{"reporting_entity_name": "Emblemhealth_COM","reporting_entity_type": "Health Insurance Issuer","last_updated_on": "2026-10-30","version": "2.0","provider_references": [                                                                                                                                                               
{"provider_group_id":1591368801,"network_name":["HMO SelectCare Large Group Network","VIP Prime","HMO Prime Network"],"provider_groups":[{"npi":[1922123538,1144657024,1558117937,1265081731,1700435278,1255907770],"tin":{"type":"ein","value":"860736917","business_name":"No business name found"}}]}
], "in_network" : [
{"negotiation_arrangement":"ffs","name":"Cranial remolding orthotic, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S1040","description":"Cranial remolding orthotic, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":2400.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1591368801]}]}]}
