reporting_entity_name;reporting_entity_type;plan_name;plan_id_type;plan_id;plan_market_type;name;billing_code_type;billing_code;billing_code_type_version;description;tin_type;tin_value;Service_Code;Billing_Class;Billed_Charge;allowed_amount;npi;last_updated_on;version
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska";"group";"Nervous";"CPT";"64416";"2022 AMA";"64416 - N BLOCK CONT INFUSE B PLEX";"ein";"843530361";"24";"professional";825.0000;25.8800;"1285272260";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99221";"2022 AMA";"99221 - INITIAL HOSPITAL CARE";"ein";"203566888";"21";"professional";354.0000;318.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99232";"2022 AMA";"99232 - SUBSEQUENT HOSPITAL CARE";"ein";"203395567";"21";"professional";194.0000;126.1000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99232";"2022 AMA";"99232 - SUBSEQUENT HOSPITAL CARE";"ein";"203395567";"21";"professional";194.0000;194.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99232";"2022 AMA";"99232 - SUBSEQUENT HOSPITAL CARE";"ein";"910565539";"21";"professional";191.0000;152.8000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99233";"2022 AMA";"99233 - SUBSEQUENT HOSPITAL CARE";"ein";"611591533";"21";"professional";478.0000;382.4000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99233";"2022 AMA";"99233 - SUBSEQUENT HOSPITAL CARE";"ein";"770461881";"21";"professional";195.0000;195.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99233";"2022 AMA";"99233 - SUBSEQUENT HOSPITAL CARE";"ein";"860846208";"21";"professional";200.0000;200.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99238";"2022 AMA";"99238 - HOSPITAL DISCHARGE DAY";"ein";"853968059";"21";"professional";258.0000;224.4600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99238";"2022 AMA";"99238 - HOSPITAL DISCHARGE DAY";"ein";"853968059";"21";"professional";258.0000;258.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99239";"2022 AMA";"99239 - HOSPITAL DISCHARGE DAY";"ein";"203566888";"21";"professional";372.0000;334.8000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99308";"2022 AMA";"99308 - NURSING FAC CARE SUBSEQ";"ein";"832024849";"31";"professional";138.0000;138.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99396";"2022 AMA";"99396 - PREV VISIT EST AGE 40-64";"ein";"920040308";"11";"professional";410.0000;410.0000;"1821201278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99483";"2022 AMA";"99483 - ASSMT & CARE PLN PT COG IMP";"ein";"471216616";"11";"professional";597.0000;328.3500;"1679980908";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99483";"2022 AMA";"99483 - ASSMT & CARE PLN PT COG IMP";"ein";"471216616";"11";"professional";597.0000;597.0000;"1679980908";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99497";"2022 AMA";"99497 - ADVNCD CARE PLAN 30 MIN";"ein";"203395567";"21";"professional";212.0000;212.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"920030816";"41";"professional";110.0000;110.0000;"1861482903";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Anesthesia";"CPT";"00142";"2022 AMA";"00142 - ANESTH LENS SURGERY";"ein";"911832600";"24";"professional";325.0000;211.2500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Anesthesia";"CPT";"00400";"2022 AMA";"00400 - ANESTH SKIN EXT/PER/ATRUNK";"ein";"920077523";"22";"professional";1281.6000;1214.8800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Anesthesia";"CPT";"01360";"2022 AMA";"01360 - ANESTH KNEE AREA SURGERY";"ein";"272332921";"24";"professional";1380.0000;1380.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Anesthesia";"CPT";"01382";"2022 AMA";"01382 - ANESTH DX KNEE ARTHROSCOPY";"ein";"920166196";"21";"professional";1008.0000;705.6000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Anesthesia";"CPT";"01922";"2022 AMA";"01922 - ANESTH CAT OR MRI SCAN";"ein";"920166196";"21";"professional";1134.0000;1134.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cancer";"CPT";"96402";"2022 AMA";"96402 - CHEMO HORMON ANTINEOPL SQ/IM";"ein";"204472848";"11";"professional";60.0000;26.0100;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cancer";"CPT";"96413";"2022 AMA";"96413 - CHEMO IV INFUSION 1 HR";"ein";"931273254";"11";"professional";395.8800;197.0400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cardiovascular";"CPT";"36415";"2022 AMA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920086076";"11";"professional";41.3700;41.3700;"1487810420";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99222";"2022 AMA";"99222 - INITIAL HOSPITAL CARE";"ein";"263823628";"21";"professional";350.0000;350.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99223";"2022 AMA";"99223 - INITIAL HOSPITAL CARE";"ein";"611591533";"21";"professional";973.0000;778.4000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99231";"2022 AMA";"99231 - SUBSEQUENT HOSPITAL CARE";"ein";"270388451";"21";"professional";63.0000;63.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99232";"2022 AMA";"99232 - SUBSEQUENT HOSPITAL CARE";"ein";"270480752";"21";"professional";148.0000;83.6500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99232";"2022 AMA";"99232 - SUBSEQUENT HOSPITAL CARE";"ein";"270480752";"21";"professional";148.0000;148.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99232";"2022 AMA";"99232 - SUBSEQUENT HOSPITAL CARE";"ein";"451444883";"21";"professional";142.0000;142.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99233";"2022 AMA";"99233 - SUBSEQUENT HOSPITAL CARE";"ein";"770461881";"21";"professional";195.0000;78.1500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99233";"2022 AMA";"99233 - SUBSEQUENT HOSPITAL CARE";"ein";"860846208";"21";"professional";200.0000;108.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99233";"2022 AMA";"99233 - SUBSEQUENT HOSPITAL CARE";"ein";"901116753";"21";"professional";266.0000;212.8000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99238";"2022 AMA";"99238 - HOSPITAL DISCHARGE DAY";"ein";"270480752";"21";"professional";149.0000;149.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99239";"2022 AMA";"99239 - HOSPITAL DISCHARGE DAY";"ein";"910565539";"21";"professional";285.0000;228.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99393";"2022 AMA";"99393 - PREV VISIT EST AGE 5-11";"ein";"920040308";"11";"professional";255.0000;255.0000;"1821201278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99442";"2022 AMA";"99442 - PHONE E/M PHYS/QHP 11-20 MIN";"ein";"510514198";"11";"professional";100.0000;100.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99497";"2022 AMA";"99497 - ADVNCD CARE PLAN 30 MIN";"ein";"205227543";"12";"professional";97.8000;97.8000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Anesthesia";"CPT";"00731";"2022 AMA";"00731 - ANES UPR GI NDSC PX NOS";"ein";"843530361";"24";"professional";1500.0000;900.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Anesthesia";"CPT";"00731";"2022 AMA";"00731 - ANES UPR GI NDSC PX NOS";"ein";"843530361";"24";"professional";1500.0000;1500.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Auditory";"CPT";"V5260";"2022 AMA";"V5260 - HEARING AID, DIGIT, BIN, ITE";"ein";"911223280";"11";"professional";1399.0000;1399.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cancer";"CPT";"96372";"2022 AMA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"611797882";"11";"professional";45.0000;29.2500;"1922559558";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cancer";"CPT";"96372";"2022 AMA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"621552917";"11";"professional";42.0000;31.5000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cardiovascular";"CPT";"93285";"2022 AMA";"93285 - ILR DEVICE EVAL PROGR";"ein";"920165692";"11";"professional";365.0000;365.0000;"1992744114";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cardiovascular";"CPT";"93294";"2022 AMA";"93294 - PM DEVICE INTERROGATE REMOTE";"ein";"920165692";"11";"professional";317.0000;317.0000;"1992744114";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cardiovascular";"CPT";"93298";"2022 AMA";"93298 - ILR DEVICE INTERROGAT REMOTE";"ein";"920165692";"11";"professional";251.0000;245.9800;"1992744114";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cardiovascular";"CPT";"93306";"2022 AMA";"93306 - TTE W/DOPPLER COMPLETE";"ein";"920016429";"22";"professional";509.0000;407.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cardiovascular";"CPT";"93306";"2022 AMA";"93306 - TTE W/DOPPLER COMPLETE";"ein";"920165692";"11";"professional";2424.0000;2424.0000;"1992744114";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska";"group";"Radiology";"CPT";"76942";"2022 AMA";"76942 - ECHO GUIDE FOR BIOPSY";"ein";"843530361";"24";"professional";550.0000;17.2534;"1285272260";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99024";"2022 AMA";"99024 - POSTOP FOLLOW-UP VISIT";"ein";"475080065";"11";"professional";0.0100;0.0100;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99053";"2022 AMA";"99053 - MED SERV 10PM-8AM 24 HR FAC";"ein";"941724925";"21";"professional";262.0000;46.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99221";"2022 AMA";"99221 - INITIAL HOSPITAL CARE";"ein";"203566888";"21";"professional";354.0000;354.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99223";"2022 AMA";"99223 - INITIAL HOSPITAL CARE";"ein";"202971454";"21";"professional";324.0000;324.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99223";"2022 AMA";"99223 - INITIAL HOSPITAL CARE";"ein";"860846208";"21";"professional";388.0000;388.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99232";"2022 AMA";"99232 - SUBSEQUENT HOSPITAL CARE";"ein";"203566888";"21";"professional";252.0000;249.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99233";"2022 AMA";"99233 - SUBSEQUENT HOSPITAL CARE";"ein";"270480752";"21";"professional";213.0000;94.0300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99233";"2022 AMA";"99233 - SUBSEQUENT HOSPITAL CARE";"ein";"472790786";"21";"professional";503.0000;503.0000;"1386033348";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99233";"2022 AMA";"99233 - SUBSEQUENT HOSPITAL CARE";"ein";"920165692";"21";"professional";578.0000;0.0000;"1992744114";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99239";"2022 AMA";"99239 - HOSPITAL DISCHARGE DAY";"ein";"203395567";"21";"professional";287.0000;287.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99239";"2022 AMA";"99239 - HOSPITAL DISCHARGE DAY";"ein";"203566888";"21";"professional";372.0000;372.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99239";"2022 AMA";"99239 - HOSPITAL DISCHARGE DAY";"ein";"770461881";"21";"professional";203.0000;203.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99291";"2022 AMA";"99291 - CRITICAL CARE FIRST HOUR";"ein";"910565539";"21";"professional";747.0000;597.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99349";"2022 AMA";"99349 - HOME VISIT EST PATIENT";"ein";"205227543";"12";"professional";146.9200;124.8820;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99443";"2022 AMA";"99443 - PHONE E/M PHYS/QHP 21-30 MIN";"ein";"205227543";"12";"professional";147.3200;125.2220;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99497";"2022 AMA";"99497 - ADVNCD CARE PLAN 30 MIN";"ein";"611591533";"21";"professional";391.0000;312.8000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Anesthesia";"CPT";"00142";"2022 AMA";"00142 - ANESTH LENS SURGERY";"ein";"911832600";"24";"professional";325.0000;325.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cancer";"CPT";"96372";"2022 AMA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"910565889";"11";"professional";38.0000;38.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cancer";"CPT";"96413";"2022 AMA";"96413 - CHEMO IV INFUSION 1 HR";"ein";"650825133";"11";"professional";378.0000;378.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cardiovascular";"CPT";"36415";"2022 AMA";"36415 - ROUTINE VENIPUNCTURE";"ein";"650825133";"11";"professional";9.0000;9.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cardiovascular";"CPT";"37765";"2022 AMA";"37765 - STAB PHLEB VEINS XTR 10-20";"ein";"834037191";"11";"professional";3500.0000;3500.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cardiovascular";"CPT";"93010";"2022 AMA";"93010 - ELECTROCARDIOGRAM REPORT";"ein";"910565889";"22";"professional";22.0000;22.