Data & benchmarking / TERM EXPLAINED
Transparency in Coverage (TiC)
Federal rules requiring many health plans and issuers to disclose specified price information, including applicable in-network rates, with scope and exemptions.
A dental practice example
Published TiC in-network files are normalized to compare dental-coded observations where available.
Why it matters for reimbursement
Disclosure coverage and granularity differ; not every dental product is represented.
What to verify
Confirm the source file actually covers the relevant payor, plan, procedure and geography.
FROM DEFINITION TO DECISION
Turn reimbursement questions into evidence.
PayorMap helps dental groups connect disclosed negotiated rates, provider and network context, and contract details to meaningful benchmarking questions. Coverage and mapping confidence vary by payor and market.