Federal Transparency in Coverage (TIC): Machine Readable Files - PSI

Federal Transparency in Coverage (TIC): Machine Readable Files

The Federal Government issued the Transparency in Coverage (TiC) Final Rule on November 12, 2020, and subsequently the Consolidated Appropriations Act (CAA) 2021 included additional provisions regarding TiC. Under TiC, group health plans must provide machine-readable files (MRFs) that contain pricing information, including In-Network allowable rates for items and services and Out of Network allowed amounts and billed charges for items and services. One of the primary goals of this requirement is that the information can then be gathered broadly, and data analytics run to provide more transparency across the industry.

Please use the link below to access machine-readable files (MRFs) on SISCOs publicly accessible site.