Gravie Transparency in Coverage Machine-Readable Files

aid: gravie:transparency-in-coverage
name: Gravie Transparency in Coverage Machine-Readable Files
description: Public machine-readable files Gravie posts on behalf of its plan sponsors under the CMS Transparency
  in Coverage rule (45 CFR 147.211). Files cover in-network negotiated rates for the Cigna and Cigna OAP
  networks and the HPS/Paymedix network, plus out-of-network allowed amounts via Zelis. Plans effective
  September 1, 2022 or earlier are covered by PreferredOne's index; plans effective October 1, 2022 or
  later are covered by the Gravie-hosted files. This is a file-based regulatory data surface, not a REST
  API — the JSON payloads follow the CMS price-transparency schemas published by the Center for Medicare
  and Medicaid Services.
humanURL: https://www.gravie.com/compliance/transparency-in-coverage/
baseURL: https://static.gravie.com/MRFs/
tags:
- Transparency In Coverage
- Machine-Readable Files
- Pricing
- Regulatory
- Health Insurance
tags_raw:
- Transparency In Coverage
- Machine Readable Files
- Pricing
- Regulatory
- Health Insurance
properties:
- type: Documentation
  url: https://www.gravie.com/compliance/transparency-in-coverage/
- type: InNetworkRates
  name: Cigna in-network rates (JSON, gzip)
  url: https://static.gravie.com/MRFs/CignaMRF.json.gz
- type: InNetworkRates
  name: Cigna OAP in-network rates (JSON, gzip)
  url: https://static.gravie.com/MRFs/CignaOAPMRF.json.gz
- type: InNetworkRates
  name: HPS / Paymedix in-network rates (ZIP)
  url: https://static.gravie.com/MRFs/HPSPaymedixMRF.zip
- type: AllowedAmounts
  name: Zelis out-of-network allowed amounts (CSV)
  url: https://static.gravie.com/MRFs/ZelisMRF.csv
- type: Index
  name: PreferredOne MRF index (plans effective 2022-09-01 or earlier)
  url: https://www.preferredone.com/mrf/