| Employers with Self-funded/Level-Funded health plans | Plan is ultimately responsible for updating three machine readable files (MRFs) disclosing: in-network rates, OON allowed amounts, billed charges, negotiated rates and historical net prices for Rx drugs.
Employers should collaborate with a third-party administrator to ensure the plan is administered in accordance with the TiC rules at each renewal. |
Subject to $100 per day per participant for non-compliance. |
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