Transparency in Coverage

Under the Transparency in Coverage Rule, issued in 2020 by the U.S. Department of Health & Human Services, the U.S. Department of Labor, and the U.S. Department of the Treasury and enforced beginning 7/1/22, health plans (which includes clients who sponsor employee benefit plans) and health insurance issuers must publish two separate MRFs.

  • In-Network: Negotiated rates for all covered items and services between the plan or issuer and in-network providers
  • Out of Network: Allowed amount paid to, and billed charges from, out-of-network providers for all covered services within a 90-day period

*This link leads to the machine-readable files that are made available in response to the federal Transparency in Coverage Rule and includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data.*

Upcoming Events

22
August 2022

Apprentice Class 59C

8 AM EST

ECG’s Powerline Workers Apprenticeship Program is a three-year certification designed to enhance utility employees’ knowledge and skills in this field. Powerline workers are responsible for building, improving, and maintaining the poles and wires that… read more

24
August 2022

ECG Board Meeting

12 AM EST

The ECG August Board Meeting will be held in conjunction with the Strategic Planning Meeting at The Ritz-Carlton Reynolds, Lake Oconee. Meeting time TBD. Click here to view ECG Board-approved minutes from previous meetings.read more

14
September 2022

Advanced Lineworker Program Module 3

8 AM EST

ECG’s One-Year Advanced Lineworker Program is designed to build on the knowledge and skills lineworkers already possess. It is the next step in developing your Lineworker. The class will be from 8:00 am to 4:00 pm each day Four Modules MODULE… read more

20
September 2022

NESC Update Class

8 AM EST

read more

23
September 2022

Class 58 Graduation

10 AM EST

read more

X