{"reporting_entity_name": "Samaritan Health Plans","reporting_entity_type": "Samaritan Health Plans","last_updated_on": "2026-08-17","version": "2.0.0","out_of_network":[{"name":"Unlisted dialysis procedure, inpatient or outpatient","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90999","description":"Unlisted dialysis procedure, inpatient or outpatient","allowed_amounts":[{"tin":{"type":"ein","value":"953372911"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":6162.65,"providers":[{"billed_charge":9481.00,"npi":[1750046686]}]}]}]}]}
#5 - SP_OON_GET_DetailsInJSON_Transform upgrade was successfully
