About Machine Readable Files
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, health insurance issuers must
publish two separate Machine Readable Files (MRF).
These links lead to the MRF files that are made available in
response to the federal Transparency in Coverage Rule and includes
negotiated service rates and out-of-network allowed amounts between
health plans and healthcare providers. The machine-readable files
are formatted to allow researchers, regulators, and application
developers to more easily access and analyze data.
How to Access Files
To access the files, each account has a unique link to a webpage
driven by the company's Employer Identification Number (EIN). This
webpage is freely available without logging in to an account and can
be accessed using the following format:
Navigating to the website
-
1.) Replace [1234567] with the organization's EIN, removing the
"-"
-
- For example, if 12-3456789 is the original EIN, you should add
123456789 in the URL
-
2.) Type the URL into your browser and hit Enter. The screen
will now display access to the files specific to the
organization's account, representing all plans with active
membership.
-
These files are compressed using .gzip format, which may
require a tool for opening.
