{"reporting_entity_name":"Key Benefit Administrators, Inc.","reporting_entity_type":"Third-Party Administrator","last_updated_on":"2026-04-01","version":"2.0.0","out_of_network":[{"name":"PPACA COLORECTAL XRY/LAB","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82274","description":"assay test for blood fecal","allowed_amounts":[{"tin":{"type":"ein","value":"756002868","business_name":null},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":31.00,"providers":[{"billed_charge":31.00,"npi":[1326017872]}]}]}]},{"name":"PPACA STD/HEPATITIS B","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"hiv-1 ag w/hiv-1&-2 ab ag ia","allowed_amounts":[{"tin":{"type":"ein","value":"756002868","business_name":null},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.00,"providers":[{"billed_charge":45.00,"npi":[1326017872]}]}]}]},{"name":"MAMMOGRAMS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77063","description":"breast tomosynthesis bi","allowed_amounts":[{"tin":{"type":"ein","value":"760652186","business_name":null},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":199.00,"providers":[{"billed_charge":199.00,"npi":[1780927509]}]}]}]},{"name":"MAMMOGRAMS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77067","description":"scr mammo bi incl cad","allowed_amounts":[{"tin":{"type":"ein","value":"760652186","business_name":null},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":524.00,"providers":[{"billed_charge":524.00,"npi":[1780927509]}]}]}]}]}