TIC Rule

 The Consolidated Appropriations Act of 2021 (CAA) and the Transparency in Coverage Rule (TIC Rule) both contain numerous health care provisions establishing new standards for price transparency and patient protections against certain surprise medical ­­bills. One of the key provisions of the TIC Rule requires health insurers and group health plans to post publicly available machine-readable files (MRFs) of all negotiated provider payment rates by July 1, 2022. This includes in-network rates and historical out-of-network (OON) reimbursement rates per contract for covered items and services. Publicly listed MRFs can be found here: https://www.regence.com/transparency-in-coverage/  

For more information and a detailed list of frequently asked questions, please visit www.regence.com/employer/resources/caa-tic-rule.