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by xdmr 1381 days ago
For comparison, here's the first bit of an Anthem file (which contains some of the data that's just another row in the Humana record), along with the first record

  "reporting_entity_name": "Excellus BlueCross BlueShield",
  "reporting_entity_type": "Health Insurance Issuer",
  "last_updated_on": "2022-06-14",
  "version": "1.0.0",
  "provider_references": [
    {
      "provider_group_id": 302.1518360704,
      "location": "https://mrf.healthsparq.com/exc-egress.nophi.kyruushsq.com/prd/mrf/EXC_I/EXC/providerReference/Providers/S-000000001063.json"
    }
  ],
  "in_network": [
    {
      "negotiation_arrangement": "ffs",
      "name": "Brief (20 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a benefi",
      "billing_code_type": "HCPCS",
      "billing_code_type_version": "2022",
      "billing_code": "G0081",
      "description": "Brief (20 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a benefi",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 51.1,
              "expiration_date": "9999-12-31",
              "service_code": [
                "11"
              ],
              "billing_class": "professional"
            }
          ],
          "provider_references": [
            302.1518360704
          ]
        }
      ]
    },
1 comments

> "negotiation_arrangement": "ffs"

Negotiation arrangement: for fuck’s sake

:) I couldn’t help but read it that way as well, even though I know it’s most likely “fee for service.”