{"reporting_entity_name": "Imagine360", "reporting_entity_type": "Third party administrator", "last_updated_on": "2026-05-29", "version": "1.0.0", "out_of_network": [{"name": "CMT SPI 1-2 REGIONS", "billing_code_type": "CPT", "billing_code_type_version": "1.0.0", "billing_code": "98940", "description": "CMT SPI 1-2 REGIONS", "allowed_amounts": [{"tin": {"type": "ein", "value": "270643460"}, "service_code": ["11"], "billing_class": "professional", "payments": [{"allowed_amount": 25.48, "providers": [{"billed_charge": 80, "npi": [0]}]}]}]}]}