Transparency in Coverage: Machine Readable Files

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