{"reporting_entity_name": "GHP_HMO","reporting_entity_type": "GHP_HMO","last_updated_on": "2026-10-07","version": "1.0.0","out_of_network":[{"name":"Drug test def 8-14 classes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"Drug test def 8-14 classes","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":78.38,"providers":[{"billed_charge":320.00,"npi":[1497933162]}]}]}]},{"name":"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT,","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT,","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":37.25,"providers":[{"billed_charge":124.00,"npi":[1497933162]}]}]}]}]}
