Machine Readable Files
Beginning in the third quarter of 2025, the State of Colorado requires a carrier offering fully insured health benefit plans in Colorado to publish negotiated rates for all covered items and services between the carrier and in-network providers (In-Network files) and out-of-network allowed amounts and billed charges for covered items and services furnished by out-of-network providers (Out-of-Network files) on the carrier’s website.
This data is provided as machine-readable files. A machine-readable file is defined as a digital representation of data or information in a file that can be imported or read by a computer system for further processing without human intervention, while ensuring no semantic meaning is lost. These files are in the Centers for Medicare & Medicaid Services (CMS) defined format (JSON) and are not meant for a member-friendly search of rates, benefits, or cost sharing. Members should log in to anthem.com for this information.
The Table of Contents is an approved Colorado Division of Insurance schema approach that combines the In-Network files and Out-of-Network files and references the locations (URLs) from which the appropriate files can be downloaded. To view a list of all machine readable files and associated URLs published, click the Table of Contents link below and follow the prompts.
This information will be updated twice a year. The data in these files is based on the requirements of Colorado statute, regulation, and Division of Insurance guidance. We believe this information to be an accurate representation of the required data as of the date the information was extracted but the data is subject to change before the next monthly file update. This data is provided solely for the purposes set out in C.R.S. 10-16-168 and regulation 4-2-103. Use of the information in this database for any other purpose by a third party is at the third party's risk, and Anthem assumes no responsibility for how the information in these files is used or interpreted by third parties.
Note: These are comprehensive files as defined by the requirements provided by CMS and the Colorado Division of Insurance. They are large in size and individual computer performance can impact the time and ability to download the files.