{"reporting_entity_name": "Emblemhealth_GHI_ASO","reporting_entity_type": "Third Party","last_updated_on": "2026-06-22","version": "1.0.0","provider_references": [                                                                                                                                                                       
{"provider_group_id":931152693,"provider_groups":[{"npi":[1144657024],"tin":{"type":"ein","value":"860736917"}},{"npi":[1255907770],"tin":{"type":"ein","value":"860736917"}},{"npi":[1922123538],"tin":{"type":"ein","value":"860736917"}},{"npi":[1558117937],"tin":{"type":"ein","value":"860736917"}},{"npi":[1922123538],"tin":{"type":"ein","value":"860736917"}},{"npi":[1265081731],"tin":{"type":"ein","value":"860736917"}},{"npi":[1700435278],"tin":{"type":"ein","value":"860736917"}}]}
],"in_network": [
{"negotiation_arrangement":"ffs","name":"Cranial remolding orthotic, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S1040","description":"Cranial remolding orthotic, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":2400.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[931152693]}]}]}
