Transparency in Coverage
Under the Transparency in Coverage Rule, issued in 2020 by the U.S. Department of Health & Human Services, Department of Labor and Department of the Treasury, effective 7/1/22, health insurance plans are required to publish machine-readable files (MRFs) that include the information outlined below.
- In Network: Negotiated rates for all covered items and services between the plan or issuer and in-network providers.
- Out of Network: Allowed amount paid to, and billed charges from, out-of-network providers for all covered services within a 90-day period.
No. 8 in the link below leads to the MRFs for the firm’s health insurance plan.