In order to comply with the Transparency in Coverage Final Rule, we are providing machine readable files containing the following sets of costs for items and services: (i) In-Network Rate File: rates for all covered items and services between the plan or issuer and in-network providers, (ii) Allowed Amount File: allowed amounts for, and billed charges from, out-of-network providers. Congress and federal agencies intended these “machine readable files” to be used by researchers, regulators, lawmakers, patient and consumer advocates, etc., in order to develop tools and information to support consumer choice. 

Machine Readable Files | Cigna Healthcare

The No Surprises Act protects covered members from surprise billing or balance billing when receiving emergency care or getting treated by an out-of-network provider at an in-network hospital or ambulatory surgical center. 

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