{"reporting_entity_name": "Emblemhealth_IDP_OFF","reporting_entity_type": "Health Insurance Issuer","last_updated_on": "2026-07-22","version": "1.0.0","provider_references": [                                                                                                                                                           
{"provider_group_id":1074947707,"provider_groups":[{"npi":[1124128038],"tin":{"type":"ein","value":"131740022"}},{"npi":[1568557395],"tin":{"type":"ein","value":"131740022"}}]}
],"in_network": [
{"negotiation_arrangement":"ffs","name":"Nutritional counseling, dietitian visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9470","description":"Nutritional counseling, dietitian visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":249.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1074947707]}]},
{"negotiation_arrangement":"ffs","name":"Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0151","description":"Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":309.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1074947707]}]},
{"negotiation_arrangement":"ffs","name":"Home health aide or certified nurse assistant, providing care in the home; per hour","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9122","description":"Home health aide or certified nurse assistant, providing care in the home; per hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":228.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1074947707]}]},
{"negotiation_arrangement":"ffs","name":"Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0152","description":"Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":309.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1074947707]}]},
{"negotiation_arrangement":"ffs","name":"Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0300","description":"Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":370.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1074947707]}]},
{"negotiation_arrangement":"ffs","name":"Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0153","description":"Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":309.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1074947707]}]},
{"negotiation_arrangement":"ffs","name":"Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0299","description":"Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":370.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1074947707]}]},
{"negotiation_arrangement":"ffs","name":"Services of clinical social worker in home health or hospice settings, each 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0155","description":"Services of clinical social worker in home health or hospice settings, each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":309.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1074947707]}]},
{"negotiation_arrangement":"ffs","name":"Hospice Service - Continuous Home Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0652","description":"Hospice Service - Continuous Home Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1074947707]}]},
{"negotiation_arrangement":"ffs","name":"Hospice Service - Continuous Home Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0652","description":"Hospice Service - Continuous Home Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1074947707]}]},
{"negotiation_arrangement":"ffs","name":"Hospice Service - General Inpatient Care (Non-Respite)","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0656","description":"Hospice Service - General Inpatient Care (Non-Respite)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":2009.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1074947707]}]},
{"negotiation_arrangement":"ffs","name":"Hospice Service - General Inpatient Care (Non-Respite)","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0656","description":"Hospice Service - General Inpatient Care (Non-Respite)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":2009.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1074947707]}]},
{"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":[1074947707]}]},
{"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":[1074947707]}]},
{"negotiation_arrangement":"ffs","name":"Hospice Service - Routine Home Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0651","description":"Hospice Service - Routine Home Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":451.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1074947707]}]},
{"negotiation_arrangement":"ffs","name":"Hospice Service - Routine Home Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0651","description":"Hospice Service - Routine Home Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":451.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1074947707]}]},
{"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":[1074947707]}]},
{"negotiation_arrangement":"ffs","name":"Hospice Service - Inpatient Respite Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0655","description":"Hospice Service - Inpatient Respite Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":468.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1074947707]}]},
{"negotiation_arrangement":"ffs","name":"Hospice Service - Inpatient Respite Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0655","description":"Hospice Service - Inpatient Respite Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":468.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1074947707]}]}]}
