Benefits Compliance and Links

Please find below the necessary compliance information for benefits, including the Machine Readable Files (MRFs) required by the Transparency in Coverage Rule, issued in 2020 by the U.S. Department of Health & Human Services, U.S. Department of Labor and U.S. Department of the Treasury.

Cigna – https://www.cigna.com/legal/compliance/machine-readable-files
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.

EmblemHealth – https://transparency.emblemhealth.com
Federal regulations require non-grandfathered group health plans and health insurance issuers in the individual and group markets to disclose certain pricing information, like in-network negotiated rates and out-of-network-allowed amounts through machine-readable files.