By July 1, 2022, insurers and self-funded group health plans must begin to publicly post Machine Readable Files (MRFs) including:

1. Negotiated rates for a health plan’s in-network providers in-network providers

2.Historical allowed amounts and billed charges for out-of-network providers

If an Optima Health medical plan includes dental, chiropractic, vision, or other integrated benefits, data included in the MRFs. A third file that requires posting of negotiated rates and historical net prices for prescription drugs, that was a requirement of the original rules, has been delayed until additional regulations are finalized.

Data in MRFs must be available to the public without a requirement to log in to a website or provide any member specific information. The MRFs will be publicly available for the current month only. The data can be accessed through the link below.

Health Plan Transparency in Coverage