{"reporting_entity_name": "Emblemhealth_GHI","reporting_entity_type": "Health Insurance Issuer","last_updated_on": "2026-10-30","version": "2.0","provider_references": [                                                                                                                                                               
{"provider_group_id":744626279,"network_name":["VIP Prime","HMO SelectCare Large Group Network","HMO Prime Network"],"provider_groups":[{"npi":[1043279011],"tin":{"type":"ein","value":"223607563","business_name":"No business name found"}}]}
], "in_network" : [
{"negotiation_arrangement":"ffs","name":"Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when CPT codes 99500-99602 can be used)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9123","description":"Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when CPT codes 99500-99602 can be used)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":60.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[744626279]}]},
{"negotiation_arrangement":"ffs","name":"Nursing care, in the home; by licensed practical nurse, per hour","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9124","description":"Nursing care, in the home; by licensed practical nurse, per hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":58.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[744626279]}]}]}
