Transparency in Coverage Rule

Under the Transparency in Coverage Rule, health insurance issuers and group health plans must produce and maintain public machine-readable files with all in-network rates and historical allowed amounts for out-of-network providers. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) will host these files on its publicly available website, beginning July 1, 2022.

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 healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data.