{"reporting_entity_name": "Imagine360", "reporting_entity_type": "Third party administrator", "last_updated_on": "2026-10-29", "version": "2.1.0", "out_of_network": [{"name": "BEHAVIORAL HEALTH; SHORT-TERM RESIDENTIAL (NON-HOSPITAL RESIDENTIAL TREATMENT", "billing_code_type": "RC", "billing_code_type_version": "2.1.0", "billing_code": "1002", "description": "BEHAVIORAL HEALTH; SHORT-TERM RESIDENTIAL (NON-HOSPITAL RESIDENTIAL TREATMENT", "allowed_amounts": [{"tin": {"type": "ein", "value": "834048996"}, "billing_class": "institutional", "payments": [{"allowed_amount": 1560.1, "providers": [{"billed_charge": 4700, "npi": [0]}]}]}, {"tin": {"type": "ein", "value": "922360169"}, "billing_class": "institutional", "payments": [{"allowed_amount": 1176.14, "providers": [{"billed_charge": 5750, "npi": [0]}]}]}]}]}