Transparency in Coverage

Purpose

Beginning in July 2022, Payors and TPA's will need to comply with the Transparency in Coverage final rule, released by the Department of Health and Human Services (HHS), the Department of Labor, and the Department of the Treasury. While all aspects of this rule are ultimately the responsibility of the Payor, Arizona Foundation supplies the Network (and contracts) of providers, and therefore will support our payors by providing the in-network file portion of this rule.

For each plan a payor has active with Arizona Foundation, we offer a CMS standard JSON machine-readable-file (MRF) which contains all of our contracted rates for in-network providers. Payors may publish these files as-is, and/or import them into their own systems as necessary. If you have not already set up a Payor account with us, you may register now.

Technical Information

Links

Data Files

Data files are still being developed, but will be available on or before 7/1/2022