{"reporting_entity_name": "Connecticare_CCI_COM","reporting_entity_type": "Health Insurance Issuer","last_updated_on": "2026-06-22","version": "1.0.0","provider_references": [                                                                                                                                                           
{"provider_group_id":959721119,"provider_groups":[{"npi":[1336387406],"tin":{"type":"ein","value":"220885420"}}]}
],"in_network": [
{"negotiation_arrangement":"ffs","name":"Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 60 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99404","description":"Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 60 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":116.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[959721119]}]},
{"negotiation_arrangement":"ffs","name":"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97802","description":"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":35.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[959721119]}]},
{"negotiation_arrangement":"ffs","name":"Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 30 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99402","description":"Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 30 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":67.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[959721119]}]},
{"negotiation_arrangement":"ffs","name":"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97803","description":"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":30.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[959721119]}]},
{"negotiation_arrangement":"ffs","name":"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97804","description":"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":15.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[959721119]}]},
{"negotiation_arrangement":"ffs","name":"Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 45 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99403","description":"Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 45 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":91.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[959721119]}]},
{"negotiation_arrangement":"ffs","name":"Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99401","description":"Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":41.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[959721119]}]}]}