{"reporting_entity_name":"Moda Health Plan, Inc","reporting_entity_type":"third party administrator","last_updated_on":"2026-05-01","version":"v2.0.0","reporting_structure":[{"reporting_plans":[{"plan_name":"Public Employees' Benefit Brd:FT HEM - Synergy PHI","plan_id_type":"ein","plan_id":"931244959","plan_market_type":"group","plan_sponsor_name":"Public Employees' Benefit Brd","issuer_name":"Moda Health Plan, Inc"},{"plan_name":"Public Employees' Benefit Brd:FT HEM-Synergy","plan_id_type":"ein","plan_id":"931244959","plan_market_type":"group","plan_sponsor_name":"Public Employees' Benefit Brd","issuer_name":"Moda Health Plan, Inc"},{"plan_name":"Public Employees' Benefit Brd:FT HEM-Synergy CC Care","plan_id_type":"ein","plan_id":"931244959","plan_market_type":"group","plan_sponsor_name":"Public Employees' Benefit Brd","issuer_name":"Moda Health Plan, Inc"},{"plan_name":"Public Employees' Benefit Brd:PT HEM-Synergy","plan_id_type":"ein","plan_id":"931244959","plan_market_type":"group","plan_sponsor_name":"Public Employees' Benefit Brd","issuer_name":"Moda Health Plan, Inc"},{"plan_name":"Public Employees' Benefit Brd:PT HEM-Synergy CC Care","plan_id_type":"ein","plan_id":"931244959","plan_market_type":"group","plan_sponsor_name":"Public Employees' Benefit Brd","issuer_name":"Moda Health Plan, Inc"}],"in_network_files":[{"description":"2026-05-01 Connexus In Network file","location":"https://mrf.modahealth.com/mrf/Moda/InNetwork/2026-05-01_moda_SY07_in-network-rates.json.gz"},{"description":"2026-05-01 Aetna Rental Network file","location":"https://mrf.modahealth.com/mrf/RentalNetworks/RAETNA/2026-04-05_pl-3dn-tr18_Aetna-Signature-Administrators.json.gz"}]},{"reporting_plans":[{"plan_name":"Public Employees' Benefit Brd:FT HEM Synergy CC Care All other states OOA PHI","plan_id_type":"ein","plan_id":"931244959","plan_market_type":"group","plan_sponsor_name":"Public Employees' Benefit Brd","issuer_name":"Moda Health Plan, Inc"},{"plan_name":"Public Employees' Benefit Brd:FT HEM-Synergy All other states OOA","plan_id_type":"ein","plan_id":"931244959","plan_market_type":"group","plan_sponsor_name":"Public Employees' Benefit Brd","issuer_name":"Moda Health Plan, Inc"},{"plan_name":"Public Employees' Benefit Brd:FT HEM-Synergy CC Care All other states OOA","plan_id_type":"ein","plan_id":"931244959","plan_market_type":"group","plan_sponsor_name":"Public Employees' Benefit Brd","issuer_name":"Moda Health Plan, Inc"},{"plan_name":"Public Employees' Benefit Brd:PT Hem-Synergy All other states OOA","plan_id_type":"ein","plan_id":"931244959","plan_market_type":"group","plan_sponsor_name":"Public Employees' Benefit Brd","issuer_name":"Moda Health Plan, Inc"}],"in_network_files":[{"description":"2026-05-01 Connexus In Network file","location":"https://mrf.modahealth.com/mrf/Moda/InNetwork/2026-05-01_moda_SY15_in-network-rates.json.gz"},{"description":"2026-05-01 Aetna Rental Network file","location":"https://mrf.modahealth.com/mrf/RentalNetworks/RAETNA/2026-04-05_pl-3dn-tr18_Aetna-Signature-Administrators.json.gz"}]},{"reporting_plans":[{"plan_name":"Public Employees' Benefit Brd:FT HEM-Synergy Alaska OOA","plan_id_type":"ein","plan_id":"931244959","plan_market_type":"group","plan_sponsor_name":"Public Employees' Benefit Brd","issuer_name":"Moda Health Plan, Inc"},{"plan_name":"Public Employees' Benefit Brd:FT HEM-Synergy CC Care Idaho OOA","plan_id_type":"ein","plan_id":"931244959","plan_market_type":"group","plan_sponsor_name":"Public Employees' Benefit Brd","issuer_name":"Moda Health Plan, Inc"},{"plan_name":"Public Employees' Benefit Brd:FT HEM-Synergy Idaho OOA","plan_id_type":"ein","plan_id":"931244959","plan_market_type":"group","plan_sponsor_name":"Public Employees' Benefit Brd","issuer_name":"Moda Health Plan, Inc"}],"in_network_files":[{"description":"2026-05-01 Connexus In Network file","location":"https://mrf.modahealth.com/mrf/Moda/InNetwork/2026-05-01_moda_SY15_in-network-rates.json.gz"},{"description":"2026-05-01 First Health Rental Network file","location":"https://mrf.modahealth.com/mrf/RentalNetworks/RFIRSTHEALTH/2026-04-05_FH_962530362_LVR_FH_UmbrellaClient_962530362.json.gz"}]}]}