Transparency in coverage

In compliance with the Transparency in Coverage rule, issued in 2020, effective beginning 1 July 2022, health plans and health insurance issuers must publish Machine-Readable Files (MRFs) containing In-Network and Out-Of-Network details.

This link leads to the machine readable files that are made available in response to the federal Transparency in Coverage rule and includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyse data.

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