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cardiovascular";"CPT";"93294";"2022 AMA";"93294 - PM DEVICE INTERROGATE REMOTE";"ein";"860800150";"11";"professional";192.0000;92.0000;"1558332494";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska";"group";"Anesthesia";"CPT";"01610";"2022 AMA";"01610 - ANESTH SURGERY OF SHOULDER";"ein";"843530361";"24";"professional";3750.0000;117.6366;"1285272260";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99221";"2022 AMA";"99221 - INITIAL HOSPITAL CARE";"ein";"770299318";"21";"professional";208.0000;208.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99233";"2022 AMA";"99233 - SUBSEQUENT HOSPITAL CARE";"ein";"853968059";"21";"professional";571.0000;571.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99233";"2022 AMA";"99233 - SUBSEQUENT HOSPITAL CARE";"ein";"910565539";"21";"professional";275.0000;220.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99238";"2022 AMA";"99238 - HOSPITAL DISCHARGE DAY";"ein";"270480752";"21";"professional";149.0000;65.9700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99291";"2022 AMA";"99291 - CRITICAL CARE FIRST HOUR";"ein";"910565539";"21";"professional";747.0000;709.6500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99407";"2022 AMA";"99407 - BEHAV CHNG SMOKING > 10 MIN";"ein";"851531245";"11";"professional";44.1000;44.1000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"262512960";"41";"professional";262.2900;249.8100;"1871754473";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"920059987";"41";"professional";61.2000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Ambulance";"CPT";"A0427";"2022 AMA";"A0427 - ALS1-EMERGENCY";"ein";"920059987";"41";"professional";950.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Ambulance";"CPT";"A0428";"2022 AMA";"A0428 - BLS";"ein";"262512960";"41";"professional";1832.2000;1710.5100;"1871754473";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Anesthesia";"CPT";"00670";"2022 AMA";"00670 - ANESTH SPINE CORD SURGERY";"ein";"920156177";"22";"professional";6645.0000;6645.0000;"1508854712";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Anesthesia";"CPT";"01402";"2022 AMA";"01402 - ANESTH KNEE ARTHROPLASTY";"ein";"920166196";"22";"professional";2394.0000;2394.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cardiovascular";"CPT";"93000";"2022 AMA";"93000 - ELECTROCARDIOGRAM COMPLETE";"ein";"611797882";"11";"professional";140.0000;42.0000;"1922559558";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cardiovascular";"CPT";"93296";"2022 AMA";"93296 - PM/ICD REMOTE TECH SERV";"ein";"860800150";"11";"professional";177.0000;75.0000;"1558332494";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Category II";"CPT";"1123F";"2022 AMA";"1123F - ACP DISCUSS/DSCN MKR DOCD";"ein";"203566888";"21";"professional";0.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Category II";"CPT";"1126F";"2022 AMA";"1126F - AMNT PAIN NOTED NONE PRSNT";"ein";"593104080";"11";"professional";0.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Category II";"CPT";"3288F";"2022 AMA";"3288F - FALL RISK ASSESSMENT DOCD";"ein";"593214635";"11";"professional";0.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Category II";"CPT";"G8752";"2022 AMA";"G8752 - SYS BP LESS 140";"ein";"760589001";"11";"professional";0.0100;0.0065;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Category II";"CPT";"G8754";"2022 AMA";"G8754 - DIAS BP LESS 90";"ein";"760589001";"11";"professional";0.0100;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Category II";"CPT";"G8950";"2022 AMA";"G8950 - PRE-HTN OR HTN DOC, F/U INDC";"ein";"760589001";"11";"professional";0.0100;0.0065;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Category II";"CPT";"Q0513";"2022 AMA";"Q0513 - DISP FEE INHAL DRUGS/30 DAYS";"ein";"930798201";"12";"professional";33.0000;33.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Category II";"CPT";"Q9966";"2022 AMA";"Q9966 - LOCM 200-299MG/ML IODINE,1ML";"ein";"822065542";"11";"professional";90.0000;90.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Category III";"CPT";"22853";"2022 AMA";"22853 - INSJ BIOMECHANICAL DEVICE";"ein";"475401292";"21";"professional";7530.0000;1595.2195;"1336504521";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Digestive";"CPT";"43239";"2022 AMA";"43239 - EGD BIOPSY SINGLE/MULTIPLE";"ein";"320164482";"24";"professional";2710.0000;2512.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cardiovascular";"CPT";"37215";"2022 AMA";"37215 - TRANSCATH STENT CCA W/EPS";"ein";"208126026";"21";"professional";3043.0200;2282.2700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cardiovascular";"CPT";"37765";"2022 AMA";"37765 - STAB PHLEB VEINS XTR 10-20";"ein";"834037191";"11";"professional";3500.0000;490.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cardiovascular";"CPT";"93010";"2022 AMA";"93010 - ELECTROCARDIOGRAM REPORT";"ein";"920016429";"22";"professional";74.0000;74.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cardiovascular";"CPT";"93280";"2022 AMA";"93280 - PM DEVICE PROGR EVAL DUAL";"ein";"920165692";"11";"professional";492.0000;492.0000;"1992744114";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Category II";"CPT";"1036F";"2022 AMA";"1036F - TOBACCO NON-USER";"ein";"593104080";"11";"professional";0.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Category II";"CPT";"1036F";"2022 AMA";"1036F - TOBACCO NON-USER";"ein";"760589001";"11";"professional";0.0100;0.0065;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Category II";"CPT";"1036F";"2022 AMA";"1036F - TOBACCO NON-USER";"ein";"760589001";"11";"professional";0.0100;0.0100;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Category II";"CPT";"2000F";"2022 AMA";"2000F - BLOOD PRESSURE MEASURE";"ein";"223875437";"11";"professional";0.0100;0.0100;"1144251547";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Category II";"CPT";"G0283";"2022 AMA";"G0283 - ELEC STIM OTHER THAN WOUND";"ein";"264569488";"11";"professional";35.0000;10.1800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Category II";"CPT";"G8417";"2022 AMA";"G8417 - CALC BMI ABV UP PARAM F/U";"ein";"593104080";"11";"professional";0.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Category II";"CPT";"G8427";"2022 AMA";"G8427 - DOC CUR MEDS BY PROV";"ein";"203566462";"11";"professional";0.0100;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Category II";"CPT";"G8427";"2022 AMA";"G8427 - DOC CUR MEDS BY PROV";"ein";"593104080";"11";"professional";0.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Category II";"CPT";"G8752";"2022 AMA";"G8752 - SYS BP LESS 140";"ein";"821264901";"11";"professional";0.0100;0.0100;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Category II";"CPT";"G8754";"2022 AMA";"G8754 - DIAS BP LESS 90";"ein";"821264901";"11";"professional";0.0100;0.0100;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Category II";"CPT";"G8950";"2022 AMA";"G8950 - PRE-HTN OR HTN DOC, F/U INDC";"ein";"760589001";"11";"professional";0.0100;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Category II";"CPT";"Q9966";"2022 AMA";"Q9966 - LOCM 200-299MG/ML IODINE,1ML";"ein";"472711861";"11";"professional";6.0000;3.0000;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Digestive";"CPT";"45385";"2022 AMA";"45385 - COLONOSCOPY W/LESION REMOVAL";"ein";"920077523";"22";"professional";3170.0000;3074.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"CPT";"99285";"2022 AMA";"99285 - EMERGENCY DEPT VISIT";"ein";"561919741";"23";"professional";2408.0000;2167.2000;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Eye and Ocular Adnexa";"CPT";"67820";"2022 AMA";"67820 - REVISE EYELASHES";"ein";"271232714";"11";"professional";150.0000;150.0000;"1063740363";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Eye and Ocular Adnexa";"CPT";"92133";"2022 AMA";"92133 - CMPTR OPHTH IMG OPTIC NERVE";"ein";"472266398";"11";"professional";116.0000;116.0000;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99239";"2022 AMA";"99239 - HOSPITAL DISCHARGE DAY";"ein";"910565539";"21";"professional";285.0000;285.0000;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99358";"2022 AMA";"99358 - PROLONG SERVICE W/O CONTACT";"ein";"823795906";"31";"professional";225.0000;225.0000;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99497";"2022 AMA";"99497 - ADVNCD CARE PLAN 30 MIN";"ein";"203395567";"21";"professional";212.0000;137.8000;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Digestive";"CPT";"43239";"2022 AMA";"43239 - EGD BIOPSY SINGLE/MULTIPLE";"ein";"920077523";"22";"professional";1996.0000;1936.1200;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medical and Surgical Supplies";"CPT";"E0143";"2022 AMA";"E0143 - WALKER FOLDING WHEELED W/O S";"ein";"920167944";"12";"professional";162.2700;162.2700;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"CPT";"J3301";"2022 AMA";"J3301 - TRIAMCINOLONE ACET INJ NOS";"ein";"412174514";"11";"professional";40.0000;40.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"CPT";"J9025";"2022 AMA";"J9025 - AZACITIDINE INJECTION";"ein";"650825133";"11";"professional";300.0000;300.0000;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99443";"2022 AMA";"99443 - PHONE E/M PHYS/QHP 21-30 MIN";"ein";"205227543";"12";"professional";147.3200;147.3200;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Eye and Ocular Adnexa";"CPT";"92015";"2022 AMA";"92015 - DETERMINE REFRACTIVE STATE";"ein";"455079201";"11";"professional";52.3600;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Eye and Ocular Adnexa";"CPT";"92083";"2022 AMA";"92083 - VISUAL FIELD EXAMINATION(S)";"ein";"271232714";"11";"professional";230.0000;230.0000;"1063740363";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Eye and Ocular Adnexa";"CPT";"92134";"2022 AMA";"92134 - CPTR OPHTH DX IMG POST SEGMT";"ein";"455079201";"11";"professional";112.9600;112.9600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Eye and Ocular Adnexa";"CPT";"92136";"2022 AMA";"92136 - OPHTHALMIC BIOMETRY";"ein";"911832600";"11";"professional";102.0000;66.3000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99024";"2022 AMA";"99024 - POSTOP FOLLOW-UP VISIT";"ein";"475080065";"11";"professional";0.0100;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99223";"2022 AMA";"99223 - INITIAL HOSPITAL CARE";"ein";"270480752";"21";"professional";417.0000;232.8500;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99233";"2022 AMA";"99233 - SUBSEQUENT HOSPITAL CARE";"ein";"270480752";"21";"professional";213.0000;213.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99239";"2022 AMA";"99239 - HOSPITAL DISCHARGE DAY";"ein";"270388451";"21";"professional";154.0000;154.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99291";"2022 AMA";"99291 - CRITICAL CARE FIRST HOUR";"ein";"910565539";"21";"professional";747.0000;747.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99358";"2022 AMA";"99358 - PROLONG SERVICE W/O CONTACT";"ein";"910565539";"21";"professional";296.0000;236.8000;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"CPT";"99495";"2022 AMA";"99495 - TRANS CARE MGMT 14 DAY DISCH";"ein";"811276365";"11";"professional";749.0000;749.0000;"1326407933";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Ambulance";"CPT";"A0427";"2022 AMA";"A0427 - ALS1-EMERGENCY";"ein";"920059987";"41";"professional";950.0000;950.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Anesthesia";"CPT";"00160";"2022 AMA";"00160 - ANESTH NOSE/SINUS SURGERY";"ein";"920142958";"22";"professional";1925.0000;1925.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Anesthesia";"CPT";"00920";"2022 AMA";"00920 - ANESTH GENITALIA SURGERY";"ein";"820527710";"22";"professional";800.0000;800.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Anesthesia";"CPT";"01360";"2022 AMA";"01360 - ANESTH KNEE AREA SURGERY";"ein";"272332921";"24";"professional";1380.0000;1104.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cancer";"CPT";"96367";"2022 AMA";"96367 - TX/PROPH/DG ADDL SEQ IV INF";"ein";"650825133";"11";"professional";84.0000;67.2000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cancer";"CPT";"96372";"2022 AMA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"611797882";"11";"professional";45.0000;45.0000;"1922559558";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cancer";"CPT";"96402";"2022 AMA";"96402 - CHEMO HORMON ANTINEOPL SQ/IM";"ein";"473238987";"11";"professional";94.0000;94.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cardiovascular";"CPT";"36415";"2022 AMA";"36415 - ROUTINE VENIPUNCTURE";"ein";"650825133";"11";"professional";9.0000;7.0500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cardiovascular";"CPT";"37215";"2022 AMA";"37215 - TRANSCATH STENT CCA W/EPS";"ein";"208126026";"21";"professional";3043.0200;3043.0200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cardiovascular";"CPT";"93010";"2022 AMA";"93010 - ELECTROCARDIOGRAM REPORT";"ein";"910565539";"23";"professional";23.0000;23.