Anthem Silver Pathway X HMO 5000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - 29276OH0920424 Health Insurance Plan

Community Insurance Company(Anthem BCBS) health insurance plan with the Plan ID 29276OH0920424. The plan is called Anthem Silver Pathway X HMO 5000 ($0 Virtual PCP + $0 Select Drugs + Incentives).

Based on the data of Health Plan Issuer, this plan has an actuarial value of 68.00% (the percentage of total average costs for covered benefits that a plan will cover). So, on average, you would be responsible for 32.00% of the costs of all covered benefits (according to the Issuer).

Based on the AV Calculator by CMS.gov, the plan has an actuarial value of 70.15% (we converted the output of AV Calculator to percentage to compare with data provided by Issuer, it shows the percentage of total average costs for covered benefits that a plan will cover). So, on average, you would be responsible for 29.85% of the costs of all covered benefits (according to the AV Calculator by CMS.gov). More information about AV Calculator methodology.

Health Insurance Plan ID 29276OH0920424
Health Insurance Plan Year 2023
State Ohio
Health Insurance Issuer Community Insurance Company(Anthem BCBS)
Plan Formulary Description URL Formulary URL
Plan Marketing Materials URL Marketing URL
Health Insurance Plan Variant 29276OH0920424-00
Provider Network(s) ['OHN001']
In Network Doctors

*The data available in our database based on Health Insurance Company Open Data (update: Wed, 27 Mar 2024 12:10 GMT).

Providers Ohio All US States
All N/A N/A
PCP N/A N/A
Allergy N/A N/A
OB/GYN N/A N/A
Dentists N/A N/A
Available Variants of the Health Plan

Standard Off Exchange Plan - 29276OH0920424-00

Standard On Exchange Plan - 29276OH0920424-01

Open to Indians below 300% FPL - 29276OH0920424-02

Open to Indians above 300% FPL - 29276OH0920424-03

73% AV Silver Plan - 29276OH0920424-04

87% AV Silver Plan - 29276OH0920424-05

94% AV Silver Plan - 29276OH0920424-06

Last Plan Update Date Thu, 29 Sep 2022 00:00 GMT
Last Import Date Wed, 27 Mar 2024 12:10 GMT

Benefits of Anthem Silver Pathway X HMO 5000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Health Insurance Plan, 29276OH0920424-00

Benefit Covered In Network Out Of Network
Abortion for Which Public Funding is Prohibited

no coverage except limited to therapeutic coverage (only in case of rape, incest or health of mother)

NO
Accidental Dental

Limit: 3000.0 Dollars per Episode

Exclusions: Damage to teeth due to chewing or biting is not deemed an accidental injury and is not covered.

Cost share will vary by the specific service rendered. Accident must have occurred on or after your effective date and treatment within 12 months of an accidental injury.

YES

35.00% Coinsurance after deductible

100.00%
Acupuncture
NO
Allergy Testing
YES

35.00% Coinsurance after deductible

100.00%
Bariatric Surgery
NO
Basic Dental Care - Adult
NO
Basic Dental Care - Child
YES

40.00% Coinsurance after deductible

100.00%
Chemotherapy

Cost share will vary by the specific service rendered.

YES

35.00% Coinsurance after deductible

100.00%
Chiropractic Care

Limit: 12.0 Visit(s) per Year

Limit is combined across professional visits and outpatient facilities for Osteopathic/Chiropractic Manipulation Therapy. These services are not covered in the home.

YES

35.00% Coinsurance after deductible

100.00%
Cosmetic Surgery
NO
Delivery and All Inpatient Services for Maternity Care

Coverage includes inpatient maternity care in a Hospital for the mother, and inpatient newborn care in a Hospital for the infant, for at least 48 hours following a normal delivery and at least 96 hours following a caesarean section delivery, regardless of whether such care is Medically Necessary. Covered services include at-home post delivery care visits at your residence by a Physician or Nurse performed no later than 72 hours following you and your newborn child?s discharge from the hospital.

YES

$500.00 Copay after deductible, 50.00% Coinsurance after deductible

100.00%
Dental Check-Up for Children

Limit: 2.0 Visit(s) per Year

YES

No Charge after deductible

100.00%
Diabetes Education
YES

35.00% Coinsurance after deductible

100.00%
Dialysis
YES

35.00% Coinsurance after deductible

100.00%
Durable Medical Equipment

Wigs are limited to 1 wig per Member, per Benefit Period after cancer treatment. Coverage includes 4 surgical bras per benefit period.

YES

35.00% Coinsurance after deductible

100.00%
Emergency Room Services

Copay waived if admitted.

YES

$500.00 Copay after deductible, 35.00% Coinsurance after deductible

$500.00 Copay after deductible, 35.00% Coinsurance after deductible
Emergency Transportation/Ambulance

Nonemergency Ambulance Services must be Preauthorized by Us.

YES

35.00% Coinsurance after deductible

35.00% Coinsurance after deductible
Eye Glasses for Children

Limit: 1.0 Item(s) per Year

YES

No Charge

100.00%
Gender Affirming Care
NO
Generic Drugs

Cost share reflects a 30 day retail supply. $0 Select Drugs: We offer a $0 cost share for a select set of tier 1 prescription drugs. Certain low-cost drugs, on Tier 1, may be available to Members at no Cost Share. These drugs are listed on Our Prescription Drug List (formulary).

YES

Tier 1: $10.00

Tier 2: $20.00

100.00%
Habilitation Services

Benefits include treatment of Autism Spectrum disorder for children ages 0-21. Applied Behavioral Analysis is limited to 20 hours per week. Limit is combined across professional visits and outpatient facilities.

YES

35.00% Coinsurance after deductible

100.00%
Hearing Aids

Cochlear implants are covered as durable medical equipment (DME).

NO
Home Health Care Services

Limit: 100.0 Visit(s) per Year

Benefit limit does not apply to Home Infusion Therapy or Home Dialysis.? Private Duty Nursing is only covered through Home Health Care Services and is limited to 90 visits per calendar year, which is separate from the 100 visits a year limit for "other" Home Health Care services. Benefit limit does not apply to Physical, Occupational or Speech Therapy when performed as part of Home Health.

YES

35.00% Coinsurance after deductible

100.00%
Hospice Services
YES

35.00% Coinsurance after deductible

100.00%
Imaging (CT/PET Scans, MRIs)
YES

$500.00 Copay after deductible, 50.00% Coinsurance after deductible

100.00%
Infertility Treatment

Includes services to diagnose and treat MEDICAL conditions resulting in infertility. Excludes: Artificial insemination, in vitro fertilization, other types of artificial or surgical means of conception including drugs administered in connection with these procedures.

YES

35.00% Coinsurance after deductible

100.00%
Infusion Therapy

Home IV therapy includes but is not limited to: injections (intra-muscular, subcutaneous, continuous subcutaneous), Total Parenteral Nutrition (TPN), Enteral nutrition therapy, antibiotic therapy, pain management and chemotherapy. Home Infusion Therapy is not included in the Home Health Care visit maximum

YES

35.00% Coinsurance after deductible

100.00%
Inpatient Hospital Services (e.g., Hospital Stay)

Inpatient Physical Medicine and Rehabilitation (includes Day Rehabilitation Therapy services on an Outpatient basis) is limited to a maximum of 60 days per member, per calendar year. Coverage includes inpatient maternity care in a hospital for the mother, and inpatient newborn care in a hospital for the infant, for at least 48 hours following a normal delivery and at least 96 hours following a caesarean section delivery, regardless of whether such care is medically necessary.

YES

$500.00 Copay per Stay after deductible, 50.00% Coinsurance after deductible

100.00%
Inpatient Physician and Surgical Services
YES

35.00% Coinsurance after deductible

100.00%
Laboratory Outpatient and Professional Services
YES

35.00% Coinsurance after deductible

100.00%
Long-Term/Custodial Nursing Home Care
NO
Major Dental Care - Adult
NO
Major Dental Care - Child
YES

50.00% Coinsurance after deductible

100.00%
Mental/Behavioral Health Inpatient Services
YES

$500.00 Copay per Stay after deductible, 50.00% Coinsurance after deductible

100.00%
Mental/Behavioral Health Outpatient Services
YES

35.00% Coinsurance after deductible

100.00%
Non-Preferred Brand Drugs

Cost share reflects a 30 day retail supply

YES

Tier 1: 40.00% Coinsurance after deductible

Tier 2: 55.00% Coinsurance after deductible

100.00%
Nutritional Counseling

Covered benefit under Home Health Services or covered as US Preventive Services Task Force (USPSTF) A or B recommendation under preventive health services, which includes diet counseling for adults at higher risk for chronic disease, obesity screening and counseling for all adults, and healthy diet counseling for adults with cardiovascular risk factors.

