Transparency in Coverage
Transparency in Coverage Rule (CMS-9915-F)
The Transparency in Coverage Rule (CMS-9915-F), released on October 29, 2020, by the Department of Health and Human Services, requires group health plans to publicly disclose pricing information via an internet-based self-service tool. This tool includes information regarding negotiated rates for in-network providers, billed charges, and allowed amounts paid for out-of-network providers.