Reminder:  The Transparency in Coverage Final Rule requires insurers and group health plans to publish machine-readable files starting July 1, 2022. 

These files include in-network negotiated rates billed and allowed amounts paid to out-of-network providers.

What you need to know:  Blue Cross and Blue Shield of TX (BCBSTX) will post the machine readable files for Fully Insured plans on July 1, 2022.  You will find the files via a “Machine Readable Files for Transparency in Coverage” link by clicking on www.bcbstx.com.  The link will appear in the “policy Documents” section under “Member Services” starting July 1.  This page also will include a User Guide for Fully Insured plans.

We are recommending that you post a link to the BCBSTX website on your company website or other portal your company uses to convey information to your employees.

Below is the language you can use to post the BCBS link to your employees:

The following link leads to the machine-readable files for negotiated in-network rates and out-of-network allowed amounts applicable to our health plans.  The files are being made available in response to the Federal Transparency in Coverage Rule.

You will find the files via a “Machine Readable Files for Transparency in Coverage” link by clicking on www.bcbstx.com.  The link will appear in the “policy Documents” section under “Member Services” starting July 1.