YES

35.00% Coinsurance after deductible

100.00%
Orthodontia - Adult
NO
Orthodontia - Child
YES

50.00% Coinsurance after deductible

100.00%
Other Practitioner Office Visit (Nurse, Physician Assistant)

You may also be able to access care with lower cost shares using our online virtual doctor visits and medical chat with a doctor. These can be accessed via our Sydney application.

YES

$35.00

100.00%
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)
YES

35.00% Coinsurance after deductible

100.00%
Outpatient Rehabilitation Services

Limit: 116.0 Visit(s) per Year

20 visits each Physical Therapy, Occupational Therapy, Speech Therapy, Pulmonary Rehabilitation. 36 visits for Cardiac Rehabilitation. Limit is combined across professional visits and outpatient facilities.

YES

35.00% Coinsurance after deductible

100.00%
Outpatient Surgery Physician/Surgical Services
YES

35.00% Coinsurance after deductible

100.00%
Preferred Brand Drugs

Cost share reflects a 30 day retail supply

YES

Tier 1: $40.00

Tier 2: $55.00

100.00%
Prenatal and Postnatal Care

Services related to surrogacy are excluded if the member is not the surrogate.

YES

35.00% Coinsurance after deductible

100.00%
Preventive Care/Screening/Immunization

You may have to pay for services that aren't preventive. Ask your provider if the services needed are preventive. Then check what your plan will pay for.

YES

No Charge

100.00%
Primary Care Visit to Treat an Injury or Illness

You may also be able to access care with lower cost shares using our online virtual doctor visits and medical chat with a doctor. These can be accessed via our Sydney application.

YES

$35.00

100.00%
Private-Duty Nursing

Limit: 90.0 Visit(s) per Year

Private Duty Nursing is only covered through Home Health Care Services and is limited to 90 visits per calendar year.

YES

35.00% Coinsurance after deductible

100.00%
Prosthetic Devices

Benefits for artificial substitutes for body parts and tissues and materials inserted into tissue for functional or therapeutic purposes. Covered Services include purchase, fitting, needed adjustment, repairs, and replacements of prosthetic devices and supplies that 1) Replace all or part of a missing body part and its adjoining tissues; or 2) Replace all or part of the function of a permanently useless or malfunctioning body part.

YES

35.00% Coinsurance after deductible

100.00%
Radiation
YES

35.00% Coinsurance after deductible

100.00%
Reconstructive Surgery

Cost shares may vary based on the setting in which Covered Services are received.

YES

$500.00 Copay after deductible, 50.00% Coinsurance after deductible

100.00%
Rehabilitative Occupational and Rehabilitative Physical Therapy

Limit: 40.0 Visit(s) per Year

20 visits per person per year for Physical Therapy and a separate 20 visits for Occupational Therapies. Autism limits are separate from Rehabilitation limits for Physical and Speech Therapy. Limit is combined across professional visits and outpatient facilities.

YES

35.00% Coinsurance after deductible

100.00%
Rehabilitative Speech Therapy

Limit: 20.0 Visit(s) per Year

Autism limits are separate from Rehabilitation limits for Physical and Speech Therapy. Limit is combined across professional visits and outpatient facilities.

YES

35.00% Coinsurance after deductible

100.00%
Routine Dental Services (Adult)
NO
Routine Eye Exam (Adult)
NO
Routine Eye Exam for Children

Limit: 1.0 Exam(s) per Year

YES

No Charge

100.00%
Routine Foot Care
NO
Skilled Nursing Facility

Limit: 90.0 Days per Year

Custodial or residential care in a skilled nursing facility or any other facility is not covered except when rendered as part of hospice care.

YES

35.00% Coinsurance after deductible

100.00%
Specialist Visit

You may also be able to access care with lower cost shares using our online virtual doctor visits and medical chat with a doctor. These can be accessed via our Sydney application.

YES

35.00% Coinsurance after deductible

100.00%
Specialty Drugs

Cost share reflects a 30 day retail supply

YES

Tier 1: 40.00% Coinsurance after deductible

Tier 2: 55.00% Coinsurance after deductible

100.00%
Substance Abuse Disorder Inpatient Services
YES

$500.00 Copay per Stay after deductible, 50.00% Coinsurance after deductible

100.00%
Substance Abuse Disorder Outpatient Services
YES

35.00% Coinsurance after deductible

100.00%
Transplant

Transportation and lodging limited to $10000/transplant per benefit paid. The Plan will provide assistance with reasonable and necessary travel expenses when patient is required to travel more than 75 miles from residence to reach the facility where the Covered Transplant Procedure will be performed. If the Member receiving treatment is a minor, then reasonable and necessary expenses for transportation and lodging may be allowed for two companions. Unrelated Donor Search is Limited to a maximum of the 10 best matched donors, identified by an authorized registry

YES

$500.00 Copay after deductible, 35.00% Coinsurance after deductible

100.00%
Treatment for Temporomandibular Joint Disorders
YES

35.00% Coinsurance after deductible

100.00%
Urgent Care Centers or Facilities

Urgent Care center services received outside of the service area are not covered, unless the service is rendered at a BlueCard facility. If out of area Urgent Care services are rendered at a BlueCard facility, the cost share is the same as In Network.

