Transparency in Coverage Final Rules – Machine Readable Files
Transparency in Coverage (TIC) Final Rules require Gusto, as the plan sponsor of its group health plan for its employees, to post in- and out-of-network pricing information to a public website. It requires plans to make available to the public separate machine-readable files that include detailed negotiated prices related to:
- In-network provider negotiated rates for covered items and services;
- Historical out-of-network allowed amounts and associated billed charges for covered items and services
Starting July 1, 2022, the medical plan vendors will post and update this information on a monthly basis. The machine-readable files are formatted to allow researchers, regulators, consumer advocates, and application developers to more easily access and analyze data. These files can be accessed in the links below.
Search Gusto EIN: 453942850
Search “Gusto” or EIN: 453942850 for most-up-to-date links to files
For Gusto employees enrolled in the medical plan, log into your account at Collective Health to view your benefits.