{"reporting_entity_name": "GIIC_TPA","reporting_entity_type": "GIIC_Geisinger Indemnity Insurance Company","last_updated_on": "2026-10-07","version": "2.0","provider_references": [                                                                                                                                                    
{"provider_group_id":1161171670,"network_name":[],"provider_groups":[{"npi":[1003087776,1093774283,1093798886,1134346026,1154305456,1235321050,1245387224,1386786077,1497909816,1538348065,1578504023,1609812031,1609839521,1760488381,1760768808,1871964452,1962443499],"tin":{"type":"ein","value":"232618206","business_name":"Gastrointestinal Consultants of NEPA"}}]}
], "in_network" : [
{"negotiation_arrangement":"ffs","name":"CPT-00731","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00731","description":"CPT-00731","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":252.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient","billing_code_modifier":["QZ"]}],"provider_references":[1161171670]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00731","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00731","description":"CPT-00731","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":252.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient","billing_code_modifier":["AD"]}],"provider_references":[1161171670]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00731","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00731","description":"CPT-00731","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":252.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient","billing_code_modifier":["QY"]}],"provider_references":[1161171670]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00731","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00731","description":"CPT-00731","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":252.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient","billing_code_modifier":["QX"]}],"provider_references":[1161171670]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00731","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00731","description":"CPT-00731","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":252.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient","billing_code_modifier":["AA"]}],"provider_references":[1161171670]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00731","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00731","description":"CPT-00731","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":252.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient","billing_code_modifier":["QK"]}],"provider_references":[1161171670]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00732","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00732","description":"CPT-00732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":294.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient","billing_code_modifier":["AD"]}],"provider_references":[1161171670]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00732","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00732","description":"CPT-00732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":294.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient","billing_code_modifier":["AA"]}],"provider_references":[1161171670]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00732","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00732","description":"CPT-00732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":294.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient","billing_code_modifier":["QZ"]}],"provider_references":[1161171670]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00732","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00732","description":"CPT-00732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":294.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient","billing_code_modifier":["QX"]}],"provider_references":[1161171670]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00732","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00732","description":"CPT-00732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":294.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient","billing_code_modifier":["QY"]}],"provider_references":[1161171670]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00732","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00732","description":"CPT-00732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":294.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient","billing_code_modifier":["QK"]}],"provider_references":[1161171670]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00811","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00811","description":"CPT-00811","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":210.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient","billing_code_modifier":["QZ"]}],"provider_references":[1161171670]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00811","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00811","description":"CPT-00811","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":210.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient","billing_code_modifier":["QX"]}],"provider_references":[1161171670]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00811","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00811","description":"CPT-00811","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":210.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient","billing_code_modifier":["QK"]}],"provider_references":[1161171670]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00811","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00811","description":"CPT-00811","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":210.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient","billing_code_modifier":["QY"]}],"provider_references":[1161171670]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00811","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00811","description":"CPT-00811","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":210.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient","billing_code_modifier":["AA"]}],"provider_references":[1161171670]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00811","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00811","description":"CPT-00811","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":210.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient","billing_code_modifier":["AD"]}],"provider_references":[1161171670]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00813","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00813","description":"CPT-00813","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":252.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient","billing_code_modifier":["QK"]}],"provider_references":[1161171670]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00813","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00813","description":"CPT-00813","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":252.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient","billing_code_modifier":["AD"]}],"provider_references":[1161171670]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00813","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00813","description":"CPT-00813","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":252.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient","billing_code_modifier":["QY"]}],"provider_references":[1161171670]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00813","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00813","description":"CPT-00813","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":252.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient","billing_code_modifier":["QZ"]}],"provider_references":[1161171670]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00813","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00813","description":"CPT-00813","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":252.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient","billing_code_modifier":["AA"]}],"provider_references":[1161171670]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00812","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812","description":"CPT-00812","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":168.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient","billing_code_modifier":["AA"]}],"provider_references":[1161171670]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00813","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00813","description":"CPT-00813","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":252.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient","billing_code_modifier":["QX"]}],"provider_references":[1161171670]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00812","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812","description":"CPT-00812","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":168.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient","billing_code_modifier":["QX"]}],"provider_references":[1161171670]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00812","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812","description":"CPT-00812","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":168.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient","billing_code_modifier":["AD"]}],"provider_references":[1161171670]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00812","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812","description":"CPT-00812","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":168.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient","billing_code_modifier":["QK"]}],"provider_references":[1161171670]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00812","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812","description":"CPT-00812","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":168.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient","billing_code_modifier":["QY"]}],"provider_references":[1161171670]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00812","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812","description":"CPT-00812","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":168.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient","billing_code_modifier":["QZ"]}],"provider_references":[1161171670]}]}]}