Transparency in Coverage Requirements

Through UnitedHealthcare, UMR and HealthSCOPE Benefits creates and publishes the Machine-Readable Files on behalf of El Rio Health. To link to the Machine-Readable Files, please CLICK HERE.

Most insurance carriers offer several different benefit plan options to its customers.  However, it is important to understand participation of a provider or provider organization is at the discretion of the insurance carrier who may choose to include or exclude certain providers and provider organizations.  Additionally, health insurance carriers frequently make changes to the benefit plans they offer.  While El Rio Health is a participating provider with most major insurance carriers and in most benefit plans, El Rio Health may not be participating in all benefit plans under all insurance carriers.  The following is list of contracted health insurers who El Rio contracted with to provide health care services to its members.  If you do not see your healthcare insurer in this list or you are unsure if El Rio is participating in your benefit plan, it is strongly recommended you contact your health insurance carrier to confirm if El Rio Health and the provider you want to see for your care is participating in your specific benefit plan.