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cardiovascular";"CPT";"93306";"2022 AMA";"93306 - TTE W/DOPPLER COMPLETE";"ein";"920165692";"11";"professional";2546.0000;1212.0000;"1992744114";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cardiovascular";"CPT";"93306";"2022 AMA";"93306 - TTE W/DOPPLER COMPLETE";"ein";"920165692";"21";"professional";654.0000;0.0000;"1992744114";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Category II";"CPT";"G8431";"2022 AMA";"G8431 - POS CLIN DEPRES SCRN F/U DOC";"ein";"113696452";"11";"professional";0.0100;0.0100;"1831285931";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Dialysis";"CPT";"90964";"2022 AMA";"90964 - ESRD HOME PT SERV P MO 2-11";"ein";"920040308";"11";"professional";66.4300;66.4300;"1821201278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medical and Surgical Supplies";"CPT";"A7038";"2022 AMA";"A7038 - POS AIRWAY PRESSURE FILTER";"ein";"900958666";"12";"professional";84.0000;63.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medical and Surgical Supplies";"CPT";"E0303";"2022 AMA";"E0303 - HOSP BED HVY DTY XTRA WIDE";"ein";"920167944";"12";"professional";827.9500;827.9500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medical and Surgical Supplies";"CPT";"E0431";"2022 AMA";"E0431 - PORTABLE GASEOUS 02";"ein";"592852900";"12";"professional";86.3100;23.3500;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medical and Surgical Supplies";"CPT";"E0601";"2022 AMA";"E0601 - CONT AIRWAY PRESSURE DEVICE";"ein";"900958666";"12";"professional";345.0000;258.7500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medical and Surgical Supplies";"CPT";"E0978";"2022 AMA";"E0978 - W/C ACC,SAF BELT PELV STRAP";"ein";"920167944";"12";"professional";57.6400;34.5840;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medical and Surgical Supplies";"CPT";"E1390";"2022 AMA";"E1390 - OXYGEN CONCENTRATOR";"ein";"592852900";"12";"professional";519.5100;121.1000;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medical and Surgical Supplies";"CPT";"E2402";"2022 AMA";"E2402 - NEG PRESS WOUND THERAPY PUMP";"ein";"742152396";"12";"professional";4818.0000;2500.4000;"1447332572";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medical and Surgical Supplies";"CPT";"K0553";"2022 AMA";"K0553 - Combination oral/nasal mask";"ein";"223865781";"12";"professional";3150.0000;197.9640;"1245259282";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"CPT";"90460";"2022 AMA";"90460 - IM ADMIN 1ST/ONLY COMPONENT";"ein";"920040308";"11";"professional";41.8000;41.8000;"1821201278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"CPT";"90471";"2022 AMA";"90471 - IMMUNIZATION ADMIN";"ein";"920040308";"11";"professional";27.8800;27.8800;"1821201278";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"CPT";"J0178";"2022 AMA";"J0178 - AFLIBERCEPT INJECTION";"ein";"591501675";"11";"professional";4000.0000;2600.0000;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"CPT";"J9217";"2022 AMA";"J9217 - LEUPROLIDE ACETATE SUSPNSION";"ein";"473238987";"11";"professional";1600.0000;1600.0000;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medical and Surgical Supplies";"CPT";"E0431";"2022 AMA";"E0431 - PORTABLE GASEOUS 02";"ein";"592852900";"12";"professional";86.3100;86.3100;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"CPT";"99292";"2022 AMA";"99292 - CRITICAL CARE ADDL 30 MIN";"ein";"920177314";"21";"professional";564.0000;564.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"CPT";"99381";"2022 AMA";"99381 - INIT PM E/M NEW PAT INFANT";"ein";"920040308";"11";"professional";234.0000;234.0000;"1821201278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"CPT";"99391";"2022 AMA";"99391 - PER PM REEVAL EST PAT INFANT";"ein";"920040308";"11";"professional";256.0000;225.0000;"1821201278";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"CPT";"99396";"2022 AMA";"99396 - PREV VISIT EST AGE 40-64";"ein";"920119413";"11";"professional";440.0000;440.0000;"1851506836";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"CPT";"99441";"2022 AMA";"99441 - PHONE E/M PHYS/QHP 5-10 MIN";"ein";"920040308";"11";"professional";150.0000;56.4100;"1821201278";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"CPT";"99480";"2022 AMA";"99480 - IC INF PBW 2501-5000 G SUBSQ";"ein";"920162721";"21";"professional";513.0000;325.2600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Air Ambulance";"CPT";"A0430";"2022 AMA";"A0430 - FIXED WING AIR TRANSPORT";"ein";"371865858";"42";"professional";27933.0000;22346.1100;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Dental";"CPT";"D0330";"2022 AMA";"D0330 - panoramic radiographic image";"ein";"920045547";"11";"professional";149.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Digestive";"CPT";"43239";"2022 AMA";"43239 - EGD BIOPSY SINGLE/MULTIPLE";"ein";"920119413";"22";"professional";1931.0000;1931.0000;"1851506836";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Digestive";"CPT";"45384";"2022 AMA";"45384 - COLONOSCOPY W/LESION REMOVAL";"ein";"920119413";"22";"professional";2526.0000;2526.0000;"1851506836";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Nervous";"CPT";"63046";"2022 AMA";"63046 - REMOVE SPINE LAMINA 1 THRC";"ein";"592157762";"24";"professional";17909.0000;0.0000;"1487765566";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Rehabilitation Services";"CPT";"H2010";"2022 AMA";"H2010 - COMPREHENSIVE MED SVC 15 MIN";"ein";"920041461";"11";"professional";213.2600;0.0000;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Rehabilitation Services";"CPT";"H2019";"2022 AMA";"H2019 - THER BEHAV SVC, PER 15 MIN";"ein";"510152394";"99";"professional";187.5600;187.5600;"1538389598";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Reproductive";"CPT";"55000";"2022 AMA";"55000 - DRAINAGE OF HYDROCELE";"ein";"823785749";"11";"professional";1200.0000;840.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Reproductive";"CPT";"55250";"2022 AMA";"55250 - REMOVAL OF SPERM DUCT(S)";"ein";"811295721";"11";"professional";1790.0000;1790.0000;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Reproductive";"CPT";"58558";"2022 AMA";"58558 - HYSTEROSCOPY BIOPSY";"ein";"825393442";"22";"professional";2200.0000;1210.0000;"1194708081";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Reproductive";"CPT";"58662";"2022 AMA";"58662 - LAPAROSCOPY EXCISE LESIONS";"ein";"825393442";"22";"professional";4732.0000;2602.6000;"1194708081";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Respiratory";"CPT";"92550";"2022 AMA";"92550 - TYMPANOMETRY & REFLEX THRESH";"ein";"221423222";"11";"professional";40.0000;40.0000;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Respiratory";"CPT";"92590";"2022 AMA";"92590 - HEARING AID EXAM ONE EAR";"ein";"920154859";"11";"professional";519.2100;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Bakery Workers H&W Local 24";"group";"N/A";"CPT";"0054A";"2022 AMA";"0054A - ADM SARSCV2 30MCG TRS-SUCR B";"ein";"942728480";"11";"professional";61.0000;37.2200;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"COVID-19";"CPT";"U0005";"2022 AMA";"U0005 - INFEC AGEN DETEC AMPLI PROBE";"ein";"473727159";"81";"professional";25.0000;0.0000;"1912521568";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Emergency Department Services";"CPT";"99282";"2022 AMA";"99282 - EMERGENCY DEPT VISIT";"ein";"942728480";"23";"professional";171.0000;79.9600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Emergency Department Services";"CPT";"99284";"2022 AMA";"99284 - EMERGENCY DEPT VISIT";"ein";"943056706";"23";"professional";1098.0000;268.1300;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Medical and Surgical Supplies";"CPT";"E0601";"2022 AMA";"E0601 - CONT AIRWAY PRESSURE DEVICE";"ein";"260779374";"12";"professional";350.0000;84.0400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Medicine/Pharmacy/Vaccine";"CPT";"90471";"2022 AMA";"90471 - IMMUNIZATION ADMIN";"ein";"237255435";"11";"professional";9.0000;4.5000;"1184791998";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Medicine/Pharmacy/Vaccine";"CPT";"90651";"2022 AMA";"90651 - 9VHPV VACCINE 3 DOSE IM";"ein";"237255435";"11";"professional";250.0000;0.0000;"1184791998";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Musculoskeletal";"CPT";"26125";"2022 AMA";"26125 - RELEASE PALM CONTRACTURE";"ein";"680273974";"22";"professional";1978.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Office Visit";"CPT";"99202";"2022 AMA";"99202 - OFFICE/OUTPATIENT VISIT NEW";"ein";"510586004";"15";"professional";232.0000;83.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Outpatient Services";"CPT";"99203";"2022 AMA";"99203 - OFFICE/OUTPATIENT VISIT NEW";"ein";"237255435";"11";"professional";268.0000;134.0000;"1184791998";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Outpatient Services";"CPT";"99215";"2022 AMA";"99215 - OFFICE/OUTPATIENT VISIT EST";"ein";"214763503";"11";"professional";375.0000;74.8700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Pathology and Laboratory";"CPT";"84402";"2022 AMA";"84402 - ASSAY OF FREE TESTOSTERONE";"ein";"900732173";"81";"professional";94.3500;56.6100;"1477811503";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Physical Therapy";"CPT";"97012";"2022 AMA";"97012 - MECHANICAL TRACTION THERAPY";"ein";"342508812";"11";"professional";10.0000;10.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Physical Therapy";"CPT";"97802";"2022 AMA";"97802 - MEDICAL NUTRITION INDIV IN";"ein";"474607572";"57";"professional";289.0000;0.0000;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Category II";"CPT";"S9374";"2022 AMA";"S9374 - HIT HYDRA 1 LITER DIEM";"ein";"850545441";"12";"professional";1950.0000;468.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"COVID-19";"CPT";"0011A";"2022 AMA";"0011A - ADM SARSCOV2 100MCG/0.5ML1ST";"ein";"951750445";"11";"professional";51.0000;38.0000;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Medicine/Pharmacy/Vaccine";"CPT";"J1569";"2022 AMA";"J1569 - GAMMAGARD LIQUID INJECTION";"ein";"850545441";"12";"professional";14033.9500;2806.7900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Medicine/Pharmacy/Vaccine";"CPT";"J1569";"2022 AMA";"J1569 - GAMMAGARD LIQUID INJECTION";"ein";"850545441";"12";"professional";57203.7100;52169.7600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Administration";"CPT";"99238";"2022 AMA";"99238 - HOSPITAL DISCHARGE DAY";"ein";"800057644";"21";"professional";110.0000;55.0000;"1700908480";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"CPT";"99441";"2022 AMA";"99441 - PHONE E/M PHYS/QHP 5-10 MIN";"ein";"920162721";"11";"professional";116.0000;75.4000;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"CPT";"99442";"2022 AMA";"99442 - PHONE E/M PHYS/QHP 11-20 MIN";"ein";"920041414";"11";"professional";62.1900;40.4200;"1396958609";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"CPT";"99443";"2022 AMA";"99443 - PHONE E/M PHYS/QHP 21-30 MIN";"ein";"920046614";"11";"professional";101.0000;70.7000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Air Ambulance";"CPT";"A0430";"2022 AMA";"A0430 - FIXED WING AIR TRANSPORT";"ein";"371865858";"42";"professional";26797.0000;20233.9200;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Ambulance";"CPT";"A0427";"2022 AMA";"A0427 - ALS1-EMERGENCY";"ein";"990338416";"41";"professional";2036.0000;1851.5000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Anesthesia";"CPT";"00120";"2022 AMA";"00120 - ANESTH EAR SURGERY";"ein";"920162721";"22";"professional";3212.0000;963.6000;"1437368891";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Anesthesia";"CPT";"00170";"2022 AMA";"00170 - ANESTH PROCEDURE ON MOUTH";"ein";"872167590";"11";"professional";1050.0000;945.0000;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Anesthesia";"CPT";"01830";"2022 AMA";"01830 - ANESTH LOWER ARM SURGERY";"ein";"920162721";"22";"professional";1460.0000;438.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Anesthesia";"CPT";"01922";"2022 AMA";"01922 - ANESTH CAT OR MRI SCAN";"ein";"920177314";"21";"professional";1120.0000;1120.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Auditory";"CPT";"69420";"2022 AMA";"69420 - INCISION OF EARDRUM";"ein";"161457919";"11";"professional";620.0000;620.0000;"1811082662";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Auditory";"CPT";"69433";"2022 AMA";"69433 - CREATE EARDRUM OPENING";"ein";"920142140";"11";"professional";1200.0000;501.2000;"1639102254";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Auditory";"CPT";"V5140";"2022 AMA";"V5140 - BEHIND EAR BINAUR HEARING AI";"ein";"461886340";"11";"professional";4800.0000;4800.