{"reporting_entity_name": "Connecticare_CCI_ASO","reporting_entity_type": "Third Party","last_updated_on": "2026-07-22","version": "1.0.0","provider_references": [ {"provider_group_id":1732988845,"provider_groups":[{"npi":[1205877172],"tin":{"type":"ein","value":"161576637"}},{"npi":[1700973245],"tin":{"type":"ein","value":"161576637"}},{"npi":[1205877172],"tin":{"type":"ein","value":"161576637"}},{"npi":[1700973245],"tin":{"type":"ein","value":"161576637"}},{"npi":[1205877172],"tin":{"type":"ein","value":"161576637"}},{"npi":[1184717837],"tin":{"type":"ein","value":"161576637"}},{"npi":[1205877172],"tin":{"type":"ein","value":"161576637"}},{"npi":[1982790937],"tin":{"type":"ein","value":"161576637"}},{"npi":[1417127721],"tin":{"type":"ein","value":"161576637"}},{"npi":[1205877172],"tin":{"type":"ein","value":"161576637"}},{"npi":[1154764934],"tin":{"type":"ein","value":"161576637"}},{"npi":[1205877172],"tin":{"type":"ein","value":"161576637"}}]} ],"in_network": [ {"negotiation_arrangement":"ffs","name":"Radiology - Diagnostic - Angiocardiography","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0321","description":"Radiology - Diagnostic - Angiocardiography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Laboratory - Other Laboratory","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0309","description":"Laboratory - Other Laboratory","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0490","description":"Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Other Imaging Services - Ultrasound","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0402","description":"Other Imaging Services - Ultrasound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"CT Scan - Body Scan","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0352","description":"CT Scan - Body Scan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"EMTALA Emergency Medical Screening Services","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0451","description":"EMTALA Emergency Medical Screening Services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"MRA - Head and Neck","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0615","description":"MRA - Head and Neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"MRI - Spinal Cord (Including Spine)","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0612","description":"MRI - Spinal Cord (Including Spine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Laboratory - Bacteriology & Microbiology","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0306","description":"Laboratory - Bacteriology & Microbiology","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Laboratory Pathological - Biopsy","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0314","description":"Laboratory Pathological - Biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Laboratory - Non-Routine Dialysis","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0304","description":"Laboratory - Non-Routine Dialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Laboratory Pathological - Cytology","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0311","description":"Laboratory Pathological - Cytology","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Laboratory - Chemistry","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0301","description":"Laboratory - Chemistry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"CT Scan - Other CT Scans","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0359","description":"CT Scan - Other CT Scans","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Laboratory - Renal Patient (Home)","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0303","description":"Laboratory - Renal Patient (Home)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"MRI - Other","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0614","description":"MRI - Other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Extra-corporeal shock wave therapy","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0790","description":"Extra-corporeal shock wave therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Laboratory Pathological - Histology","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0312","description":"Laboratory Pathological - Histology","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Operating Room Services - Other Operating Room Services","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0369","description":"Operating Room Services - Other Operating Room Services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Laboratory - Hematology","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0305","description":"Laboratory - Hematology","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"MRI - Other MRT","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0619","description":"MRI - Other MRT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"MRI - Brain (Including Brainstem)","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0611","description":"MRI - Brain (Including Brainstem)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Other Imaging Services","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0400","description":"Other Imaging Services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Cardiology - Cardiac Cath Lab","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0481","description":"Cardiology - Cardiac Cath Lab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Other Imaging Services - Screening Mammography","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0403","description":"Other Imaging Services - Screening Mammography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Operating Room Services","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0360","description":"Operating Room Services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"ER beyond EMTALA screening","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0452","description":"ER beyond EMTALA screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Emergency Room","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0450","description":"Emergency Room","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Laboratory","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0300","description":"Laboratory","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Nuclear Medicine - Therapeutic","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0342","description":"Nuclear Medicine - Therapeutic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"MRA - Other","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0618","description":"MRA - Other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Nuclear Medicine - Diagnostic","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0341","description":"Nuclear Medicine - Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"CT Scan - Head Scan","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0351","description":"CT Scan - Head Scan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Emergency Room - Other Emergency Room","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0459","description":"Emergency Room - Other Emergency Room","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Operating Room Services - Minor Surgery","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0361","description":"Operating Room Services - Minor Surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Laboratory - Urology","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0307","description":"Laboratory - Urology","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Nuclear Medicine - Other","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0349","description":"Nuclear Medicine - Other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"MRI","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0610","description":"MRI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Laboratory - Immunology","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0302","description":"Laboratory - Immunology","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Nuclear Medicine","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0340","description":"Nuclear Medicine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"MRA - Lower Extremeties","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0616","description":"MRA - Lower Extremeties","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Other Imaging Services - Other Imaging Services","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0409","description":"Other Imaging Services - Other Imaging Services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Laboratory Pathological - Other","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0319","description":"Laboratory Pathological - Other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Radiology - Diagnostic - Other","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0329","description":"Radiology - Diagnostic - Other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Radiology - Diagnostic - Arteriography","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0323","description":"Radiology - Diagnostic - Arteriography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Other Imaging Services - Diagnostic Mammography","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0401","description":"Other Imaging Services - Diagnostic Mammography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"CT Scan","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0350","description":"CT Scan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Radiology - Diagnostic - Chest X-Ray","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0324","description":"Radiology - Diagnostic - Chest X-Ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Radiology - Diagnostic - Arthrography","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0322","description":"Radiology - Diagnostic - Arthrography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Gastro Intestinal Services","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0750","description":"Gastro Intestinal Services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Laboratory Pathological","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0310","description":"Laboratory Pathological","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Other Imaging Services - Positron Emission Tomography","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0404","description":"Other Imaging Services - Positron Emission Tomography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}, {"negotiation_arrangement":"ffs","name":"Radiology - Diagnostic","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0320","description":"Radiology - Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1732988845]}]}]}