The Transparency in Coverage mandate requires insurers and group health plans to make rate information publicly accessible to members and non-members starting July 2022.
Medical Mutual will share rate information for Medical Mutual-contracted providers as well as historical allowed amounts and billed charges for out-of-network providers in a machine-readable file (MRF) format. The information will be posted on a dedicated MRF landing page, accessible through MedMutual.com.
To be considered compliant under the mandate, the regulations specify that ASO groups must include a link on their own website that directs users to the location of the publicly available MRFs. Here is where the information can be accessed: