{"reporting_entity_type": "Health Insurance Issuer", "reporting_structure": [{"allowed_amount_file": {"description": "", "location": "https://horizonblue.sapphiremrfhub.com/mrfs/202607/2026-06-01_Horizon-Healthcare-of-New-Jersey-Inc_Managed-HMO-Plan-Group-LabCap-MGCN_allowed-amounts.json.gz"}, "in_network_files": [{"description": "10000000000025", "location": "https://horizonblue.sapphiremrfhub.com/mrfs/202607/2026-06-01_Horizon-Healthcare-of-New-Jersey-Inc_Managed-HMO-Plan-Group-LabCap-MGCN_in-network-rates.json.gz"}, {"description": "", "location": "https://horizonblue.sapphiremrfhub.com/mrfs/202607/2026-06-09_Horizon-BCBSNJ_MANAGED-CARE-BCBSA-Horizon-Healthcare-of-New-Jersey-Inc_MGCN_in-network-rates_1_of_1.json.gz"}, {"description": "", "location": "https://horizonblue.sapphiremrfhub.com/mrfs/202607/2026-06-09_Horizon-BCBSNJ_MANAGED-CARE-BCBSA-Horizon-Healthcare-of-New-Jersey-Inc_MGCN_Bundled_in-network-rates_1_of_1.json.gz"}], "reporting_plans": [{"plan_market_type": "Group", "plan_id": "22-2651245", "plan_name": "HMO Lab Cap", "plan_id_type": "EIN", "plan_sponsor_name": "Horizon Healthcare of New Jersey, Inc.", "issuer_name": "Horizon BCBSNJ"}]}, {"allowed_amount_file": {"description": "Missing file", "location": "Missing file"}, "in_network_files": [{"description": "", "location": "https://horizonblue.sapphiremrfhub.com/mrfs/202607/2026-06-15_Horizon-BCBSNJ_HMO-MANAGED-CARE-Horizon-Healthcare-of-New-Jersey-Inc_MCEX_Bundled_in-network-rates_1_of_1.json.gz"}, {"description": "", "location": "https://horizonblue.sapphiremrfhub.com/mrfs/202607/2026-06-15_Horizon-BCBSNJ_HMO-MANAGED-CARE-Horizon-Healthcare-of-New-Jersey-Inc_MCEX_in-network-rates_1_of_1.json.gz"}, {"description": "", "location": "https://horizonblue.sapphiremrfhub.com/mrfs/202607/2026-06-01_Horizon-Healthcare-of-New-Jersey-Inc_Managed-HMO-Plan-Group-PCPLabCap-MCEX_in-network-rates.json.gz"}], "reporting_plans": [{"plan_market_type": "Individual", "plan_id": "22-2651245", "plan_name": "HMO NJPA - Individual", "plan_id_type": "EIN", "plan_sponsor_name": "Horizon Healthcare of New Jersey, Inc.", "issuer_name": "Horizon BCBSNJ"}]}, {"allowed_amount_file": {"description": "", "location": "https://horizonblue.sapphiremrfhub.com/mrfs/202607/2026-06-01_Horizon-Healthcare-of-New-Jersey-Inc_Managed-HMO-Plan-Group-LabCap-MCEX_allowed-amounts.json.gz"}, "in_network_files": [{"description": "", "location": "https://horizonblue.sapphiremrfhub.com/mrfs/202607/2026-05-11_Horizon-BCBSNJ_MANAGED-CARE-INDIVIDUAL-AND-SMALL-GROUP-Horizon-Healthcare-of-New-Jersey-Inc_MCEX_in-network-rates_1_of_1.json.gz"}, {"description": "", "location": "https://horizonblue.sapphiremrfhub.com/mrfs/202607/2026-06-15_Horizon-BCBSNJ_MANAGED-CARE-INDIVIDUAL-AND-SMALL-GROUP-Horizon-Healthcare-of-New-Jersey-Inc_MCEX_Bundled_in-network-rates_1_of_1.json.gz"}], "reporting_plans": [{"plan_market_type": "Group", "plan_id": "22-2651245", "plan_name": "HMO