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Auditory";"CPT";"V5264";"2022 AMA";"V5264 - EAR MOLD/INSERT";"ein";"852209900";"11";"professional";200.0000;200.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Auditory";"CPT";"V5267";"2022 AMA";"V5267 - HEARING AID SUP/ACCESS/DEV";"ein";"473423497";"11";"professional";350.0000;0.0000;"1255728754";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Cancer";"CPT";"96372";"2022 AMA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"770625390";"11";"professional";27.0000;27.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Cancer";"CPT";"96372";"2022 AMA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"920040308";"11";"professional";92.0000;92.0000;"1821201278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Cancer";"CPT";"96372";"2022 AMA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"920089779";"11";"professional";140.0000;78.4000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Cancer";"CPT";"96379";"2022 AMA";"96379 - THER/PROP/DIAG INJ/INF PROC";"ein";"371865858";"42";"professional";590.0000;560.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Cancer";"CPT";"96411";"2022 AMA";"96411 - CHEMO IV PUSH ADDL DRUG";"ein";"920175249";"11";"professional";268.0000;268.0000;"1487713848";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Psychological";"CPT";"90833";"2022 AMA";"90833 - PSYTX PT&/FAM W/E&M 30 MIN";"ein";"465161054";"11";"professional";175.0000;98.4200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Radiology";"CPT";"70350";"2022 AMA";"70350 - X-RAY HEAD FOR ORTHODONTIA";"ein";"205146678";"11";"professional";109.0000;35.1000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Radiology";"CPT";"70486";"2022 AMA";"70486 - CT MAXILLOFACIAL W/O DYE";"ein";"205146678";"11";"professional";375.0000;270.7700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Administration";"CPT";"99441";"2022 AMA";"99441 - PHONE E/M PHYS/QHP 5-10 MIN";"ein";"462810230";"11";"professional";330.0000;94.5000;"1245677491";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Ambulance";"CPT";"A0394";"2022 AMA";"A0394 - ALS IV DRUG THERAPY SUPPLIES";"ein";"330736730";"41";"professional";140.0000;0.0000;"1962576660";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Category II";"CPT";"S9374";"2022 AMA";"S9374 - HIT HYDRA 1 LITER DIEM";"ein";"850545441";"12";"professional";1950.0000;468.0013;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Medicine/Pharmacy/Vaccine";"CPT";"J1200";"2022 AMA";"J1200 - DIPHENHYDRAMINE HCL INJECTIO";"ein";"850545441";"12";"professional";2995.9800;719.0400;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Urinary";"CPT";"51728";"2022 AMA";"51728 - CYSTOMETROGRAM W/VP";"ein";"823785749";"11";"professional";30.2400;21.1680;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Pathology and Laboratory";"CPT";"82670";"2022 AMA";"82670 - ASSAY OF ESTRADIOL";"ein";"561565047";"81";"professional";120.3400;30.7500;"1073591822";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Pathology and Laboratory";"CPT";"86225";"2022 AMA";"86225 - DNA ANTIBODY NATIVE";"ein";"472390897";"81";"professional";42.5900;13.7500;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Radiology";"CPT";"78492";"2022 AMA";"78492 - HEART IMAGE (PET) MULTIPLE";"ein";"200562668";"11";"professional";5300.0000;2650.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"NECA IBEW Local 176 H&W Fund";"group";"Administration";"CPT";"99243";"2022 AMA";"99243 - OFFICE CONSULTATION";"ein";"376000511";"22";"professional";437.0000;140.1500;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Administration";"CPT";"99443";"2022 AMA";"99443 - PHONE E/M PHYS/QHP 21-30 MIN";"ein";"946000539";"53";"professional";330.9000;212.5200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Administration";"CPT";"99454";"2022 AMA";"99454 - REM MNTR PHYSIOL PARAM DEV";"ein";"577826393";"11";"professional";100.0000;51.9100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Air Ambulance";"CPT";"A0431";"2022 AMA";"A0431 - ROTARY WING AIR TRANSPORT";"ein";"721404705";"42";"professional";37344.0000;7610.3500;"1033459524";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Air Ambulance";"CPT";"A0436";"2022 AMA";"A0436 - ROTARY WING AIR MILEAGE";"ein";"721404705";"42";"professional";58904.0000;6094.6400;"1033459524";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Ambulance";"CPT";"A0398";"2022 AMA";"A0398 - ALS ROUTINE DISPOSBLE SUPPLS";"ein";"731498164";"41";"professional";29.2600;29.2600;"1922391226";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Respiratory";"CPT";"94010";"2022 AMA";"94010 - BREATHING CAPACITY TEST";"ein";"471524086";"11";"professional";110.0000;110.0000;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Respiratory";"CPT";"94060";"2022 AMA";"94060 - EVALUATION OF WHEEZING";"ein";"920162721";"22";"professional";75.0000;28.6800;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Urinary";"CPT";"52000";"2022 AMA";"52000 - CYSTOSCOPY";"ein";"263251875";"11";"professional";1598.0000;1500.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Bakery Workers H&W Local 24";"group";"COVID-19";"CPT";"U0005";"2022 AMA";"U0005 - INFEC AGEN DETEC AMPLI PROBE";"ein";"861826385";"81";"professional";100.0000;25.0000;"1346914843";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Bakery Workers H&W Local 24";"group";"N/A";"CPT";"0064A";"2022 AMA";"0064A - ADM SARSCOV2 50MCG/0.25MLBST";"ein";"942647979";"60";"professional";76.5000;32.0000;"1801968680";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Administration";"CPT";"99053";"2022 AMA";"99053 - MED SERV 10PM-8AM 24 HR FAC";"ein";"261336258";"23";"professional";97.5300;69.9500;"1881868164";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Administration";"CPT";"99441";"2022 AMA";"99441 - PHONE E/M PHYS/QHP 5-10 MIN";"ein";"942728480";"11";"professional";75.0000;48.7500;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Administration";"CPT";"99238";"2022 AMA";"99238 - HOSPITAL DISCHARGE DAY";"ein";"350446884";"51";"professional";100.0000;70.0000;"1649380080";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Outpatient Services";"CPT";"99214";"2022 AMA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"850105601";"11";"professional";216.0000;164.9700;"1215913470";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Outpatient Services";"CPT";"99214";"2022 AMA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"860719852";"22";"professional";180.0000;126.0000;"1780639971";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Outpatient Services";"CPT";"99215";"2022 AMA";"99215 - OFFICE/OUTPATIENT VISIT EST";"ein";"832388806";"11";"professional";180.0000;117.0000;"1902379670";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"CPT";"81002";"2022 AMA";"81002 - URINALYSIS NONAUTO W/O SCOPE";"ein";"850105601";"20";"professional";9.0000;5.2300;"1215913470";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"CPT";"85018";"2022 AMA";"85018 - HEMOGLOBIN";"ein";"850249591";"11";"professional";6.3000;0.0000;"1083834436";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Psychological";"CPT";"90834";"2022 AMA";"90834 - PSYTX PT&/FAMILY 45 MINUTES";"ein";"860719852";"22";"professional";172.8000;120.9600;"1780639971";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Pathology and Laboratory";"CPT";"83970";"2022 AMA";"83970 - ASSAY OF PARATHORMONE";"ein";"593205549";"81";"professional";763.2400;59.4600;"1255335535";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Respiratory";"CPT";"94690";"2022 AMA";"94690 - EXHALED AIR ANALYSIS";"ein";"832792654";"11";"professional";500.0000;96.7100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Administration";"CPT";"99000";"2022 AMA";"99000 - SPECIMEN HANDLING OFFICE-LAB";"ein";"823826671";"20";"professional";90.0000;0.0000;"1538709837";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"362688847";"41";"professional";330.0000;186.5600;"1336107838";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"366006142";"41";"professional";75.0000;50.8800;"1760579817";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Ambulance";"CPT";"A0427";"2022 AMA";"A0427 - ALS1-EMERGENCY";"ein";"362798043";"41";"professional";1957.0000;829.1400;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Category II";"CPT";"G0443";"2022 AMA";"G0443 - BRIEF ALCOHOL MISUSE COUNSEL";"ein";"474607572";"57";"professional";499.0000;115.1200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Medical and Surgical Supplies";"CPT";"A4556";"2022 AMA";"A4556 - ELECTRODES, PAIR";"ein";"473030994";"12";"professional";4500.0000;0.0000;"1154712370";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Nervous";"CPT";"95938";"2022 AMA";"95938 - SOMATOSENSORY TESTING";"ein";"850542512";"22";"professional";7270.0000;554.3300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Outpatient Services";"CPT";"99211";"2022 AMA";"99211 - OFFICE/OUTPATIENT VISIT EST";"ein";"205146678";"11";"professional";55.0000;32.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Pathology and Laboratory";"CPT";"82533";"2022 AMA";"82533 - TOTAL CORTISOL";"ein";"900732173";"81";"professional";60.3600;36.2160;"1477811503";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Pathology and Laboratory";"CPT";"82677";"2022 AMA";"82677 - ASSAY OF ESTRIOL";"ein";"900732173";"81";"professional";89.5500;53.7300;"1477811503";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Pathology and Laboratory";"CPT";"82679";"2022 AMA";"82679 - ASSAY OF ESTRONE";"ein";"900732173";"81";"professional";92.4300;0.0000;"1477811503";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Psychological";"CPT";"99484";"2022 AMA";"99484 - CARE MGMT SVC BHVL HLTH COND";"ein";"474607572";"57";"professional";1260.0000;40.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Respiratory";"CPT";"94760";"2022 AMA";"94760 - MEASURE BLOOD OXYGEN LEVEL";"ein";"362688847";"41";"professional";60.0000;0.0000;"1336107838";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"956000803";"41";"professional";19.0000;16.9600;"1629251632";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Cardiovascular";"CPT";"93010";"2022 AMA";"93010 - ELECTROCARDIOGRAM REPORT";"ein";"475480999";"23";"professional";87.0000;10.1800;"1194180968";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Category II";"CPT";"S9338";"2022 AMA";"S9338 - HIT IMMUNOTHERAPY DIEM";"ein";"850545441";"12";"professional";3600.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Category II";"CPT";"S9338";"2022 AMA";"S9338 - HIT IMMUNOTHERAPY DIEM";"ein";"850545441";"12";"professional";3600.0000;864.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Category II";"CPT";"S9338";"2022 AMA";"S9338 - HIT IMMUNOTHERAPY DIEM";"ein";"850545441";"12";"professional";3600.0000;3600.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"COVID-19";"CPT";"0012A";"2022 AMA";"0012A - ADM SARSCOV2 100MCG/0.5ML2ND";"ein";"951750445";"11";"professional";51.0000;40.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"COVID-19";"CPT";"U0003";"2022 AMA";"U0003 - Inf agent detection SARS-CoV-2; high throughput";"ein";"463371474";"81";"professional";120.0000;72.0000;"1700212735";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"COVID-19";"CPT";"U0003";"2022 AMA";"U0003 - Inf agent detection SARS-CoV-2; high throughput";"ein";"880241758";"81";"professional";100.0000;60.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"COVID-19";"CPT";"U0004";"2022 AMA";"U0004 - SARS-CoV-2/2019-nCoV-2 any technique, high throughput";"ein";"010612023";"81";"professional";300.0000;30.0000;"1396842472";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"COVID-19";"CPT";"U0005";"2022 AMA";"U0005 - INFEC AGEN DETEC AMPLI PROBE";"ein";"010612023";"81";"professional";75.0000;10.0000;"1396842472";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Emergency Department Services";"CPT";"99285";"2022 AMA";"99285 - EMERGENCY DEPT VISIT";"ein";"953192932";"23";"professional";829.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Ambulance";"CPT";"A0398";"2022 AMA";"A0398 - ALS ROUTINE DISPOSBLE SUPPLS";"ein";"731498164";"41";"professional";32.9300;32.9300;"1922391226";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Ambulance";"CPT";"A0398";"2022 AMA";"A0398 - ALS ROUTINE DISPOSBLE SUPPLS";"ein";"770324739";"41";"professional";9.2800;9.2800;"1386678605";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Ambulance";"CPT";"A0422";"2022 AMA";"A0422 - AMBULANCE 02 LIFE SUSTAINING";"ein";"770324739";"41";"professional";98.4700;0.0000;"1386678605";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"596000523";"41";"professional";78.8600;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"680358779";"41";"professional";205.0000;188.