Your State:
Bookmark the new Broker Launchpad – guiding you to the right tool at the right time.
With 5 being the highest, how would you rate your experience on a scale of 1-5?
May 25, 2022
Beginning July 1, 2022, we will make machine-readable files (MRFs), for plans we administer and maintain, available to the public. The files will contain the negotiated rates for in-network providers and allowed amounts derived from historical claims for out-of-network providers. Transparency in Coverage (TIC) regulations require us to make these files available on an open access website effective July 1. A similar requirement for pharmacy data has been delayed.
A machine-readable file is 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. They are not meant for use by members. Members can use the Find Care function on our website or SydneySM Health to compare care options.
Your clients can place a link on their public website that leads to the files posted on our site to fulfill their group health plan posting requirement.
We’re sending an email to your clients to let them know about this change.
Please contact your sales representative for more information
Small Businesses are the engine that drives communities across America. This month we honor and celebrate those businesses and commit to our continuing collaboration to build healthy communities where people and businesses thrive. We recently shared this small-business video with your client gro...
Ohio law requires insurers offering health care plans through a health insurance exchange to make the following information available to existing and potential members upon request: A list of the top 20% of services based on use An insured's expected contribution for each service The top 20...