Disclosures
About PFM
PFM is the marketing name for a group of affiliated companies providing a range of services. All services are provided through separate agreements with each company. This material is for general information purposes only and is not intended to provide specific advice or a specific recommendation. PFM does not provide tax, legal or accounting advice.
Financial advisory services are provided by PFM Financial Advisors LLC, registered municipal advisors with the Securities and Exchange Commission (SEC) and the Municipal Securities Rulemaking Board (MSRB) under the Dodd-Frank Act of 2010. Swap advisory services are provided by PFM Swap Advisors LLC which is registered as a municipal advisor with both the MSRB and SEC under the Dodd-Frank Act of 2010, and as a commodity trading advisor with the Commodity Futures Trading Commission. Additional applicable regulatory information is available upon request.
Consulting services are provided through PFM Group Consulting LLC. PFM’s financial modeling platform for strategic forecasting is provided through PFM Solutions LLC.
For more information regarding PFM’s services or entities, please visit www.pfm.com.
PFM's Machine-Readable Files (MRFs)
The federal Transparency in Coverage Rule (TCR) requires health plans and plan sponsors to make in-network and out-of-network Machine Readable Files (MRFs) available to the public by July 1, 2022.
In-Network and Out-of-Network MRFs
Independence Administrators will provide their self-funded customers with a link which will include a Table of Contents unique to that customer. The customer's Table of Contents file will include links based on each set of network rates the customer utilizes and out-of-network allowed amounts specific to the customer. If a self-funded customer has contracted separately with providers/facilities, then those rates will not be included within the files.
The link leads to the machine-readable files which includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data.
