{"reporting_entity_name": "Emblemhealth_COM","reporting_entity_type": "Health Insurance Issuer","last_updated_on": "2026-10-30","version": "2.0","provider_references": [                                                                                                                                                               
{"provider_group_id":1050881080,"network_name":["HMO Prime Network","HMO SelectCare Large Group Network","VIP Prime"],"provider_groups":[{"npi":[1891109823],"tin":{"type":"ein","value":"471067779","business_name":"No business name found"}}]}
], "in_network" : [
{"negotiation_arrangement":"ffs","name":"Subacute care - Level IV (intensive care)","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0194","description":"Subacute care - Level IV (intensive care)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":420.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"inpatient"}],"provider_references":[1050881080]}]},
{"negotiation_arrangement":"ffs","name":"Leave of Absence - Therapeutic Leave","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0183","description":"Leave of Absence - Therapeutic Leave","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":349.61,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"inpatient"}],"provider_references":[1050881080]}]},
{"negotiation_arrangement":"ffs","name":"Leave of Absence - Other Leave of Absence","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0189","description":"Leave of Absence - Other Leave of Absence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":349.61,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"inpatient"}],"provider_references":[1050881080]}]},
{"negotiation_arrangement":"ffs","name":"All - Inclusive Room and Board Plus Ancillary","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0100","description":"All - Inclusive Room and Board Plus Ancillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":368.01,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"inpatient"}],"provider_references":[1050881080]}]},
{"negotiation_arrangement":"ffs","name":"Subacute care - Level III (complex care)","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0193","description":"Subacute care - Level III (complex care)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":350.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"inpatient"}],"provider_references":[1050881080]}]},
{"negotiation_arrangement":"ffs","name":"Subacute care - Level I (skilled care)","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0191","description":"Subacute care - Level I (skilled care)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":280.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"inpatient"}],"provider_references":[1050881080]}]},
{"negotiation_arrangement":"ffs","name":"Daily respite care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0663","description":"Daily respite care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":368.01,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"inpatient"}],"provider_references":[1050881080]}]},
{"negotiation_arrangement":"ffs","name":"Subacute care - Level II (comprehensive care)","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0192","description":"Subacute care - Level II (comprehensive care)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":320.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"inpatient"}],"provider_references":[1050881080]}]},
{"negotiation_arrangement":"ffs","name":"Leave of Absence - Hospitalization","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0185","description":"Leave of Absence - Hospitalization","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":184.01,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"inpatient"}],"provider_references":[1050881080]}]}]}