{"reporting_entity_name": "First Choice Next, A Product of SHSC, Inc.","reporting_entity_type": "Exchange","last_updated_on": "2025-01-28","version": "1.0.0","out_of_network":[{"name":"Invalid Procedure Code","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0000000","description":"Invalid Procedure Code","allowed_amounts":[{"tin":{"type":"ein","value":"582296052"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":106.50,"npi":[1154373843]},{"billed_charge":11381.00,"npi":[1154373843]},{"billed_charge":1229.00,"npi":[1154373843]},{"billed_charge":128.80,"npi":[1154373843]},{"billed_charge":13832.00,"npi":[1154373843]},{"billed_charge":153.10,"npi":[1154373843]},{"billed_charge":160.00,"npi":[1154373843]},{"billed_charge":177.00,"npi":[1154373843]},{"billed_charge":1804.00,"npi":[1154373843]},{"billed_charge":187.00,"npi":[1154373843]},{"billed_charge":2.40,"npi":[1154373843]},{"billed_charge":2549.00,"npi":[1154373843]},{"billed_charge":2592.00,"npi":[1154373843]},{"billed_charge":265.50,"npi":[1154373843]},{"billed_charge":2668.00,"npi":[1154373843]},{"billed_charge":2810.00,"npi":[1154373843]},{"billed_charge":3.80,"npi":[1154373843]},{"billed_charge":3240.00,"npi":[1154373843]},{"billed_charge":333.00,"npi":[1154373843]},{"billed_charge":3476.00,"npi":[1154373843]},{"billed_charge":3480.00,"npi":[1154373843]},{"billed_charge":383.50,"npi":[1154373843]},{"billed_charge":403.00,"npi":[1154373843]},{"billed_charge":414.00,"npi":[1154373843]},{"billed_charge":42.80,"npi":[1154373843]},{"billed_charge":4586.00,"npi":[1154373843]},{"billed_charge":501.50,"npi":[1154373843]},{"billed_charge":515.10,"npi":[1154373843]},{"billed_charge":529.00,"npi":[1154373843]},{"billed_charge":531.00,"npi":[1154373843]},{"billed_charge":546.00,"npi":[1154373843]},{"billed_charge":557.60,"npi":[1154373843]},{"billed_charge":59.00,"npi":[1154373843]},{"billed_charge":727.60,"npi":[1154373843]},{"billed_charge":795.00,"npi":[1154373843]},{"billed_charge":88.50,"npi":[1154373843]},{"billed_charge":9.60,"npi":[1154373843]},{"billed_charge":905.00,"npi":[1154373843]},{"billed_charge":97.00,"npi":[1154373843]}]},{"allowed_amount":23997.69,"providers":[{"billed_charge":12595.00,"npi":[1154373843]}]}]}]},{"name":"Invalid Procedure Code","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0000000","description":"Invalid Procedure Code","allowed_amounts":[{"tin":{"type":"ein","value":"811723202"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":1.20,"npi":[1649726738]},{"billed_charge":1.80,"npi":[1649726738]},{"billed_charge":1083.00,"npi":[1649726738]},{"billed_charge":117.60,"npi":[1649726738]},{"billed_charge":118.80,"npi":[1649726738]},{"billed_charge":131.70,"npi":[1649726738]},{"billed_charge":137.50,"npi":[1649726738]},{"billed_charge":1407.00,"npi":[1649726738]},{"billed_charge":1413.60,"npi":[1649726738]},{"billed_charge":146.20,"npi":[1649726738]},{"billed_charge":153.10,"npi":[1649726738]},{"billed_charge":162.10,"npi":[1649726738]},{"billed_charge":19.00,"npi":[1649726738]},{"billed_charge":1906.00,"npi":[1649726738]},{"billed_charge":195.00,"npi":[1649726738]},{"billed_charge":2072.00,"npi":[1649726738]},{"billed_charge":2079.00,"npi":[1649726738]},{"billed_charge":2355.00,"npi":[1649726738]},{"billed_charge":236.00,"npi":[1649726738]},{"billed_charge":2408.00,"npi":[1649726738]},{"billed_charge":2471.00,"npi":[1649726738]},{"billed_charge":3.80,"npi":[1649726738]},{"billed_charge":301.00,"npi":[1649726738]},{"billed_charge":3128.00,"npi":[1649726738]},{"billed_charge":334.10,"npi":[1649726738]},{"billed_charge":344.30,"npi":[1649726738]},{"billed_charge":3476.00,"npi":[1649726738]},{"billed_charge":36031.00,"npi":[1649726738]},{"billed_charge":3661.00,"npi":[1649726738]},{"billed_charge":3665.00,"npi":[1649726738]},{"billed_charge":374.00,"npi":[1649726738]},{"billed_charge":3910.00,"npi":[1649726738]},{"billed_charge":42.80,"npi":[1649726738]},{"billed_charge":45411.53,"npi":[1649726738]},{"billed_charge":504.50,"npi":[1649726738]},{"billed_charge":5538.00,"npi":[1649726738]},{"billed_charge":59.00,"npi":[1649726738]},{"billed_charge":599.20,"npi":[1649726738]},{"billed_charge":6160.00,"npi":[1649726738]},{"billed_charge":758.00,"npi":[1649726738]},{"billed_charge":7989.00,"npi":[1649726738]},{"billed_charge":828.00,"npi":[1649726738]},{"billed_charge":88.50,"npi":[1649726738]},{"billed_charge":935.00,"npi":[1649726738]},{"billed_charge":946.10,"npi":[1649726738]},{"billed_charge":95.30,"npi":[1649726738]},{"billed_charge":963.20,"npi":[1649726738]},{"billed_charge":97.00,"npi":[1649726738]}]},{"allowed_amount":38191.01,"providers":[{"billed_charge":1145.00,"npi":[1649726738]}]}]}]},{"name":"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and\/or examination and moderate le","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99214","description":"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and\/or examination and moderate le","allowed_amounts":[{"tin":{"type":"ein","value":"453367409"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":151.13,"providers":[{"billed_charge":228.00,"npi":[1780675306]}]}]}]},{"name":"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and\/or examination and moderate le","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99214","description":"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and\/or examination and moderate le","allowed_amounts":[{"tin":{"type":"ein","value":"582477208"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":150.00,"providers":[{"billed_charge":150.00,"npi":[1023073764]}]}]}]},{"name":"Radiologic examination, chest; single view","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"570853635"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":11.73,"providers":[{"billed_charge":38.00,"npi":[1407243926]}]}]}]}]}