{"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":1895854698,"provider_groups":[{"npi":[1861464471],"tin":{"type":"ein","value":"111562701"}}]}
],"in_network": [
{"negotiation_arrangement":"ffs","name":"Psychiatric diagnostic evaluation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90791","description":"Psychiatric diagnostic evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":271.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1895854698]}]},
{"negotiation_arrangement":"ffs","name":"Home infusion/specialty drug administration, per visit (up to 2 hours);","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99601","description":"Home infusion/specialty drug administration, per visit (up to 2 hours);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":223.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1895854698]}]},
{"negotiation_arrangement":"ffs","name":"Psychotherapy, 45 minutes with patient","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834","description":"Psychotherapy, 45 minutes with patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":236.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1895854698]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatric diagnostic evaluation with medical services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90792","description":"Psychiatric diagnostic evaluation with medical services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":271.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1895854698]}]},
{"negotiation_arrangement":"ffs","name":"Home infusion/specialty drug administration, per visit (up to 2 hours); each additional hour (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99602","description":"Home infusion/specialty drug administration, per visit (up to 2 hours); each additional hour (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":177.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1895854698]}]},
{"negotiation_arrangement":"ffs","name":"Inpatient rehab facility prospective payment system","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0024","description":"Inpatient rehab facility prospective payment system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1895854698]}]},
{"negotiation_arrangement":"ffs","name":"Home health prospective payment system","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0023","description":"Home health prospective payment system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1895854698]}]},
{"negotiation_arrangement":"ffs","name":"Skilled nursing facility prospective payment system","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0022","description":"Skilled nursing facility prospective payment system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1895854698]}]},
{"negotiation_arrangement":"ffs","name":"Inpatient rehab facility prospective payment system","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0024","description":"Inpatient rehab facility prospective payment system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1895854698]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatric diagnostic evaluation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90791","description":"Psychiatric diagnostic evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":271.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1895854698]}]},
{"negotiation_arrangement":"ffs","name":"Home infusion/specialty drug administration, per visit (up to 2 hours); each additional hour (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99602","description":"Home infusion/specialty drug administration, per visit (up to 2 hours); each additional hour (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":177.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1895854698]}]},
{"negotiation_arrangement":"ffs","name":"Psychotherapy, 45 minutes with patient","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834","description":"Psychotherapy, 45 minutes with patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":236.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1895854698]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatric diagnostic evaluation with medical services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90792","description":"Psychiatric diagnostic evaluation with medical services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":271.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1895854698]}]},
{"negotiation_arrangement":"ffs","name":"Home infusion/specialty drug administration, per visit (up to 2 hours);","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99601","description":"Home infusion/specialty drug administration, per visit (up to 2 hours);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":223.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1895854698]}]},
{"negotiation_arrangement":"ffs","name":"Skilled nursing facility prospective payment system","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0022","description":"Skilled nursing facility prospective payment system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1895854698]}]},
{"negotiation_arrangement":"ffs","name":"Home health prospective payment system","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0023","description":"Home health prospective payment system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1895854698]}]},
{"negotiation_arrangement":"ffs","name":"Home health prospective payment system","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0023","description":"Home health prospective payment system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1895854698]}]},
{"negotiation_arrangement":"ffs","name":"Inpatient rehab facility prospective payment system","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0024","description":"Inpatient rehab facility prospective payment system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1895854698]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatric diagnostic evaluation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90791","description":"Psychiatric diagnostic evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":271.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1895854698]}]},
{"negotiation_arrangement":"ffs","name":"Home infusion/specialty drug administration, per visit (up to 2 hours); each additional hour (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99602","description":"Home infusion/specialty drug administration, per visit (up to 2 hours); each additional hour (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":177.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1895854698]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatric diagnostic evaluation with medical services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90792","description":"Psychiatric diagnostic evaluation with medical services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":271.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1895854698]}]},
{"negotiation_arrangement":"ffs","name":"Psychotherapy, 45 minutes with patient","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834","description":"Psychotherapy, 45 minutes with patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":236.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1895854698]}]},
{"negotiation_arrangement":"ffs","name":"Home infusion/specialty drug administration, per visit (up to 2 hours);","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99601","description":"Home infusion/specialty drug administration, per visit (up to 2 hours);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":223.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1895854698]}]},
{"negotiation_arrangement":"ffs","name":"Skilled nursing facility prospective payment system","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0022","description":"Skilled nursing facility prospective payment system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1895854698]}]}]}