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September 10, 2021The locations for Medicare & Medicaid Companies (CMS) hub for market details and insurance rates Oversight (CCIIO) try committed to creating transparency through the medical health insurance change. While health organize critical information such as importance, copayments, fees, and geographical insurance is definitely openly available on health care.gov, websiste creation tool additionally posts online open public usage records (PUFs) to make sure that professionals and various other stakeholders can easier gain access to change records.
The medical cover change open need computer files (Exchange PUFs) are around for plan many years 2014 to 2021 to compliment timely profit and speed testing. You will need to keep in mind that the 2021 change PUFs would be modified consistently to reflect the plan document that buyers discover when shopping for an Exchange restricted Health Plan (QHP). Data your 2021 change PUFs comprise shipped to CMS devices by April 28, 2021.
The Exchange PUFs include structure and institution levels records for licensed registered fitness strategies (QHPs) and stand alone dental designs (SADPs) accessible to folk and small business owners with the health coverage Exchange. The Exchange PUFs feature facts from shows engaging in the Federally Facilitated transactions (FFE), county cooperation Exchanges (SPEs) and reports whose State-based substitution rely on government employees information technology program for QHP qualification and registration functionality (SBE-FP). The PUFs additionally include info on Multi-State campaigns (MSPs) and certified off-exchange SADPs. The trade PUFs omit critical information from SBEs who don’t rely upon the federal platform for QHP eligibility and enrollment features.
The change PUFs comprise of eleven different computer files as defined below.
- Value and Cost posting PUF countrymatch sign in (BenCS-PUF) approach variant-level reports on important health benefits, protection limits, and cost revealing.
- Rate PUF (Rate-PUF) Plan-level info on individual rate determined an eligible subscribers years, tobacco smoking use, and geographic area, and family-tier charges.
- Plan characteristics PUF (Plan-PUF) Plan-level records on optimum with your own money charges, deductibles, HSA eligibility, formulary ID, as well as other organize attributes.
- Company procedures PUF (BR-PUF) Plan-level records on rating business regulations, particularly allowed interaction (for example, wife, dependents) and tobacco smoking need.
- Program room PUF (SA-PUF) Issuer-level data on geographical provider cities most notably status, state, and zip code.
- Circle (Ntwrk-PUF) Issuer-level records identifying carrier system URLs.
- Structure ID Crosswalk PUF (CW-PUF) Plan-level data mapping projects available in the prior arrange spring to strategies offered in current prepare seasons.
- Machine-readable URL PUF (MR-PUF)Issuer-level URL locations for machine-readable plan internet vendor and formulary know-how.
- Transparency in policy PUF (TC-PUF) Issuer-level assertions, is of interest, and active Address facts. The PY2021 PUF includes data from PY2019 for issuers participating in the swap in PY2019.
- Standard PUF (Qual-PUF) Standard scores information for schemes in original countries. The PY2017 PUF can be obtained below. The PY2018 PUF through PY2021 PUFs are merely in this article.
- Countrywide Quality scoring process PUF (NatQRS-PUF) standard rankings info for systems country wide, including condition situated exchange programs (SBE). The PY2020 through PY2021 PUFs you find here.
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