Health Plan Transparency Compliance

Transparency Policy

Machine-Readable Files
As part of the Transparency in Coverage Final Rule set forth by the U.S. Department of the Treasury, the U.S. Department of Labor, and the U.S. Department of Health and Human Services (referred to collectively as the “Tri-Agencies”), group health plans and health insurance issuers are required to make available to the public negotiated rates for all covered items with in-network providers, and historical payments to and billed charges from, out-of-network providers through machine-readable files (MRFs) posted on an internet website, updated monthly. These files will permit the public to have access to health plan payment information that can be used to understand health plan pricing and the cost for health care services.

The files that are posted will include:

  • In-network provider negotiated rate files
  • Out-of-network provider historic allowed amount files

File format
To ensure data integrity, all files will conform to a non-proprietary, open standard format, like JSON, XML or YAML, and be made available via HTTPS. The content of the files is formatted to technical standards in guidance published by the Centers for Medicare & Medicaid Services (CMS). The Trans-Ocean Products data can be downloaded in a Word format.

With the assistance of our third-party administrator, Trans-Ocean Products will publish machine-readable files to its website on or around the 10th day of every month.

Access the machine-readable files
From the “View Plan Information” link below you can access the data in an approved format for machine readable files.

View Plan Information: Health Plan Transparency Compliance