Transparency In Coverage

The Transparency in Coverage Rule issued by the federal government requires health insurers and group health plans to provide detailed pricing data for all covered items and services to the public in the form of Machine Readable Files (MRFs). This information must be posted through a link to your public website beginning on July 1, 2022.

Transparency in Coverage

When individuals click on the link, they should select Highmark Blue Cross Blue Shield Pennsylvania.

User Guide – Navigation of Machine Readable Files Resource – 2022-06

This link leads to the machine readable files that are made available in response to the federal Transparency in Coverage Rule and 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.