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

20
May 2025

Excellence As a Supervisor Series 1: Module 3

9 AM EST

This course is designed to provide essential training for first-line, mid-level, and prospective supervisors. Participants will be equipped with the skills and knowledge needed to succeed in supervisory roles, especially for those who may have little or no… read more

4
June 2025

ECG Engineering & Operations Conference

8 AM 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

4
June 2025

ECG Board Meeting

9 AM EST

The ECG June Board Meeting will be in conjunction with the ECG Engineering & Operations Conference at the Savannah Marriott Riverfront. This meeting will also be available via Zoom; information is attached. ECG Board meetings are held the fourth… read more

10
June 2025

Utility Customer Service Training Series 1: Module 4

9 AM EST

This program is designed to offer guidance with the unique demands of the utility industry.  Customer satisfaction is a key component of the overall success of your municipal enterprise systems.  This course provides hands‐on participation, role-playing… read more

11
June 2025

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