Publicly Available Machine-Readable Files

  • In 2020, in response to Executive Order 13877, which directed the Departments of Labor, Health and Human Services, and Treasury (the Departments) to ensure access to price and quality information prior to the delivery of care, the Departments issued the Transparency in Coverage (TiC) Final Rules.  The effort to have transparency in healthcare cost and quality information has been building since 2020 to one of the first major steps for group health plans and health insurance issuers. On July 1, employers sponsoring non-grandfathered group health plans and health insurance issuers offering non-grandfathered coverage in the group and individual markets must make publicly available in machine-readable format, files containing in-network and out-of-network cost information. The separate machine-readable files, updated monthly, include in-network and out-of-network cost information on covered items and services. Please see below link that satisfies this requirement.