Insurers and group health plans are required under the Transparency in Coverage Rule to make information available for both members and non-members. To comply with this rule, we provide the information below from Aetna.
- Negotiated rates for in-network providers
- Allowed amounts and historical billed charges for out-of-network providers
The Transparency in Coverage Rules under the No Surprises Act requires health plans to disclose on their public website information regarding in-network medical provider rates, out-of-network allowed amounts, and in-network negotiated drug files. Aetna creates and publishes the machine-readable files on behalf of the Kinetico Incorporated Welfare Benefit Plans. The link below leads to the machine-readable files (MRF) in response to this Act.