Transparency in Coverage Final Rule (CMS-9915-F)

The Departments of the Treasury, Labor, and Health and Human Services (the Departments) have issued the Transparency in Coverage final rules (85 FR 72158) on November 12, 2020. Below are the required machine-readable files associated with Transparency in Coverage:

  1. 2022-06-22_HEALTH-ALLIANCE-SELF-FUNDED-BALANCE
  2. 2022-06-22_HEALTH-ALLIANCE-MEDICAL-PLANS-FULLY-INSURED
  3. 2022-06-22_HEALTH-ALLIANCE-MEDICAL-PLANS-FULLY-INSURED 2
  4. 2022-06-22_HEALTH-ALLIANCE-MEDICAL-PLANS-FULLY-INSURED 3
  5. 2022-06-22_HEALTH-ALLIANCE-MEDICAL-PLANS-FULLY-INSURED 4
  6. 2022-06-22_HEALTH-ALLIANCE-MEDICAL-PLANS-FULLY-INSURED 5
  7. 2022-06-22_HEALTH-ALLIANCE-MEDICAL-PLANS-FULLY-INSURED 6
  8. 2022-06-22_HEALTH-ALLIANCE-COMMERCIAL-SIMPLETE-FULLY-INSURED
  9. 2022-06-22_FEDERAL-EMPLOYEE-HEALTH-BENEFITS
  10. 2022-06-22_MC-BLUE-CROSS-BLUE-SHIELD-HMO
  11. 2022-06-22_FIRST-CAROLINA-CARE-FULLY-INSURED
  12. 2022-06-22_HEALTH-ALLIANCE-NORTHWEST-FULLY-INSURED
  13. 2022-06-22_HEALTH-ALLIANCE-NORTHWEST-FULLY-INSURED 2
  14. MPI_DiS_allowedamounts_2022070
  15. MPI_MPI_innetworkrates_20220701
  16. MPI_PHCS_innetworkrates_20220701
  17. Table of Contents
  18. 2022-06-29_HEALTH-ALLIANCE-MEDICAL-PLANS-FULLY-INSURED.json.tar.gz
  19. 2022-06-29_HEALTH-ALLIANCE-MEDICAL-PLANS-FULLY-INSURED 2.json.tar.gz
  20. 2022-06-29_HEALTH-ALLIANCE-MEDICAL-PLANS-FULLY-INSURED 3.json.tar.gz
  21. 2022-06-29_HEALTH-ALLIANCE-MEDICAL-PLANS-FULLY-INSURED 4.json.tar.gz
  22. 2022-06-29_HEALTH-ALLIANCE-MEDICAL-PLANS-FULLY-INSURED 5.json.tar.gz
  23. 2022-06-29_HEALTH-ALLIANCE-MEDICAL-PLANS-FULLY-INSURED 6.json.tar.gz
  24. 2022-06-29_HA-PAYER-PLATFORM_2100355-HA-Payer-Platform_allowed-amounts.json.tar.gz
  25. 2022-06-29_HEALTH-ALLIANCE-SELF-FUNDED-BALANCE.json.tar.gz

In accordance with the rule, the machine-readable files are available for download and consistent with required format found on github and published by CMS. These files are updated monthly starting July 1st, 2022.

Transparency in Coverage Rule Frequently Asked Questions