Healthcare Machine-Readable Transparency in Coverage (TIC)
Transparency in Coverage (TIC) regulations require health insurers and group health plans to create machine-readable files (MRFs) that contain the negotiated rates for in-network providers and allowed amounts derived from historical claims for out-of-network providers and make those files publicly available. They must be made available on an open access website effective July 1, 2022. BlueCross BlueShield of Tennessee and Bind will publish the MRFs for the plans they administer and maintain. These files will be updated monthly. The files do not include any personal health data nor any personal identifiable information and are not meant for a consumer-friendly search of rates, benefits, or cost sharing. A machine-readable file is a digital representation of data or information in a file that can be imported or read by a computer system for further processing without human intervention, to allow researchers, regulators, and application developers to access and analyze data more easily.