Where can I find out-of-network allowed amounts?


Our web portal, Signal, currently only supports analytics on in-network contracted rates. For out-of-network data, please e-mail support@serifhealth.com with your specific request (e.g., which codes, payers, markets, and providers you need data for).


Although payers are required to post out-of-network allowed amounts as part of the Transparency in Coverage act, the law stipulates, in an effort to protect patient privacy, they are only required to post data for high-volume procedures on a 90-day rolling basis.


Therefore, most out-of-network rate files we encounter are very sparse in terms of data coverage, and sometimes left empty entirely.


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