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