{
	"reporting_entity_name": "Hometown Health",
	"reporting_entity_type": "Group Health Plan",
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	"last_updated_on": "2026-05-08",
	"version": "2.0.1",
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		"billing_code_type": "HCPCS",
		"billing_code_type_version": "2026",
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		"description": "Syringe W/WO Needle",
		"allowed_amounts":[{
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			"billing_class": "institutional",
			"payments":[{
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				"providers":[{
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					"npi": [1104094036]
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	},{
		"name": "PR INJ HEPARIN SODIUM PER 1000U",
		"billing_code_type": "HCPCS",
		"billing_code_type_version": "2026",
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		"description": "Inj Heparin Sodium per 1000u",
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				"value": "261949023"
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			"payments":[{
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				"providers":[{
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	},{
		"name": "PR DIALYSIS PROCEDURE",
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		"billing_code_type_version": "2026",
		"billing_code": "90999",
		"description": "Dialysis Procedure",
		"allowed_amounts":[{
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				"value": "261949023"
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			"service_code": ["65"],
			"billing_class": "institutional",
			"payments":[{
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				"billing_code_modifier": ["G3"],
				"providers":[{
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			},{
				"allowed_amount": 0.00,
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					"npi": [1104094036]
				}]
			}]
		}]
	}]
}