Machine readable files for compliance of Transparency in Coverage Rule
On November 12, 2020, the Departments of Health and Human Services, Labor and the Treasury finalized the Transparency in Coverage Rule that requires health insurers and group health plans to create a member-facing price comparison tool and post publicly available machine-readable files that include in-network negotiated payment rates and historical out-of network charges for covered items and services, including prescriptions drugs.
Those links lead to the machine readable files of our employee’s health insurances that are formatted to allow researchers, regulators, and application developers to more easily access and analyze data.
For Employees with Cigna
https://www.cigna.com/legal/compliance/machine-readable-files
For Employees with all KAISER PERMANENTE plans including CA and WA
https://healthy.