Transparency in Coverage
Under the Transparency in Coverage Final Rule, plans and issuers will disclose pricing information to the public through machine readable files accessible via a table of contents file. One file requires disclosure of negotiated rates between plans and providers for covered items and services, known as the In-Network File. The second file discloses unique allowed amounts and billed charges for out of network services, known as the Out-of-Network Allowed Amount File. The table of contents includes links to both types of files. The machine readable files are posted on a publicly accessible website, free of charge, without requiring personal identifying information or logging into an account. The file is updated monthly.
Click to view machine readable files