Machine Readable Files

To support the Transparency in Coverage Final Rule, Piedmont has published machine-readable files (MRFs) for group health plans and individual market issuers in JSON format. The machine readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data. Please note these may be very large data files and have significant system requirements for use. Please ensure you have the required system capacity before attempting to open these files.

There are two links to access this information, one disclosing in-network negotiated rates and one for out of network allowed amounts.

PCHP Network Table of Contents - JSON

Centra Table of Contents - JSON

Sentry Table of Contents - JSON

BMS Direct Table of Contents - JSON

TRBC Table of Contents - JSON

PCHP Small Group HMO In Network Rates - JSON

PCHP Small Group Choice POS In Network Rates - JSON

PCHP Large Group PPO In Network Rates - JSON

PCHP Ind On-Exchange HMO In Network Rates - JSON

PCHP Small Group PPO In Network Rates - JSON

PCHP Large Group HMO In Network Rates - JSON

PCHP Ind Off-Exchange HMO In Network Rates - JSON

PCHP Small Group PPO Allowed Amounts - JSON

PCHP Small Group HMO Allowed Amounts - JSON

PCHP Small Group Choice POS Allowed Amounts - JSON

PCHP Large Group PPO Allowed Amounts - JSON

PCHP Large Group HMO Allowed Amounts - JSON

PCHP Ind On-Exchange HMO Allowed Amounts - JSON

PCHP Ind Off-Exchange HMO Allowed Amounts - JSON

PCHP ASO Sentry Allowed Amounts - JSON

PCHP ASO Sentry In Network Rates - JSON

PCHP ASO Centra In-Network Rates - JSON

PCHP ASO Centra Allowed Amounts - JSON

PCHP ASO TRBC In-Network Rates - JSON

PCHP ASO TRBC Allowed Amounts - JSON

PCHP ASO BMS Direct In-Network Rates - JSON

PCHP ASO BMS Direct Allowed Amounts - JSON

Aetna Signature Administrators ASA 09 Table of Contents - JSON - GZ

First Health for HMO Plans - JSON - GZ

FFirst Health for PPO and POS Plans - JSON - GZ

First Health for TRBC Plans - JSON - GZ

First Health for BMS Direct Plans - JSON - GZ

Files will be updated monthly. Piedmont assumes no responsibility for how the information in these files is used or interpreted by third parties.

For Members

These machine-readable files are not meant for Members to be able to search for rates, benefits, or cost sharing. Each Member’s cost share is based on their unique plan benefits. Piedmont Members can log into their Member Portal for individual benefits and to access the Cost Estimator Tool. The Member Portal can be found at pchpmember.healthtrioconnect.com.