Updated August 12, 2020
Please check back often for additional questions received and answered here from industry. If you have a question, you can submit it via email to firstname.lastname@example.org.
The following answers are based on the current design and development of Align and Evidence Lockers. While not expected, as further progress is made some answers may need to be updated. Please check back often for updates.
We are aggregating questions into an FAQ-type response by topic, so repeated questions would not be re-posted or re-answered. NERC may modify the posted questions due to character limitations, readability, entity anonymity, or other such considerations.
Click here to search the FAQs.
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Group Health Plan Transparency in Coverage Files
This link leads to the machine-readable 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.