Machine-Readable Files

October 8, 2021

Requirement of the Transparency in Coverage Final Rule

Health insurers are required to publicly display certain health care price information via machine-readable files on their websites beginning in 2022. These machine-readable files will include negotiated rates with in-network providers, allowed amounts for out-of-network providers and may include prescription-drug pricing. The Departments of Health and Human Services (HHS), Labor and Treasury have issued guidance indicating they will delay their enforcement of the machine-readable file requirements until July 1, 2022.

What this means for you:

  • These files will include your federal Taxpayer Identification Number  (TIN), in addition to your National Provider Identifier (NPI).
  • If you’re using your Social Security number as your TIN, we encourage you to register for a new TIN and update us through the Availity®  Provider Data Management feature or by submitting a Demographic Change Form .

More on the Consolidated Appropriations Act (CAA)  and Transparency in Coverage Final Rule.

Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSIL. BCBSIL makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as Availity.