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.
Centra Table of Contents - JSON
PCHP ASO Centra In-Network Rates - JSON
PCHP ASO Centra Allowed amount - JSON
PCHP Large Group PPO In Network Rates - JSON
PCHP Large Group PPO Allowed amount - JSON
PCHP Small Group PPO In Network Rates - JSON
PCHP Small Group PPO Allowed amount - JSON
PCHP Large Group HMO In Network Rates - JSON
PCHP Large Group HMO Allowed amount - JSON
PCHP Small Group HMO In Network Rates - JSON
PCHP Small Group HMO Allowed amount - JSON
PCHP Small Group Choice POS In Network Rates - JSON
PCHP Small Group Choice POS Allowed amount - JSON
Aetna Signature Administrators ASA Table of Contents - JSON - GZ
First Health for HMO Plans - JSON - GZ
FFirst Health for PPO and POS 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.