{"reporting_entity_name":"Asuris Northwest Health","reporting_entity_type":"Health Insurance Issuer","last_updated_on":"2026-03-26","version":"1.0.0","out_of_network":[{"name":"Chiropractic manipulative treatment, 3 to 4 spinal regions","billing_code_type":"CPT","billing_code_type_version":"4","billing_code":"98941","description":"Chiropractic manipulative treatment, 3 to 4 spinal regions","allowed_amounts":[{"tin":[{"type":"ein","value":"263933486 "}],"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":"24.49","providers":[{"billed_charge":"45.00","npi":"1265404156"},{"billed_charge":"45.00","npi":"1760624183"},{"billed_charge":"45.00","npi":"1811798887"}]},{"allowed_amount":"31.49","providers":[{"billed_charge":"45.00","npi":"1265404156"},{"billed_charge":"45.00","npi":"1760624183"}]}]}]}]}