Machine Readable Files

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Machine-Readable Files

On and after July 1, 2022, the Consolidated Appropriations Act of 2021 (CAA) requires non-grandfathered major medical group health plans and insurance carriers to disclose detailed pricing information in two separate machine-readable files (MRFs). Under the CAA’s corresponding Transparency in Coverage rules (TiC Final Rules) jointly published by the U.S. Department of Labor (DOL), Health and Human Services and U.S. Treasury, these MRFs must be posted by the plan on a public website that is freely accessible (no log-in required) to individuals. The MRFs are extremely large files that are intended for data analytics to source the information to identify trends and develop industry efficiencies. (The TiC requirements do not apply to grandfathered plans, excepted benefits, or account-based plans, such as HRAs, FSAs, and HSAs).

Anthem Machine-Readable Files for Keenan Clients:

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Blue Shield Machine-Readable Files for Keenan Clients:

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