Transparency in Coverage Rule
As a reminder, under 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, health plans (which includes clients who sponsor employee benefit plans) and health insurance issuers must publish two separate MRFs:
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.
*Note that prior to 7/1/22, the link will take you to the Cigna.com home page, but will access the MRFs page after that date.