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"731498164";"41";"professional";571.9500;0.0000;"1922391226";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"770324739";"41";"professional";370.0500;84.8000;"1386678605";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"770324739";"41";"professional";555.6000;0.0000;"1386678605";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"770324739";"41";"professional";2294.3100;2294.3100;"1386678605";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"942725852";"41";"professional";180.6600;50.8800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"946000509";"41";"professional";457.0300;118.7200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"946000509";"41";"professional";620.0000;169.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"946000547";"41";"professional";720.9000;135.6800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Ambulance";"CPT";"A0426";"2022 AMA";"A0426 - ALS 1";"ein";"770324739";"41";"professional";2042.6700;0.0000;"1386678605";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Ambulance";"CPT";"A0427";"2022 AMA";"A0427 - ALS1-EMERGENCY";"ein";"680236179";"41";"professional";3060.2900;774.5300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Ambulance";"CPT";"A0427";"2022 AMA";"A0427 - ALS1-EMERGENCY";"ein";"731498164";"41";"professional";1960.8200;827.6000;"1922391226";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Ambulance";"CPT";"A0427";"2022 AMA";"A0427 - ALS1-EMERGENCY";"ein";"770324739";"41";"professional";3488.7000;3488.7000;"1386678605";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Outpatient Services";"CPT";"99212";"2022 AMA";"99212 - OFFICE/OUTPATIENT VISIT EST";"ein";"920119413";"11";"professional";163.0000;163.0000;"1851506836";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Outpatient Services";"CPT";"99212";"2022 AMA";"99212 - OFFICE/OUTPATIENT VISIT EST";"ein";"920129771";"53";"professional";79.2900;79.2900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Outpatient Services";"CPT";"99212";"2022 AMA";"99212 - OFFICE/OUTPATIENT VISIT EST";"ein";"920142140";"11";"professional";140.0000;91.0000;"1639102254";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Outpatient Services";"CPT";"99212";"2022 AMA";"99212 - OFFICE/OUTPATIENT VISIT EST";"ein";"920175249";"11";"professional";151.0000;151.0000;"1487713848";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Outpatient Services";"CPT";"99212";"2022 AMA";"99212 - OFFICE/OUTPATIENT VISIT EST";"ein";"920176684";"11";"professional";105.0000;105.0000;"1952569428";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Outpatient Services";"CPT";"99213";"2022 AMA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"161457919";"11";"professional";200.0000;200.0000;"1811082662";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Outpatient Services";"CPT";"99213";"2022 AMA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"201342837";"11";"professional";129.0000;129.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Outpatient Services";"CPT";"99213";"2022 AMA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"202921836";"11";"professional";140.0000;140.0000;"1124173406";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Medicine/Pharmacy/Vaccine";"CPT";"90707";"2022 AMA";"90707 - MMR VACCINE SC";"ein";"237255435";"11";"professional";65.0000;4.8750;"1184791998";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"N/A";"CPT";"0004A";"2022 AMA";"0004A - ADM SARSCOV2 30MCG/0.3ML BST";"ein";"852421177";"60";"professional";100.0000;20.0000;"1366048019";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Pathology and Laboratory";"CPT";"80053";"2022 AMA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"942728480";"81";"professional";164.0000;14.2100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Pathology and Laboratory";"CPT";"83036";"2022 AMA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"942188574";"11";"professional";23.9800;15.5900;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Pathology and Laboratory";"CPT";"88112";"2022 AMA";"88112 - CYTOPATH CELL ENHANCE TECH";"ein";"941248130";"22";"professional";180.0000;46.7800;"1871555979";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Psychological";"CPT";"90832";"2022 AMA";"90832 - PSYTX PT&/FAMILY 30 MINUTES";"ein";"825481200";"11";"professional";100.0000;50.0000;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Radiology";"CPT";"76815";"2022 AMA";"76815 - OB US LIMITED FETUS(S)";"ein";"942728480";"23";"professional";159.0000;58.7500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"272791517";"41";"professional";330.0000;186.5600;"1710294368";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Ambulance";"CPT";"A0429";"2022 AMA";"A0429 - BLS-EMERGENCY";"ein";"362698031";"41";"professional";1150.0000;862.5000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Ambulance";"CPT";"A0429";"2022 AMA";"A0429 - BLS-EMERGENCY";"ein";"366005833";"41";"professional";1223.3000;620.4500;"1154337889";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Medical and Surgical Supplies";"CPT";"E0730";"2022 AMA";"E0730 - TENS FOUR LEAD";"ein";"473030994";"12";"professional";250.0000;0.0000;"1154712370";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Pathology and Laboratory";"CPT";"83491";"2022 AMA";"83491 - ASSAY OF CORTICOSTEROIDS 17";"ein";"900732173";"81";"professional";64.9200;38.9520;"1477811503";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Administration";"CPT";"99051";"2022 AMA";"99051 - MED SERV EVE/WKEND/HOLIDAY";"ein";"823826671";"20";"professional";168.0000;0.0000;"1538709837";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Administration";"CPT";"99053";"2022 AMA";"99053 - MED SERV 10PM-8AM 24 HR FAC";"ein";"202977358";"23";"professional";97.5300;0.0000;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Administration";"CPT";"99220";"2022 AMA";"99220 - INITIAL OBSERVATION CARE";"ein";"824780648";"22";"professional";997.0000;208.8600;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99212";"2022 AMA";"99212 - OFFICE/OUTPATIENT VISIT EST";"ein";"920162721";"11";"professional";160.0000;104.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99213";"2022 AMA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"185445814";"11";"professional";180.0000;180.0000;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99215";"2022 AMA";"99215 - OFFICE/OUTPATIENT VISIT EST";"ein";"920162721";"22";"professional";525.0000;341.2500;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"85610";"2022 AMA";"85610 - PROTHROMBIN TIME";"ein";"463599411";"21";"professional";14.9500;11.9600;"1457781825";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"86850";"2022 AMA";"86850 - RBC ANTIBODY SCREEN";"ein";"753022282";"23";"professional";63.7500;16.1200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"87075";"2022 AMA";"87075 - CULTR BACTERIA EXCEPT BLOOD";"ein";"561565047";"81";"professional";42.8300;10.4400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"88302";"2022 AMA";"88302 - TISSUE EXAM BY PATHOLOGIST";"ein";"920042453";"21";"professional";236.0000;200.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"95024";"2022 AMA";"95024 - ICUT ALLERGY TEST DRUG/BUG";"ein";"471524086";"11";"professional";330.0000;137.5600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97014";"2022 AMA";"97014 - ELECTRIC STIMULATION THERAPY";"ein";"461384970";"11";"professional";55.0000;55.0000;"1497093926";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97112";"2022 AMA";"97112 - NEUROMUSCULAR REEDUCATION";"ein";"474427591";"11";"professional";70.0000;70.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97124";"2022 AMA";"97124 - MASSAGE THERAPY";"ein";"510657225";"11";"professional";146.2500;146.2500;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Cancer";"CPT";"96413";"2022 AMA";"96413 - CHEMO IV INFUSION 1 HR";"ein";"920175249";"11";"professional";705.0000;705.0000;"1487713848";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Digestive";"CPT";"49568";"2022 AMA";"49568 - HERNIA REPAIR W/MESH";"ein";"920177511";"24";"professional";358.0000;358.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Emergency Department Services";"CPT";"99282";"2022 AMA";"99282 - EMERGENCY DEPT VISIT";"ein";"920162721";"23";"professional";400.0000;120.0000;"1437368891";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"98941";"2022 AMA";"98941 - CHIROPRACT MANJ 3-4 REGIONS";"ein";"680649327";"11";"professional";78.0000;78.0000;"1861686255";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"98941";"2022 AMA";"98941 - CHIROPRACT MANJ 3-4 REGIONS";"ein";"833149985";"11";"professional";85.0000;0.0000;"1316402720";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"98941";"2022 AMA";"98941 - CHIROPRACT MANJ 3-4 REGIONS";"ein";"920072540";"11";"professional";60.0000;60.0000;"1932270535";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"98941";"2022 AMA";"98941 - CHIROPRACT MANJ 3-4 REGIONS";"ein";"920115326";"11";"professional";83.0000;83.0000;"1417092735";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"98943";"2022 AMA";"98943 - CHIROPRACT MANJ XTRSPINL 1/>";"ein";"262609773";"11";"professional";75.0000;75.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Psychological";"CPT";"90834";"2022 AMA";"90834 - PSYTX PT&/FAMILY 45 MINUTES";"ein";"364860371";"11";"professional";185.0000;185.0000;"1043401631";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"CPT";"72050";"2022 AMA";"72050 - X-RAY EXAM NECK SPINE 4/5VWS";"ein";"920086076";"11";"professional";245.0000;74.8700;"1487810420";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"CPT";"74177";"2022 AMA";"74177 - CT ABD & PELV W/CONTRAST";"ein";"920162721";"22";"professional";985.0000;295.5000;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Integumentary";"CPT";"11721";"2022 AMA";"11721 - DEBRIDE NAIL 6 OR MORE";"ein";"920162721";"22";"professional";155.0000;100.7500;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Maternity Care and Delivery";"CPT";"59514";"2022 AMA";"59514 - CESAREAN DELIVERY ONLY";"ein";"920040308";"21";"professional";1897.9000;0.0000;"1821201278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medical and Surgical Supplies";"CPT";"A7032";"2022 AMA";"A7032 - REPLACEMENT NASAL CUSHION";"ein";"920126804";"12";"professional";103.0000;0.0000;"1255368866";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"CPT";"J7610";"2022 AMA";"J7610 - ALBUTEROL COMP CON";"ein";"471524086";"11";"professional";16.0000;16.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Musculoskeletal";"CPT";"20561";"2022 AMA";"20561 - NDL INSJ W/O NJX 3+ MUSC";"ein";"462741305";"11";"professional";125.0000;125.0000;"1013344670";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"N/A";"CPT";"99072";"2022 AMA";"99072 - ADDL SUPL MATRL&STAF TM PHE";"ein";"271496057";"11";"professional";10.