{
    "reporting_entity_name": "Centene Management Company LLC",
    "reporting_entity_type": "Third Party Administrator",
    "version": "2.0.0",
    "last_updated_on": "2026-01-29",
    "out_of_network": [{
            "name": "LAB/CHEMISTRY",
            "billing_code_type": "RC",
            "billing_code_type_version": "2022",
            "billing_code": "301",
            "description": "LABORATORY - CHEMISTRY",
            "allowed_amounts": [{
                    "tin": {
                        "type": "ein",
                        "value": "562070036"
                    },
                    "service_code": ["22"],
                    "billing_class": "institutional",
                    "payments": [{
                            "allowed_amount": 298.66,
                            "providers": [{
                                    "billed_charge": 472.00,
                                    "npi": [1992703540]
                                }
                            ]
                        }
                    ]
                }
            ]
        }
    ]
}