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.
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Transparency in Coverage Rule