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Federal Transparency in Coverage (TIC): Machine Readable Files |
| Important Transparency in Coverage Machine Readable File Information |
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| Federal Transparency in Coverage (TIC) regulations require group
health plans to make publicly available machine readable files
(MRFs) that contain the negotiated rates for in-network providers
and allowed amounts derived from historical claims for
out-of-network providers. These regulations call for making these
files publicly available with an open access website effective July
1, 2022. A machine readable file is a digital representation of data or information in a file that can be imported or read by a computer system for further processing without human intervention. These files follow the Centers for Medicare & Medicaid Services (CMS) defined layouts and are in the CMS approved format(s) (like XML or JSON). These files are not meant to be a consumer-friendly search of rates, benefits, or cost sharing which is intended to come later. SISCO has partnered with employer groups to identify all of the PPO Networks and pricing arrangements to aggregate and display links the appropriate machine readable files (MRFs). While this information is public and does not require any login, you must know the Employer Identification Number (EIN) and enter it into the form below and click SUBMIT to view the group-specific information. |