Health Plan - Transparency and Coverage

In November 2020, the Departments of Labor (DOL), Health and Human Services (HHS), and Treasury  issued final regulations to implement an Affordable Care Act (ACA) requirement intended to provide greater price transparency for group health plan participants and beneficiaries. Under the Departments' November 2020 final regulations on health plan cost transparency, group health plans and health insurers must disclose cost-related information to the public in machine-readable files that are updated each month. A copy of these files are available in the links below.

    An .xml file that gives the table of contents for the health plan cost of services required under the No Surprise Act - Price Transparency Reporting.

    Table of Contents for Transparency and Coverage Data for November 2022

    Under the No Surprise Act - Price Transparency Reporting we are providing an .xml file that when downloaded contains the allowed amounts paid to providers outside of the VHP network.

    Allowed Amounts - Transparency and Coverage Data for November 2022

    Under the No Surprise Act - Price Transparency Reporting we are providing an .xml file that if downloaded would provide information on costs charged for medical services by specific providers or practitioners.

    Provider Reference - Transparency and Coverage Data for November 2022

    Under the No Surprise Act - Price Transparency Reporting we are supplying a machine readable file that contains In-network rates for medical services provided by contracted providers and practitioners.

    In Network Rates - Transparency and Coverage Data for November 2022

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