Transparency in Coverage - 0070320

Health Plan Transparency

Health plan price transparency helps consumers know the cost of a covered item or service before receiving care. Beginning July 1, 2022, HealthFirst TPA, Inc. started publishing machine-readable files containing the following sets of costs for items and services:

  1. In-Network Rate File: rates for all covered items and services between your plan and in-network providers.
  2. Allowed Amount File: allowed amounts for, and billed charges from, out-of-network providers.

To access the machine-readable files for your plan, please see the file links below: