{
	"reporting_entity_name": "Mutual Medical Plans",
	"reporting_entity_type": "Third Party Administrator",
	"plan_name": "McDonough County",
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					"additional_information": "Tiered discount schedule as negotiated by reinsurance carrier also applies"
				}]
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			"negotiation_arrangement": "ffs",
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			"negotiation_arrangement": "ffs",
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			"billing_code_type": "CSTM-ALL",
			"billing_code_type_version": "2022",
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				}]
			}]
		},
		{
			"negotiation_arrangement": "ffs",
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			"billing_code_type_version": "2022",
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				"negotiated_prices": [{
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			"negotiation_arrangement": "ffs",
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			}]
		},
		{
			"negotiation_arrangement": "ffs",
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					"npi": [0],
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				"negotiated_prices": [{
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			}]
		},{
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					"billing_class": "institutional"
				}]
			}]
		},
		{
			"negotiation_arrangement": "ffs",
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			"billing_code_type_version": "2022",
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			"description": "All services",
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					"npi": [0],
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						"type": "ein",
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				"negotiated_prices": [{
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					"billing_class": "institutional"
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			}]
		},
		{
			"negotiation_arrangement": "ffs",
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			"billing_code_type_version": "2022",
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				"negotiated_prices": [{
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					"expiration_date": "9999-12-31",
					"billing_class": "institutional"
				}]
			}]
		},
		{
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			"billing_code_type_version": "2022",
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			"description": "All services",
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					"npi": [0],
					"tin": {
						"type": "ein",
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				}],
				"negotiated_prices": [{
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					"expiration_date": "9999-12-31",
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				}]
			}]
		},
		{
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			"description": "All services",
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					"npi": [0],
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						"type": "ein",
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					"negotiated_rate": 20,
					"expiration_date": "9999-12-31",
					"billing_class": "institutional"
				}]
			}]
		},
		{
			"negotiation_arrangement": "ffs",
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			"billing_code_type_version": "2022",
			"billing_code": "CSTM-00",
			"description": "All services",
			"negotiated_rates": [{
				"provider_groups": [{
					"npi": [0],
					"tin": {
						"type": "ein",
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					}
				}],
				"negotiated_prices": [{
					"negotiated_type": "percentage",
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					"expiration_date": "9999-12-31",
					"billing_class": "institutional"
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			}]
		},
		{
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			"description": "All services",
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				}]
			}]
		},
		{
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			"description": "All services",
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				"negotiated_prices": [{
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					"expiration_date": "9999-12-31",
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			}]
		},
		{
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			"billing_code_type_version": "2022",
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			"description": "All services",
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					"npi": [0],
					"tin": {
						"type": "ein",
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					"billing_class": "institutional"
				}]
			}]
		},
		{
					"negotiation_arrangement": "ffs",
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					"billing_code_type": "CSTM-ALL",
					"billing_code_type_version": "2022",
					"billing_code": "CSTM-00",
					"description": "All services",
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							"npi": [0],
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								"type": "ein",
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						"negotiated_prices": [{
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							"negotiated_rate": 15,
							"expiration_date": "9999-12-31",
