{"reporting_entity_name":"Key Benefit Administrators, Inc.","reporting_entity_type":"Third-Party Administrator","last_updated_on":"2025-07-01","version":"1.0.0","out_of_network":[{"name":"PPACA BLOOD DRAW/VENIPUNC","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36415","description":"routine venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"593443182"},"billing_class":"professional","payments":[{"allowed_amount":21.00,"providers":[{"billed_charge":21.00,"npi":[1669606331]}]}]}]},{"name":"CLEVER HEALTH BULK PAYMTS","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"CSB","description":"CLEVER TELEHEALTH BULK PAYMENTS","allowed_amounts":[{"tin":{"type":"ein","value":"871412172"},"billing_class":"professional","payments":[{"allowed_amount":42.00,"providers":[{"billed_charge":42.00,"npi":[1972125805]}]}]}]}]}