Transparency in Coverage – BCBSIL Machine Readable Files
About Machine Readable Files
The Transparency in Coverage Final Rule requires disclosure of the negotiated rates with in-network providers and the historic allowed amounts paid to out-of-network providers for all health plans supported by Blue Cross and Blue Shield of Illinois. Files containing this information for the plans covered are published on this page.
The posted file format and pricing information in the files follows the latest regulatory requirements for these files. The pricing information may not reflect individual member claim outcomes, as they do not factor in personalized details such as the member’s benefit plan, eligibility, or actual care received and billed in any health care visit. Given their scope, machine readable files are not intended to be a source to estimate health care costs for individual members.
Member Cost Estimation
BCBSIL members can search for how much services may cost by logging in to their member account at bcbsil.com and selecting Find Care. The cost estimate feature gives BCBSIL members access to information regarding what they may need to pay based on their specific plan’s copay, coinsurance, deductible and other benefit design.
Technical Specifications
The files may be large and download times may be significant. Internet speed, browser and computer hardware may impact your download time/speed.
Depending on your operating system, you may need to download a tool to open. There are various tools available on the internet; some are free and some are at cost.
More Information
For more information on machine readable files, refer to the User Guide.
For more detailed guidance on downloading files, refer to the step-by-step download instructions.