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June 28, 2022

Machine-Readable Files Update for Transparency in Coverage Rule Requirements

As part of the Transparency in Coverage Rule (TCR), health plans and self-funded groups are required to post certain cost and claims data through machine-readable files (MRFs) to a public website starting July 1, 2022.

As the effective date for the mandate approaches, Blue Cross and Blue Shield of Nebraska (BCBSNE) has important updates on its compliance efforts.

To meet the mandate requirements, BCBSNE will post MRFs monthly on this public website: NebraskaBlue.com/MRFs

  • MRFs will be available starting July 1, 2022, and will be updated monthly.
  • Per TCR requirements, these files are in a machine-readable JSON format.

Please note: The MRFs website will not be live until July 1, 2022; however, a screenshot of the MRFs homepage is included for your reference below:

Requirements for self-funded plans (including level-funded):

  • To comply with the TCR, self-funded groups must post this link on their public website by July 1, 2022: NebraskaBlue.com/MRFs
  • To meet the requirements, the link must be publicly available and easily accessible.
  • Once self-funded groups have posted the link on their website, their responsibility is complete.
  • Self-funded groups who do not have a website should consult their legal counsel. BCBSNE does not provide legal guidance.
  • Self-funded groups may wish to use the following language to accompany the MRFs link on their website:
    Blue Cross and Blue Shield of Nebraska publishes machine-readable files on behalf of [insert group name]. View the machine-readable files here: NebraskaBlue.com/MRFs

For more information on the Transparency in Coverage Rule and Consolidated Appropriations Act, visit NebraskaBlue.com/TCR-CAA.