The Transparency in Coverage Final Rules (the TiC Final Rules) require most group health plans and health insurance issuers offering coverage in the group and individual markets to disclose, on a public website, information regarding in-network 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.
A machine-readable file as defined at 45 CFR 180.20 means a digital representation of data or information in a file that can be imported or read into a computer system for further processing. MRFs are extremely large files and are not user friendly. The files should not be confused with the member-friendly Price Transparency Tool.
Effective July 01, 2022 Machine Readable files can be accessed at: mrf.healthcarebluebook.com/IMS
