Poclain Hydraulics Inc. Coverage Transparency Statement
On November 12, 2020, the Departments of Health and Human Services, Labor and the Treasury finalized the Transparency in Coverage Rule that requires health insurers and group health plans to create a member-facing price comparison tool and post publicly available machine-readable files that include in-network negotiated payment rates and historical out-of- network charges for covered items and services, including prescriptions drugs. Data in machine-readable files must be updated monthly.
Publicly Available Machine-Readable Files: Insurers and plans will be required to make available to the public — including consumers, researchers, employers, and third-party developers — machine-readable files disclosing detailed information on the costs of covered items and services including prescription drug pricing, as follows:
- Negotiated rates for in-network providers (delayed enforcement to 7/1/22)
- Historical allowed amounts and billed charges for out-of-network providers (delayed enforcement to 7/1/22)
- Negotiated rates and historic net prices for prescription drugs (delay pending rulemaking)
UnitedHealthcare creates and publishes the Machine-Readable Files on behalf of Poclain Hydraulics Inc.
To link to the Machine-Readable Files, please click on the URL provided: