What is a MRF?
A machine-readable file is a digital representation of data or information in a file that can be imported or read by a computer system for further processing without human intervention.
These files are in JSON format and are not meant for a consumer-friendly search.
Why is this Posted?
Transparency in Coverage (TIC) regulations require health insurers and group health plans to create machine readable files (MRFs) that contain the negotiated rates for in-network providers and allowed amounts derived from historical claims for out-of-network providers and make those files publicly available. They must be made available on an open-access website effective July 1, 2022.
SHIROKI North America Inc. Important Transparency in Coverage (TIC) Information
Machine Readable File (MRF) Information
Transparency in Coverage (TIC) regulations require health insurers and group health plans to create machine readable files (MRFs) that contain the negotiated rates for in-network providers and allowed amounts derived from historical claims for out-of-network providers and make those files publicly available. They must be made available on an open-access website effective July 1, 2022.
A machine-readable file is a digital representation of data or information in a file that can be imported or read by a computer system for further processing without human intervention.
These files follow the Centers for Medicare & Medicaid Services (CMS) defined layout and are in the CMS approved format (JSON) and are not meant for a consumer-friendly search of rates, benefits, or cost-sharing.
How to Access the Anthem Machine Readable Files (MRFs)
Beginning July 1, Anthem will publish the MRFs for the plans we administer and maintain. These files will be published on the following link and will be updated on the first day of each month. The link will allow you to search for your files using your Employer Identification Number (EIN).
Please contact tic_mfrs_request@shiroki-na.com for the EIN.