{"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":1609365192,"network_name":[],"provider_groups":[{"npi":[1306819503,1386028496,1457546533,1528110574,1619385507,1639118243,1679917298,1700190444,1700849585,1720429988,1740411479,1831138668],"tin":{"type":"ein","value":"236291113","business_name":"Geisinger Clinic"}}]} ], "in_network" : [ {"negotiation_arrangement":"ffs","name":"Application of paste boot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29580","description":"Application of paste boot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":26.4,"expiration_date":"9999-12-31","service_code":["31"],"billing_class":"professional","setting":"inpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Application of paste boot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29580","description":"Application of paste boot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":26.4,"expiration_date":"9999-12-31","service_code":["32"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Apply multlay comprs lwr leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29581","description":"Apply multlay comprs lwr leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":26.14,"expiration_date":"9999-12-31","service_code":["31"],"billing_class":"professional","setting":"inpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Apply multlay comprs lwr leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29581","description":"Apply multlay comprs lwr leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":26.14,"expiration_date":"9999-12-31","service_code":["32"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Removal/revision of cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29700","description":"Removal/revision of cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":33.52,"expiration_date":"9999-12-31","service_code":["31"],"billing_class":"professional","setting":"inpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Removal/revision of cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29700","description":"Removal/revision of cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":33.52,"expiration_date":"9999-12-31","service_code":["32"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Clear outer ear canal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69200","description":"Clear outer ear canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":46.45,"expiration_date":"9999-12-31","service_code":["31"],"billing_class":"professional","setting":"inpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Clear outer ear canal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69200","description":"Clear outer ear canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":46.45,"expiration_date":"9999-12-31","service_code":["32"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Abd paracentesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49082","description":"Abd paracentesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":78.95,"expiration_date":"9999-12-31","service_code":["31"],"billing_class":"professional","setting":"inpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Abd paracentesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49082","description":"Abd paracentesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":78.95,"expiration_date":"9999-12-31","service_code":["32"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Remove impacted ear wax uni","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69209","description":"Remove impacted ear wax uni","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.96,"expiration_date":"9999-12-31","service_code":["32"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Remove impacted ear wax uni","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69209","description":"Remove impacted ear wax uni","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.96,"expiration_date":"9999-12-31","service_code":["31"],"billing_class":"professional","setting":"inpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Remove impacted ear wax uni","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69210","description":"Remove impacted ear wax uni","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":30.43,"expiration_date":"9999-12-31","service_code":["31"],"billing_class":"professional","setting":"inpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Remove impacted ear wax uni","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69210","description":"Remove impacted ear wax uni","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":30.43,"expiration_date":"9999-12-31","service_code":["32"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Nursing facility care init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99304","description":"Nursing facility care init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":79.75,"expiration_date":"9999-12-31","service_code":["32"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Nursing facility care init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99304","description":"Nursing facility care init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":79.75,"expiration_date":"9999-12-31","service_code":["31"],"billing_class":"professional","setting":"inpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Nursing facility care init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99305","description":"Nursing facility care init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":134.36,"expiration_date":"9999-12-31","service_code":["31"],"billing_class":"professional","setting":"inpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Nursing facility care init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99305","description":"Nursing facility care init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":134.36,"expiration_date":"9999-12-31","service_code":["32"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Nursing facility care init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99306","description":"Nursing facility care init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":183.29,"expiration_date":"9999-12-31","service_code":["31"],"billing_class":"professional","setting":"inpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Nursing fac care subseq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99307","description":"Nursing fac care subseq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":41.31,"expiration_date":"9999-12-31","service_code":["31"],"billing_class":"professional","setting":"inpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Nursing facility care init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99306","description":"Nursing facility care init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":183.29,"expiration_date":"9999-12-31","service_code":["32"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Nursing fac care subseq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99307","description":"Nursing fac care subseq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":41.31,"expiration_date":"9999-12-31","service_code":["32"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Nursing fac care subseq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99308","description":"Nursing fac care subseq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":75.6,"expiration_date":"9999-12-31","service_code":["32"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Nursing fac care subseq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99308","description":"Nursing fac care subseq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":75.6,"expiration_date":"9999-12-31","service_code":["31"],"billing_class":"professional","setting":"inpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Nursing fac care subseq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99310","description":"Nursing fac care subseq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":156.79,"expiration_date":"9999-12-31","service_code":["31"],"billing_class":"professional","setting":"inpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Nursing fac care