Under the federal\u202fTransparency\u202fin\u202fCoverage\u202fRule, providers\u2019 rates must be disclosed to the public each month. This includes negotiated rates with in-network providers, as well as provider charges and amounts previously paid to out-of-network providers. Amounts paid to out-of-network providers will reflect historical billed charges and allowed amounts paid three to six months before the publication date. <\/p>\n\n\n\n
The data must be reported in the machine-readable (computer-readable) format specified in the final ruling\u2019s technical implementation guide. As required, this data is published on publicly accessible websites, available to any person free of charge, and updated monthly.<\/p>\n\n\n\n
In compliance with the\u202fTransparency\u202fin\u202fCoverage\u202fRule and in support of the plans impacted by this requirement, the carrier links below can be used to access information and respective machine-readable files for applicable plans. <\/p>\n\n\n\n
For employees in Illinois, please refer to the applicable Essential Health Benefit (EHB) Listing below: <\/p>\n\n\n\n