Compliance Alert: Machine-Readable TiC File Requirement Is Looming
… or issuer and in-network providers. Historical payments to, and billed charges from, out-of-network (OON) providers. For privacy purposes, historical payments must have a minimum of twenty entries. Detailed network negotiated rates and historical net prices for all covered prescription drugs by plan or issuer at the pharmacy location level. The MRF requirement was originally effective on January 1, 2022, but the August FAQ guidance delayed the date for the in-network and out-of-network data to be provided until July 1, 2022, and delayed data for prescription drugs indefinitely pending additional guidance. Content to Disclose Starting …
https://www.epicbrokers.com/insights/compliance-alert-tic-file-requirement/