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Transparency in Coverage | VA Employee Benefits Consultants

We recently informed you that the machine-readable file (MRF) requirement under the Transparency in Coverage (TiC) rules goes into effect July 1, 2022. This part of the rule requires that insurers and self-funded group health plans must begin to publicly post machine-readable files with detailed information on the costs of covered services and prescription drugs.

The page hosting the required files in JSON format is now available on our websitePlease note that the TiC files will not be posted on that web page until July 1. The Centers for Medicare & Medicaid Services (CMS) has posted additional technical information. To learn more about MRF data and access, you can review our frequently asked questions.

Please contact your Optima Health representative if you have any questions.