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"N/A";"CPT";"G1004";"2022 AMA";"G1004 - CDSM NDSC";"ein";"920162721";"23";"professional";0.0100;0.0100;"1437189339";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Ambulance";"CPT";"A0427";"2022 AMA";"A0427 - ALS1-EMERGENCY";"ein";"203014294";"41";"professional";850.0000;757.1100;"1104922830";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Ambulance";"CPT";"A0434";"2022 AMA";"A0434 - SPECIALTY CARE TRANSPORT";"ein";"370999878";"41";"professional";2475.0000;1196.2200;"1699836379";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"203014294";"41";"professional";379.5000;50.8800;"1104922830";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"370999878";"41";"professional";319.0000;319.0000;"1699836379";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"370999878";"41";"professional";1350.0000;848.0000;"1699836379";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"370999878";"41";"professional";2050.0000;2050.0000;"1699836379";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Ambulance";"CPT";"A0427";"2022 AMA";"A0427 - ALS1-EMERGENCY";"ein";"366005939";"41";"professional";1333.5800;848.2600;"1366453581";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Ambulance";"CPT";"A0427";"2022 AMA";"A0427 - ALS1-EMERGENCY";"ein";"371093692";"41";"professional";976.5700;848.2600;"1366570061";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Ambulance";"CPT";"A0429";"2022 AMA";"A0429 - BLS-EMERGENCY";"ein";"362688847";"41";"professional";1900.0000;620.4500;"1336107838";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Ambulance";"CPT";"A0429";"2022 AMA";"A0429 - BLS-EMERGENCY";"ein";"370963912";"41";"professional";998.9400;566.5400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Ambulance";"CPT";"A0429";"2022 AMA";"A0429 - BLS-EMERGENCY";"ein";"370999878";"41";"professional";1466.0000;1466.0000;"1699836379";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Ambulance";"CPT";"A0429";"2022 AMA";"A0429 - BLS-EMERGENCY";"ein";"371360969";"41";"professional";1010.7700;909.6930;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Anesthesia";"CPT";"00170";"2022 AMA";"00170 - ANESTH PROCEDURE ON MOUTH";"ein";"204011762";"11";"professional";750.0000;0.0000;"1811028848";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Cardiovascular";"CPT";"93010";"2022 AMA";"93010 - ELECTROCARDIOGRAM REPORT";"ein";"462388325";"23";"professional";56.0000;14.8600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Category II";"CPT";"S3620";"2022 AMA";"S3620 - NEWBORN METABOLIC SCREENING";"ein";"322764426";"12";"professional";118.0000;118.0000;"1972837862";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Category II";"CPT";"S9328";"2022 AMA";"S9328 - HIT PAIN IMP PUMP DIEM";"ein";"510269822";"12";"professional";4755.3000;1478.4000;"1770528994";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"COVID-19";"CPT";"U0003";"2022 AMA";"U0003 - Inf agent detection SARS-CoV-2; high throughput";"ein";"811799691";"81";"professional";150.0000;75.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Dental";"CPT";"D7230";"2022 AMA";"D7230 - removal of impacted tooth - partially bony";"ein";"204011762";"11";"professional";492.0000;492.0000;"1811028848";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Emergency Department Services";"CPT";"99283";"2022 AMA";"99283 - EMERGENCY DEPT VISIT";"ein";"462388325";"23";"professional";486.0000;107.0600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Emergency Department Services";"CPT";"99285";"2022 AMA";"99285 - EMERGENCY DEPT VISIT";"ein";"813460247";"23";"professional";1946.0000;405.7500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Eye and Ocular Adnexa";"CPT";"99177";"2022 AMA";"99177 - OCULAR INSTRUMNT SCREEN BIL";"ein";"371140016";"22";"professional";60.0000;48.0000;"1336482025";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Medical and Surgical Supplies";"CPT";"A4630";"2022 AMA";"A4630 - REPL BAT T.E.N.S. OWN BY PT";"ein";"841451963";"12";"professional";39.9600;15.9840;"1770511552";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Medical and Surgical Supplies";"CPT";"A7035";"2022 AMA";"A7035 - POS AIRWAY PRESS HEADGEAR";"ein";"200029841";"12";"professional";100.0000;80.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Medical and Surgical Supplies";"CPT";"E0675";"2022 AMA";"E0675 - PNEUMATIC COMPRESSION DEVICE";"ein";"352544251";"24";"professional";285.0000;0.0000;"1255704060";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"N/A";"CPT";"NA";"2022 AMA";"None";"ein";"362709692";"11";"professional";101.0000;90.9000;"1801883004";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Office Visit";"CPT";"99202";"2022 AMA";"99202 - OFFICE/OUTPATIENT VISIT NEW";"ein";"274094794";"11";"professional";55.0000;55.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97014";"2022 AMA";"97014 - ELECTRIC STIMULATION THERAPY";"ein";"273427870";"11";"professional";50.0000;42.5000;"1629353230";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97014";"2022 AMA";"97014 - ELECTRIC STIMULATION THERAPY";"ein";"920041638";"11";"professional";82.0000;70.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97014";"2022 AMA";"97014 - ELECTRIC STIMULATION THERAPY";"ein";"920090940";"11";"professional";38.0000;38.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97110";"2022 AMA";"97110 - THERAPEUTIC EXERCISES";"ein";"510658550";"11";"professional";100.0000;100.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97110";"2022 AMA";"97110 - THERAPEUTIC EXERCISES";"ein";"920069243";"11";"professional";120.0000;120.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97110";"2022 AMA";"97110 - THERAPEUTIC EXERCISES";"ein";"920069243";"11";"professional";360.0000;360.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97110";"2022 AMA";"97110 - THERAPEUTIC EXERCISES";"ein";"920156906";"11";"professional";95.0000;71.2500;"1972643138";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97110";"2022 AMA";"97110 - THERAPEUTIC EXERCISES";"ein";"920156906";"11";"professional";190.0000;142.5000;"1972643138";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97112";"2022 AMA";"97112 - NEUROMUSCULAR REEDUCATION";"ein";"920143841";"11";"professional";200.0000;200.0000;"1831123165";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97124";"2022 AMA";"97124 - MASSAGE THERAPY";"ein";"920174052";"11";"professional";45.0000;45.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97140";"2022 AMA";"97140 - MANUAL THERAPY 1/> REGIONS";"ein";"272536504";"11";"professional";270.0000;270.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97140";"2022 AMA";"97140 - MANUAL THERAPY 1/> REGIONS";"ein";"392057318";"11";"professional";195.0000;195.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97140";"2022 AMA";"97140 - MANUAL THERAPY 1/> REGIONS";"ein";"510658550";"11";"professional";88.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97140";"2022 AMA";"97140 - MANUAL THERAPY 1/> REGIONS";"ein";"680649327";"11";"professional";120.0000;120.0000;"1861686255";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97140";"2022 AMA";"97140 - MANUAL THERAPY 1/> REGIONS";"ein";"830400782";"11";"professional";89.0000;71.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97140";"2022 AMA";"97140 - MANUAL THERAPY 1/> REGIONS";"ein";"851037654";"11";"professional";285.0000;285.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97140";"2022 AMA";"97140 - MANUAL THERAPY 1/> REGIONS";"ein";"870833192";"11";"professional";255.0000;255.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97140";"2022 AMA";"97140 - MANUAL THERAPY 1/> REGIONS";"ein";"920041638";"11";"professional";123.0000;100.3000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97140";"2022 AMA";"97140 - MANUAL THERAPY 1/> REGIONS";"ein";"920156906";"11";"professional";95.0000;95.0000;"1972643138";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97140";"2022 AMA";"97140 - MANUAL THERAPY 1/> REGIONS";"ein";"920161332";"11";"professional";85.0000;85.0000;"1639238694";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97161";"2022 AMA";"97161 - PT EVAL LOW COMPLEX 20 MIN";"ein";"920040308";"11";"professional";252.0000;252.0000;"1821201278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"98941";"2022 AMA";"98941 - CHIROPRACT MANJ 3-4 REGIONS";"ein";"203758332";"11";"professional";80.0000;56.0000;"1285797720";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"98941";"2022 AMA";"98941 - CHIROPRACT MANJ 3-4 REGIONS";"ein";"272536504";"11";"professional";80.0000;80.0000;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"98941";"2022 AMA";"98941 - CHIROPRACT MANJ 3-4 REGIONS";"ein";"830400782";"11";"professional";124.0000;99.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Utah)";"group";"Pathology and Laboratory";"CPT";"80053";"2022 AMA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"450454268";"81";"professional";34.6400;3.5900;"1588004410";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Utah)";"group";"Pathology and Laboratory";"CPT";"80053";"2022 AMA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"942854057";"81";"professional";26.8300;10.9700;"1720029960";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Utah)";"group";"Pathology and Laboratory";"CPT";"81225";"2022 AMA";"81225 - CYP2C19 GENE COM VARIANTS";"ein";"271453375";"81";"professional";681.0000;178.3100;"1235363052";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Utah)";"group";"Pathology and Laboratory";"CPT";"81230";"2022 AMA";"81230 - CYP3A4 GENE COMMON VARIANTS";"ein";"271453375";"81";"professional";700.0000;106.9800;"1235363052";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Utah)";"group";"Pathology and Laboratory";"CPT";"81291";"2022 AMA";"81291 - MTHFR GENE";"ein";"271453375";"81";"professional";150.0000;39.9900;"1235363052";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Utah)";"group";"Pathology and Laboratory";"CPT";"81298";"2022 AMA";"81298 - MSH6 GENE FULL SEQ";"ein";"474903308";"81";"professional";800.0000;392.8100;"1740733708";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Utah)";"group";"Pathology and Laboratory";"CPT";"82040";"2022 AMA";"82040 - ASSAY OF SERUM ALBUMIN";"ein";"943357013";"81";"professional";60.0000;2.6960;"1982606992";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Utah)";"group";"Pathology and Laboratory";"CPT";"82728";"2022 AMA";"82728 - ASSAY OF FERRITIN";"ein";"943357013";"81";"professional";164.0000;7.4160;"1982606992";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Utah)";"group";"Pathology and Laboratory";"CPT";"84100";"2022 AMA";"84100 - ASSAY OF PHOSPHORUS";"ein";"943357013";"81";"professional";57.0000;2.5760;"1982606992";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Utah)";"group";"Pathology and Laboratory";"CPT";"84460";"2022 AMA";"84460 - ALANINE AMINO (ALT) (SGPT)";"ein";"942854057";"81";"professional";24.5800;6.9300;"1720029960";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Utah)";"group";"Pathology and Laboratory";"CPT";"84550";"2022 AMA";"84550 - ASSAY OF BLOOD/URIC ACID";"ein";"942854057";"81";"professional";24.5800;6.3200;"1720029960";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Utah)";"group";"Pathology and Laboratory";"CPT";"85025";"2022 AMA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"450454268";"81";"professional";25.4900;0.0000;"1588004410";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Utah)";"group";"Pathology and Laboratory";"CPT";"85027";"2022 AMA";"85027 - COMPLETE CBC AUTOMATED";"ein";"450454268";"81";"professional";21.2300;2.1950;"1588004410";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Utah)";"group";"Pathology and Laboratory";"CPT";"85652";"2022 AMA";"85652 - RBC SED RATE AUTOMATED";"ein";"942854057";"81";"professional";26.1100;2.8700;"1720029960";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Utah)";"group";"Pathology and Laboratory";"CPT";"86160";"2022 AMA";"86160 - COMPLEMENT ANTIGEN";"ein";"942854057";"81";"professional";27.1800;12.7400;"1720029960";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Utah)";"group";"Pathology and Laboratory";"CPT";"86235";"2022 AMA";"86235 - NUCLEAR ANTIGEN ANTIBODY";"ein";"200434866";"81";"professional";160.0000;31.7135;"1245494517";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Utah)";"group";"Pathology and Laboratory";"CPT";"87081";"2022 AMA";"87081 - CULTURE SCREEN ONLY";"ein";"942854057";"81";"professional";27.0300;0.0000;"1720029960";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Utah)";"group";"Radiology";"CPT";"73610";"2022 AMA";"73610 - X-RAY EXAM OF ANKLE";"ein";"263933920";"23";"professional";74.0000;10.4700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Utah)";"group";"Radiology";"CPT";"73610";"2022 AMA";"73610 - X-RAY EXAM OF ANKLE";"ein";"650044211";"23";"professional";28.0000;10.0500;"1255301354";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Local 3 (Public)";"group";"Administration";"CPT";"99053";"2022 AMA";"99053 - MED SERV 10PM-8AM 24 HR FAC";"ein";"274436407";"23";"professional";97.5300;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medical and Surgical Supplies";"CPT";"A4595";"2022 AMA";"A4595 - TENS SUPPL 2 LEAD PER MONTH";"ein";"841451963";"12";"professional";217.9800;31.9680;"1770511552";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"N/A";"CPT";"0117U";"2022 AMA";"0117U - PAIN MGMT 11 ENDOGENOUS ANAL";"ein";"273012584";"81";"professional";841.0000;420.5000;"1104255215";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Outpatient Services";"CPT";"99213";"2022 AMA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"821926135";"11";"professional";262.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Outpatient Services";"CPT";"99214";"2022 AMA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"680468716";"11";"professional";195.0000;175.7100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Outpatient Services";"CPT";"99214";"2022 AMA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"852621260";"11";"professional";140.0000;119.