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Federal Transparency in Coverage (TIC): Machine Readable Files |
Network-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. Please note: The PPO network or vendor referenced under this organization's EIN number has not provided SISCO with the Federal Transparency in Coverage (TIC) Machine Readable Files (MRF) as indicated under the regulations. SISCO is actively monitoring our PPO networks and communicating with these vendors to determine when (or if) this data will be available. Many of these entities are intending on making Machine Readable Files (MRF) data available on July 1st, 2022, but online tools like this website will still need additional time to download, aggregate, and format data for display and retrieval. Please check back on this claims pricing entity in the future, as the data may become available at any time. |