Machine-Readable files available 7/1/2022

PreferredOne is committed to supporting the Transparency in Coverage Rule by making Machine Readable files (MRFs) available for our customers. CMS will start to enforce the regulatory requirements for Machine-Readable files under the Transparency in Coverage Rule for plan years on and after 1/1/2022. PreferredOne is on track to provide the MRF files by the enforcement deadline of 7/1/2022.

The Transparency in Coverage Rule requires public disclosure of negotiated in-network provider rates and out-of-network allowed amount and bill charges for items and services covered by a health plan/policy. We are not providing data for out-of-network providers with fewer than 20 claims. The third machine-readable file for drug pricing information has been deferred until further guidance is provided.

The Machine-Readable files will be posted on this page. The live data will not be posted on the site until 7/1/2022. The MRF files are not the cost comparison tool. Cost comparison is scheduled for 2023 for the 500 shoppable items, services and drugs in the final rule.

Additional information will be made available on this page.

Access Machine Readable Files (MRF) Here