{"reporting_entity_name": "Emblemhealth_IDP_OFF","reporting_entity_type": "Health Insurance Issuer","last_updated_on": "2026-06-22","version": "1.0.0","provider_references": [                                                                                                                                                           
{"provider_group_id":1006738755,"provider_groups":[{"npi":[1952317711],"tin":{"type":"ein","value":"111562701"}}]}
],"in_network": [
{"negotiation_arrangement":"ffs","name":"Hemodialysis - Hemodialysis/Composite or Other Rate","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0821","description":"Hemodialysis - Hemodialysis/Composite or Other Rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":593.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Drugs Requiring Specific Ident - Erythropoietin (EPO) >10,000 units","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0635","description":"Drugs Requiring Specific Ident - Erythropoietin (EPO) >10,000 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Hemodialysis - Outpatient or Home - Maintenance/100%","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0824","description":"Hemodialysis - Outpatient or Home - Maintenance/100%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":593.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Cont Ambulatory Peritoneal Dialysis (CAPD) - Maintenance 100%","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0844","description":"Cont Ambulatory Peritoneal Dialysis (CAPD) - Maintenance 100%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":593.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0636","description":"Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0250","description":"Pharmacy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Continuous Cycling Peritoneal Dialysis (CCPD) - Home Equipment","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0853","description":"Continuous Cycling Peritoneal Dialysis (CCPD) - Home Equipment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":593.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Drugs Req Spec Ident - Erythropoietin (EPO) less than 10,000 units","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0634","description":"Drugs Req Spec Ident - Erythropoietin (EPO) less than 10,000 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Peritoneal Dialysis - Outpatient or Home","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0830","description":"Peritoneal Dialysis - Outpatient or Home","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":593.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy - Generic Drugs","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0251","description":"Pharmacy - Generic Drugs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Cont Ambulatory Peritoneal Dialysis (CAPD) - Support Services","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0845","description":"Cont Ambulatory Peritoneal Dialysis (CAPD) - Support Services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":593.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Cont Ambulatory Peritoneal Dialysis (CAPD) - Other Outpatient CAPD","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0849","description":"Cont Ambulatory Peritoneal Dialysis (CAPD) - Other Outpatient CAPD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":593.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Hemodialysis - Outpatient or Home - Other Outpatient Hemodialysis","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0829","description":"Hemodialysis - Outpatient or Home - Other Outpatient Hemodialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":593.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy - IV Solutions","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0258","description":"Pharmacy - IV Solutions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Continuous Cycling Peritoneal Dialysis (CCPD) - Maintenance 100%","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0854","description":"Continuous Cycling Peritoneal Dialysis (CCPD) - Maintenance 100%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":593.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Cont Ambulatory Peritoneal Dialysis-CAPD/Composite or Other Rate","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0841","description":"Cont Ambulatory Peritoneal Dialysis-CAPD/Composite or Other Rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":593.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Hemodialysis - Outpatient or Home - Support Services","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0825","description":"Hemodialysis - Outpatient or Home - Support Services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":593.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Peritoneal Dialysis - Outpatient or Home - Maintenance/100%","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0834","description":"Peritoneal Dialysis - Outpatient or Home - Maintenance/100%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":593.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Peritoneal Dialysis - Outpatient or Home - Support Services","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0835","description":"Peritoneal Dialysis - Outpatient or Home - Support Services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":593.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Hemodialysis - Outpatient or Home - Home Equipment","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0823","description":"Hemodialysis - Outpatient or Home - Home Equipment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":593.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Hemodialysis - Outpatient or Home","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0820","description":"Hemodialysis - Outpatient or Home","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":593.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Peritoneal Dialysis - Other Outpatient Peritoneal Dialysis","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0839","description":"Peritoneal Dialysis - Other Outpatient Peritoneal Dialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":593.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Miscellaneous Dialysis - Ultrafiltration","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0881","description":"Miscellaneous Dialysis - Ultrafiltration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":593.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Continuous Ambulatory Peritoneal Dialysis (CAPD)","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0840","description":"Continuous Ambulatory Peritoneal Dialysis (CAPD)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":593.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Cont Cycling Peritoneal Dialysis (CCPD) - Other Outpatient CCPD","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0859","description":"Cont Cycling Peritoneal Dialysis (CCPD) - Other Outpatient CCPD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":593.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Peritoneal Dialysis - Outpatient or Home - Home Supplies","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0832","description":"Peritoneal Dialysis - Outpatient or Home - Home Supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":593.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy - Other Pharmacy","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0259","description":"Pharmacy - Other Pharmacy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Continuous Cycling Peritoneal Dialysis (CCPD) - Home Supplies","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0852","description":"Continuous Cycling Peritoneal Dialysis (CCPD) - Home Supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":593.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Continuous Cycling Peritoneal Dialysis (CCPD)","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0850","description":"Continuous Cycling Peritoneal Dialysis (CCPD)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":593.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Cont Ambulatory Peritoneal Dialysis (CAPD) - Home Equipment","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0843","description":"Cont Ambulatory Peritoneal Dialysis (CAPD) - Home Equipment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":593.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Cont Cycling Peritoneal Dialysis - CCPD/Composite or Other Rate","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0851","description":"Cont Cycling Peritoneal Dialysis - CCPD/Composite or Other Rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":593.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Nuclear Medicine - Therapeutic Radiopharmaceuticals","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0344","description":"Nuclear Medicine - Therapeutic Radiopharmaceuticals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy - Drugs Incident to Radiology","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0255","description":"Pharmacy - Drugs Incident to Radiology","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Home Supplies","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0842","description":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Home Supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":593.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Peritoneal Dialysis - Outpatient or Home - Home Equipment","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0833","description":"Peritoneal Dialysis - Outpatient or Home - Home Equipment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":593.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Nuclear Medicine - Diagnostic Radiopharmaceuticals","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0343","description":"Nuclear Medicine - Diagnostic Radiopharmaceuticals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Continuous Cycling Peritoneal Dialysis (CCPD) - Support Services","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0855","description":"Continuous Cycling Peritoneal Dialysis (CCPD) - Support Services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":593.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Hemodialysis - Outpatient or Home - Home Supplies","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0822","description":"Hemodialysis - Outpatient or Home - Home Supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":593.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]},
{"negotiation_arrangement":"ffs","name":"Peritoneal Dialysis - Peritoneal/Composite or Other Rate","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0831","description":"Peritoneal Dialysis - Peritoneal/Composite or Other Rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":593.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1006738755]}]}]}
