/Transparency in Coverage (TiC)

Transparency in Coverage (TiC)

United Statesusvia direct
// Job Type
Full Time
// Salary
Not disclosed
// Posted
3 weeks ago

About the Role

Transparency in Coverage (TiC)

Effective July 1, 2022, the Centers for Medicare and Medicaid Services (CMS) requires transparency in health coverage by group health plans, including self-insured plans, and issuers of group or individual health insurance to make available to the public, machine-readable files disclosing pricing information for items and services covered under the group health plan. These files are required to be updated on a monthly basis. Health plan price transparency helps consumers know the cost of covered items or services before receiving care.

Many of our Henry Ford Health team members are covered by our self-insured health plans. Accordingly, we are making the following information publicly available:

  • In-Network Rate File: negotiated rates for all covered items and services between the plan or issuers and in-network providers.
  • Out-of-Network Allowed Amount File: allowed amounts for, and billed charges from, out-of-network providers.

To obtain this information, please click on the link(s) below.

If you have questions regarding the rates listed in the files you may contact the issuer directly.

  • Health Alliance Plan – www.hap.org – HAP Customer Service Line at (866) 766-4709
  • Blue Cross/Blue Shield – www.bcbsm.com – BCBSM Customer Service Line at (877) 790-2583

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