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						}]
					}]
		},
		{
							"negotiation_arrangement": "ffs",
							"name": "OSF St Elizabeth",
							"billing_code_type": "CSTM-ALL",
							"billing_code_type_version": "2022",
							"billing_code": "CSTM-00",
							"description": "All services",
							"negotiated_rates": [{
								"provider_groups": [{
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									"tin": {
										"type": "ein",
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								}],
								"negotiated_prices": [{
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									"negotiated_rate": 10,
									"expiration_date": "9999-12-31",
									"billing_class": "institutional"
								}]
							}]
		},
		{
									"negotiation_arrangement": "ffs",
									"name": "Ottawa Regional",
									"billing_code_type": "CSTM-ALL",
									"billing_code_type_version": "2022",
									"billing_code": "CSTM-00",
									"description": "All services",
									"negotiated_rates": [{
										"provider_groups": [{
											"npi": [0],
											"tin": {
												"type": "ein",
												"value": "36-2604009"
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										}],
										"negotiated_prices": [{
											"negotiated_type": "percentage",
											"negotiated_rate": 20,
											"expiration_date": "9999-12-31",
											"billing_class": "institutional"
										}]
									}]
		},
		{
			"negotiation_arrangement": "ffs",
			"name": "Perry Memorial Hospital",
			"billing_code_type": "CSTM-ALL",
			"billing_code_type_version": "2022",
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			"description": "All services",
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					"npi": [0],
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						"type": "ein",
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			}]
		},
		{
			"negotiation_arrangement": "ffs",
			"name": "St Margarets Hospital",
			"billing_code_type": "CSTM-ALL",
			"billing_code_type_version": "2022",
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			"description": "All services",
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				"provider_groups": [{
					"npi": [0],
					"tin": {
						"type": "ein",
						"value": "36-2167884"
					}
				}],
				"negotiated_prices": [{
					"negotiated_type": "percentage",
					"negotiated_rate": 15,
					"expiration_date": "9999-12-31",
					"billing_class": "institutional"
				}]
			}]
		},
		{
					"negotiation_arrangement": "ffs",
					"name": "St Mary Hospital Streator",
					"billing_code_type": "CSTM-ALL",
					"billing_code_type_version": "2022",
					"billing_code": "CSTM-00",
					"description": "All services",
					"negotiated_rates": [{
						"provider_groups": [{
							"npi": [0],
							"tin": {
								"type": "ein",
								"value": "36-2169181"
							}
						}],
						"negotiated_prices": [{
							"negotiated_type": "percentage",
							"negotiated_rate": 15,
							"expiration_date": "9999-12-31",
							"billing_class": "institutional"
						}]
					}]
		},
		{
			"negotiation_arrangement": "ffs",
			"name": "Van Matre Healthsouth",
			"billing_code_type": "CSTM-ALL",
			"billing_code_type_version": "2022",
			"billing_code": "CSTM-00",
			"description": "All services",
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					"npi": [0],
					"tin": {
						"type": "ein",
						"value": "36-4397130"
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				}],
				"negotiated_prices": [{
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					"expiration_date": "9999-12-31",
					"billing_class": "institutional"
				}]
			}]
		},
		{
			"negotiation_arrangement": "ffs",
			"name": "OSF Physican Providers",
			"billing_code_type": "CSTM-ALL",
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			"description": "OSF employed practitioners",
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				"provider_groups": [{
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							"type": "ein",
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							"type": "ein",
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					},
					{
						"npi": [0],
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							"type": "ein",
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						}
					},
					{
						"npi": [0],
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							"type": "ein",
							"value": "37-0813229"
						}
					},
					{
						"npi": [0],
						"tin": {
							"type": "ein",
							"value": "37-0996868"
						}
					},
					{
						"npi": [0],
						"tin": {
							"type": "ein",
							"value": "26-3109118"
						}
					},
					{
						"npi": [0],
						"tin": {
							"type": "ein",
							"value": "26-2800379"
						}
					},
					{
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							"type": "ein",
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					}
				],
				"negotiated_prices": [{
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					"negotiated_rate": 15,
					"expiration_date": "9999-12-31",
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					"billing_class": "professional"
				}]
			}]
		},
		{
			"negotiation_arrangement": "ffs",
			"name": "Proctor Emergency Physicians",
			"billing_code_type": "CSTM-ALL",
			"billing_code_type_version": "2022",
			"billing_code": "CSTM-00",
			"description": "Hospice, Home Health",
