{"reporting_entity_name": "Connecticare_CCI_ASO","reporting_entity_type": "Third Party","last_updated_on": "2026-10-30","version": "2.0","provider_references": [                                                                                                                                                                       
{"provider_group_id":2096878536,"network_name":["VIP Prime","HMO Prime Network","HMO SelectCare Large Group Network"],"provider_groups":[{"npi":[1346249216],"tin":{"type":"ein","value":"204135841","business_name":"No business name found"}}]}
], "in_network" : [
{"negotiation_arrangement":"ffs","name":"Inpatient rehab facility prospective payment system","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0024","description":"Inpatient rehab facility prospective payment system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"inpatient"}],"provider_references":[2096878536]}]},
{"negotiation_arrangement":"ffs","name":"Private (Deluxe) - Rehabilitation","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0148","description":"Private (Deluxe) - Rehabilitation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":450.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"inpatient"}],"provider_references":[2096878536]}]},
{"negotiation_arrangement":"ffs","name":"Room & Board - Semi-Private Two Bed - Medical/Surgical/Gyn","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0121","description":"Room & Board - Semi-Private Two Bed - Medical/Surgical/Gyn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":325.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"inpatient"}],"provider_references":[2096878536]}]},
{"negotiation_arrangement":"ffs","name":"Room & Board - Semi-Private Two Bed - Rehabilitation","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0128","description":"Room & Board - Semi-Private Two Bed - Rehabilitation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":390.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"inpatient"}],"provider_references":[2096878536]}]},
{"negotiation_arrangement":"ffs","name":"Home health prospective payment system","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0023","description":"Home health prospective payment system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"inpatient"}],"provider_references":[2096878536]}]},
{"negotiation_arrangement":"ffs","name":"Skilled nursing facility prospective payment system","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0022","description":"Skilled nursing facility prospective payment system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"inpatient"}],"provider_references":[2096878536]}]}]}
