{"reporting_entity_name": "Emblemhealth_GHI","reporting_entity_type": "Health Insurance Issuer","last_updated_on": "2026-10-30","version": "2.0","provider_references": [                                                                                                                                                               
{"provider_group_id":1316349422,"network_name":["VIP Prime","HMO Prime Network"],"provider_groups":[{"npi":[1568631471],"tin":{"type":"ein","value":"208648141","business_name":"No business name found"}}]}
], "in_network" : [
{"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":185.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1316349422]}]},
{"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":185.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1316349422]}]},
{"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":5.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1316349422]}]},
{"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":330.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1316349422]}]},
{"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":330.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1316349422]}]}]}
