Transparency in Coverage - Machine Readable Files
The Departments of Health and Human Services (HHS), Labor (DOL) and the Treasury finalized the Transparency in Coverage (TIC) rule, which requires health insurers and group health plans to make health plan pricing information accessible to consumers, allowing for easy comparison shopping. The rule also requires insurers and group health plans to provide publicly available machine-readable files that include in-network negotiated payment rates and historical out-of-network charges for covered items and services. Starting July 1, 2022, you can find the machine readable files for our active plans here. These files will be updated monthly and include negotiated rates for all in-network providers, and allowed amounts and historical billed charges for out-of-network providers. At this time, the TIC rule’s requirement to post pharmacy cost information has been deferred to an undetermined time.