Machine Readable Files (MRF)
In November 2020, the U.S. Department of Health & Human Services (HHS), Department of Labor, and Department of the Treasury issued the Transparency in Coverage Rule. Based on Affordable Care Act (ACA) requirements, it mandates that insurance companies:
- Post machine-readable files (MRFs) that list in-network rates and out-of-network allowed amounts on a publicly available website by the first month of the plan year for plan years beginning after July 1st 2022(CVT - October 1st, 2022)
- Provide members with an online cost estimator tool that allows them to look up their out-of-pocket costs for health care services beginning in 2023
The links below will connect members to their health plan websites, where machine-readable files (MRFs) complying with the federal Transparency in Coverage rule can be found.