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Transparency in Coverage
Transparency in Coverage Machine Readable Files:
Applies to ASO Groups
Transparency in Coverage Final Rule requires insurers and group health plans to publish machine-readable files starting 7/1/2022.
The files contain in-network rates and out-of-network allowed amounts.
BCBSOK plans to make machine-readable files available on a public site for ASO groups by 6/25 for plan years starting on or before 7/1/22, then upon plan year renewal after 7/1/22.
ASO files will be posted separately from the Fully Insured files
Implementation guides (how to access the machine-readable files) and file samples have been provided and can be accessed at:
https://www.bcbsokcommunications.com/newsletters/nftb/2022/0427/stories/NLT_PROD_NFTB_OK_042722_MACHINE_READABLE_FILES.html