Under the Transparency in Coverage Final Rule, AmeriHealth companies are required to publicly post machine-readable files that include in-network and out-of-network pricing information. You can access the files for AmeriHealth New Jersey and AmeriHealth Pennsylvania. There are no account login or password requirements.
Background on this ruling
On November 12, 2020, the Departments of Labor (DOL), Health and Human Services (HHS), and Treasury published the “Transparency in Coverage" final rule (Final Rule), imposing new requirements on group health plans and health insurers in the individual and group markets. It also applies to Qualified Health Plan (QHP) issuers. The Final Rule follows the Hospital Price Transparency final rule, which requires hospitals to make public a variety of pricing information and went into effect on January 1, 2021.
If you have questions about this requirement, please email us at caaandtcr@amerihealth.com.