Beginning in July 2022, Payors and TPA’s will need to comply with the Transparency in Coverage final rule, released by the Department of Health and Human Services (HHS), the Department of Labor, and the Department of the Treasury. While all aspects of this rule are ultimately the responsibility of the Payor, Prime Health Services supplies the Network of providers, and therefore will support our payors by providing the in-network file portion of this rule.
Prime Health Services networks are leased by health plans and administrators in a variety of configurations. We make the rate information available by network without customization. We anticipate payor and insurers will incorporate our data into their plan-specific files.
Click here for file layout documentation. Table of Content files are available for download below: