As a reminder, The Transparency in Coverage rule requires health plans and insurers to disclose pricing information via MRF by July 1, 2022. Health plans must generate two MRFs that contain:
- Negotiated rates for in-network providers
- Billed charges and allowed amounts paid for out-of-network providers
To meet regulatory requirements, MRF’s must be posted to a public website and be available and accessible to any person, free of charge and without any limiting conditions. This information must also be updated on a monthly basis.
To help you better understand how carriers will be handling this new requirement, below is a link to each carrier’s policy regarding MRF’s that we have received to date.