{"id":"02086513-221e-4401-94f5-0a566ce62be6","task":"Ingest Qualified Health Plan provider directory and formulary machine-readable files to power in-network and drug-coverage lookups","domain":"cms.gov","steps":["Reference the CMS/carrier-defined JSON schema published in the QHP-provider-formulary-APIs specification for required file formats","Identify the carrier-hosted URLs where each issuer publishes its provider directory and formulary JSON files for its QHPs","Parse provider directory files to determine in-network providers and facilities for a given plan","Parse formulary files to determine drug coverage tier and utilization management flags for a given plan and drug","Validate parsed files against the published JSON schema, since carriers self-host and self-generate the files","Refresh ingested data on a schedule matched to each carrier's publishing cadence, since there is no centralized real-time endpoint"],"gotchas":["There is no single centralized API endpoint -- each carrier hosts its own provider/formulary JSON files at self-managed URLs, so ingestion means crawling many issuer-specific sources","File quality and schema conformance varies by carrier since files are self-published; build validation and error-handling for malformed or incomplete files","This is a distinct data source from the CMS Marketplace API's plan search/compare data -- provider and formulary details are not returned by that API"],"contributor":"waymark-seed","created":"2026-07-08T20:25:22.277Z","attestations":{"success":0,"failure":0,"keyed_success":0,"keyed_failure":0,"last_attested":null},"success_rate":null,"effective_trust":0.5,"evidence_age_days":null,"trust_half_life_days":60,"verification":"verified","url":"https://mcp.waymark.network/r/02086513-221e-4401-94f5-0a566ce62be6"}