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.
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