Supporting Greatness. Developing Opportunities.

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

19
June 2024

Advanced Lineworker Program Module 2

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

25
June 2024

Customer Service Training Series 2: Module 5

9 AM EST

Positive Assertiveness in the Workplace In the Customer Service Training Series 2 sessions, participants will be reminded of the emotional and technical aspects of resolving customers' concerns. They will be provided with specific tips on tone and… read more

23
July 2024

Customer Service Training Series 2: Module 6

9 AM EST

The CSR as a Brand Ambassador In the Customer Service Training Series 2 sessions, participants will be reminded of the emotional and technical aspects of resolving customers' concerns. They will be provided with specific tips on tone and wording to use… read more

28
July 2024

ECG Board Meeting

6 PM EST

The July ECG Board Meeting will be held in conjunction with the MEAG Power Annual Meeting at the Ritz-Carlton, Amelia Island, Amelia Island, FL. This meeting will also be available via Zoom; information is attached. ECG Board meetings are held the fourth… read more

30
July 2024

Customer Service Leadership: Module 1

9 AM EST

Building and Maintaining an Excellent Customer Service Cultureread more