{"reporting_entity_name": "Connecticare_CCI_COM","reporting_entity_type": "Health Insurance Issuer","last_updated_on": "2026-10-30","version": "2.0","provider_references": [                                                                                                                                                           
{"provider_group_id":855818161,"network_name":["CCI Commercial Choice Network"],"provider_groups":[{"npi":[1710370390],"tin":{"type":"ein","value":"060646718","business_name":"No business name found"}}]}
], "in_network" : [
{"negotiation_arrangement":"ffs","name":"Ambulance service, basic life support, nonemergency transport, (BLS)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0428","description":"Ambulance service, basic life support, nonemergency transport, (BLS)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":980.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[855818161]}]},
{"negotiation_arrangement":"ffs","name":"Ground mileage, per statute mile","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0425","description":"Ground mileage, per statute mile","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":23.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[855818161]}]},
{"negotiation_arrangement":"ffs","name":"Advanced life support, level 2 (ALS 2)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0433","description":"Advanced life support, level 2 (ALS 2)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":1640.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[855818161]}]},
{"negotiation_arrangement":"ffs","name":"Specialty care transport (SCT)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0434","description":"Specialty care transport (SCT)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":2130.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[855818161]}]},
{"negotiation_arrangement":"ffs","name":"Ambulance service, basic life support, emergency transport (BLS, emergency)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0429","description":"Ambulance service, basic life support, emergency transport (BLS, emergency)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":980.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[855818161]}]},
{"negotiation_arrangement":"ffs","name":"Paramedic intercept (PI), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third-party payers","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0432","description":"Paramedic intercept (PI), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third-party payers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":1101.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[855818161]}]},
{"negotiation_arrangement":"ffs","name":"Ambulance service, advanced life support, nonemergency transport, level 1 (ALS 1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0426","description":"Ambulance service, advanced life support, nonemergency transport, level 1 (ALS 1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":985.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[855818161]}]},
{"negotiation_arrangement":"ffs","name":"Ambulance service, advanced life support, emergency transport, level 1 (ALS 1 - emergency)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0427","description":"Ambulance service, advanced life support, emergency transport, level 1 (ALS 1 - emergency)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":1550.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[855818161]}]},
{"negotiation_arrangement":"ffs","name":"EXTRA AMB ATTENDANT GROUND/AIR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0424","description":"EXTRA AMB ATTENDANT GROUND/AIR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":195.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[855818161]}]}]}
