{
  "reporting_entity_name": "RGA",
  "reporting_entity_type": "THIRD PARTY ADMINISTRATOR",
  "issuer_name": "Regence Group Administrators",
  "plan_sponsor_name": "TWIN CITY FOODS",
  "plan_name": "TWIN CITY - PLAN L W/VSP B (1), TWIN CITY FOODS",
  "plan_id_type": "ein",
  "plan_id": "911291675",
  "plan_market_type": "group",
  "last_updated_on": "2026-10-05",
  "version": "2.0.0",
  "out_of_network": [
    {
      "name": "THER PX 1/> AREAS EACH 15 MINUTES MASSAGE",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "97124",
      "description": "THER PX 1/> AREAS EACH 15 MINUTES MASSAGE",
      "allowed_amounts": [
        {
          "tin": {
            "type": "ein",
            "value": "536065170"
          },
          "service_code": ["11"],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.69,
              "providers": [
                {
                  "billed_charge": 37.50,
                  "npi": [1346452778]
                }
              ]
            }
          ]
        }
      ]
    }
  ]
}