Your employer is subject to the Affordable Care Act’s requirements to make certain information available to the public. These links lead to the machine-readable files that are published in response to the federal Transparency in Coverage Rule and include negotiated service rates and out-of-network allowed amounts between health plans and health care providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data.
- Aetna: https://health1.aetna.com/app/public/#/one/insurerCode=AETNACVS_I&brandCode=ALICFI/machine-readable-transparency-in-coverage
- Anthem: https://www.anthem.com/machine-readable-file/search
- Cigna: https://www.cigna.com/legal/compliance/machine-readable-files
- Dean/Prevea360:
- Geisinger: https://www.geisinger.org/health-plan/nosurprisesact
- HealthNet: https://www.centene.com/price-transparency-files.html
- Kaiser: https://healthy.kaiserpermanente.org/front-door/machine-readable
- Med Mutual of OH: https://medmutual.healthsparq.com/healthsparq/public/#/one/insurerCode=MMO_I&brandCode=MMO&productCode=MRF/machine-readable-transparency-in-coverage
- Priority Health: www.priorityhealth.com/landing/transparency
- United Healthcare: https://transparency-in-coverage.uhc.com
- UPMC: https://www.upmchealthplan.com/transparency-in-coverage/mrf/