Build or license
Assembling hospital, payer, Medicare and Medicaid rates is a pipeline, not a file.
Medlyze delivers the rate of record in one format, each rate with its source and effective date.
Use it to decide build or license, scope a feed, or put rates in a product.
The risk of deciding without it
What changes when the decision is made on the rate of record.
DecisionDecided on assumptionDecided on the rate of record
Getting rates into your productYour team assembles four source types and keeps each one current.You license one record format with the source on every row.
Explaining a rate to your customerYou cannot say where it came from.Every row carries its source and effective date.
Schema
| Field | Type | Example |
|---|---|---|
| billing_code | text | 194 |
| billing_code_type | text | MS-DRG |
| modifier | text | (none) |
| source_type | enum | payer | hospital | medicare | medicaid |
| payer | text | United Healthcare |
| provider_npi / ein | text | (where the file names one) |
| rate | decimal | 20771.00 |
| rate_type | enum | NEGOTIATED CASE RATE |
| file_month | text | 2026-08 |
| source | text | United Healthcare negotiated-rate file |
| checked_date | date | 2026-09-16 |
Example row in the form of the New York payer files. Payer and hospital records add the file date and a quality grade; Medicare and Medicaid records use the schedule name instead of a payer.
What you get
Delivery
File or table. Sample file on request.
Refresh
Monthly.
Terms
Licensed by scope.
Not covered
Commercial payer and hospital rates, with Medicare and Medicaid fee-for-service rates. Not Medicare Advantage or managed Medicaid plan rates. Coverage and gaps →