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 health care providers. The machine-readable files are formatted to allow researchers, regulators and application developers to more easily access and analyze data.
The link below will allow you to search for your files using your Employer Identification Number (EIN). When using the search option, the page will display links to several files, including:
Applicable In-Network Negotiated Rate Files
Out-of-Network Allowed Amount Files
Out-of-Area Rates (applicable when members use providers in non-Anthem states)