The “Transparency in Coverage” Rule requires health insurers and group health plans, including self-funded clients, to provide cost-sharing data to consumers via Machine Readable Files and a consumer price transparency tool. Machine-readable files must be published on a publicly available site based on the enforcement date of July 1, 2022, for plan years beginning on or after Jan. 1, 2022. These files provide pricing data for covered items and services based on in-network negotiated payment rates and historical out-of-network allowed amounts.
CARTI’s self-insured Health Plan is administered by USAble Mutual Insurance Company d/b/a BlueAdvantage Administrators of Arkansas. BlueAdvantage Administrators of Arkansas publishes these files, and you can access the Machine-Readable Files by clicking the “Download JSON” link next to USAble Mutual Insurance Company d/b/a BlueAdvantage Administrators of Arkansas. https://www.arkansasbluecross.com/interoperability/machine-readable-files
The Consumer Price Transparency Tool includes personalized, real-time, cost-share estimates for covered services and can be accessed here https://blueprintportal.com/login by logging into the Blueprint Portal and clicking “Find Care and Costs – Estimate costs”.