Machine-Readable Files

Prescription Drug

Pursuant to South Dakota Codified Law 58-17K-5, we have made our South Dakota pharmacy prescription drug file in a machine-readable format that includes negotiated rates with in-network pharmacies.

Avera_082723_H5593_CH55930801
Avera_082723_H5593_CH55930802
Avera_082723_H6399_CH63990801
Avera_082723_H6399_CH63990802

In-Network Providers

In compliance with Transparency in Coverage Rules, we have made our files in a machine-readable format that includes negotiated rates for in-network providers.

2023-09-01_avera-health-plans_ahp-network_in-network-rates
2023-09-01_avera-health-plans_ahpba-network_in-network-rates
2023-09-01_avera-health-plans_avera-care-system-network_in-network-rates
2023-09-01_avera-health-plans_avera-direct-network_in-network-rates
2023-09-01_avera-health-plans_avera-health-network-aso_in-network-rates
2023-09-01_avera-health-plans_avera-preferred-network_in-network-rates
2023-09-01_avera-health-plans_index

Out-of-Network Providers

In compliance with Transparency in Coverage Rules, we have made our files in a machine-readable format that includes historical allowed amounts and billed charges for out-of-network providers.

2023-09-01_avera-health-plans_allowed-amounts