{"reporting_entity_name": "GQO_PPO","reporting_entity_type": "GQO_Risk Assuming Non Licensed Insurer","last_updated_on": "2026-10-07","version": "2.0","provider_references": [                                                                                                                                                         
{"provider_group_id":1628451690,"network_name":[],"provider_groups":[{"npi":[1477937993,1902583131],"tin":{"type":"ein","value":"471360510","business_name":"North Eastern Sleep Masters Llc"}}]}
], "in_network" : [
{"negotiation_arrangement":"ffs","name":"Oral device/appliance cusfab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0486","description":"Oral device/appliance cusfab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1900.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1628451690]}]}]}
