The Transparency in Coverage Rule, issued in 2020 by the U.S. Department of Health & Human Services, U.S. Department of Labor and U.S. Department of the Treasury and enforced beginning 7/1/22, requires health plans and health insurance issuers publish two separate machine readable files:
• | In Network: Negotiated rates for all covered items and services between the plan or issuer and in-network providers |
• | Out of Network: Allowed amount paid to, and billed charges from, out-of-network providers for all covered services within a 90-day period |
The links below will direct you to the applicable machine readable files made available in response to the federal Transparency in Coverage Rule. The files include negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data. Please select the appropriate vendor based on the health plan in which you are enrolled. If you’re not sure which link you should use, please contact Allegiant Care at 1-800-258-9732.
Cigna Health Plans through Allegiant Care