MRF Management with Zelis

Leverage customizable MRF Management from hosting, creation, data management, analytics, and member experience solutions for consumer transparency.

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Dive Deeper

Meet Transparency in Coverage

The Transparency in Coverage Rule (TiC) provisions empower consumers with better insight into the cost of services before obtaining care and receiving a bill by requiring insurers to publish claims data in machine-readable files (MRFs).

To meet the federal Transparency in Coverage (TinC) Machine Readable Files (MRFs) requirements, insurers need to disclose price and cost-sharing information to participants, beneficiaries, and enrollees. Meeting these requirements can be costly, time-consuming, and confusing.

With different solutions built for different needs, Zelis can help with MRF creation, hosting, as well as member-facing visualization. We offer these solutions together, or as stand-alone offerings based on your individual needs. Whether it’s at the beginning with data extraction or at the end with data clarity, we can help wherever you are in the process.

Features and Benefits

A comprehensive solution for full MRF Management.

MRF Creation

Get assistance with MRF creation with the generation of the Base In-Network MRFs and Base Allowed-Amounts MRFs. Zelis makes it easy by providing project management and project delivery capabilities to produce those files.

MRF Hosting

Manage the complexity of network mappings, aggregation, and file size, along with the hosting, archiving, and infrastructure requirements. This allows for downloading of these large files through a web interface and the infrastructure to store, aggregate, and generate the primary and sub-contracted network MRFs.

MRF Member Visualization

Deliver on the need for a member-facing internet-based cost transparency tool with S365. This rate visualization, member-facing tool allows consumers to access this information that empowers them to address and manage household healthcare spending.

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There’s no shortage of ways we can help. Get a conversation going with one of our Solution Advisors and build a thoughtful approach aligned to your business goals.

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