{"reporting_entity_name":"Molina-Healthcare-of-Illinois","reporting_entity_type":"health insurance issuer","last_updated_on":"2026-10-16","version":"2.0.0","provider_references":[{"provider_group_id":233393,"network_name":["BLESSING CLINIC NETWORK"],"provider_groups":[{"npi":[1114459146],"tin":{"type":"ein","value":"370661183","business_name":"BLESSING HEALTH MAIN CAMPUS"}},{"npi":[1114459146],"tin":{"type":"ein","value":"","business_name":null}}]}],"in_network":[{"negotiation_arrangement":"ffs","name":"Clinic - General","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0510","description":"Clinic","negotiated_rates":[{"provider_references":[233393],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1275.36,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]}]}