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