The machine-readable file requirements of the TiC Final Rules are applicable for plan years (in the individual market, policy years) beginning on or after January 1, 2022.
Machine-Readable Files (MRFs)
Plans and issuers must publicly disclose cost-related information using machine-readable files (MRFs), updated monthly, that include: 1) payment rates for in-network providers; 2) historical pricing information showing allowed amounts and charges for covered items and services from out-of-network (OON) providers; and 3) information on prescription drug pricing. Plans must also make the information available on an internet website. Plans cannot charge a fee, require individuals to create a user account, or mandate that participants provide personally identifiable information to access the pricing information. This information must also be provided to participants on paper upon request.