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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