YES

$50.00

100.00%
Weight Loss Programs
NO
Well Baby Visits and Care
YES

No Charge

100.00%
X-rays and Diagnostic Imaging
YES

35.00% Coinsurance after deductible

100.00%

Anthem Silver Pathway HMO 5000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Health Insurance Plan Variant 29276OH0920424-00 Attributes

Plan Attribute Value
AV Calculator Output Number 0.701546597
Begin Primary Care Cost-Sharing After Number Of Visits 0
Begin Primary Care Deductible Coinsurance After Number Of Copays 0
Business Year 2023
Child-Only Offering Allows Adult and Child-Only
Composite Rating Offered No
CSR Variation Type Standard Silver Off Exchange Plan
Dental Only Plan No
Design Type Not Applicable
Disease Management Programs Offered Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management
EHB Percent of Total Premium 1
First Tier Utilization 56%
Formulary ID OHF015
Formulary URL URL
HIOS Product ID 29276OH092
Import Date 9/29/2022 20:01
Limited Cost Sharing Plan Variation - Estimated Advanced Payment $0.00
Inpatient Copayment Maximum Days 0
HSA Eligible No
New/Existing Plan Existing
Notice Required for Pregnancy No
Is a Referral Required for Specialist? No
Issuer Actuarial Value 68.00%
Issuer ID 29276
Issuer Marketplace Marketing Name Anthem Blue Cross and Blue Shield
Market Coverage Individual
Medical Drug Deductibles Integrated Yes
Medical Drug Maximum Out of Pocket Integrated Yes
Metal Level Silver
Multiple In Network Tiers Yes
National Network No
Network ID OHN001
Out of Country Coverage No
Out of Country Coverage Description Urgent/Emergency Coverage Only
Out of Service Area Coverage No
Out of Service Area Coverage Description TRAD/PAR network
Plan Brochure URL
Plan Effective Date 1/1/2023
Plan Expiration Date 12/31/2023
Plan ID (Standard Component ID with Variant) 29276OH0920424-00
Plan Marketing Name Anthem Silver Pathway X HMO 5000 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Plan Type HMO
Plan Variant Marketing Name Anthem Silver Pathway HMO 5000 ($0 Virtual PCP + $0 Select Drugs + Incentives)
QHP/Non QHP Both
SBC Scenario, Having a Baby, Coinsurance $3,000
SBC Scenario, Having a Baby, Copayment $0
SBC Scenario, Having a Baby, Deductible $5,000
SBC Scenario, Having a Baby, Limit $60
SBC Scenario, Having Diabetes, Coinsurance $0
SBC Scenario, Having Diabetes, Copayment $1,400
SBC Scenario, Having Diabetes, Deductible $400
SBC Scenario, Having Diabetes, Limit $20
SBC Scenario, Treatment of a Simple Fracture, Coinsurance $0
SBC Scenario, Treatment of a Simple Fracture, Copayment $10
SBC Scenario, Treatment of a Simple Fracture, Deductible $2,800
SBC Scenario, Treatment of a Simple Fracture, Limit $0
Second Tier Utilization 44%
Service Area ID OHS001
Source Name SERFF
Plan ID 29276OH0920424
State Code OH
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Family Per Group per group not applicable
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Family Per Person per person not applicable
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Individual Not Applicable
Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Family Per Group per group not applicable
Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Family Per Person per person not applicable
Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Individual Not Applicable
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Default Coinsurance 35.00%
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Family Per Group $10000 per group
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Family Per Person $5000 per person
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Individual $5,000
Combined Medical and Drug EHB Deductible, In Network (Tier 2), Default Coinsurance 35.00%
Combined Medical and Drug EHB Deductible, In Network (Tier 2), Family Per Group $10000 per group
Combined Medical and Drug EHB Deductible, In Network (Tier 2), Family Per Person $5000 per person
Combined Medical and Drug EHB Deductible, In Network (Tier 2), Individual $5,000
Combined Medical and Drug EHB Deductible, Out of Network, Family Per Group per group not applicable
Combined Medical and Drug EHB Deductible, Out of Network, Family Per Person per person not applicable
Combined Medical and Drug EHB Deductible, Out of Network, Individual Not Applicable
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Family Per Group $15900 per group
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Family Per Person $7950 per person
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Individual $7,950
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 2), Family Per Group $15900 per group
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 2), Family Per Person $7950 per person
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 2), Individual $7,950
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Family Per Group per group not applicable
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Family Per Person per person not applicable
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Individual Not Applicable
Unique Plan Design Yes
URL for Enrollment Payment URL
URL for Summary of Benefits & Coverage URL
Wellness Program Offered No

