MRF correctly encodes payer and plan names
§180.50(b)(2)(ii)(A)
What it checks
Each negotiated rate names the insurer and the plan it applies to.
Checked by CMS's validator. Care Carta runs the official validator CMS publishes for price files and reads this result from its output.
How hospitals did
Results as of Oct 5, 2026. The most common reasons are on the Standard charges page.
How Care Carta decides
Validator completed with no mapped payer-name or plan-name error.
Scope: payer_name and plan_name are required non-empty values in payer information.
Depends on: The CMS validator finished
Version
Ruleset
hpt-v3, version 3
Last changed in
Ruleset 2
CMS data dictionary
3.0.0
Check ID
hpt.mrf.cms.payer_and_plan@1Replaced
hpt.mrf.payer.namesToday's results all use this ruleset. A check never changes without a new ruleset. Full catalog (JSON)
