Machine-Readable Data
As required by the Transparency in Coverage Rule, for plans beginning on or after January 1st, 2022 payors must publish information in an open machine-readable format regarding detailed pricing data for all covered items and services.
To meet this requirement, you can find the available files below:
A machine-readable file is defined as 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, while ensuring no semantic meaning is lost. These files are in the CMS defined format (JSON) and are not meant for a member-friendly search of rates, benefits, or cost sharing.