Shipping rates inside a product means owning four source pipelines. Or licensing one record.
Medlyze delivers hospital, payer, Medicare and Medicaid rates in one format, each row with its source and effective date, by API, file or table, with a white-labelled portal where you need one.
Use it to decide build or license, scope an API or file feed, white-label a portal, or put a source on every rate you show.
Send your use case and delivery format. You get a sample file and the schema within 24 hours.
What changes when the decision is made on the rate of record.
| 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.
API and files
The record by API, file or table, refreshed monthly.
Portal
A branded portal when you want the record inside your product without building the UI.
What formats?
REST API, files (CSV, JSON) and tables. Sample file on request.
How is quality handled?
Every file is validated against the CMS schema and graded A to F; the grade travels with the data.
Can we white-label?
Yes. A branded portal with your workflows, on the same record.