As the initial enforcement date of July 1, 2022, approaches for
posting the machine-readable files (MRF) under the Transparency in Coverage
Rule, UnitedHealthcare is providing an overview of requirements for health
insurers and group health plans, including self-funded, UnitedHealthcare Level
Funded, Oxford Level Funded and All Savers Alternate Funding clients.
UnitedHealthcare is committed to supporting the Transparency in
Coverage Rule by making MRFs available for UnitedHealthcare self-funded and
level funded customers on July 1, 2022.
Self-funded and level funded plans are required to make the MRFs
publicly accessible. This requires providing a link to MRFs prepared by the
insurer/TPA.
To meet this requirement, MRFs will be posted monthly on
transparency-in-coverage.uhc.com.
This location is publicly available and accessible to all — no authentication
is required.
While these files are accessible to all, the file itself is
large, written in JSON — a machine-readable language — and not easily
interpreted or searchable.
MRF for self-funded and level funded plans
To comply with the Transparency in Coverage Rule, self-funded and level funded
customers must post the
transparency-in-coverage.uhc.com
link on a publicly available website.
For more information, please refer to the frequently updated Transparency in Coverage FAQs and Transparency in Coverage website.