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				"negotiated_prices": [{
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					"negotiated_rate": 20,
					"expiration_date": "9999-12-31",
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					"billing_class": "professional"
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			}]
		},
		{
			"negotiation_arrangement": "ffs",
			"name": "OSF St Clare Home",
			"billing_code_type": "CSTM-ALL",
			"billing_code_type_version": "2022",
			"billing_code": "CSTM-00",
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					"tin": {
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				"negotiated_prices": [{
					"negotiated_type": "percentage",
					"negotiated_rate": 20,
					"expiration_date": "9999-12-31",
					"service_code": ["34", "12"],
					"billing_class": "institutional"
				}]
			}]
		},
		{
			"negotiation_arrangement": "ffs",
			"name": "OSF Home Medical",
			"billing_code_type": "CSTM-ALL",
			"billing_code_type_version": "2022",
			"billing_code": "CSTM-00",
			"description": "Hospice, Home Health",
			"negotiated_rates": [{
				"provider_groups": [{
					"npi": [0],
					"tin": {
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				"negotiated_prices": [{
					"negotiated_type": "percentage",
					"negotiated_rate": 20,
					"expiration_date": "9999-12-31",
					"service_code": ["12"],
					"billing_class": "professional"
				}]
			}]
		},
		{
			"negotiation_arrangement": "ffs",
			"name": "Proctor First Care",
			"billing_code_type": "CSTM-ALL",
			"billing_code_type_version": "2022",
			"billing_code": "CSTM-00",
			"description": "DME, Urgent Care",
			"negotiated_rates": [{
				"provider_groups": [{
					"npi": [0],
					"tin": {
						"type": "ein",
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				"negotiated_prices": [{
					"negotiated_type": "percentage",
					"negotiated_rate": 20,
					"expiration_date": "9999-12-31",
					"service_code": ["11","12","20","24"],
					"billing_class": "professional"
				}]
			}]
		},
		{
			"negotiation_arrangement": "ffs",
			"name": "Center for Health ASC",
			"billing_code_type": "CSTM-ALL",
			"billing_code_type_version": "2022",
			"billing_code": "CSTM-00",
			"description": "All services",
			"negotiated_rates": [{
				"provider_groups": [{
					"npi": [0],
					"tin": {
						"type": "ein",
						"value": "20-5557171"
					}
				}],
				"negotiated_prices": [{
					"negotiated_type": "percentage",
					"negotiated_rate": 20,
					"expiration_date": "9999-12-31",
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		{
			"negotiation_arrangement": "ffs",
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			"billing_code_type": "CSTM-ALL",
			"billing_code_type_version": "2022",
			"billing_code": "CSTM-00",
			"description": "All services",
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					"expiration_date": "9999-12-31",
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			"negotiation_arrangement": "ffs",
			"name": "Ft Jesse Imaging",
			"billing_code_type": "CSTM-ALL",
			"billing_code_type_version": "2022",
			"billing_code": "CSTM-00",
			"description": "All services",
			"negotiated_rates": [{
				"provider_groups": [{
					"npi": [0],
					"tin": {
						"type": "ein",
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				"negotiated_prices": [{
					"negotiated_type": "percentage",
					"negotiated_rate": 20,
					"expiration_date": "9999-12-31",
					"service_code": ["11"],
					"billing_class": "professional"
				}]
			}]
		},
		{
			"negotiation_arrangement": "ffs",
			"name": "Human Service Center",
			"billing_code_type": "CSTM-ALL",
			"billing_code_type_version": "2022",
			"billing_code": "CSTM-00",
			"description": "All services",
			"negotiated_rates": [{
				"provider_groups": [{
					"npi": [0],
					"tin": {
						"type": "ein",
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				"negotiated_prices": [{
					"negotiated_type": "percentage",
					"negotiated_rate": 20,
					"expiration_date": "9999-12-31",
					"billing_class": "institutional"
				}]
			}]
		},
		{
			"negotiation_arrangement": "ffs",
			"name": "Human Service Center",
			"billing_code_type": "CSTM-ALL",
			"billing_code_type_version": "2022",
			"billing_code": "CSTM-00",
			"description": "All services",
			"negotiated_rates": [{
				"provider_groups": [{
					"npi": [0],
					"tin": {
						"type": "ein",
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					}
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				"negotiated_prices": [{
					"negotiated_type": "percentage",
					"negotiated_rate": 20,
					"expiration_date": "9999-12-31",
					"service_code": ["11", "12", "22"],
					"billing_class": "professional"
				}]
			}]
		},
		{
					"negotiation_arrangement": "ffs",
					"name": "OSF Medical Group",
					"billing_code_type": "CSTM-ALL",
					"billing_code_type_version": "2022",
					"billing_code": "CSTM-00",
					"description": "All services",
					"negotiated_rates": [{
						"provider_groups": [{
							"npi": [0],
							"tin": {
								"type": "ein",
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						"negotiated_prices": [{
							"negotiated_type": "percentage",
							"negotiated_rate": 15,
							"expiration_date": "9999-12-31",
							"service_code": ["11", "21", "22", "23"],
							"billing_class": "professional",
							"additional_information": "OSF PromptCare and OSF On Call 20% discount"
						}]
					}]
		}
	]
}