News

Transparency in Coverage (USA)

Transparency in Coverage (Texas, 2022)

For companies operating in Texas, USA, the Transparency in Coverage Final Rule requires insurers and group health plans to publish machine-readable files starting July 1, 2022.

Machine Readable Files (MRF)

The Transparency in Coverage Final Rule and Texas House Bill 2090 require disclosure of the negotiated rates with in-network providers and the historic allowed amounts paid to out-of-network providers, for all health plans available to employers.

Below is a link to Blue Cross and Blue Shield of Texas disclosures relevant to DOF's business operations in Texas:

Go to Blue Cross and Blue Shield of Texas "Machine Readable Files" portal (URL)

Read more