Employee & Retiree Benefits

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Transparency in Coverage 

The federal Transparency in Coverage rule requires non-grandfathered group health plans and health insurance issuers offering non-grandfathered coverage in the group and individual markets to disclose on a public website information regarding:

  • In-Network negotiated rates for covered items and services.
  • Out-Of-Network allowed amounts and billed charges for covered items and services.

As of July 1, 2022, insurers and group health plans must provide public access to two types of raw files and update these files on a monthly basis. These machine-readable files (MRFs) can be found at the following link: https://staging.bcbstx.com/asomrf?EIN=746000908

This link includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data. If you have any questions pertaining to the information in this link, please direct those to Texas BCBS @ 855-357-5228.