Transparency in Coverage

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On January 11, 2021, the Departments of Health and Human Services (HHS), Treasury and Labor (Tri-Agencies) issued the “Transparency in Coverage” final rule (TiC). As part of this final rule, plans and issuers are required to disclose in-network provider negotiated rates and historical out-of-network allowed amounts, through machine-readable files posted on an internet website, thereby allowing the public to “have access to health coverage information that can be used to understand health care pricing and potentially dampen the rise in health care spending.” The effective date is July 1, 2022.



S&S - https://mrf.healthcarebluebook.com/SandS