Transparency in Coverage

Beginning July 1st, 2022, the Transparency in Coverage Rules (TIC Rules) requires MediExcel Health Plan to disclose on its public website, information regarding in-network provider rates for covered items and services, out-of-network allowed amounts and billed charges for covered items and services, as well as negotiated rates and historical net prices for covered prescription drugs, in separate machine-readable files (MRF.)

 

These MRFs are formatted to allow easy access and data analysis by researchers, regulators, and application developers. While these files are accessible to all, the files are large and written in JSON, which is a machine-readable language that is not easily interpreted or searchable. For questions about this requirement, email claims@mediexcel.com.

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In-network

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Out-of-network

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