Fully Insured Groups
June 15, 2022
The Transparency in Coverage Final Rule requires insurers and group health plans to publish machine-readable files starting July 1, 2022. These files include:
- In-network negotiated rates
- Billed and allowed amounts paid to out-of-network providers
What you need to know: Blue Cross and Blue Shield of Texas (BCBSTX) will post the machine-readable files and User Guide for Fully Insured plans on July 1, 2022. You’ll be able to find them via a “Machine Readable Files for Transparency in Coverage” link on the BCBSTX website under the “Policy Documents” section of “Member Services.”
Additional Information: If you have any questions, please contact your BCBSTX representative or MRFInquiry@bcbstx.com.
To learn more and read the full News from the Blues newsletter, log in to Blue Access for ProducersSM (BAPSM). There, you can also read the April 27 article for additional information on machine-readable files for Self-insured groups.