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Federal Transparency in Coverage (TIC): Machine Readable Files |
Group-Specific Transparency in Coverage Machine Readable Files |
| 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 identified that the employer group with the below listed EIN number is using the following PPO networks and pricing arrangements. Some of these links are hosted directly on this site, while others may link to an external site belonging to the network, and other links may be direct links to machine readable contents files. This page can be directly linked to by the URL listed in the address window of this webbrowser. |