Transparency in Coverage

As part of the Consolidated Appropriations Act (CAA), new Transparency in Coverage rules have been established by the Centers for Medicare & Medicaid Services (CMS). Fulton is required to share:

• In-network provider contracted rates for items and services
• Out-of-network allowed amounts and billed charges for items and services

At this time, rates are for medical items and services only and will not include pharmacy costs.

Machine-readable files are designed for a machine (i.e., computer) to read and will not be user-friendly for members. The best user experience for members will be to login to their online account and access our cost estimation tool.

Please use this link to access Fulton’s Machine-readable files.