and MRF information","groups":[],"result":"INDETERMINATE","authority":"45 CFR 180.50(b)(2)(i)","statusLabel":"1 couldn't be determined","distribution":{"FAIL":0,"PASS":1,"BLOCKED":0,"INDETERMINATE":1,"NOT_APPLICABLE":0},"display":"COULD_NOT_DETERMINE","displayCounts":{"COULD_NOT_DETERMINE":1,"PASS":1}},{"key":"standard_charges","rules":[{"title":"MRF lists a gross charge for every item and service","detail":"Gross charge values are populated on 25,864 rows and blank on 0 rows. The MRF alone cannot prove that every applicable hospital item or service is represented.","result":"INDETERMINATE","ruleKey":"hpt.mrf.gross_charges_complete","authority":["45 CFR 180.50(b)(2)(ii)"],"statusLabel":"Not assessed","display":"NOT_ASSESSED","reason":"The price file alone cannot answer this; it needs evidence from outside the file."},{"title":"MRF lists a discounted cash price for every item and service that has one","detail":"Discounted cash price values are populated on 25,864 rows and blank on 0 rows. The MRF alone cannot prove that every applicable hospital item or service is represented.","result":"INDETERMINATE","ruleKey":"hpt.mrf.cash_prices_complete","authority":["45 CFR 180.50(b)(2)(ii)"],"statusLabel":"Not assessed","display":"NOT_ASSESSED","reason":"The price file alone cannot answer this; it needs evidence from outside the file."},{"title":"MRF correctly encodes the de-identified minimum negotiated charge","detail":"The CMS validator found errors in the file's header rows and did not check the charge rows, so this check could not be evaluated. This is not a separate failure.","result":"BLOCKED","ruleKey":"hpt.mrf.cms.minimum_charge","authority":["45 CFR 180.50(b)(2)(ii)"],"statusLabel":"Blocked by MRF passes the CMS validator without errors","blockedBy":{"ruleKey":"hpt.mrf.cms.template","title":"MRF passes the CMS validator without errors"},"display":"BLOCKED"},{"title":"MRF correctly encodes the de-identified maximum negotiated charge","detail":"The CMS validator found errors in the file's header rows and did not check the charge rows, so this check could not be evaluated. This is not a separate failure.","result":"BLOCKED","ruleKey":"hpt.mrf.cms.maximum_charge","authority":["45 CFR 180.50(b)(2)(ii)"],"statusLabel":"Blocked by MRF passes the CMS validator without errors","blockedBy":{"ruleKey":"hpt.mrf.cms.template","title":"MRF passes the CMS validator without errors"},"display":"BLOCKED"}],"title":"Standard charges","groups":[{"key":"payer_specific","rules":[{"title":"MRF correctly encodes payer and plan names","detail":"The CMS validator found errors in the file's header rows and did not check the charge rows, so this check could not be evaluated. This is not a separate failure.","result":"BLOCKED","ruleKey":"hpt.mrf.cms.payer_and_plan","authority":["45 CFR 180.50(b)(2)(ii)(A)"],"statusLabel":"Blocked by MRF passes the CMS validator without errors","blockedBy":{"ruleKey":"hpt.mrf.cms.template","title":"MRF passes the CMS validator without errors"},"display":"BLOCKED"},{"title":"MRF correctly encodes how each charge was established","detail":"The CMS validator found errors in the file's header rows and did not check the charge rows, so this check could not be evaluated. This is not a separate failure.","result":"BLOCKED","ruleKey":"hpt.mrf.cms.methodology","authority":["45 CFR 180.50(b)(2)(ii)(B)"],"statusLabel":"Blocked by MRF passes the CMS validator without errors","blockedBy":{"ruleKey":"hpt.mrf.cms.template","title":"MRF passes the CMS validator without errors"},"display":"BLOCKED"}],"title":"Payer-specific negotiated charge","groups":[{"key":"rate_expression","rules":[{"title":"MRF expresses each negotiated rate as a dollar amount, percentage, or algorithm","detail":"The CMS validator found errors in the file's header rows and did not check the charge rows, so this check