No Surprises Act

No Surprises Act/Transparency Under the Consolidated Appropriations Act, 2021 Information

Medical Mutual Services is committed to full compliance with federal law and regulations concerning surprise billing and transparency in coverage.
These files are not designed as a consumer tool. Members are encouraged to use the more member-friendly price estimator tools available through the health plan's public website. These files are not a guarantee of coverage, nor a guarantee of the reimbursement rate that will be applied for any procedure. The claims reimbursement process is subject to a variety of factors that are not addressed in these files, including eligibility, medical necessity determinations, utilization management requirements, exclusions and other plan terms. These files also do not offer any information on a member's out-of-pocket charges. The information in these files is accurate as of the date noted for each file and is subject to change without notice.

	File Link
SuperMed Network 01	SuperMed 01 Machine-Readable file
SuperMed Network 2K	SuperMed 2K Machine-Readable file
SuperMed Network 2P	SuperMed 2P Machine-Readable file
SuperMed Network 1Y	SuperMed 1Y Machine-Readable file
SuperMed Network C7	This SuperMed Machine-Readable File is not available at this time.
SuperMed Network C9	SuperMed C9 Machine-Readable file
Traditional	Trad Machine-Readable file
4Most	The 4Most Machine-Readable File is not available at this time.
PHCS	PHCS Machine-Readable file
Gag Clause Attestation	Gag Clause Attestation