Transparency in Coverage

Below you will find a set of schemas describing data formats (example implementations are encoded as JSON and XML) for the Transparency in Coverage final rule.

Table of
Contents

JSON Schema XML Schema

Out-Of-Network
Allowed Amount

JSON Schema XML Schema

In-Network
Rates

JSON Schema XML Schema

Provider
Reference

JSON Schema XML Schema

Transparency in Coverage
Machine Readable Files

Cigna

Download

First Health

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