could not be evaluated. This is not a separate failure.","result":"BLOCKED","ruleKey":"hpt.mrf.cms.rate_form","authority":["45 CFR 180.50(b)(2)(ii)(C)"],"statusLabel":"Blocked by MRF passes the CMS validator without errors","blockedBy":{"ruleKey":"hpt.mrf.cms.template","title":"MRF passes the CMS validator without errors"},"display":"BLOCKED"},{"title":"Percentage and algorithm rates give enough information to derive a dollar amount","detail":"102,331 percentage- or algorithm-based payer rates require semantic review of whether a reasonable user can derive a dollar amount.","result":"INDETERMINATE","ruleKey":"hpt.mrf.algorithm_derivable","authority":["45 CFR 180.50(a)(3)(iii)","45 CFR 180.50(b)(2)(ii)(C)"],"statusLabel":"Couldn't determine","display":"COULD_NOT_DETERMINE","reason":"This needs a person to judge; the automated check cannot decide it."}],"title":"Rate expression and methodology","groups":[{"key":"allowed_amounts","rules":[{"title":"MRF correctly encodes the 10th percentile allowed amount","detail":null,"result":"FAIL","ruleKey":"hpt.mrf.cms.allowed_p10","authority":["45 CFR 180.50(b)(2)(ii)(C)(2)"],"statusLabel":"Failed","affectedRecordCount":25,"display":"FAIL","detailItems":["Column 10th_percentile | empower | . is miscoded or missing from row 3.","You must include this column and confirm that it is encoded as specified in the data dictionary. (reported 25 times)","Column 10th_percentile | evolutions ppo | . is miscoded or missing from row 3.","Column 10th_percentile | evolutions | workers comp is miscoded or missing from row 3.","Column 10th_percentile | summit | . is miscoded or missing from row 3.","Column 10th_percentile | corvel | . is miscoded or missing from row 3.","Column 10th_percentile | aetna signature | . is miscoded or missing from row 3.","Column 10th_percentile | arkansas managed care | . is miscoded or missing from row 3.","Column 10th_percentile | zelis | . is miscoded or missing from row 3.","Column 10th_percentile | zelis | work comp is miscoded or missing from row 3.","Column 10th_percentile | zelis | auto is miscoded or missing from row 3.","Column 10th_percentile | zelis | other is miscoded or missing from row 3.","Column 10th_percentile | arkansas total care | . is miscoded or missing from row 3.","Column 10th_percentile | humana | military tricare is miscoded or missing from row 3.","Column 10th_percentile | humana | medicare advantage hmo is miscoded or missing from row 3.","Column 10th_percentile | humana | medicare advantage ppo is miscoded or missing from row 3.","Column 10th_percentile | humana | medicare advantage is miscoded or missing from row 3.","Column 10th_percentile | united healthcare | medicare advantage is miscoded or missing from row 3.","Column 10th_percentile | blue cross health | advantage hmo is miscoded or missing from row 3.","Column 10th_percentile | blue cross | medi-pak advantage is miscoded or missing from row 3.","Column 10th_percentile | blue cross blue shield | anthem mo is miscoded or missing from row 3.","Column 10th_percentile | blue cross blue shield | tru blue ppo is miscoded or missing from row 3.","Column 10th_percentile | blue cross blue shield | first source is miscoded or missing from row 3.","Column 10th_percentile | blue cross blue shield | medicare advantage is miscoded or missing from row 3.","Column 10th_percentile | municipal health | . is miscoded or missing from row 3.","…and 1 other finding."],"detailNote":null},{"title":"MRF correctly encodes the median allowed amount","detail":null,"result":"FAIL","ruleKey":"hpt.mrf.cms.allowed_median","authority":["45 CFR 180.50(b)(2)(ii)(C)(2)"],"statusLabel":"Failed","affectedRecordCount":25,"display":"FAIL","detailItems":["Column median_amount | empower | . is miscoded or missing from row 3.","You must include this column and confirm that it is encoded