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Price Transparency

Price Transparency Skip To Main Content Menu Search X Home myBlueCross Benefit Summary Account Summary Claim Statements Reimbursements Contract and Dependent Information Other Insurance Coverage Deductible & Out of Pocket Costs View Benefits and Coverage Resources Review and Pay …

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Price Transparency Skip To Main Content Menu Search X Home myBlueCross Benefit Summary Account Summary Claim Statements Reimbursements Contract and Dependent Information Other Insurance Coverage Deductible & Out of Pocket Costs View Benefits and Coverage Resources Review and Pay my Bill ID Cards Forms and Materials Covered Immunizations Health Insurance Basics Policies and Guidelines Preventive Services Caregiver Resources Check My Status: Prior Authorization Tracker Find a Doctor Self Service Find A Doctor Symptom Checker Teleconsultation Treatment Cost Estimator Benefits Access2Day Health Locations Blue Distinction Centers Learn about healthcare facilities and providers recognized for their expertise in delivering specialty care myHealth Health Resources Baby Yourself Free gifts and a personal nurse offer support for a healthy pregnancy Talk to a Nurse or Advisor Blue365 Discounts & deals on gym memberships, fitness gear, healthy eating options, & more Findhelp.org Information for family caregivers on relief, food, transportation and much more Well-being Wellness Programs Helpful programs to support your healthy lifestyle Mental Health Pharmacy Pharmacy Tools Medicare Pharmacy Resources Pharmacy Resources Home Delivery Network Prescription Drug Lists Find a Pharmacy Prescription Resources File a Drug Claim Online Prescription History Frequently Asked Questions Drug Coverage Guidelines Shop Plans Health Plans Individual & Family Employers Medicare (65+) Account-Based Plans Federal Employee Program (FEP) Postal Service Health Benefits (PSHB) Additional Plans Vision Life Travel Dental Contact Us Feedback Login Portlet Log in to myBlueCross New to myBlueCross? 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Register go Remember Username Forgot username or password? log in About Us Feedback Contact Us Search X myBlueCross Benefit Summary Account Summary Claim Statements Reimbursements Contract and Dependent Information Other Insurance Coverage Deductible & Out of Pocket Costs View Benefits and Coverage Resources Review and Pay my Bill ID Cards Forms and Materials Covered Immunizations Health Insurance Basics Policies and Guidelines Preventive Services Caregiver Resources Check My Status: Prior Authorization Tracker Find a Doctor Self Service Find A Doctor Symptom Checker Teleconsultation Treatment Cost Estimator Benefits Access2Day Health Locations Blue Distinction Centers Learn about healthcare facilities and providers recognized for their expertise in delivering specialty care myHealth Health Resources Baby Yourself Free gifts and a personal nurse offer support for a healthy pregnancy Talk to a Nurse or Advisor Blue365 Discounts & deals on gym memberships, fitness gear, healthy eating options, & more Findhelp.org Information for family caregivers on relief, food, transportation and much more Well-being Wellness Programs Helpful programs to support your healthy lifestyle Mental Health Pharmacy Pharmacy Tools Medicare Pharmacy Resources Pharmacy Resources Home Delivery Network Prescription Drug Lists Find a Pharmacy Prescription Resources File a Drug Claim Online Prescription History Frequently Asked Questions Drug Coverage Guidelines Shop Plans Health Plans Individual & Family Employers Medicare (65+) Account-Based Plans Federal Employee Program (FEP) Postal Service Health Benefits (PSHB) Additional Plans Vision Life Travel Dental Home > Legal > Transparency in Coverage > Price Transparency Menu Display Accessing My Information Surprise Billing Price Transparency Claims Payment Policy & Other Information Prior Authorization Metrics Reporting Transparency in Coverage Transparency in Coverage Rule On 11/12/2020, the Department of Health and Human Services (HHS), the Department of Labor, and the Department of the Treasury published the Transparency in Coverage Final Rule (85 FR 72158-01). The first phase of the Transparency in Coverage Rule requires group health plans and health insurance issuers to provide pricing information for covered items and services as follows: In-network provider negotiated rates Historical out-of-network provider allowed amounts The above pricing information, provided in machine-readable files, is now available to the public and can be used by third parties, such as researchers and application developers, to help a member better understand the costs associated with their healthcare. This is not, however, an estimate of the cost patients will be responsible for paying for such item or service. Coverage of any item or service in the files is subject to the terms, limitations and conditions of the member’s contract. Always check the member’s benefits for coverage information and limitations. Access the Table of Contents for the Transparency in Coverage Rule machine-readable pricing files. To retrieve the most current published file, be sure to clear your browser’s cache before downloading. In order to receive an estimate of the costs patients will be responsible for paying for an item or service, member's can call the number on the back of their insurance card or access Blue Cross and Blue Shield of Alabama's Treatment Cost Estimator. This cost tool allows members to search for price per code based on negotiated rates as mandated in the Transparency in Coverage Rule. Note: Group-specific pricing files will be made available effective on a group’s renewal date beginning on and after 7/1/2022. Therefore, groups with renewal dates from 1/1/2022 – 7/1/2022 will be included in the pricing files that are available beginning 7/1/2022. 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