Federal Marketplace/Exchange

Machine Readable Files

Explanation

On November 12, 2020, the Federal government issued the Transparency in Coverage (TiC) Final Rule. Under this Rule, group health plans must create and publish machine-readable files (MRFs) that contain detailed pricing information, including:

  1. Network negotiated rates for all items and services.

  2. Historical payments to, and billed charges from, out-of-network providers.

Full Notice/Explanation