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Transparency in Coverage

Transparency in Coverage

Know the cost of a covered item or service prior to receiving care

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Providers

Providers

Know the cost of a covered item or service prior to receiving care. As required by federal and state authorities, below are links to the machine readable files for use by provider agencies.

• CFR § 2590.715-2715A3
• Tex. Ins. Code § 1662.101


In-Network Rates

  

The file includes a billing code, and a plain language description for each and negotiated rates.

Out-of-network allowed amount

  

The file includes a billing code, and a plain language description for each; and each unique out-of-network allowed amount is:

  1. Reflected as a dollar amount, with respect to each covered item or service that is furnished by an out-of-network provider; and
  2. Associated with the NPI, TIN, and Place of Service Code for each out-of-network provider.

American National Employee Medical Plans

  

Link to Allegiance (third-party site) with Machine Readable Files for employee medical plans.

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Your health

Your health is important, and we're here to help

Learn how you can get better coverage by adding plans like these to your primary health insurance.

LEARN MORE
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