Health Plan Transparency in Coverage Machine Readable Files

 

These links lead to the machine-readable files that are made available in response to the federal Transparency in Coverage Rule, and includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to access and analyze data more easily.

 

These are large files that may not be as directly useful for members. Members may want to access their health plan coverage materials instead to learn more about their benefits.