Insurer negotiated rates

CMS CCIIO Business Rules PUF — Marketplace rating-rule history

medicare_semantic.vw_business_rules_puf_current·live·semantic_view·Individual Exchange

Rows

N/A

Columns

History

N/A

Card

nocolumns only

Typed tools

What it is

1CMS Marketplace rules that modify how plan rates apply to enrollees and families, including dependent limits, relationship/cohabitation rules, tobacco-free periods, age determination, and medical/dental context.
2All official PY2014-PY2026 live artifacts are byte-certified; this is not a premium or provider-price source.

Grain

Key	Grain
N/A	1One logical publisher CSV record within one immutable (business_year, source_zip_sha256) artifact, keyed by one-based source_row_number.

Columns (27)

Column	Type	Meaning
`business_year`	int
`state_code`	string
`issuer_id`	string
`source_name`	string
`import_date`	string
`product_id`	string
`standard_component_id`	string
`tin`	string
`market_coverage`	string
`dental_only`	string
`medical_dental_both`	string
`age_determination_rule`	string
`dependent_maximum_age_rule`	string
`cohabitation_rule`	string
`schema_era`	string
`source_row_number`	bigint
`raw_row_sha256`	string
`artifact_id`	string
`archive_member`	string
`archive_member_sha256`	string
`cms_vintage_sequence`	int
`asserted_at`	date
`observed_period`	date
`source_url`	string
`sha256_content_hash`	string
`raw_values_json`	string
`ordered_header_json`	string

Query it

describe_data_source(source_fqn="medicare_semantic.vw_business_rules_puf_current")     # the card, live
query_substrate(sql="SELECT * FROM medicare_semantic.vw_business_rules_puf_current WHERE <filter> LIMIT 100")

Item	Value
Typed tools that read it	none; raw SQL
Identity key	`business_year,source_zip_sha256,source_row_number`
Join	`how_to_join(source_fqn="medicare_semantic.vw_business_rules_puf_current")`
Raw door	Not queryable: proposed medicare_silver.fact_business_rules_puf_history has not been created or loaded.
Note	The source bytes contain 77,304 certified logical rows across 13 annual ZIPs and four schema eras; row_count is null because no production table exists.

This page as markdown: /docs-md/data/medicare_semantic_vw_business_rules_puf_current.md · every page in one file: /llms-full.txt