Know the cost of a covered item or service prior to receiving care
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
Jun 30, 2022, 10:42:43 AM CDTThe file includes a billing code, and a plain language description for each and negotiated rates.
Jun 30, 2022, 10:42:55 AM CDT 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.
Link to MVP (third-party site) with Machine Readable Files for Farm Family Medical Plans.
