Transparency Guidelines
As part of its compliance with the Transparency in Coverage (TIC) rule, Peak Health will generate machine-readable files for its various plans. These files include detailed information on the products and services that are covered as well as provider rates for both in-network and out-of-network providers.
Transparency
Member Cost Transparency Tool
Members can use the price transparency tool located in the Member Portal to understand healthcare expenses and see cost-share estimates.
Learn More: Federal Guideline
Machine Readable Files
2022-12-19_PEAK-HEALTH_1640004-Allied-Health-Solutions–AHS-_in-network-rates
2022-12-19_PEAK-HEALTH_1640009-WVUHS-Union-Choice_in-network-rates
2022-12-19_PEAK-HEALTH_1640001-Peak-WVUM_in-network-rates
2023-05-02_PEAK-HEALTH_1640001-Peak-WVUM_allowed-amounts
2023-05-02_PEAK-HEALTH_1640004-Allied-Health-Solutions–AHS-_allowed-amounts
2023-05-02_PEAK-HEALTH_1640009-WVUHS-Union-Choice_allowed-amounts
2023-05-02_PEAK-HEALTH_1640002-Peak-UHA_allowed-amounts
2023-05-02_PEAK-HEALTH_1640003-Peak-St–Joe_allowed-amounts
2023-05-02_PEAK-HEALTH_1640005-AHS-Network_allowed-amounts
2023-05-02_PEAK-HEALTH_1640006-Jackson-General-Hospital–JGH–USWA_allowed-amounts
2023-05-02_PEAK-HEALTH_1640007-Jackson-General-Hospital–JGH–LIUNA_allowed-amounts
2023-05-02_PEAK-HEALTH_1640010-WVUHS-Union-Alt_allowed-amounts
2023-05-02_PEAK-HEALTH_1640011-Peak-Health-Employee_allowed-amounts
2024-01-01_PEAK-HEALTH_1640004-Allied-Health-Solutions–AHS-_in-network-rates
2024-01-01_PEAK-HEALTH_1640009-WVUHS-Union-Choice_in-network-rates
2024-01-01_PEAK-HEALTH_1640012-PEAK-WVUM-Out-of-Area_in-network-rates
2024-01-01_PEAK-HEALTH_1650001-Valley-Health-Employee_in-network-rates
2024-01-01_PEAK-HEALTH-MA-NON-VERIFIED_2-Peak-MA-Non-Verified-Coverage_in-network-rates
2024-01-01_PEAK-HEALTH-MA-NON-VERIFIED_index
2024-01-01_PEAK-HEALTH-NON-VERIFIED_3-Peak-Non-Verified-Coverage_in-network-rates
2024-01-01_PEAK-HEALTH-NON-VERIFIED_index
2024-01-01_PEAK-MEDICARE-ADVANTAGE_6-TEST-MA-EMPLOYER-GROUP_in-network-rates
2024-01-01_PEAK-MEDICARE-ADVANTAGE_index
Learn More: Federal Guideline
Disclaimer
These files are not designed for consumer use. We encourage Members to use our cost transparency tool located in our Member Portal. These files do not represent a guarantee of coverage or of the reimbursement rate that will be applied for any procedure. The information in these files is accurate as of the date labeled in each file and is subject to change without notice.