Transparency in Coverage Rule

This link leads to the MFR (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 MFRs are formatted to allow researchers, regulators, and application developers to more easily access and analyze data. (activated by July 1, 2022) a large 50 Megabyte JSON-format file

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MRFs can be large and may not be consumer-friendly to read since the Content Management System approved schema is targeted for machine ingestion rather than consumer download.

Members looking for the best and most affordable care are encouraged to utilize the cost estimator tool on the Highmark website.