{
  "reporting_entity_name": "RGA",
  "reporting_entity_type": "THIRD PARTY ADMINISTRATOR",
  "issuer_name": "Regence Group Administrators",
  "plan_sponsor_name": "ANCHOR QEA",
  "plan_name": "ANCHOR QEA HDHP W/HSA EE+DEP, ANCHOR QEA",
  "plan_id_type": "ein",
  "plan_id": "911851322",
  "plan_market_type": "group",
  "last_updated_on": "2026-11-05",
  "version": "2.0.0",
  "out_of_network": [
    {
      "name": "THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "97110",
      "description": "THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES",
      "allowed_amounts": [
        {
          "tin": {
            "type": "ein",
            "value": "871594439"
          },
          "service_code": ["11"],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 86.00,
              "providers": [
                {
                  "billed_charge": 100.00,
                  "npi": [1831697697]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "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": "871594439"
          },
          "service_code": ["11"],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 72.00,
              "providers": [
                {
                  "billed_charge": 90.00,
                  "npi": [1831697697]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "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": "871594439"
          },
          "service_code": ["11"],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 56.00,
              "providers": [
                {
                  "billed_charge": 85.00,
                  "npi": [1831697697]
                }
              ]
            }
          ]
        }
      ]
    }
  ]
}