Insurers and group health plans are required under the Transparency in Coverage rule to make rate information available for both members and non-members. Medical Mutual will post this information starting July 2022:
· Negotiated rates for in-network providers
· Allowed amounts and historical billed charges for out-of-network providers
Per the mandate, the information must be:
· Provided in a CMS-approved format.
· Updated monthly.
· Hosted publicly (not behind log in).
How We’ll Execute This Requirement
· Medical Mutual will share rate information in a machine-readable file (MRF) format for Medical Mutual contracted providers.
· The information will be posted to a dedicated MRF landing page accessible from MedMutual.com starting July 2022.
ASO Groups must take action by July 1 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.
Below is the link to where we will provide access to the files:
https://www.medmutual.com/For-Employers/Employer-Resources/No-Surprises-Act-Legislation.aspx