Machine-Readable Files for Fully Insured Plans Posting July 1

Fully Insured Groups

June 15, 2022

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 Montana (BCBSMT) will post the machine-readable files and User Guide for Fully Insured plans on July 1, 2022. You’ll be able to find them via a “Machine Readable Files for Transparency in Coverage” link on the BCBSMT website under the “Policy Documents” section of  “Member Services.”

Additional Information: If you have any questions, please contact your BCBSMT representative or MRFInquiry@bcbsmt.com.

To learn more and read the full News from the Blues newsletter, log in to Blue Access for Producers^SM (BAP^SM). There, you can also read the April 27 article for additional information on machine-readable files for Self-insured groups.