In November of 2020 the Transparency in Coverage Final Rule was released by the Department of Health and Human Services (HHS), the Department of Labor and the Department of the Treasury (The Departments) with the goal of improving price and quality transparency within healthcare. The Final Rule went into effect January 1, 2022, with enforcement delayed by the Departments until July 1, 2022 for the In-Network and Out-of-Network Allowed Amounts files.
Under the Final Rule, certain plans and issuers must make machine-readable files available to the public for use by consumers, researchers, employers and others. Our machine readable files can be accessed here.