Machine-Readable (JSON) File Directories

The link below provides you with access to our AmeriHealth Caritas Next product, formulary, and provider network machine-readable (JSON) files. These JSON files can be downloaded and used by third parties.

Machine-readable files containing the following sets of costs for items and services:

  • In-Network Rate File: Rates for all covered items and services between the plan or issuer and in-network providers
  • Allowed Amount File: Allowed amounts for, and billed charges from, out-of-network providers

JSON Files

Transparency in Coverage Machine Readable Files