{
  "reporting_entity_name": "Caresource",
  "reporting_entity_type": "Health Insurance Issuer",
  "reporting_structure": [
    {
      "reporting_plans": [
        {
          "plan_name": "CareSource Marketplace OH EHB Only",
          "plan_id_type": "HIOS",
          "plan_id": "77552OH001",
          "plan_market_type": "individual"
        },
        {
          "plan_name": "CareSource Marketplace OH EHB & Supp Benefits",
          "plan_id_type": "HIOS",
          "plan_id": "77552OH002",
          "plan_market_type": "individual"
        }
      ],
      "in_network_files": [
        {
          "description": "Non-Specific In Network file for HIXOH",
          "location": "https://www.caresource.com/vendor/tic/data/caresource_HIXOH_nonspecific_in-network-rates.zip"
        },
        {
          "description": "Specific In Network file for HIXOH",
          "location": "https://www.caresource.com/vendor/tic/data/caresource_HIXOH_specific_in-network-rates.zip"
        }
      ],
      "allowed_amount_file": {
        "description": "Allowed amounts file for HIXOH",
        "location": "https://www.caresource.com/vendor/tic/data/caresource_HIXOH_allowed-amounts.zip"
      }
    },
    {
      "reporting_plans": [
        {
          "plan_name": "CareSource Marketplace IN EHB Only",
          "plan_id_type": "HIOS",
          "plan_id": "54192IN001",
          "plan_market_type": "individual"
        },
        {
          "plan_name": "CareSource Marketplace IN EHB & Supp Benefits",
          "plan_id_type": "HIOS",
          "plan_id": "54192IN002",
          "plan_market_type": "individual"
        }
      ],
      "in_network_files": [
        {
          "description": "Non-Specific In Network file for HIXIN",
          "location": "https://www.caresource.com/vendor/tic/data/caresource_HIXIN_nonspecific_in-network-rates.zip"
        },
        {
          "description": "Specific In Network file for HIXIN",
          "location": "https://www.caresource.com/vendor/tic/data/caresource_HIXIN_specific_in-network-rates.zip"
        }
      ],
      "allowed_amount_file": {
        "description": "Allowed amounts file for HIXIN",
        "location": "https://www.caresource.com/vendor/tic/data/caresource_HIXIN_allowed-amounts.zip"
      }
    },
    {
      "reporting_plans": [
        {
          "plan_name": "CareSource Marketplace WV EHB Only",
          "plan_id_type": "HIOS",
          "plan_id": "50328WV001",
          "plan_market_type": "individual"
        },
        {
          "plan_name": "CareSource Marketplace WV EHB & Supp Benefits",
          "plan_id_type": "HIOS",
          "plan_id": "50328WV002",
          "plan_market_type": "individual"
        }
      ],
      "in_network_files": [
        {
          "description": "Non-Specific In Network file for HIXWV",
          "location": "https://www.caresource.com/vendor/tic/data/caresource_HIXWV_nonspecific_in-network-rates.zip"
        },
        {
          "description": "Specific In Network file for HIXWV",
          "location": "https://www.caresource.com/vendor/tic/data/caresource_HIXWV_specific_in-network-rates.zip"
        }
      ],
      "allowed_amount_file": {
        "description": "Allowed amounts file for HIXWV",
        "location": "https://www.caresource.com/vendor/tic/data/caresource_HIXWV_allowed-amounts.zip"
      }
    },
    {
      "reporting_plans": [
        {
          "plan_name": "CareSource Marketplace WI EHB Only",
          "plan_id_type": "HIOS",
          "plan_id": "87416WI003",
          "plan_market_type": "individual"
        },
        {
          "plan_name": "CareSource Marketplace WI EHB, Supp Benefits, & Allergy Testing",
          "plan_id_type": "HIOS",
          "plan_id": "87416WI005",
          "plan_market_type": "individual"
        },
        {
          "plan_name": "CareSource Marketplace WI EHB & Supp Benefits",
          "plan_id_type": "HIOS",
          "plan_id": "87416WI006",
          "plan_market_type": "individual"
        }
      ],
      "in_network_files": [
        {
          "description": "Non-Specific In Network file for HIXWI",
          "location": "https://www.caresource.com/vendor/tic/data/caresource_HIXWI_nonspecific_in-network-rates.zip"
        },
        {
          "description": "Specific In Network file for HIXWI",
          "location": "https://www.caresource.com/vendor/tic/data/caresource_HIXWI_specific_in-network-rates.zip"
        }
      ],
      "allowed_amount_file": {
        "description": "Allowed amounts file for HIXWI",
        "location": "https://www.caresource.com/vendor/tic/data/caresource_HIXWI_allowed-amounts.zip"
      }
    },
    {
      "reporting_plans": [
        {
          "plan_name": "CareSource Marketplace NV EHB Only",
          "plan_id_type": "HIOS",
          "plan_id": "35107NV001",
          "plan_market_type": "individual"
        },
        {
          "plan_name": "CareSource Marketplace NV EHB & Supp Benefits",
          "plan_id_type": "HIOS",
          "plan_id": "35107NV002",
          "plan_market_type": "individual"
        }
      ],
      "in_network_files": [
        {
          "description": "Non-Specific In Network file for HIXNV",
          "location": "https://www.caresource.com/vendor/tic/data/caresource_HIXNV_nonspecific_in-network-rates.zip"
        },
        {
          "description": "Specific In Network file for HIXNV",
          "location": "https://www.caresource.com/vendor/tic/data/caresource_HIXNV_specific_in-network-rates.zip"
        }
      ],
      "allowed_amount_file": {
        "description": "Allowed amounts file for HIXNV",
        "location": "https://www.caresource.com/vendor/tic/data/caresource_HIXNV_allowed-amounts.zip"
      }
    },
    {
      "reporting_plans": [
        {
          "plan_name": "CareSource Marketplace GA EHB Only",
          "plan_id_type": "HIOS",
          "plan_id": "60224GA001",
          "plan_market_type": "individual"
        },
        {
          "plan_name": "CareSource Marketplace GA EHB & Supp Benefits",
          "plan_id_type": "HIOS",
          "plan_id": "60224GA002",
          "plan_market_type": "individual"
        }
      ],
      "in_network_files": [
        {
          "description": "Non-Specific In Network file for HIXGA",
          "location": "https://www.caresource.com/vendor/tic/data/caresource_HIXGA_nonspecific_in-network-rates.zip"
        },
        {
          "description": "Specific In Network file for HIXGA",
          "location": "https://www.caresource.com/vendor/tic/data/caresource_HIXGA_specific_in-network-rates.zip"
        }
      ],
      "allowed_amount_file": {
        "description": "Allowed amounts file for HIXGA",
        "location": "https://www.caresource.com/vendor/tic/data/caresource_HIXGA_allowed-amounts.zip"
      }
    }
  ],
  "last_updated_on": "2026-03-06",
  "version": "2.0"
}