as specified in the data dictionary. (reported 25 times)","Column median_amount | evolutions ppo | . is miscoded or missing from row 3.","Column median_amount | evolutions | workers comp is miscoded or missing from row 3.","Column median_amount | summit | . is miscoded or missing from row 3.","Column median_amount | corvel | . is miscoded or missing from row 3.","Column median_amount | aetna signature | . is miscoded or missing from row 3.","Column median_amount | arkansas managed care | . is miscoded or missing from row 3.","Column median_amount | zelis | . is miscoded or missing from row 3.","Column median_amount | zelis | work comp is miscoded or missing from row 3.","Column median_amount | zelis | auto is miscoded or missing from row 3.","Column median_amount | zelis | other is miscoded or missing from row 3.","Column median_amount | arkansas total care | . is miscoded or missing from row 3.","Column median_amount | humana | military tricare is miscoded or missing from row 3.","Column median_amount | humana | medicare advantage hmo is miscoded or missing from row 3.","Column median_amount | humana | medicare advantage ppo is miscoded or missing from row 3.","Column median_amount | humana | medicare advantage is miscoded or missing from row 3.","Column median_amount | united healthcare | medicare advantage is miscoded or missing from row 3.","Column median_amount | blue cross health | advantage hmo is miscoded or missing from row 3.","Column median_amount | blue cross | medi-pak advantage is miscoded or missing from row 3.","Column median_amount | blue cross blue shield | anthem mo is miscoded or missing from row 3.","Column median_amount | blue cross blue shield | tru blue ppo is miscoded or missing from row 3.","Column median_amount | blue cross blue shield | first source is miscoded or missing from row 3.","Column median_amount | blue cross blue shield | medicare advantage is miscoded or missing from row 3.","Column median_amount | municipal health | . is miscoded or missing from row 3.","…and 1 other finding."],"detailNote":null},{"title":"MRF correctly encodes the 90th percentile allowed amount","detail":null,"result":"FAIL","ruleKey":"hpt.mrf.cms.allowed_p90","authority":["45 CFR 180.50(b)(2)(ii)(C)(2)"],"statusLabel":"Failed","affectedRecordCount":25,"display":"FAIL","detailItems":["Column 90th_percentile | empower | . is miscoded or missing from row 3.","You must include this column and confirm that it is encoded as specified in the data dictionary. (reported 25 times)","Column 90th_percentile | evolutions ppo | . is miscoded or missing from row 3.","Column 90th_percentile | evolutions | workers comp is miscoded or missing from row 3.","Column 90th_percentile | summit | . is miscoded or missing from row 3.","Column 90th_percentile | corvel | . is miscoded or missing from row 3.","Column 90th_percentile | aetna signature | . is miscoded or missing from row 3.","Column 90th_percentile | arkansas managed care | . is miscoded or missing from row 3.","Column 90th_percentile | zelis | . is miscoded or missing from row 3.","Column 90th_percentile | zelis | work comp is miscoded or missing from row 3.","Column 90th_percentile | zelis | auto is miscoded or missing from row 3.","Column 90th_percentile | zelis | other is miscoded or missing from row 3.","Column 90th_percentile | arkansas total care | . is miscoded or missing from row 3.","Column 90th_percentile | humana | military tricare is miscoded or missing from row 3.","Column 90th_percentile | humana | medicare advantage hmo is miscoded or missing from row 3.","Column 90th_percentile | humana | medicare advantage ppo is miscoded or missing from row 3.","Column 90th_percentile | humana | medicare advantage is miscoded or missing from row 3.","Column 90th_percentile | united healthcare | medicare advantage is miscoded