NJPA Lab Cap", "plan_id_type": "EIN", "plan_sponsor_name": "Horizon Healthcare of New Jersey, Inc.", "issuer_name": "Horizon BCBSNJ"}]}, {"allowed_amount_file": {"description": "", "location": "https://horizonblue.sapphiremrfhub.com/mrfs/202607/2026-06-01_Horizon-Healthcare-of-New-Jersey-Inc_Managed-HMO-Plan-Group-LabCap-MCEX_allowed-amounts.json.gz"}, "in_network_files": [{"description": "", "location": "https://horizonblue.sapphiremrfhub.com/mrfs/202607/2026-05-11_Horizon-BCBSNJ_MANAGED-CARE-INDIVIDUAL-AND-SMALL-GROUP-Horizon-Healthcare-of-New-Jersey-Inc_MCEX_in-network-rates_1_of_1.json.gz"}, {"description": "", "location": "https://horizonblue.sapphiremrfhub.com/mrfs/202607/2026-06-15_Horizon-BCBSNJ_MANAGED-CARE-INDIVIDUAL-AND-SMALL-GROUP-Horizon-Healthcare-of-New-Jersey-Inc_MCEX_Bundled_in-network-rates_1_of_1.json.gz"}, {"description": "", "location": "https://horizonblue.sapphiremrfhub.com/mrfs/202607/2026-06-01_Horizon-Healthcare-of-New-Jersey-Inc_Managed-HMO-Plan-Group-PCPLabCap-MCEX_in-network-rates.json.gz"}], "reporting_plans": [{"plan_market_type": "Group", "plan_id": "22-2651245", "plan_name": "HMO NJPA Lab Cap", "plan_id_type": "EIN", "plan_sponsor_name": "Horizon Healthcare of New Jersey, Inc.", "issuer_name": "Horizon BCBSNJ"}]}, {"allowed_amount_file": {"description": "", "location": "https://horizonblue.sapphiremrfhub.com/mrfs/202607/2026-06-01_Horizon-Healthcare-of-New-Jersey-Inc_Managed-HMO-Plan-Group-PCPLabCap-MCEX_allowed-amounts.json.gz"}, "in_network_files": [{"description": "", "location": "https://horizonblue.sapphiremrfhub.com/mrfs/202607/2026-05-11_Horizon-BCBSNJ_MANAGED-CARE-INDIVIDUAL-AND-SMALL-GROUP-Horizon-Healthcare-of-New-Jersey-Inc_MCEX_in-network-rates_1_of_1.json.gz"}, {"description": "", "location": "https://horizonblue.sapphiremrfhub.com/mrfs/202607/2026-06-15_Horizon-BCBSNJ_MANAGED-CARE-INDIVIDUAL-AND-SMALL-GROUP-Horizon-Healthcare-of-New-Jersey-Inc_MCEX_Bundled_in-network-rates_1_of_1.json.gz"}, {"description": "", "location": "https://horizonblue.sapphiremrfhub.com/mrfs/202607/2026-06-01_Horizon-Healthcare-of-New-Jersey-Inc_Managed-HMO-Plan-Group-PCPLabCap-MCEX_in-network-rates.json.gz"}], "reporting_plans": [{"plan_market_type": "Group", "plan_id": "22-2651245", "plan_name": "HMO NJPA PCP Lab Cap", "plan_id_type": "EIN", "plan_sponsor_name": "Horizon Healthcare of New Jersey, Inc.", "issuer_name": "Horizon