Transparency in Coverage

Beginning July 1, “Machine-readable files” for in-network and out-of-network health care services are required to be publicly disclosed. This is the initial step in enforcement under the Transparency in Coverage (TIC) rules, part of a larger federal effort to improve transparency in the cost of health care services. 

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 analyze data.

https://www.bluebenefitma.com/employer-resources/