or missing from row 3.","Column 90th_percentile | blue cross health | advantage hmo is miscoded or missing from row 3.","Column 90th_percentile | blue cross | medi-pak advantage is miscoded or missing from row 3.","Column 90th_percentile | blue cross blue shield | anthem mo is miscoded or missing from row 3.","Column 90th_percentile | blue cross blue shield | tru blue ppo is miscoded or missing from row 3.","Column 90th_percentile | blue cross blue shield | first source is miscoded or missing from row 3.","Column 90th_percentile | blue cross blue shield | medicare advantage is miscoded or missing from row 3.","Column 90th_percentile | municipal health | . is miscoded or missing from row 3.","…and 1 other finding."],"detailNote":null},{"title":"MRF correctly encodes the count of allowed amounts","detail":null,"result":"FAIL","ruleKey":"hpt.mrf.cms.allowed_count","authority":["45 CFR 180.50(b)(2)(ii)(C)(2)"],"statusLabel":"Failed","affectedRecordCount":25,"display":"FAIL","detailItems":["Column count | empower | . is miscoded or missing from row 3.","You must include this column and confirm that it is encoded as specified in the data dictionary. (reported 25 times)","Column count | evolutions ppo | . is miscoded or missing from row 3.","Column count | evolutions | workers comp is miscoded or missing from row 3.","Column count | summit | . is miscoded or missing from row 3.","Column count | corvel | . is miscoded or missing from row 3.","Column count | aetna signature | . is miscoded or missing from row 3.","Column count | arkansas managed care | . is miscoded or missing from row 3.","Column count | zelis | . is miscoded or missing from row 3.","Column count | zelis | work comp is miscoded or missing from row 3.","Column count | zelis | auto is miscoded or missing from row 3.","Column count | zelis | other is miscoded or missing from row 3.","Column count | arkansas total care | . is miscoded or missing from row 3.","Column count | humana | military tricare is miscoded or missing from row 3.","Column count | humana | medicare advantage hmo is miscoded or missing from row 3.","Column count | humana | medicare advantage ppo is miscoded or missing from row 3.","Column count | humana | medicare advantage is miscoded or missing from row 3.","Column count | united healthcare | medicare advantage is miscoded or missing from row 3.","Column count | blue cross health | advantage hmo is miscoded or missing from row 3.","Column count | blue cross | medi-pak advantage is miscoded or missing from row 3.","Column count | blue cross blue shield | anthem mo is miscoded or missing from row 3.","Column count | blue cross blue shield | tru blue ppo is miscoded or missing from row 3.","Column count | blue cross blue shield | first source is miscoded or missing from row 3.","Column count | blue cross blue shield | medicare advantage is miscoded or missing from row 3.","Column count | municipal health | . is miscoded or missing from row 3.","…and 1 other finding."],"detailNote":null}],"title":"Allowed-amount statistics","groups":[],"result":"FAIL","authority":"45 CFR 180.50(b)(2)(ii)(C)(2)","statusLabel":"4 failed","distribution":{"FAIL":4,"PASS":0,"BLOCKED":0,"INDETERMINATE":0,"NOT_APPLICABLE":0},"display":"FAIL","displayCounts":{"FAIL":4}}],"result":"FAIL","authority":"45 CFR 180.50(b)(2)(ii)(C)","statusLabel":"4 failed","distribution":{"FAIL":4,"PASS":0,"BLOCKED":1,"INDETERMINATE":1,"NOT_APPLICABLE":0},"display":"FAIL","displayCounts":{"BLOCKED":1,"COULD_NOT_DETERMINE":1,"FAIL":4}}],"result":"FAIL","authority":"45 CFR 180.50(b)(2)(ii)(A)-(C)","statusLabel":"4 failed","distribution":{"FAIL":4,"PASS":0,"BLOCKED":3,"INDETERMINATE":1,"NOT_APPLICABLE":0},"display":"FAIL","displayCounts":{"BLOCKED":3,"COULD_NOT_DETERMINE":1,"FAIL":4}}],"result":"FAIL","authority":"45 CFR 180.50(b)(2)(ii)","statusLabel":"4 