BCBSNJ"}]}, {"allowed_amount_file": {"description": "", "location": "https://horizonblue.sapphiremrfhub.com/mrfs/202607/2026-06-01_Horizon-Healthcare-of-New-Jersey-Inc_Managed-HMO-Plan-Group-PCPLabCap-MGCN_allowed-amounts.json.gz"}, "in_network_files": [{"description": "10000000000023", "location": "https://horizonblue.sapphiremrfhub.com/mrfs/202607/2026-06-01_Horizon-Healthcare-of-New-Jersey-Inc_Managed-HMO-Plan-Group-PCPLabCap-MGCN_in-network-rates.json.gz"}, {"description": "", "location": "https://horizonblue.sapphiremrfhub.com/mrfs/202607/2026-06-09_Horizon-BCBSNJ_MANAGED-CARE-BCBSA-Horizon-Healthcare-of-New-Jersey-Inc_MGCN_in-network-rates_1_of_1.json.gz"}, {"description": "", "location": "https://horizonblue.sapphiremrfhub.com/mrfs/202607/2026-06-09_Horizon-BCBSNJ_MANAGED-CARE-BCBSA-Horizon-Healthcare-of-New-Jersey-Inc_MGCN_Bundled_in-network-rates_1_of_1.json.gz"}], "reporting_plans": [{"plan_market_type": "Group", "plan_id": "22-2651245", "plan_name": "HMO PCP Lab Cap", "plan_id_type": "EIN", "plan_sponsor_name": "Horizon Healthcare of New Jersey, Inc.", "issuer_name": "Horizon BCBSNJ"}]}, {"allowed_amount_file": {"description": "", "location": "https://horizonblue.sapphiremrfhub.com/mrfs/202607/2026-06-01_Horizon-Healthcare-of-New-Jersey-Inc_Managed-HMO-Plan-Individual-MCEX_allowed-amounts.json.gz"}, "in_network_files": [{"description": "", "location": "https://horizonblue.sapphiremrfhub.com/mrfs/202607/2026-06-15_Horizon-BCBSNJ_HMO-MANAGED-CARE-Horizon-Healthcare-of-New-Jersey-Inc_MCEX_Bundled_in-network-rates_1_of_1.json.gz"}, {"description": "", "location": "https://horizonblue.sapphiremrfhub.com/mrfs/202607/2026-06-15_Horizon-BCBSNJ_HMO-MANAGED-CARE-Horizon-Healthcare-of-New-Jersey-Inc_MCEX_in-network-rates_1_of_1.json.gz"}, {"description": "", "location": "https://horizonblue.sapphiremrfhub.com/mrfs/202607/2026-06-01_Horizon-Healthcare-of-New-Jersey-Inc_Managed-HMO-Plan-Group-PCPLabCap-MCEX_in-network-rates.json.gz"}], "reporting_plans": [{"plan_market_type": "Individual", "plan_id": "3NJ0680001", "plan_name": "Horizon HMO Gold", "plan_id_type": "HIOS", "issuer_name": "Horizon BCBSNJ"}]}, {"allowed_amount_file": {"description": "Missing file", "location": "Missing file"}, "in_network_files": [{"description": "", "location": "https://horizonblue.sapphiremrfhub.com/mrfs/202607/2026-05-11_Horizon-BCBSNJ_MANAGED-CARE-INDIVIDUAL-AND-SMALL-GROUP-Horizon-Healthcare-of-New-Jersey-Inc_MCEX_in-network-rates_1_of_1.json.gz"}, {"description": "", "location": "https://horizonblue.sapphiremrfhub.com/mrfs/202607/2026-06-15_Horizon-BCBSNJ_MANAGED-CARE-INDIVIDUAL-AND-SMALL-GROUP-Horizon-Healthcare-of-New-Jersey-Inc_MCEX_Bundled_in-network-rates_1_of_1.json.gz"}, {"description": "", "location": "https://horizonblue.sapphiremrfhub.com/mrfs/202607/2026-06-01_Horizon-Healthcare-of-New-Jersey-Inc_Managed-HMO-Plan-Group-PCPLabCap-MCEX_in-network-rates.json.gz"}], "reporting_plans": [{"plan_market_type": "Group", "plan_id": "3NJ0670001", "plan_name": "Horizon HMO Platinum - Small Group", "plan_id_type": "HIOS", "issuer_name": "Horizon BCBSNJ"}]}], "version": "2.0.0", "last_updated_on": "2026-07-01", "reporting_entity_name": "Horizon BCBSNJ"}