{"reporting_entity_name": "Connecticare_CCI_COM","reporting_entity_type": "Health Insurance Issuer","last_updated_on": "2026-07-22","version": "1.0.0","provider_references": [                                                                                                                                                           
{"provider_group_id":876666635,"provider_groups":[{"npi":[1134253479],"tin":{"type":"ein","value":"542124788"}}]}
],"in_network": [
{"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":712.0,"expiration_date":"2028-04-30","service_code":["11"],"billing_class":"professional"}],"provider_references":[876666635]}]},
{"negotiation_arrangement":"ffs","name":"Advanced life support, level 2 (ALS 2)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0433","description":"Advanced life support, level 2 (ALS 2)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":1066.0,"expiration_date":"2028-04-30","service_code":["11"],"billing_class":"professional"}],"provider_references":[876666635]}]},
{"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":426.0,"expiration_date":"2028-04-30","service_code":["11"],"billing_class":"professional"}],"provider_references":[876666635]}]},
{"negotiation_arrangement":"ffs","name":"Specialty care transport (SCT)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0434","description":"Specialty care transport (SCT)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":1137.0,"expiration_date":"2028-04-30","service_code":["11"],"billing_class":"professional"}],"provider_references":[876666635]}]},
{"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":574.0,"expiration_date":"2028-04-30","service_code":["11"],"billing_class":"professional"}],"provider_references":[876666635]}]},
{"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":859.0,"expiration_date":"2028-04-30","service_code":["11"],"billing_class":"professional"}],"provider_references":[876666635]}]}]}
