{
  "reporting_entity_name": "RGA",
  "reporting_entity_type": "THIRD PARTY ADMINISTRATOR",
  "issuer_name": "Regence Group Administrators",
  "plan_sponsor_name": "CASCADE DRILLING",
  "plan_name": "CASCADE DRILL HD2 W HSA (E), CASCADE DRILLING",
  "plan_id_type": "ein",
  "plan_id": "270642404",
  "plan_market_type": "group",
  "last_updated_on": "2026-11-05",
  "version": "2.0.0",
  "out_of_network": [
    {
      "name": "APPL MODALITY 1/> AREAS TRACTION MECHANICAL",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "97012",
      "description": "APPL MODALITY 1/> AREAS TRACTION MECHANICAL",
      "allowed_amounts": [
        {
          "tin": {
            "type": "ein",
            "value": "200302745"
          },
          "service_code": ["11"],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.43,
              "providers": [
                {
                  "billed_charge": 135.00,
                  "npi": [1235108838]
                }
              ]
            },
            {
              "allowed_amount": 41.00,
              "providers": [
                {
                  "billed_charge": 135.00,
                  "npi": [1235108838]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "98941",
      "description": "CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS",
      "allowed_amounts": [
        {
          "tin": {
            "type": "ein",
            "value": "200302745"
          },
          "service_code": ["11"],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 72.00,
              "providers": [
                {
                  "billed_charge": 132.00,
                  "npi": [1235108838]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "CHIROPRACTIC MANIPLTV TX EXTRASPINAL 1/> REGION",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "98943",
      "description": "CHIROPRACTIC MANIPLTV TX EXTRASPINAL 1/> REGION",
      "allowed_amounts": [
        {
          "tin": {
            "type": "ein",
            "value": "200302745"
          },
          "service_code": ["11"],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 56.00,
              "providers": [
                {
                  "billed_charge": 115.00,
                  "npi": [1235108838]
                }
              ]
            }
          ]
        }
      ]
    }
  ]
}