Careers at South Valley
We want to work with you!
- Do you want to feel valued and appreciated?
- Do you want to be engaged in interesting and challenging work?
- Do you want to work with a Company who values long term employees?
- Do you want training and development?
- Do you want to be included in decisions?
- Do you want your successes to be celebrated?
If you answered yes, we want to work with you!
Transparency in Coverage (TiC) Rule
The Transparency in Coverage Rule is a federal regulation designed to empower consumers to shop and compare costs among various providers before receiving care, helping consumers better understand the cost of their health care.
There are two (2) components to this regulation: 1) the machine-readable files and 2) an Internet-based price comparison tool.
Machine-Readable File (MRF)
The machine-readable file must conform to a non-proprietary, open-standards format that is platform independent and made available to the public without restrictions.
The machine-readable files consist of an In-Network Rate (rates for all covered items and services between the plan or issuer and in-network providers) and an Allowed Amount (allowed amounts for -- and billed charges from -- out-of-network providers).
The MRF does not contain any benefit details or member personal health information.
The Departments of Health and Human Services, Labor, and the Treasury envision third-party developers and other entities will download, process, and compile this data, creating more advance price transparency tools. This data is not designed for member or consumer usage.
Internet-based Price Comparison Tool
Internet-based price comparison tool allows an individual to receive an estimate of their cost-sharing responsibility for a specific item or service from a specific provider or providers for 500 covered items and services as of 1/1/23 and all covered items and services as of 1/1/24.
Consolidated Appropriations Act
The Consolidated Appropriations Act (CAA) was established to protect consumers from unexpected costs related to health care billing by offering transparency about health care costs.
Learn More: https://www.aetna.com/health-care-professionals/transparency-in-coverage.html
Machine Readable Files Link: https://health1.aetna.com/app/public/#/one/insurerCode=AETNACVS_I&brandCode=ASA/machine-readable-transparency-in-coverage?searchTerm=ASA_01&lock=true
Aetna. (n.d.). Transparency in Coverage (TiC) Rule. Retrieved January 8, 2024, from https://www.aetna.com/health-care-professionals/transparency-in-coverage.html
