Transparency in Coverage

Transparency in Coverage Rule Obligations for Group Health Plans

In response to the federal Transparency in Coverage Rule, issued by the Department of Health and Human Services (HHS), the Department of Labor, and the Department of the Treasury, machine-readable files created through UnitedHealthcare, UMR and HealthSCOPE Benefits are published on behalf of Wanzl North America, which include negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine-readable files are formatted to allow the public, especially researchers, regulators, and application developers, to have access to health coverage information that can be used to understand health care pricing.

To link to the Machine-Readable Files, please click on the URL provided: