{"reporting_entity_name": "Emblemhealth_GHI","reporting_entity_type": "Third Party","last_updated_on": "2026-10-30","version": "2.0","provider_references": [                                                                                                                                                                           
{"provider_group_id":448979745,"network_name":["HMO Prime Network","VIP Prime"],"provider_groups":[{"npi":[1811180714,1295924728,1134207178],"tin":{"type":"ein","value":"113491364","business_name":"No business name found"}}]}
], "in_network" : [
{"negotiation_arrangement":"ffs","name":"MLT SLEEP LATENCY/MAINT OF WAKEFULNESS TSTG","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95805","description":"MLT SLEEP LATENCY/MAINT OF WAKEFULNESS TSTG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":400.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[448979745]}]},
{"negotiation_arrangement":"ffs","name":"POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95811","description":"POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":560.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[448979745]}]},
{"negotiation_arrangement":"ffs","name":"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95810","description":"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":520.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[448979745]}]}]}
