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

1
December 2022

Utility Customer Service Certification

9 AM EST

Series 5 - Improved Customer Service by Phoneread more

5
December 2022

Apprentice Class 63A

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

5
December 2022

ECG Annual Meeting

9 AM EST

The ECG Annual Meeting is designed to allow ECG Members, Utility Professionals, City Officials, Industry Experts, and Partners to network, get updates on industry-related topics, and discuss individual community needs and solutions. The diverse professional… read more

6
December 2022

ECG Board Meeting

12 AM EST

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

13
December 2022

Utility Customer Service Certification

9 AM EST

Series 6 - Understanding Collections and Disconnectionsread more

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