Transparency

Transparency in Coverage: Carrier Machine-Readable Files (MRF) Links

[updated] Quick access to each carriers dedicated website for Machine Readable Files (MRF).

Sharp Health Plan Prescription Drug Data Collection Reporting (RxDC) Requirements

Employers should submit the requested information by April 19, 2024.

Aetna Prescription Drug Data (RxDC) Collection Requirement

Aetna will reach out to groups via email, starting on Friday, March 15th. Groups must response with the requested information by April 12.

Webinar Replay: CAA Transparency Requirements Trivia

CAA Transparency Requirements Trivia Nov 29, 2023 So you think you understand the various CAA Transparency Requirements? Come find out. This week this webinar will take you through a series of q...

Kaiser Permanente®: Releases Update on COVID-19 Coverage and CAA RxDC Reporting

In March, Kaiser contacted their current customers and brokers to request group specific information required for them to complete aggregated reports for pharmacy reporting under the Consolidated Appr...

Covered California Small Business: Consolidated Appropriations Act, Section 204 Pharmacy Reporting

Covered California for Small Business (CCSB) serves as an administrator of their participating Health Plan Issuers and is not an insurance company nor an employer-based health plan. Therefore, CCSB is...

Sharp Health Plan Prescription Drug Data (RxDC) Survey Requirement

Employers should submit their information by May 1, 2023. Understanding the RxDC Report Under Section 204 of the Consolidated Appropriations Act, insurance companies and employer-based health pl...

Aetna Prescription Drug Data (RxDC) Survey Requirement

Data collection requirement for all Aetna small group plan sponsors Prescription drug data reporting submission due 4/1 Prescription Drug Data Collection (RxDC) reporting for the 2022 reference ...

Western Health Advantage and Prescription Drug Data Collection Reporting (RxDC) Requirements

The RxDC is a data report required under section 204 of the CAA. This report requires health insurance issuers and group health plans to submit information about prescription drug and health care spen...

Anthem Exception for Prescription Drug Data Reporting (RxDC) on ASO Groups

CAA RxDC D1 reporting update: Anthem can file on your ASO clients’ behalf As follow up to the January notice “Changes to 2023 CAA RxDC reporting for self-funded groups,” this week Anthem is letting...

Anthem Changes to Prescription Drug Data Collection Reporting (RxDC) for Self-Funded Groups

Changes to 2023 CAA RxDC Reporting For Self-Funded Groups In response to recent federal regulatory guidelines, Anthem is changing the submission process for Prescription Drug Data Collection (RxDC)...

Health Net Prescription Drug Data Collection Reporting (RxDC) Requirements

As part of the Consolidated Appropriations Act, Health Net is required to submit information about prescription drug and health care spending on behalf of all fully insured groups to several federal r...