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Important Transparency in Coverage Machine Readable File Information
Transparency in Coverage (TIC) regulations require health insurers and group health plans to create 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 and make those files publicly available. They must be made available on 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 CMS defined layout and are in the CMS approved format (JSON) and are not meant for a member-friendly search of rates, benefits, or cost sharing. Learn more.