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"CPT";"80050";"2022 AMA";"80050 - GENERAL HEALTH PANEL";"ein";"942854057";"81";"professional";100.1600;57.5700;"1720029960";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"CPT";"81552";"2022 AMA";"81552 - ONC UVEAL MLNMA MRNA 15 GENE";"ein";"770701774";"81";"professional";8640.0000;7776.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"CPT";"84443";"2022 AMA";"84443 - ASSAY THYROID STIM HORMONE";"ein";"382084239";"81";"professional";26.0000;16.8000;"1316983158";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"CPT";"G0480";"2022 AMA";"G0480 - Drug test def 1-7 classes";"ein";"463908799";"81";"professional";165.0000;42.0180;"1093136418";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Physical Therapy";"CPT";"97012";"2022 AMA";"97012 - MECHANICAL TRACTION THERAPY";"ein";"680217272";"11";"professional";32.0000;21.8000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Physical Therapy";"CPT";"97014";"2022 AMA";"97014 - ELECTRIC STIMULATION THERAPY";"ein";"810916234";"11";"professional";36.0000;13.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Physical Therapy";"CPT";"97035";"2022 AMA";"97035 - ULTRASOUND THERAPY";"ein";"454748716";"11";"professional";45.0000;27.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Anesthesia";"CPT";"99140";"2022 AMA";"99140 - EMERGENCY ANESTHESIA";"ein";"370661220";"21";"professional";0.0000;0.0000;"1033171343";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Cardiovascular";"CPT";"93010";"2022 AMA";"93010 - ELECTROCARDIOGRAM REPORT";"ein";"273816791";"23";"professional";94.0000;15.3600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Dental";"CPT";"D7220";"2022 AMA";"D7220 - removal of impacted tooth - soft tissue";"ein";"204011762";"11";"professional";400.0000;400.0000;"1811028848";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Dental";"CPT";"D7230";"2022 AMA";"D7230 - removal of impacted tooth - partially bony";"ein";"371379539";"11";"professional";402.0000;307.4100;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Dental";"CPT";"D7241";"2022 AMA";"D7241 - removal of impacted tooth - completely bony, with unusual surgical complications";"ein";"204011762";"11";"professional";620.0000;620.0000;"1811028848";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Emergency Department Services";"CPT";"99285";"2022 AMA";"99285 - EMERGENCY DEPT VISIT";"ein";"813460247";"23";"professional";1946.0000;295.6900;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Eye and Ocular Adnexa";"CPT";"92015";"2022 AMA";"92015 - DETERMINE REFRACTIVE STATE";"ein";"371051303";"11";"professional";29.0000;0.0000;"1003026204";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Integumentary";"CPT";"11980";"2022 AMA";"11980 - IMPLANT HORMONE PELLET(S)";"ein";"760709161";"11";"professional";400.0000;150.0300;"1356357867";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Integumentary";"CPT";"17110";"2022 AMA";"17110 - DESTRUCT B9 LESION 1-14";"ein";"370860281";"11";"professional";286.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Medical and Surgical Supplies";"CPT";"A4556";"2022 AMA";"A4556 - ELECTRODES, PAIR";"ein";"205124193";"12";"professional";396.0000;396.0000;"1205908241";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Pathology and Laboratory";"CPT";"86850";"2022 AMA";"86850 - RBC ANTIBODY SCREEN";"ein";"364315783";"22";"professional";22.1000;1.5500;"1700812047";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Pathology and Laboratory";"CPT";"81001";"2022 AMA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"364315783";"22";"professional";13.2000;0.8500;"1700812047";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Pathology and Laboratory";"CPT";"81025";"2022 AMA";"81025 - URINE PREGNANCY TEST";"ein";"370701328";"11";"professional";41.0000;33.6200;"1396782363";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Pathology and Laboratory";"CPT";"81479";"2022 AMA";"81479 - UNLISTED MOLECULAR PATHOLOGY";"ein";"474903308";"81";"professional";1875.0000;0.0000;"1740733708";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Pathology and Laboratory";"CPT";"84145";"2022 AMA";"84145 - PROCALCITONIN (PCT)";"ein";"364315783";"22";"professional";49.0000;27.0200;"1700812047";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Pathology and Laboratory";"CPT";"87481";"2022 AMA";"87481 - CANDIDA DNA AMP PROBE";"ein";"820550651";"22";"professional";51.3000;33.2500;"1740201003";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Physical Therapy";"CPT";"97810";"2022 AMA";"97810 - ACUPUNCT W/O STIMUL 15 MIN";"ein";"274094794";"11";"professional";85.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Physical Therapy";"CPT";"98940";"2022 AMA";"98940 - CHIROPRACT MANJ 1-2 REGIONS";"ein";"311528786";"11";"professional";50.0000;25.0000;"1194921080";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Psychological";"CPT";"90832";"2022 AMA";"90832 - PSYTX PT&/FAMILY 30 MINUTES";"ein";"842098100";"11";"professional";110.9000;80.0400;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"83036";"2022 AMA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"474332775";"81";"professional";67.9700;2.4000;"1285018523";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"83721";"2022 AMA";"83721 - ASSAY OF BLOOD LIPOPROTEIN";"ein";"840611484";"81";"professional";93.0000;4.7100;"1104829159";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"83735";"2022 AMA";"83735 - ASSAY OF MAGNESIUM";"ein";"474332775";"81";"professional";64.3300;1.6550;"1285018523";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"84153";"2022 AMA";"84153 - ASSAY OF PSA TOTAL";"ein";"880099333";"81";"professional";148.4800;4.5400;"1043256886";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"84305";"2022 AMA";"84305 - ASSAY OF SOMATOMEDIN";"ein";"474332775";"81";"professional";148.8200;5.2500;"1285018523";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"84443";"2022 AMA";"84443 - ASSAY THYROID STIM HORMONE";"ein";"472390897";"81";"professional";52.0200;4.1500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"84479";"2022 AMA";"84479 - ASSAY OF THYROID (T3 OR T4)";"ein";"474332775";"81";"professional";45.2900;1.5950;"1285018523";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"86003";"2022 AMA";"86003 - ALLERGEN SPECIFIC IGE";"ein";"474332775";"81";"professional";2228.9400;78.6900;"1285018523";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"86039";"2022 AMA";"86039 - ANTINUCLEAR ANTIBODIES (ANA)";"ein";"472390897";"81";"professional";34.6000;2.7550;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"86431";"2022 AMA";"86431 - RHEUMATOID FACTOR QUANT";"ein";"474332775";"81";"professional";39.6900;1.4000;"1285018523";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"86803";"2022 AMA";"86803 - HEPATITIS C AB TEST";"ein";"840611484";"81";"professional";107.0000;7.0400;"1104829159";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"87077";"2022 AMA";"87077 - CULTURE AEROBIC IDENTIFY";"ein";"742554159";"81";"professional";20.0000;2.9925;"1194769497";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"87086";"2022 AMA";"87086 - URINE CULTURE/COLONY COUNT";"ein";"880099333";"81";"professional";60.7500;1.9900;"1043256886";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"87591";"2022 AMA";"87591 - N.GONORRHOEAE DNA AMP PROB";"ein";"621433252";"81";"professional";43.8600;6.9320;"1689639544";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"87653";"2022 AMA";"87653 - STREP B DNA AMP PROBE";"ein";"830814475";"81";"professional";42.1100;8.6650;"1174009245";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"87661";"2022 AMA";"87661 - TRICHOMONAS VAGINALIS AMPLIF";"ein";"223510467";"81";"professional";130.0000;6.9320;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Pathology and Laboratory";"CPT";"84403";"2022 AMA";"84403 - ASSAY OF TOTAL TESTOSTERONE";"ein";"450454268";"81";"professional";84.6600;34.7500;"1588004410";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Pathology and Laboratory";"CPT";"84550";"2022 AMA";"84550 - ASSAY OF BLOOD/URIC ACID";"ein";"450454268";"81";"professional";14.8300;0.0000;"1588004410";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Pathology and Laboratory";"CPT";"85652";"2022 AMA";"85652 - RBC SED RATE AUTOMATED";"ein";"450454268";"81";"professional";8.8600;0.0000;"1588004410";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Pathology and Laboratory";"CPT";"88360";"2022 AMA";"88360 - TUMOR IMMUNOHISTOCHEM/MANUAL";"ein";"743126687";"81";"professional";1470.1200;538.5000;"1013973866";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Pathology and Laboratory";"CPT";"G0482";"2022 AMA";"G0482 - Drug test def 15-21 classes";"ein";"880241758";"81";"professional";745.0000;329.9500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Joint Council of Teamsters #3";"group";"Administration";"CPT";"99222";"2022 AMA";"99222 - INITIAL HOSPITAL CARE";"ein";"850885025";"21";"professional";880.0000;175.3000;"1174146310";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Joint Council of Teamsters #3";"group";"N/A";"CPT";"G2087";"2022 AMA";"G2087 - OFF BASE OPIOID TX, 60 M";"ein";"823927965";"11";"professional";600.0000;300.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Joint Council of Teamsters #3";"group";"Office Visit";"CPT";"99202";"2022 AMA";"99202 - OFFICE/OUTPATIENT VISIT NEW";"ein";"853186619";"11";"professional";200.0000;100.0000;"1831712496";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Joint Council of Teamsters #3";"group";"Outpatient Services";"CPT";"99203";"2022 AMA";"99203 - OFFICE/OUTPATIENT VISIT NEW";"ein";"270909425";"20";"professional";275.0000;170.5000;"1083940597";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Joint Council of Teamsters #3";"group";"Pathology and Laboratory";"CPT";"88305";"2022 AMA";"88305 - TISSUE EXAM BY PATHOLOGIST";"ein";"823504354";"81";"professional";1200.0000;356.0400;"1386159044";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Joint Council of Teamsters #3";"group";"Physical Therapy";"CPT";"97110";"2022 AMA";"97110 - THERAPEUTIC EXERCISES";"ein";"112888996";"11";"professional";60.0000;42.9200;"1972720183";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Administration";"CPT";"99222";"2022 AMA";"99222 - INITIAL HOSPITAL CARE";"ein";"202685988";"21";"professional";417.9600;334.3680;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Pathology and Laboratory";"CPT";"80053";"2022 AMA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"930798039";"11";"professional";50.0000;8.0800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Pathology and Laboratory";"CPT";"82657";"2022 AMA";"82657 - ENZYME CELL ACTIVITY";"ein";"330685754";"81";"professional";110.0000;25.3700;"1073642641";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Pathology and Laboratory";"CPT";"87502";"2022 AMA";"87502 - INFLUENZA DNA AMP PROBE";"ein";"813546703";"81";"professional";191.6000;0.0000;"1033655303";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Physical Therapy";"CPT";"97012";"2022 AMA";"97012 - MECHANICAL TRACTION THERAPY";"ein";"461984869";"11";"professional";20.0000;4.0400;"1902243108";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Physical Therapy";"CPT";"97032";"2022 AMA";"97032 - ELECTRICAL STIMULATION";"ein";"481906298";"11";"professional";30.0000;3.2100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Physical Therapy";"CPT";"97035";"2022 AMA";"97035 - ULTRASOUND THERAPY";"ein";"461984869";"11";"professional";40.0000;3.8900;"1902243108";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Physical Therapy";"CPT";"97140";"2022 AMA";"97140 - MANUAL THERAPY 1/> REGIONS";"ein";"208748902";"11";"professional";96.0000;21.0720;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Physical Therapy";"CPT";"97161";"2022 AMA";"97161 - PT EVAL LOW COMPLEX 20 MIN";"ein";"208748902";"11";"professional";120.0000;72.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Physical Therapy";"CPT";"98940";"2022 AMA";"98940 - CHIROPRACT MANJ 1-2 REGIONS";"ein";"260051222";"11";"professional";52.0000;52.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Physical Therapy";"CPT";"98941";"2022 AMA";"98941 - CHIROPRACT MANJ 3-4 REGIONS";"ein";"030408394";"11";"professional";58.0000;29.0000;"1851373633";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Psychological";"CPT";"90837";"2022 AMA";"90837 - PSYTX PT&/FAMILY 60 MINUTES";"ein";"548849297";"11";"professional";140.0000;140.0000;"1999999992";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Radiology";"CPT";"71046";"2022 AMA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"942728480";"11";"professional";188.0000;57.7800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Radiology";"CPT";"77062";"2022 AMA";"77062 - BREAST TOMOSYNTHESIS BI";"ein";"825332205";"22";"professional";164.0000;52.4700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Rehabilitation Services";"CPT";"H0004";"2022 AMA";"H0004 - ALCOHOL AND/OR DRUG SERVICES";"ein";"930770054";"53";"professional";130.