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

5
May 2023

GA Lineman's Rodeo

9 AM EST

The Georgia Lineman’s Rodeo Association (GLRA) is a non-profit organization incorporated under the laws of the State of Georgia. The purpose of the association is to support and conduct an annual Linemen’s Rodeo, to maintain a focus on safety, training,… read more

15
May 2023

Apprentice Class 62B

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
May 2023

ECG Board Meeting

10 AM EST

Board meetings are held the fourth Wednesday of every month at the MEAG Training Facility in Forsyth, Georgia unless notified differently. Meetings start promptly at 10:00 am. Click here to view ECG Board-approved minutes from previous… read more

7
June 2023

ECG Engineering & Operations Conference

12 PM EST

ECG’s annual Engineering and Operations Conference is strategically structured to give our members more one-on-one time to network and have in-depth conversations with vendors and utility professionals. Session topics presented by Industry Experts are… read more

7
June 2023

ECG Board Meeting

4 PM EST

The ECG June Board Meeting will be held in conjunction with the Engineering & Operations Conference at the Marriott Savannah Riverfront in Savannah, GA. Meeting time is 4:30 pm. Click here to view ECG Board-approved minutes from previous… read more