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Transparency in Coverage

Transparency in Coverage

The Transparency in Coverage final rule (CMS-9915) released on October 29, 2020 requires group health plans to disclose price and cost-sharing information.  This includes in-network negotiated rates, billed charges and allowed amounts paid for out-of-network providers, and the negotiated rate and historical net price for prescription drugs.  These machine-readable files are available from BCBS IL using the link below.