Transparency in Coverage

The Departments of Health and Human Services, Labor, and the Treasury finalized the Transparency in Coverage Rule (TiC) requiring health insurers and employer self-insured health plans to post publicly-available machine-readable files by July 1, 2022. This link leads to the machine-readable files 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.

ChooseByWater.com/transparency-in-coverage/ (accessible July 1st, 2022).

A copy of the full TiC Final Rule is available here: FederalRegister.gov/documents/2020/11/12/2020-24591/transparency-in-coverage

A copy of the Department of Labor FAQs can be accessed here: DOL.gov/.../resource-center/faqs/aca-part-49.pdf