Insurer negotiated rates

Virginia BOI balance billing arbitration reports: state IDR outcomes, offers, awards, OON claims

medicare_silver.fact_va_boi_balance_billing_arbitration·live·silver

Rows

1,637

Columns

History

N/A

Card

nocolumns only

Typed tools

What it is

1Virginia State Corporation Commission Bureau of Insurance reports to the General Assembly under Code of Virginia 38.2-3445.02 I (July, 2021-2025) and 38.2-3445.2 C (December, 2021-).
2Arbitration decisions by specialty and prevailing party, average offers and awards per claimant, share of bundled arbitrations, carrier-reported out-of-network claim counts (emergency and in-network-facility surgical/ancillary), network terminations, reinstatement payment levels and emergency allowed claims.

Grain

Key	Grain
N/A	1One row per printed report-table cell (report_id, exhibit_id, row_order, column_order, component). 21,637 rows from 10 reports, July series RD261-RD363 and December series RD750-RD934 (Athena 10e61330, 2026-10-23).

Columns (42)

Column	Type	Meaning
`report_series`	string
`report_title`	string
`report_date`	date
`report_window_start`	date
`report_window_end`	date
`exhibit_id`	string
`exhibit_number`	string
`exhibit_title`	string
`exhibit_type`	string
`page_number`	int
`category_dimension`	string
`row_order`	int
`row_key`	string
`row_label`	string
`column_order`	int
`column_label`	string
`component`	string
`measure`	string
`unit`	string
`period_label`	string
`period_start`	date
`period_end`	date
`cell_text`	string
`value_text`	string
`value`	double
`value_status`	string
`quality_flags`	string
`observed_period`	date
`asserted_at`	date
`effective_period_start`	date
`effective_period_end`	date
`cms_vintage_sequence`	int
`parse_revision`	int
`vintage_tag`	string
`is_current`	boolean
`source_id`	string
`source_url`	string
`landing_page_url`	string
`sha256_content_hash`	string
`bronze_object_key`	string
`parser_version`	string
`parser_artifact_hash`	string

Query it

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

Item	Value
Typed tools that read it	none; raw SQL
Identity key	`report_id`
Join	`how_to_join(source_fqn="medicare_silver.fact_va_boi_balance_billing_arbitration")`
Raw door	Athena (read-only via query_substrate): medicare_silver.fact_va_boi_balance_billing_arbitration (value_status = 'reported'; one series per count)
Note	External Parquet table partitioned by report_id; each report's partition sits at a content-addressed location (rows sha256). A new report adds a partition only after its exhibit contract is written (pipelines/medicare/silver/va_boi_balance_billing_spec.py). Registered 2026-10-23 under register w1 (va_boi_balance_billing_arbitration), door RAW (PR claude/idr-register). Known value: RD934-T4 FY 2025 network terminations total = 46,601 (Athena e266cdd4).

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