{"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":1391108085,"provider_groups":[{"npi":[1669472304],"tin":{"type":"ein","value":"112785201"}}]}
],"in_network": [
{"negotiation_arrangement":"ffs","name":"Room & Board - Semi-Private Two Bed - Medical/Surgical/Gyn","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0121","description":"Room & Board - Semi-Private Two Bed - Medical/Surgical/Gyn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":297.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1391108085]}]},
{"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":[1391108085]}]},
{"negotiation_arrangement":"ffs","name":"Room & Board - Semi-Private Two Bed - Rehabilitation","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0128","description":"Room & Board - Semi-Private Two Bed - Rehabilitation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":360.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1391108085]}]},
{"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":[1391108085]}]},
{"negotiation_arrangement":"ffs","name":"Room & Board - Private","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0110","description":"Room & Board - Private","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":675.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1391108085]}]},
{"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":[1391108085]}]},
{"negotiation_arrangement":"ffs","name":"Private (Deluxe) - Rehabilitation","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0148","description":"Private (Deluxe) - Rehabilitation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":420.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1391108085]}]},
{"negotiation_arrangement":"ffs","name":"Daily respite care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0663","description":"Daily respite care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":357.66,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1391108085]}]},
{"negotiation_arrangement":"ffs","name":"Other Room & Board - Other","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0169","description":"Other Room & Board - Other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":626.57,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1391108085]}]},
{"negotiation_arrangement":"ffs","name":"All - Inclusive Room and Board Plus Ancillary","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0100","description":"All - Inclusive Room and Board Plus Ancillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":357.66,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1391108085]}]},
{"negotiation_arrangement":"ffs","name":"Room & Board - Semi-Private Two Bed - Rehabilitation","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0128","description":"Room & Board - Semi-Private Two Bed - Rehabilitation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":360.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1391108085]}]},
{"negotiation_arrangement":"ffs","name":"Daily respite care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0663","description":"Daily respite care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":357.66,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1391108085]}]},
{"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":[1391108085]}]},
{"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":[1391108085]}]},
{"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":[1391108085]}]},
{"negotiation_arrangement":"ffs","name":"Room & Board - Semi-Private Two Bed - Medical/Surgical/Gyn","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0121","description":"Room & Board - Semi-Private Two Bed - Medical/Surgical/Gyn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":297.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1391108085]}]},
{"negotiation_arrangement":"ffs","name":"Private (Deluxe) - Rehabilitation","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0148","description":"Private (Deluxe) - Rehabilitation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":420.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1391108085]}]},
{"negotiation_arrangement":"ffs","name":"Other Room & Board - Other","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0169","description":"Other Room & Board - Other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":626.57,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1391108085]}]},
{"negotiation_arrangement":"ffs","name":"All - Inclusive Room and Board Plus Ancillary","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0100","description":"All - Inclusive Room and Board Plus Ancillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":357.66,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1391108085]}]},
{"negotiation_arrangement":"ffs","name":"Room & Board - Private","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0110","description":"Room & Board - Private","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":675.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1391108085]}]}]}
