Transparency in Coverage Requirement on MRFs
Beginning July 1, Anthem will publish the MRFs for the plans we administer and maintain. These files will be published on the following link and will be updated on the first day of each month: www.anthem.com/machine-readable-file/search
The link will allow you to search for your files using your Employer Identification Number (EIN): Contact the Controller, Amy Newill, for your EIN.
When using the search option, the page will display links to several files, including:
- Applicable In-Network Negotiated Rate Files
- Out-of-Network Allowed Amount Files
- Out-of-Area Rates (applicable when members use providers in non-Anthem states.)
It will look similar to this:
Anthem is committed to delivering on meaningful transparency efforts that help consumers make informed healthcare decisions and in supporting the Transparency in Coverage regulations, as outlined by the Tri-Agencies.
For more information, please visit our CAA/Transparency Resource Center.
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