{
  "reporting_entity_name": "FMHP",
  "reporting_entity_type": "FMHP",
  "plan_name": "",
  "plan_id_type": "",
  "plan_id": "",
  "plan_market_type": "",
  "out_of_network": [
    {
      "name": "FMHP",
      "billing_code_type": "Billing Code Type",
      "billing_code": "Billing Code",
      "billing_code_type_version": "Billing Code Type Version",
      "description": "Description",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "00000000000"
          },
          "service_code": [
            {
              "service_code_value": ""
            }
          ],
          "billing_class": "Professional",
          "payments": [
            {
              "allowed_amount": "$0.00",
              "billing_code_modifier": [
                {
                  "billing_code_modifier_value": ""
                }
              ],
              "providers": [
                {
                  "billed_charge": "$0.00",
                  "npi": [
                    {
                      "npi_value": "00000000000"
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    }
  ],
  "last_updated_on": "2022-06-30",
  "version": "Version 1.0.0"
}