Affordable Care Act (ACA) Compliance, Transparency in Coverage (TiC) and Machine Readable Files (MRFs)
In October 2020, the Tri-Agencies (Department of Health & Human Services (HHS), Department of Labor (DOL) and the Treasury) issued the Transparency in Coverage (TiC) final rule. This rule mandated that non-grandfathered health plans and issuers publish machine-readable files (MRFs) to disclose the in-network rates, out of network allowed amounts, billed charges, prescription (Rx) drugs negotiated rates and historical net prices effective July 1,2022.
Please see the Machine Readable Files (MRFs) links below for AultCare and UMR's Transparency in Coverage. The MRFs will be updated monthly with the most current and updated information. Please see attached for the Affordable Care Act (ACA) Compliance Bulletin regarding the Transparency in Coverage Rule.