Copay & Coinsurance of Anthem Silver Pathway X HMO 5000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Health Insurance Plan, 29276OH0920424

Drug Tier Pharmacy Type Copay amount Copay option Coinsurance rate Coinsurance option Mail Order

Frequently Asked Questions(FAQ) about Anthem Silver Pathway X HMO 5000 ($0 Virtual PCP + $0 Select Drugs + Incentives), 29276OH0920424 Health Insurance Plan, 29276OH0920424

  • Does Anthem Silver Pathway X HMO 5000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Health Insurance Plan, 29276OH0920424 support Mail Ordering?

    Unfortunately, this health insurance plan does not support mail ordering or the plan data in not available.

  • Does (29276OH0920424) Health Insurance Plan, Variant (29276OH0920424-00) offer Disease Management Programs?

    Yes, and here is the list of available programs: Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management

    Does (29276OH0920424) Health Insurance Plan, Variant (29276OH0920424-00) have Out Of Country Coverage?

    No, unfortunately there is no Out Of Country Coverage for this Health Insurance Plan (variant of plan). Details: Urgent/Emergency Coverage Only

    Does (29276OH0920424) Health Insurance Plan, Variant (29276OH0920424-00) have Out of Service Area Coverage?

    No, unfortunately there is no Out of Service Area Coverage for this Health Insurance Plan (variant of plan). Details: TRAD/PAR network

    Does (29276OH0920424) Health Insurance Plan, Variant (29276OH0920424-00) offer Disease Management Programs?

    Yes, and here is the list of available programs: Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management

    Does Anthem Silver Pathway HMO 5000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Health Insurance Plan, Variant (29276OH0920424-00) offer Disease Management Programs for Asthma?

    Yes, the Anthem Silver Pathway HMO 5000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Health Insurance Plan Variant 29276OH0920424-00 offers Disease Management Program for Asthma.

    Does Anthem Silver Pathway HMO 5000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Health Insurance Plan, Variant (29276OH0920424-00) offer Disease Management Programs for Heart disease?

    Yes, the Anthem Silver Pathway HMO 5000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Health Insurance Plan Variant 29276OH0920424-00 offers Disease Management Program for Heart disease.

    Does Anthem Silver Pathway HMO 5000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Health Insurance Plan, Variant (29276OH0920424-00) offer Disease Management Programs for Depression?

    Yes, the Anthem Silver Pathway HMO 5000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Health Insurance Plan Variant 29276OH0920424-00 offers Disease Management Program for Depression.

    Does Anthem Silver Pathway HMO 5000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Health Insurance Plan, Variant (29276OH0920424-00) offer Disease Management Programs for Diabetes?

    Yes, the Anthem Silver Pathway HMO 5000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Health Insurance Plan Variant 29276OH0920424-00 offers Disease Management Program for Diabetes.

    Does Anthem Silver Pathway HMO 5000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Health Insurance Plan, Variant (29276OH0920424-00) offer Disease Management Programs for High blood pressure & high cholesterol?

    Yes, the Anthem Silver Pathway HMO 5000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Health Insurance Plan Variant 29276OH0920424-00 offers Disease Management Program for High blood pressure & high cholesterol.

    Does Anthem Silver Pathway HMO 5000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Health Insurance Plan, Variant (29276OH0920424-00) offer Disease Management Programs for Low back pain?

    Yes, the Anthem Silver Pathway HMO 5000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Health Insurance Plan Variant 29276OH0920424-00 offers Disease Management Program for Low back pain.

 

Disclaimer: This is based on the import(Date: Wed, 27 Mar 2024 12:10 GMT) of the data from Healthcare Issuers listed by CMS. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. Source: CMS.gov, HealthPorta HEALTHCARE MRF API