{"reporting_entity_name":"BlueCross BlueShield of Tennessee","reporting_entity_type":"THIRD PARTY ADMINISTRATOR","last_updated_on":"2026-08-27","out_of_network":[{"name":"PSYCHOTHERAPY, 60 MIN. WITH PATIENT","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"PSYCHOTHERAPY, 60 MIN. WITH PATIENT","allowed_amounts":[{"tin":{"type":"npi","value":"1528578556"},"service_code":["01","03","04","05","07","09","11","12","14","15","20","34","41","42","49","50","53","57","60","65","71","72","81","99","02","19","10","16","17","18","58"],"billing_class":"professional","payments":[{"allowed_amount":385.730000000,"providers":[{"billed_charge":400.000000000,"npi":[1528578556]}]}]}]}],"version":"2.0.0"}