failed","distribution":{"FAIL":4,"PASS":0,"BLOCKED":5,"INDETERMINATE":3,"NOT_APPLICABLE":0},"display":"FAIL","displayCounts":{"NOT_ASSESSED":2,"BLOCKED":5,"COULD_NOT_DETERMINE":1,"FAIL":4}},{"key":"item_service","rules":[{"title":"MRF correctly encodes each item or service description","detail":"The CMS validator found errors in the file's header rows and did not check the charge rows, so this check could not be evaluated. This is not a separate failure.","result":"BLOCKED","ruleKey":"hpt.mrf.cms.description","authority":["45 CFR 180.50(b)(2)(iii)(A)"],"statusLabel":"Blocked by MRF passes the CMS validator without errors","blockedBy":{"ruleKey":"hpt.mrf.cms.template","title":"MRF passes the CMS validator without errors"},"display":"BLOCKED"},{"title":"MRF correctly encodes the inpatient or outpatient setting","detail":"The CMS validator found errors in the file's header rows and did not check the charge rows, so this check could not be evaluated. This is not a separate failure.","result":"BLOCKED","ruleKey":"hpt.mrf.cms.setting","authority":["45 CFR 180.50(b)(2)(iii)(B)"],"statusLabel":"Blocked by MRF passes the CMS validator without errors","blockedBy":{"ruleKey":"hpt.mrf.cms.template","title":"MRF passes the CMS validator without errors"},"display":"BLOCKED"},{"title":"MRF correctly encodes drug units and measurement type","detail":"No NDC-coded records were found across 25,864 parsed records.","result":"NOT_APPLICABLE","ruleKey":"hpt.mrf.cms.drug_units","authority":["45 CFR 180.50(b)(2)(iii)(C)"],"statusLabel":"Not applicable","display":"NOT_APPLICABLE"}],"title":"Item and service information","groups":[],"result":"BLOCKED","authority":"45 CFR 180.50(b)(2)(iii)","statusLabel":"2 blocked","distribution":{"FAIL":0,"PASS":0,"BLOCKED":2,"INDETERMINATE":0,"NOT_APPLICABLE":1},"display":"BLOCKED","displayCounts":{"BLOCKED":2,"NOT_APPLICABLE":1}},{"key":"billing_coding","rules":[{"title":"MRF correctly encodes billing codes and code types","detail":"The CMS validator found errors in the file's header rows and did not check the charge rows, so this check could not be evaluated. This is not a separate failure.","result":"BLOCKED","ruleKey":"hpt.mrf.cms.billing_code","authority":["45 CFR 180.50(b)(2)(iv)(A)-(B)"],"statusLabel":"Blocked by MRF passes the CMS validator without errors","blockedBy":{"ruleKey":"hpt.mrf.cms.template","title":"MRF passes the CMS validator without errors"},"display":"BLOCKED"},{"title":"MRF lists every applicable modifier and its charges","detail":"The MRF was parsed for encoded modifiers, but the file alone cannot establish whether every applicable modifier-specific charge is represented.","result":"INDETERMINATE","ruleKey":"hpt.mrf.modifiers_complete","authority":["45 CFR 180.50(b)(2)(iv)(C)"],"statusLabel":"Not assessed","display":"NOT_ASSESSED","reason":"The price file alone cannot answer this; it needs evidence from outside the file."}],"title":"Billing and coding information","groups":[],"result":"BLOCKED","authority":"45 CFR 180.50(b)(2)(iv)","statusLabel":"1 blocked","distribution":{"FAIL":0,"PASS":0,"BLOCKED":1,"INDETERMINATE":1,"NOT_APPLICABLE":0},"display":"BLOCKED","displayCounts":{"BLOCKED":1,"NOT_ASSESSED":1}},{"key":"cms_format","rules":[{"title":"MRF passes the CMS validator without errors","detail":null,"result":"FAIL","ruleKey":"hpt.mrf.cms.template","authority":["45 CFR 180.50(c)(2)"],"statusLabel":"Failed","affectedRecordCount":105,"display":"FAIL","detailItems":["Header column \"location_name\" is miscoded or missing.","Header column \"type_2_npi\" is miscoded or missing.","Header column \"To the best of its knowledge and belief, this hospital has…\" is miscoded or missing.","Header column \"attester_name\" is miscoded or missing.","Column median_amount | empower | . is miscoded or missing from row 3.","You must include this column and