The Transparency in Coverage Final Rules (the TiC Final Rules) require non-grandfathered group health plans and health insurance issuers offering non-grandfathered coverage in the group and individual markets to disclose on a public website information regarding in-network provider rates for covered items and services, out-of-network allowed amounts and billed charges for covered items and services, and negotiated rates and historical net prices for covered prescription drugs in three separate machine-readable files.
Medica is supporting the Transparency in Coverage Rule by making machine-readable files (MRF) available for Medica customers by July 1, 2022.
The MRFs will be posted in JSON format, which is a machine readable language, updated monthly, and available on our unauthenticated site at Medica.com/price-transparency
Under the rule, self-funded customers are required to make the MRFs publicly accessible on their own website
The MRFs themselves will not be available until July 1