Transparency in Coverage
On November 12, 2020, the Departments of Health and Human Services, Labor and the Treasury finalized the Transparency in Coverage Rule that requires group health plans to post machine-readable files that include in-network negotiated payment rates and historical out-of-network charges for certain covered items and services. These files are available through websites that are maintained by each of Pfizer’s U.S. and Puerto Rico medical claims administrators. Each medical claims administrator creates, publishes, and refreshes the machine-readable files on behalf of Pfizer.
Note: These machine-readable files may be very large and may not be accessible using common desktop computer applications.
| Medical Claims Administrator | Link for Machine-Readable Files (MRF) |
|---|---|
| Horizon Blue Cross Blue Shield (Horizon) | Horizon MRF |
| UnitedHealthcare (UHC) | UHC MRF |
| Aetna | Aetna MRF |
| Cigna (for Arena Pharmaceuticals colleagues) | Cigna MRF |
| MCS | MCS MRF |
If you have questions about these files: Reach out to your claims administrator directly with questions about how to access these files or about any of the data they contain.
If you are unsure of your medical claims administrator: Log into NetBenefits at netbenefits.com and click on the Health & Insurance tile on the homepage to view a summary of your current benefit elections. You may also call the Pfizer Benefits Center at 1-866-476-8723.