{"reporting_entity_name": "Connecticare_CCI_COM","reporting_entity_type": "Health Insurance Issuer","last_updated_on": "2026-07-22","version": "1.0.0","provider_references": [                                                                                                                                                           
{"provider_group_id":954382066,"provider_groups":[{"npi":[1184615684],"tin":{"type":"ein","value":"061547648"}}]}
],"in_network": [
{"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":18.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[954382066]}]},
{"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":770.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[954382066]}]},
{"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":1211.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[954382066]}]},
{"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":1283.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[954382066]}]},
{"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":766.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[954382066]}]},
{"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":152.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[954382066]}]},
{"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":766.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[954382066]}]},
{"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":861.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[954382066]}]},
{"negotiation_arrangement":"ffs","name":"Nonemergency transportation: wheelchair van","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0130","description":"Nonemergency transportation: wheelchair van","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":133.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[954382066]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair van, mileage, per mile","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0209","description":"Wheelchair van, mileage, per mile","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":11.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[954382066]}]},
{"negotiation_arrangement":"ffs","name":"ROTARY WING AIR TRANSPORT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0431","description":"ROTARY WING AIR TRANSPORT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":501.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[954382066]}]},
{"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":1665.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[954382066]}]}]}