confirm that it is encoded as specified in the data dictionary. (reported 95 times)","Column 10th_percentile | empower | . is miscoded or missing from row 3.","Column 90th_percentile | empower | . is miscoded or missing from row 3.","Column count | empower | . is miscoded or missing from row 3.","Column median_amount | evolutions ppo | . is miscoded or missing from row 3.","Column 10th_percentile | evolutions ppo | . is miscoded or missing from row 3.","Column 90th_percentile | evolutions ppo | . is miscoded or missing from row 3.","Column count | evolutions ppo | . is miscoded or missing from row 3.","Column median_amount | evolutions | workers comp is miscoded or missing from row 3.","Column 10th_percentile | evolutions | workers comp is miscoded or missing from row 3.","Column 90th_percentile | evolutions | workers comp is miscoded or missing from row 3.","Column count | evolutions | workers comp is miscoded or missing from row 3.","Column median_amount | summit | . is miscoded or missing from row 3.","Column 10th_percentile | summit | . is miscoded or missing from row 3.","Column 90th_percentile | summit | . is miscoded or missing from row 3.","Column count | summit | . is miscoded or missing from row 3.","Column median_amount | corvel | . is miscoded or missing from row 3.","Column 10th_percentile | corvel | . is miscoded or missing from row 3.","Column 90th_percentile | corvel | . is miscoded or missing from row 3.","Column count | corvel | . is miscoded or missing from row 3.","…and 77 other findings."],"detailNote":"Each header listed must be included and encoded as the CMS data dictionary specifies."}],"title":"CMS file format","groups":[],"result":"FAIL","authority":"45 CFR 180.50(c)(2)","statusLabel":"1 failed","distribution":{"FAIL":1,"PASS":0,"BLOCKED":0,"INDETERMINATE":0,"NOT_APPLICABLE":0},"display":"FAIL","displayCounts":{"FAIL":1}},{"key":"publication_access","rules":[{"title":"MRF downloads without payment","detail":"CareCarta retrieved the file without payment.","result":"PASS","ruleKey":"hpt.mrf.access.no_payment","authority":["45 CFR 180.50(d)(3)(i)"],"statusLabel":"Passed","display":"PASS"},{"title":"MRF downloads without an account or password","detail":"CareCarta retrieved the file without an account or password.","result":"PASS","ruleKey":"hpt.mrf.access.no_login","authority":["45 CFR 180.50(d)(3)(ii)"],"statusLabel":"Passed","display":"PASS"},{"title":"MRF downloads without submitting personal information","detail":"CareCarta retrieved the file without submitting personally identifiable information.","result":"PASS","ruleKey":"hpt.mrf.access.no_personal_info","authority":["45 CFR 180.50(d)(3)(iii)"],"statusLabel":"Passed","display":"PASS"},{"title":"MRF downloads to an automated client","detail":"An automated HTTP client downloaded the declared MRF successfully.","result":"PASS","ruleKey":"hpt.mrf.access.automated","authority":["45 CFR 180.50(d)(3)(iv)"],"statusLabel":"Passed","display":"PASS"},{"title":"MRF is a CSV or JSON file, optionally compressed","detail":"The downloaded artifact provides CSV that can be processed as structured text.","result":"PASS","ruleKey":"hpt.mrf.format.csv_or_json","authority":["45 CFR 180.50(d)(4)"],"statusLabel":"Passed","display":"PASS"},{"title":"MRF file name follows the CMS convention","detail":"The published file name 710787860_north-arkansas-regional-medical-center_standardcharges.csv matches the required identifier, hospital-name, and standardcharges structure.","result":"PASS","ruleKey":"hpt.mrf.format.filename","authority":["45 CFR 180.50(d)(5)"],"statusLabel":"Passed","display":"PASS"},{"title":"cms-hpt.txt is published and uses the required fields","detail":"The cms-hpt.txt file uses the required canonical fields and valid values.","result":"PASS","ruleKey":"hpt.txt.conforms","authority":["45 CFR 