Healthcare Transparency in Coverage Rule and No Surprises Act
Starting July 1, 2022, federal law requires that group health plans make certain information publicly available to better aid consumers in understanding how they will be charged for the health services they receive. In addition, the No Surprises Act (NSA) added federal requirements governing surprise medical billing for group health plans. This page is available to assist with some of the disclosure obligations under those pieces of legislation.
- Machine-readable files from Cigna: This link leads to the machine-readable files that are made available in response to the federal Transparency in Coverage Rule and includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data.
- Cigna Surprise Billing Disclosure: This document describes certain information on restrictions on balance billing in certain circumstances, including applicable protections against balance billing and information on contacting appropriate state and federal agencies in the case that an individual believes that a provider or facility has violated the restrictions against balance billing and other information.