Transparency in Coverage

The Transparency in Coverage Final Rules require us to disclose on a public website the following information in two separate categories of machine-readable files:

  • In-network provider rates for covered items and services
  • Out-of-network allowed amounts and billed charges for covered items and services

To obtain the information, click on the below link:

Index - MRF Data Search

How to use machine-readable files

A machine-readable file is a digital representation of information in a file that can be read and processed by a computer system. Examples of machine-readable formats include XML, JSON and CSV. For the Transparency in Coverage mandate, we are using the JSON file format.

A JSON file is a plain text file that can be opened, modified, and saved without a special software application. However, doing so may break special formatting in the file which may cause the application to fail. The following applications will open a JSON file without changing any formatting:

  • Microsoft Notepad (Windows)
  • Apple TextEdit (Mac)
  • Vim (Linux)
  • GitHub Atom (cross-platform)

 A JSON file can also be opened in the Google Chrome and Mozilla Firefox web browsers by dragging and dropping the file into the browser window.