subseq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99310","description":"Nursing fac care subseq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":156.79,"expiration_date":"9999-12-31","service_code":["32"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Nursing fac discharge day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99315","description":"Nursing fac discharge day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":81.86,"expiration_date":"9999-12-31","service_code":["32"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Home visit new patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99341","description":"Home visit new patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":54.91,"expiration_date":"9999-12-31","service_code":["31"],"billing_class":"professional","setting":"inpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Nursing fac discharge day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99315","description":"Nursing fac discharge day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":81.86,"expiration_date":"9999-12-31","service_code":["31"],"billing_class":"professional","setting":"inpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Nursing fac discharge day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99316","description":"Nursing fac discharge day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":131.88,"expiration_date":"9999-12-31","service_code":["32"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Home visit new patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99341","description":"Home visit new patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":54.91,"expiration_date":"9999-12-31","service_code":["32"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Nursing fac discharge day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99316","description":"Nursing fac discharge day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":131.88,"expiration_date":"9999-12-31","service_code":["31"],"billing_class":"professional","setting":"inpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Home visit new patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99342","description":"Home visit new patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":88.29,"expiration_date":"9999-12-31","service_code":["32"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Home visit new patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99342","description":"Home visit new patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":88.29,"expiration_date":"9999-12-31","service_code":["31"],"billing_class":"professional","setting":"inpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Nursing fac care subseq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99309","description":"Nursing fac care subseq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":109.98,"expiration_date":"9999-12-31","service_code":["31"],"billing_class":"professional","setting":"inpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Nursing fac care subseq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99309","description":"Nursing fac care subseq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":109.98,"expiration_date":"9999-12-31","service_code":["32"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Home visit new patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99345","description":"Home visit new patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":233.77,"expiration_date":"9999-12-31","service_code":["32"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Home visit new patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99345","description":"Home visit new patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":233.77,"expiration_date":"9999-12-31","service_code":["31"],"billing_class":"professional","setting":"inpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Home visit new patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99344","description":"Home visit new patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":163.64,"expiration_date":"9999-12-31","service_code":["31"],"billing_class":"professional","setting":"inpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Home visit new patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99344","description":"Home visit new patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":163.64,"expiration_date":"9999-12-31","service_code":["32"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Home visit est patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99347","description":"Home visit est patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":51.42,"expiration_date":"9999-12-31","service_code":["32"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Home visit est patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99347","description":"Home visit est patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":51.42,"expiration_date":"9999-12-31","service_code":["31"],"billing_class":"professional","setting":"inpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Home visit est patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99348","description":"Home visit est patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":87.82,"expiration_date":"9999-12-31","service_code":["31"],"billing_class":"professional","setting":"inpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Home visit est patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99348","description":"Home visit est patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":87.82,"expiration_date":"9999-12-31","service_code":["32"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Home visit est patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99350","description":"Home visit est patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":214.93,"expiration_date":"9999-12-31","service_code":["31"],"billing_class":"professional","setting":"inpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Home visit est patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99350","description":"Home visit est patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":214.93,"expiration_date":"9999-12-31","service_code":["32"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Home visit est patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99349","description":"Home visit est patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":147.17,"expiration_date":"9999-12-31","service_code":["32"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Home visit est patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99349","description":"Home visit est patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":147.17,"expiration_date":"9999-12-31","service_code":["31"],"billing_class":"professional","setting":"inpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Prolonged Office Or Other Outpatient Evaluation And Management Service(S) Beyond The Minimum Required Time Of The Primary Procedure Which Has Been Selected Using Total Time_ R","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99417","description":"Prolonged Office Or Other Outpatient Evaluation And Management Service(S) Beyond The Minimum Required Time Of The Primary Procedure Which Has Been Selected Using Total Time_ R","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":29.75,"expiration_date":"9999-12-31","service_code":["32"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1609365192]}]}, {"negotiation_arrangement":"ffs","name":"Prolonged Office Or Other Outpatient Evaluation And Management Service(S) Beyond The Minimum Required Time Of The Primary Procedure Which Has Been Selected Using Total Time_ R","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99417","description":"Prolonged Office Or Other Outpatient Evaluation And Management Service(S) Beyond The Minimum Required Time Of The Primary Procedure Which Has Been Selected Using Total Time_ R","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":29.75,"expiration_date":"9999-12-31","service_code":["31"],"billing_class":"professional","setting":"inpatient"}],"provider_references":[1609365192]}]}]}