Moda Health Plan, Inc.
E363673
Moda Health Plan, Inc. is a regional health insurance company in the United States that offers medical, dental, and related health coverage to individuals, employers, and government programs.
All labels observed (2)
| Label | Occurrences |
|---|---|
| Moda Health Plan, Inc. canonical | 2 |
| ODS Health Plans, Inc. | 1 |
How this entity was disambiguated
This entity first appeared as the object of triple T3506731 — resolving that mention is where its identity was fixed. The disambiguator weighed these candidate entities and picked the highlighted one (or “None”, minting a new entity). This is how homonymy is resolved: the same surface form can point to different entities.
NED1
Entity disambiguation (via context triple)
gpt-5-mini-2025-08-07
Target entity: Moda Health Plan, Inc. Context triple: [Moda Health, legalName, Moda Health Plan, Inc.]
-
A.
Essentia Health
Essentia Health is a regional, integrated healthcare system that operates hospitals and clinics across the upper Midwest of the United States.
-
B.
Aetna
Aetna is a major American health insurance company and managed health care provider known for offering medical, pharmacy, dental, and related benefit plans nationwide.
-
C.
Independence Blue Cross
Independence Blue Cross is a major health insurance company based in Philadelphia, providing medical coverage and related services to individuals, employers, and Medicare beneficiaries in the region.
-
D.
Humana
Humana is a major American health insurance and managed care company known for offering Medicare, Medicaid, and commercial health plans nationwide.
-
E.
Harvard Pilgrim Health Care
Harvard Pilgrim Health Care is a New England–based not-for-profit health insurance company and health services organization known for providing managed care plans and wellness programs.
- F. None of above. chosen
- G. Unsure - the case is ambiguous/there is not enough information to decide.
NED2
Entity disambiguation (via description)
gpt-5-mini-2025-08-07
Target entity: Moda Health Plan, Inc. Target entity description: Moda Health Plan, Inc. is a regional health insurance company in the United States that offers medical, dental, and related health coverage to individuals, employers, and government programs.
-
A.
Essentia Health
Essentia Health is a regional, integrated healthcare system that operates hospitals and clinics across the upper Midwest of the United States.
-
B.
Aetna
Aetna is a major American health insurance company and managed health care provider known for offering medical, pharmacy, dental, and related benefit plans nationwide.
-
C.
Independence Blue Cross
Independence Blue Cross is a major health insurance company based in Philadelphia, providing medical coverage and related services to individuals, employers, and Medicare beneficiaries in the region.
-
D.
Humana
Humana is a major American health insurance and managed care company known for offering Medicare, Medicaid, and commercial health plans nationwide.
-
E.
Harvard Pilgrim Health Care
Harvard Pilgrim Health Care is a New England–based not-for-profit health insurance company and health services organization known for providing managed care plans and wellness programs.
- F. None of above. chosen
Statements (48)
| Predicate | Object |
|---|---|
| instanceOf |
health insurance company
ⓘ
private company ⓘ |
| businessModel |
managed care organization
ⓘ
premium-based insurance ⓘ |
| country |
United States of America
ⓘ
surface form:
United States
|
| coverageType |
commercial health insurance
ⓘ
government-sponsored health coverage administration ⓘ |
| customerType |
employers
ⓘ
government entities ⓘ individuals ⓘ |
| focus |
integrated medical and dental coverage
ⓘ
regional health coverage ⓘ |
| hasSubsidiary | Moda Health ⓘ |
| industry |
dental insurance
ⓘ
health insurance ⓘ managed care ⓘ |
| offers |
Medicaid-related coverage in some markets
ⓘ
Medicare plans ⓘ ancillary health benefits ⓘ dental insurance plans ⓘ employee benefits packages for groups ⓘ employer group health plans ⓘ health plans for government programs ⓘ individual and family health plans ⓘ large group health plans ⓘ medical insurance plans ⓘ pharmacy benefits ⓘ small group health plans ⓘ vision coverage ⓘ |
| parentBrand | Moda Health ⓘ |
| participatesIn | health insurance exchanges in some states ⓘ |
| productType |
EPO plans
ⓘ
HSA-compatible plans ⓘ PPO plans ⓘ |
| provides |
care management services
ⓘ
disease management programs ⓘ online member tools ⓘ provider networks ⓘ wellness programs ⓘ |
| regulatoryEnvironment | Affordable Care Act marketplace ⓘ |
| serviceArea |
Alaska
ⓘ
Idaho ⓘ Oregon ⓘ Pacific Northwest ⓘ Texas ⓘ |
| targetMarket |
Pacific Northwest residents
ⓘ
large employer groups ⓘ small and mid-sized employers ⓘ |
How these facts were elicited
The pipeline generated the facts above by prompting gpt-5.1 with this entity's name + description and the instruction below.
Instruction
You are a knowledge base construction expert. Given a subject entity and a description of it, return factual statements that you know for the subject as a JSON list of dictionaries(triples), where keys must be "subject", "predicate" and "object". The number of facts may be very high, between 25 to 50 or more, for very popular subjects. For less popular subjects, the number of facts can be very low, like 5 or 10. # Requirements - If you don't know the subject at all, return an empty list. - If the subject is not a named entity, return an empty list. - Include at least one triple where predicate is "instanceOf". - Do not get too wordy. - Separate several objects into multiple triples with one object.
Input
Subject: Moda Health Plan, Inc. Description of subject: Moda Health Plan, Inc. is a regional health insurance company in the United States that offers medical, dental, and related health coverage to individuals, employers, and government programs.
Referenced by (3)
Full triples — surface form annotated when it differs from this entity's canonical label.
this entity surface form:
ODS Health Plans, Inc.