Machine-Readable Files

Posted October 8, 2021

Requirement of the Transparency in Coverage Final Rule

Health insurers are required to publicly display certain health care price information via machine-readable files on their websites beginning in 2022. These machine-readable files will include negotiated rates with in-network providers, allowed amounts for out-of-network providers and may include prescription-drug pricing. The Departments of Health and Human Services (HHS), Labor and Treasury have issued guidance indicating they will delay their enforcement of the machine-readable file requirements until July 1, 2022.

What this means for you:

• These files will include your federal Taxpayer Identification Number  (TIN), in addition to your National Provider Identifier (NPI).
• If you’re using your Social Security number as your TIN, we encourage you to register for a new TIN and update us through the Availity^®  Provider Data Management feature or by submitting a Demographic Change Form .

More on the Consolidated Appropriations Act (CAA)  and Transparency in Coverage Final Rule.

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