Price Comparison Tool

Price Comparison Tool, Cost Sharing Estimator Tool, and Machine Readable Files [CAA/TCFR, Transparency Provision]

Price Comparison Tool, Cost Sharing Estimator Tool, and Machine Readable Files [CAA/TCFR, Transparency Provision]

This provision overlaps with CAA Price Comparison Tool and TCFR Cost Sharing Estimator Tool.

TFCR Machine Readable File provision requires in-network rates and out-of-network allowed amounts to be available in a machine readable file format. 

  • These files will be hosted through an external vendor and available through this link: ​​​​​Blue Shield of California – Machine Readable Files
  • A webpage for MRF, publicly available to anyone visiting the Blue Shield home page, is available here.

TCFR Cost Sharing Estimator Tool requires that group health plans and insurance issues make available to members, personalized out-of-pocket cost information for covered items and services, through a self-service tool and in paper within 2 days upon request. 

CAA Plan Comparison Tool section 114 requires that group health plans and insurance issuers maintain a “price comparison tool” available via phone and website that allows members and participating providers to compare cost-sharing for items and services by any participating provider.

Market impact of this provision effects Individual Family Plan (IFP), Small Business Markets (SBM), Core, Premier, Administrative Services Only (ASO) and Shared Advantage (SA) lines of business.

 

Contact Us

  • Producer Services (800) 559-5905

    Employer Services (800) 325-5166

  • Blue Shield of California

    PO Box 272540

    Chico, CA 95927-2540

  • Quick Links

    About Blue Shield

    Contact Us

    News

    Careers

  •  

    Send Feedback

    Terms of Use

    Privacy

    Sitemap

  • Get Social

    • TRUSTe

© California Physicians’ Service DBA Blue Shield of California 1999-2022. All rights reserved. California Physicians’ Service DBA Blue Shield of California is an independent member of the Blue Shield Association.

Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. Health plans are offered by Blue Shield of California.