Transparency in Coverage
The Transparency in Coverage Rule requires insurers and health plans to create and post three separate Master Record Forms, including detailed pricing data regarding:
1) Network negotiated rates for all items and services;
2) Allowed amounts for OON items, services and prescription drugs;
3) Negotiated rates and historical prices for network prescription drugs.
These files are not intended for member use. Members looking for personalized, real-time, cost-share estimates for covered services including pharmacy please refer to the Price Transparency tool on myuhc.com