Machine Readable Files (MRFs) Transparency Coverage Rule

The Transparency in Coverage Final Rule requires that certain group health plans disclose on a public website, in two separate machine-readable files (MRFs), information regarding in-network provider rates as well as historical out-of-network allowed amounts and billed charges for covered items and services. The MRFs for the benefit package options under the Pegasystems Inc., Health and Welfare Benefit Plan are linked below:

• Click here for negotiated in-network provider rates
• Click here for negotiated out-of-network allowed and billed amount