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Transparency in Coverage Rule

As the initial enforcement date of July 1, 2022 approaches for posting the machine-readable files (MRF) under the Transparency in Coverage Rule, UMR and HealthSCOPE Benefits are providing an overview of requirements for health insurers and group health plans, including self-funded clients.

Through UnitedHealthcare, we are committed to supporting the Transparency in Coverage Rule by making MRFs available for our self-funded customers beginning July 1, 2022.

Self-funded plans are required to make the MRFs publicly accessible. This requires providing a link to MRFs prepared by the insurer/TPA.

To meet this requirement, MRFs will be posted monthly on transparency-in-coverage.uhc.com. This location is publicly available and accessible to all, and no authentication is required. 

Beginning July 1 and monthly thereafter, the MRFs will appear on this site.

While these files are accessible to all, the file itself is large, written in JSON, which is a machine-readable language, and not easily interpreted or searchable. 
 

Human Resources

9229 W. Loomis Road
Franklin, WI  53132

Phone:  414-427-7505
Fax:  414-425-6428

Hours:  M-F, 8:30 a.m. to 5 p.m.

Dana Zahn
Human Resources Manager

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Related Links

Personnel Committee

Transparency in Coverage Rule