The Transparency in Coverage Final Rules require non-grandfathered group health plans to disclose on public website information regarding:
- The in-network provider rates for covered items and services.
- The historical out-of-network allowed amounts and billed charges for covered items and services in two separate machine-readable files (MRFs).
The files must, in part, also include plan option/coverage identifier information; billing codes to identify items and services for claims processing; and all applicable rates.
The MRFs for the non-grandfathered group health plan(s) in the AETNA & KAISER Plans are linked below: