Transparency Rule

TRANSPARENCY IN COVERAGE RULE – (Effective July 1, 2022, for Employer-Sponsored Employee Benefit Plans)

The link below 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.

Please click on the following link for the machine-readable files: