Transparency in Coverage

TRANSPARENCY IN COVERAGE

In pursuant to the Transparency in Coverage Rule, issued in 2020 by the U.S. Department of Health & Human Services, U.S. Department of Labor, and U.S. Department of the Treasury, health plans and are now published as a Machine Readable File (MRF).

Contact Sandy Humbert, HR Manager, with any questions.

E: sandyh@pncorp.com

P: 404-367-4280

ALL EMPLOYEES (NOT INSURED IN ALABAMA)

THIS LINK leads to the machine-readable files (MRFs) 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.

EMPLOYEES INSURED IN ALABAMA

THIS LINK allows access to the Table of Contents for the Transparency in Coverage Rule machine-readable pricing files. Enforceable beginning 7/1/22, the first phase of the Transparency in Coverage Rule requires group health plans and health insurance issuers to:

Publicly disclose negotiated rates for in-network providers and allowed amounts for out-of-network providers
Provide the information in machine-readable files posted on a publicly available internet site for viewing