US Transparency in Health Coverage

Additional benefit information: US Transparency in Health Coverage

A key provision of the Transparency in Coverage Rule requires health insurers and group health plans to post publicly available machine-readable files (MRFs) of all provider payment information. The MRFs must include in-network (INN) negotiated payment rates based on every provider agreement in force, including INN and extended networks for each group, plan and network offering; and historical out-of-network (OON) reimbursement rates for covered items and services. The MRF data must be updated monthly and made publicly available.  As of January 1^st, 2024, our health plan transitioned to UMR and the UnitedHealth Care network.  The machine-readable file is now accessible via the UnitedHeath Care/URM website: Transparency in Coverage (uhc.com).  When you click on the link, you can search SELECT-GENETICS-LLC to access the file.