No Surprises Act & Transparency in Coverage
Machine-readable Files and the Federal Transparency in Coverage Rule
Machine-readable files are available as required by the Federal Transparency in Coverage Rule. They include in-network negotiated rates and out-of-network allowed amounts. The machine-readable files are formatted to allow researchers, regulators and application developers to more easily access and analyze data.
Be advised: Each of these files is in JSON (JavaScript Object Notation) format and may be as large as one terabyte, or TB, in file size. The files have significant system requirements for use. Please ensure you have the required memory capacity and hardware and software capabilities before attempting to download.
Options for opening the JSON files:
- Windows: Notepad
- Mac: Apple TextEdit
- Download the file(s) and save as a PDF
Cigna Link: Use www.ticmrf.com/62-6001445 to access the State of Tennessee Group Insurance Program files.
BlueCross BlueShield of Tennessee Link:
- From the landing page, www.bcbst.com/tcr, click on the link for “ASO”. This will download a Directory JSON File for all self-funded plans.
- After the Directory download completes, a list of Group Names and their associated Table of Contents URLs will display.
- Search the Directory file by Group Name “State-of-Tennessee”.
- Copy and paste the “State-of-Tennessee” Table of Contents URL into your browser to extract the Table of Contents schema, which includes the State of Tennessee Group Insurance Program in-network and out-of-network MRFs.
Optum Link: https://transparency-in-coverage.optum.com/
Use search term “STATE-OF-TN” for State of Tennessee Group Insurance Program files.
State Group Insurance Program Members: For information about the cost of services, your best option is to contact BCBST, Cigna or Optum customer service teams at the numbers listed below.
- BCBST: 800.558.6213
- Cigna: 800.997.1617
- Optum: 855.437.3486