The Transparency in Coverage rule requires health plans and insurers to disclose pricing information via MRF by July 1, 2022. Health plans must generate two MRFs that contain:
- Negotiated rates for in-network providers
- Billed charges and allowed amounts paid for out-of-network providers
Aetna will publish this information on Aetna.com on July 1, 2022 for fully insured and Aetna Funding Advantage groups.
By posting the MRFs for your small group Aetna Funding Advantage clients, they're taking work off your clients plate. Aetna will update the files each month and this link will remain active with the most up-to-date information.