Transparency in Coverage Act
- In-Network Costs: Negotiated rates for all covered items & services between the plan or issuer & in-network providers
- Out-of-Network Costs: Allowed amount paid to, and billed charges from, out-of-network providers for all covered services within a 90-day period
This link leads to the machine-readable files 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.