The Health Plan Transparency in Coverage Rule

Click on one of the files below:

Providers with PerDiem – 01-15-2025 

Providers all inclusive PerDiem Text – 01-15-2025 

Providers with Percent Off Billed Charge – 01-15-2025 

Providers with RVBFS Fee Schedule – 01-15-2025 

Providers with Flat Fee Schedule – 01-15-2025 

SPA_Allowed-Amounts.json file – 06-20-2024 

 

Disclaimer: A machine-readable file is defined as a digital representation of data or information in a file that can be imported or read by a computer system for further processing without human intervention, while ensuring no semantic meaning is lost. These files are being provided pursuant to the requirements of the Health Plan Transparency in Coverage Rule, and the data herein is intended solely for that purpose and are not meant for a member-friendly search of rates, benefits, or cost sharing. Southern Premier Administrators disclaims the fitness of the data herein for any other purpose, including use in any third-party database or product. Any such use and any liability attached thereto is at the risk of such third party. 

Please note: Files are in a JSON format and may contain millions of lines of data and be up to 1 terabyte (TB) in size. Please ensure you have the required memory capacity, hardware, and software capabilities before attempting to download.

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