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Networks and Network Sub-Type

Question:

How does the Network field relate to the Plan or the Formulary?  The only values we have seen in the developer documentation are “PREFERRED” and “NON-PREFERRED”.  What other valid values can there be and what kind of validation is being done by CMS on this field?  What exactly is this field for?

Answer:

This field is simply to delineate one provider network from another. The name can be whatever is meaningful to the issuer; PREFERRED and NON-PREFERRED are just examples.



Question:

What is an array of networks?

Answer:

An array of networks is the list of networks included.

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