{"reporting_entity_name": "Connecticare_CCI_COM","reporting_entity_type": "Third Party","last_updated_on": "2026-07-22","version": "1.0.0","provider_references": [                                                                                                                                                                       
{"provider_group_id":1915294368,"provider_groups":[{"npi":[1396753224],"tin":{"type":"ein","value":"112241326"}}]}
],"in_network": [
{"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":1874.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1915294368]}]},
{"negotiation_arrangement":"ffs","name":"Room & Board Ward - Rehabilitation","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0158","description":"Room & Board Ward - Rehabilitation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":1874.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1915294368]}]},
{"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":1874.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1915294368]}]},
{"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":1874.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1915294368]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds - Rehabilitation","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0138","description":"Semi-Private - Three & Four Beds - Rehabilitation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":1874.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1915294368]}]},
{"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":1874.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1915294368]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds - Rehabilitation","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0138","description":"Semi-Private - Three & Four Beds - Rehabilitation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":1874.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1915294368]}]},
{"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":1874.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1915294368]}]},
{"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":1874.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1915294368]}]},
{"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":1874.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1915294368]}]},
{"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":1874.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1915294368]}]},
{"negotiation_arrangement":"ffs","name":"Room & Board Ward - Rehabilitation","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0158","description":"Room & Board Ward - Rehabilitation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":1874.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1915294368]}]}]}
