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8 Steps to an In-Network Rate and an Out-of-Network Allowed Amount Machine-Readable File

Guidance for non-grandfathered health plans and health insurance issuers offering non-grandfathered coverage in the group and individual markets on eight steps to meeting requirements for the In-Network Rate and the Out-of-Network Allowed Amount machine-readable files.

Download the Guidance Document


Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: July 05, 2022

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.