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ACA Transparency in Coverage

The Affordable Care Act (ACA) includes resources to make the health care system more transparent and competitive.

Machine-readable Files
These links lead to the machine-readable files that are made available in response to the federal Transparency in Coverage Rule and include negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to access and analyze data more easily.

• Aetna:
• Horizon:

Click on "Self Insured" and type in "State Health Benefits Program" (NJ DIRECT); "SHBP" or "SEHBP" (HMO and OMNIA)