A plague o' both both your houses!
"reporting_entity_name": "Excellus BlueCross BlueShield",
"reporting_entity_type": "Health Insurance Issuer",
"last_updated_on": "2022-06-14",
"version": "1.0.0",
"provider_references": [
{
"provider_group_id": 302.1518360704,
"location": "https://mrf.healthsparq.com/exc-egress.nophi.kyruushsq.com/prd/mrf/EXC_I/EXC/providerReference/Providers/S-000000001063.json"
}
],
"in_network": [
{
"negotiation_arrangement": "ffs",
"name": "Brief (20 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a benefi",
"billing_code_type": "HCPCS",
"billing_code_type_version": "2022",
"billing_code": "G0081",
"description": "Brief (20 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a benefi",
"negotiated_rates": [
{
"negotiated_prices": [
{
"negotiated_type": "fee schedule",
"negotiated_rate": 51.1,
"expiration_date": "9999-12-31",
"service_code": [
"11"
],
"billing_class": "professional"
}
],
"provider_references": [
302.1518360704
]
}
]
}, {'REPORTING_ENTITY_NAME': 'Humana Inc',
'REPORTING_ENTITY_TYPE': 'Health Insurance Issuer',
'LAST_UPDATED_ON': '2022-08-24',
'VERSION': '1.0.0',
'NPI': '1629053517,1659354272',
'TIN': '593279318',
'TYPE': 'ein',
'NEGOTIATION_ARRANGEMENT': 'ffs',
'NAME': 'Nasal Prosthesis Replacement See Also Code 21087',
'BILLING_CODE_TYPE': 'CDT',
'BILLING_CODE_TYPE_VERSION': '2022',
'BILLING_CODE': 'D5926',
'DESCRIPTION': 'Nasal Prosthesis Replacement See Also Code 21087',
'NEGOTIATED_TYPE': 'negotiated',
'NEGOTIATED_RATE': '906.98',
'EXPIRATION_DATE': '9999-12-31',
'SERVICE_CODE': '',
'BILLING_CLASS': 'professional',
'BILLING_CODE_MODIFIER': '',
'ADDITIONAL_INFO': '',
'BUNDLED_BILLING_CODE_TYPE': '',
'BUNDLED_BILLING_CODE_VERSION': '',
'BUNDLED_BILLING_CODE': '',
'BUNDLED_DESCRIPTION': ''}
I think I agree about the negotiation arrangement