Employee Resources

HEALTH PLAN TRANSPARENCY REQUIREMENTS
Public Disclosure of Pricing Information

The legislation creating Transparency in Coverage (TiC) rules require health plans to supply public pricing disclosures in sets of machine-readable files (MRFs).

All health plan carriers and TPA links will contain:

• The rates negotiated between the plan/issuer and in-network providers for all covered items and services
• Data showing the historical payments to and billed charges from out-of-network providers

The link to this information from Tufts Health Plan is:

Acton Medical Associates – Tufts Health Plan Transparency Information