180.50(d)(6)(i)"],"statusLabel":"Passed","display":"PASS"},{"title":"cms-hpt.txt links this hospital's MRF","detail":"The cms-hpt.txt file declares one MRF (https://www.narmc.com/images/710787860_north-arkansas-regional-medical-center_standardcharges.csv), so it is this hospital's.","result":"PASS","ruleKey":"hpt.txt.links_mrf","authority":["45 CFR 180.50(d)(6)(i)"],"statusLabel":"Passed","display":"PASS"},{"title":"Homepage has a link labelled Price Transparency","detail":"A labeled Price Transparency link (https://www.narmc.com/bill-pay/price-transparency) was observed in the acquired hospital homepage HTML.","result":"PASS","ruleKey":"hpt.website.price_transparency_link","authority":["45 CFR 180.50(d)(6)(ii)"],"statusLabel":"Passed","display":"PASS"}],"title":"Publication and accessibility","groups":[],"result":"PASS","authority":"45 CFR 180.50(d)(1)-(6)","statusLabel":"Passed","distribution":{"FAIL":0,"PASS":9,"BLOCKED":0,"INDETERMINATE":0,"NOT_APPLICABLE":0},"display":"PASS","displayCounts":{"PASS":9}},{"key":"update_frequency","rules":[{"title":"MRF was updated within the past 12 months","detail":"The MRF reports 11/25/2025, within one year of this audit observation.","result":"PASS","ruleKey":"hpt.mrf.updated_within_year","authority":["45 CFR 180.50(e)"],"statusLabel":"Passed","display":"PASS"}],"title":"Update frequency","groups":[],"result":"PASS","authority":"45 CFR 180.50(e)","statusLabel":"Passed","distribution":{"FAIL":0,"PASS":1,"BLOCKED":0,"INDETERMINATE":0,"NOT_APPLICABLE":0},"display":"PASS","displayCounts":{"PASS":1}},{"key":"shoppable_services","rules":[{"title":"Website offers a qualifying shoppable-services list or price estimator","detail":"CareCarta has not built an evaluator for the shoppable-services disclosure (45 CFR 180.60) yet, so this check cannot be decided.","result":"INDETERMINATE","ruleKey":"hpt.website.shoppable_services","authority":["45 CFR 180.60(a)(1)","45 CFR 180.60(a)(2)"],"statusLabel":"Not assessed","display":"NOT_ASSESSED","reason":"CareCarta has not built this check yet."}],"title":"Shoppable services disclosure","groups":[],"result":"INDETERMINATE","authority":"45 CFR 180.60","statusLabel":"Not assessed","distribution":{"FAIL":0,"PASS":0,"BLOCKED":0,"INDETERMINATE":1,"NOT_APPLICABLE":0},"display":"NOT_ASSESSED","displayCounts":{"NOT_ASSESSED":1}}]}],"history":[{"id":"2026-09-27","evaluatedAt":"2026-09-27T20:25:42.155Z","summary":{"total":33,"passed":11,"failed":7,"blocked":8,"notApplicable":1,"couldNotDetermine":2,"notAssessed":4,"checked":26,"passRate":0.4230769230769231},"groups":[{"key":"attestation","result":"FAIL"},{"key":"hospital_mrf_information","result":"COULD_NOT_DETERMINE"},{"key":"standard_charges","result":"FAIL"},{"key":"item_service","result":"BLOCKED"},{"key":"billing_coding","result":"BLOCKED"},{"key":"cms_format","result":"FAIL"},{"key":"publication_access","result":"PASS"},{"key":"update_frequency","result":"PASS"},{"key":"shoppable_services","result":"NOT_ASSESSED"}]},{"id":"2026-09-28","evaluatedAt":"2026-09-28T06:25:11.222Z","summary":{"total":33,"passed":11,"failed":7,"blocked":8,"notApplicable":1,"couldNotDetermine":2,"notAssessed":4,"checked":26,"passRate":0.4230769230769231},"groups":[{"key":"attestation","result":"FAIL"},{"key":"hospital_mrf_information","result":"COULD_NOT_DETERMINE"},{"key":"standard_charges","result":"FAIL"},{"key":"item_service","result":"BLOCKED"},{"key":"billing_coding","result":"BLOCKED"},{"key":"cms_format","result":"FAIL"},{"key":"publication_access","result":"PASS"},{"key":"update_frequency","result":"PASS"},{"key":"shoppable_services","result":"NOT_ASSESSED"}]}],"enforcement":{"detail":"CMS enforcement records were not evaluated in this bounded audit.","status":"NOT_EVALUATED"},"hospitalResponse":{"detail":"No hospital response is recorded for this bounded audit.","status":"NONE_RECORDED"}}