Machine Readable Files (Transparency in Coverage)

In accordance with the Transparency in Coverage Final Rules issued by the U.S. Departments of Labor, Health and Human Services, and the Treasury, group health plans and health insurance issuers are required to publicly disclose certain healthcare pricing information.

These requirements are designed to promote price transparency and allow consumers, researchers, and regulators to better understand the cost of healthcare services.

What Information is Included

The required machine-readable files (MRFs) include detailed data related to healthcare pricing, such as:

• In-Network Rates
  Negotiated rates between healthcare providers and the insurance carrier for covered services.
• Out-of-Network Allowed Amounts
  Historical data showing what the plan has paid for services provided by out-of-network providers, along with associated billed charges.
• Prescription Drug Pricing
  Information related to negotiated rates and historical pricing for covered prescription medications.

These files are formatted to be read and processed by computer systems, ensuring that large volumes of data can be accessed and analyzed efficiently without manual interpretation.

Access to Machine Readable Files

Altom Transport’s health plan pricing information is made available through our insurance carrier. The machine-readable files are hosted on a third-party website and are accessible free of charge, without requiring registration or login credentials.

You can access the files using the link below:

https://www.anthem.com/machine-readable-file/search/

Ongoing Updates

To ensure accuracy and compliance, the information contained within these files is updated regularly. Federal guidelines require that pricing data be refreshed on a consistent basis so that it reflects current negotiated rates and historical payment data.

Important Notes

• The information provided within these files is intended for transparency and informational purposes only.
• Due to the complexity and size of the data, these files may not be easily understood without specialized tools or expertise.
• The files are maintained and published by the applicable insurance carrier or service provider on behalf of the health plan.