Federal Transparency in Coverage (TIC): Machine Readable Files

Group-Specific Transparency in Coverage Machine Readable Files

Federal Transparency in Coverage (TIC) regulations require group health plans to make publicly available machine readable files (MRFs) that contain the negotiated rates for in-network providers and allowed amounts derived from historical claims for out-of-network providers. These regulations call for making these files publicly available with an open access website effective July 1, 2022.

A machine readable file is a digital representation of data or information in a file that can be imported or read by a computer system for further processing without human intervention. These files follow the Centers for Medicare & Medicaid Services (CMS) defined layouts and are in the CMS approved format(s) (like XML or JSON). These files are not meant to be a consumer-friendly search of rates, benefits, or cost sharing which is intended to come later.

SISCO has identified that the employer group with the below listed EIN number is using the following PPO networks and pricing arrangements. Some of these links are hosted directly on this site, while others may link to an external site belonging to the network, and other links may be direct links to machine readable contents files. This page can be directly linked to by the URL listed in the address window of this webbrowser.

In-Network Rate Machine Readable Data files for XXXXXXXXX:

Please note that if there are multiple PPO networks listed above, it is possible that not all members of this group have access to all providers and rates.

Out-Of-Network Allowed Amounts for XXXXXXXXX:

Please note that this link is not human-readable, it is in the machine readable JSON format. This data represents OON experience for all of SISCO and is not group-specific.

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