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"CPT";"99053";"2022 AMA";"99053 - MED SERV 10PM-8AM 24 HR FAC";"ein";"561919741";"23";"professional";104.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"CPT";"99217";"2022 AMA";"99217 - OBSERVATION CARE DISCHARGE";"ein";"770625390";"22";"professional";225.0000;225.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"CPT";"99392";"2022 AMA";"99392 - PREV VISIT EST AGE 1-4";"ein";"920040308";"11";"professional";300.0000;245.0000;"1821201278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"CPT";"99442";"2022 AMA";"99442 - PHONE E/M PHYS/QHP 11-20 MIN";"ein";"920162721";"11";"professional";231.0000;150.1500;"1437189339";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Anesthesia";"CPT";"00170";"2022 AMA";"00170 - ANESTH PROCEDURE ON MOUTH";"ein";"920104638";"24";"professional";979.4000;979.4000;"1871574749";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"83036";"2022 AMA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"880099333";"81";"professional";74.2500;2.4000;"1043256886";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"85025";"2022 AMA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"330289164";"81";"professional";15.5400;2.6880;"1518039486";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"86592";"2022 AMA";"86592 - SYPHILIS TEST NON-TREP QUAL";"ein";"880099333";"81";"professional";23.2400;1.0550;"1043256886";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Digestive";"CPT";"43239";"2022 AMA";"43239 - EGD BIOPSY SINGLE/MULTIPLE";"ein";"873957464";"24";"professional";6895.0000;566.3800;"1013676261";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Emergency Department Services";"CPT";"99283";"2022 AMA";"99283 - EMERGENCY DEPT VISIT";"ein";"880262438";"23";"professional";536.0000;106.3400;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Medical and Surgical Supplies";"CPT";"A7038";"2022 AMA";"A7038 - POS AIRWAY PRESSURE FILTER";"ein";"462512720";"12";"professional";110.0000;66.0000;"1194156745";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Musculoskeletal";"CPT";"L3908";"2022 AMA";"L3908 - WHO COCK-UP NONMOLDE PRE OTS";"ein";"880295881";"12";"professional";88.0400;52.8240;"1962706366";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Pathology and Laboratory";"CPT";"81001";"2022 AMA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"472390897";"81";"professional";9.8300;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Pathology and Laboratory";"CPT";"81225";"2022 AMA";"81225 - CYP2C19 GENE COM VARIANTS";"ein";"271453375";"81";"professional";681.0000;361.0600;"1235363052";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Pathology and Laboratory";"CPT";"81528";"2022 AMA";"81528 - ONCOLOGY COLORECTAL SCR";"ein";"463095174";"81";"professional";681.0000;610.6400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Pathology and Laboratory";"CPT";"82626";"2022 AMA";"82626 - DEHYDROEPIANDROSTERONE";"ein";"561565047";"81";"professional";80.7300;27.0300;"1073591822";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Pathology and Laboratory";"CPT";"84270";"2022 AMA";"84270 - ASSAY OF SEX HORMONE GLOBUL";"ein";"472390897";"81";"professional";67.3600;26.0200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Pathology and Laboratory";"CPT";"84403";"2022 AMA";"84403 - ASSAY OF TOTAL TESTOSTERONE";"ein";"471741039";"81";"professional";85.0000;29.7500;"1619367679";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Security Fund For Southern NV -Local 14";"group";"Psychological";"CPT";"90834";"2022 AMA";"90834 - PSYTX PT&/FAMILY 45 MINUTES";"ein";"460846346";"11";"professional";190.4400;112.7600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UA290";"group";"Anesthesia";"CPT";"01992";"2022 AMA";"01992 - ANESTH N BLOCK/INJ PRONE";"ein";"845045864";"24";"professional";2800.0000;1600.3800;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Outpatient Services";"CPT";"99213";"2022 AMA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"473867001";"11";"professional";140.0000;126.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"CPT";"81000";"2022 AMA";"81000 - URINALYSIS NONAUTO W/SCOPE";"ein";"363702022";"11";"professional";25.0000;5.9400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"CPT";"82044";"2022 AMA";"82044 - MICROALBUMIN SEMIQUANT";"ein";"363702022";"11";"professional";30.0000;9.0300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"CPT";"82607";"2022 AMA";"82607 - VITAMIN B-12";"ein";"363702022";"11";"professional";76.0000;23.0600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"CPT";"84442";"2022 AMA";"84442 - ASSAY OF THYROID ACTIVITY";"ein";"363702022";"11";"professional";34.0000;22.5700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"CPT";"85651";"2022 AMA";"85651 - RBC SED RATE NONAUTOMATED";"ein";"363702022";"11";"professional";24.0000;6.4800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"CPT";"86703";"2022 AMA";"86703 - HIV-1/HIV-2 1 RESULT ANTBDY";"ein";"363702022";"11";"professional";125.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"CPT";"88360";"2022 AMA";"88360 - TUMOR IMMUNOHISTOCHEM/MANUAL";"ein";"474903308";"81";"professional";200.0000;200.0000;"1740733708";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Physical Therapy";"CPT";"97010";"2022 AMA";"97010 - HOT OR COLD PACKS THERAPY";"ein";"317157907";"11";"professional";15.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Respiratory";"CPT";"94760";"2022 AMA";"94760 - MEASURE BLOOD OXYGEN LEVEL";"ein";"362688847";"41";"professional";60.0000;5.5000;"1336107838";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UNITE HERE HEALTH - Alaska";"group";"Outpatient Services";"CPT";"99215";"2022 AMA";"99215 - OFFICE/OUTPATIENT VISIT EST";"ein";"460502975";"11";"professional";363.0000;363.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Anesthesia";"CPT";"01382";"2022 AMA";"01382 - ANESTH DX KNEE ARTHROSCOPY";"ein";"920162721";"22";"professional";876.0000;363.6800;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Cancer";"CPT";"96361";"2022 AMA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"920175249";"11";"professional";125.0000;125.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Cancer";"CPT";"96365";"2022 AMA";"96365 - THER/PROPH/DIAG IV INF INIT";"ein";"920175249";"11";"professional";450.0000;450.0000;"1487713848";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Cancer";"CPT";"96372";"2022 AMA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"463660458";"20";"professional";88.0000;0.0000;"1518389303";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Cancer";"CPT";"96372";"2022 AMA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"473749277";"11";"professional";128.0000;64.0000;"1770967598";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Cancer";"CPT";"96415";"2022 AMA";"96415 - CHEMO IV INFUSION ADDL HR";"ein";"920175249";"11";"professional";315.0000;315.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Cancer";"CPT";"96417";"2022 AMA";"96417 - CHEMO IV INFUS EACH ADDL SEQ";"ein";"920175249";"11";"professional";322.0000;322.0000;"1487713848";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Cardiovascular";"CPT";"36415";"2022 AMA";"36415 - ROUTINE VENIPUNCTURE";"ein";"043775917";"11";"professional";44.0000;0.0000;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"COVID-19";"CPT";"91303";"2022 AMA";"91303 - SARSCOV2 VAC AD26 .5ML IM";"ein";"920089779";"11";"professional";0.0100;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"COVID-19";"CPT";"U0005";"2022 AMA";"U0005 - INFEC AGEN DETEC AMPLI PROBE";"ein";"853253201";"81";"professional";25.0000;12.5000;"1982202453";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Digestive";"CPT";"49561";"2022 AMA";"49561 - RPR VENTRAL HERN INIT BLOCK";"ein";"920177511";"24";"professional";1242.0000;1242.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Digestive";"CPT";"49561";"2022 AMA";"49561 - RPR VENTRAL HERN INIT BLOCK";"ein";"920177511";"24";"professional";6211.0000;6211.0000;"1932316296";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Emergency Department Services";"CPT";"99283";"2022 AMA";"99283 - EMERGENCY DEPT VISIT";"ein";"920162721";"23";"professional";758.0000;227.4000;"1437368891";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Emergency Department Services";"CPT";"99284";"2022 AMA";"99284 - EMERGENCY DEPT VISIT";"ein";"911766565";"23";"professional";782.0000;664.7000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Emergency Department Services";"CPT";"99284";"2022 AMA";"99284 - EMERGENCY DEPT VISIT";"ein";"920041414";"23";"professional";397.0000;256.1400;"1396958609";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Eye and Ocular Adnexa";"CPT";"68761";"2022 AMA";"68761 - CLOSE TEAR DUCT OPENING";"ein";"271232714";"11";"professional";362.0000;181.0000;"1063740363";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Eye and Ocular Adnexa";"CPT";"92083";"2022 AMA";"92083 - VISUAL FIELD EXAMINATION(S)";"ein";"920162721";"22";"professional";126.0000;73.2200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Eye and Ocular Adnexa";"CPT";"92133";"2022 AMA";"92133 - CMPTR OPHTH IMG OPTIC NERVE";"ein";"911768351";"11";"professional";115.0000;115.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Eye and Ocular Adnexa";"CPT";"92134";"2022 AMA";"92134 - CPTR OPHTH DX IMG POST SEGMT";"ein";"920162721";"22";"professional";190.0000;68.0400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medical and Surgical Supplies";"CPT";"E0601";"2022 AMA";"E0601 - CONT AIRWAY PRESSURE DEVICE";"ein";"920167944";"12";"professional";490.7700;0.0000;"1780625533";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medical and Surgical Supplies";"CPT";"E1392";"2022 AMA";"E1392 - PORTABLE OXYGEN CONCENTRATOR";"ein";"920120189";"12";"professional";150.0000;150.0000;"1205979127";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"CPT";"90714";"2022 AMA";"90714 - TD VACC NO PRESV 7 YRS+ IM";"ein";"384037710";"20";"professional";40.0000;26.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"CPT";"90791";"2022 AMA";"90791 - PSYCH DIAGNOSTIC EVALUATION";"ein";"920089779";"11";"professional";600.0000;336.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Local 3 (Public)";"group";"Physical Therapy";"CPT";"97012";"2022 AMA";"97012 - MECHANICAL TRACTION THERAPY";"ein";"462894291";"11";"professional";25.0000;3.4600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Local 3 (Public)";"group";"Physical Therapy";"CPT";"97112";"2022 AMA";"97112 - NEUROMUSCULAR REEDUCATION";"ein";"611445220";"11";"professional";50.0000;50.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Local 3 (Public)";"group";"Physical Therapy";"CPT";"97140";"2022 AMA";"97140 - MANUAL THERAPY 1/> REGIONS";"ein";"611445220";"11";"professional";50.0000;14.6300;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Local 3 (Public)";"group";"Psychological";"CPT";"90834";"2022 AMA";"90834 - PSYTX PT&/FAMILY 45 MINUTES";"ein";"680196204";"11";"professional";120.0000;110.0600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Local 3 (Public)";"group";"Radiology";"CPT";"76816";"2022 AMA";"76816 - OB US FOLLOW-UP PER FETUS";"ein";"942188574";"11";"professional";243.7800;158.4600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Local 3 (Public)";"group";"Respiratory";"CPT";"92625";"2022 AMA";"92625 - TINNITUS ASSESSMENT";"ein";"200286410";"11";"professional";151.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"770324739";"41";"professional";835.8000;203.5200;"1386678605";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Ambulance";"CPT";"A0427";"2022 AMA";"A0427 - ALS1-EMERGENCY";"ein";"770324739";"41";"professional";3691.6700;774.5300;"1386678605";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"CPT";"99292";"2022 AMA";"99292 - CRITICAL CARE ADDL 30 MIN";"ein";"561919741";"23";"professional";2036.0000;1832.4000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"CPT";"99393";"2022 AMA";"99393 - PREV VISIT EST AGE 5-11";"ein";"920040308";"11";"professional";255.0000;255.0000;"1821201278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"CPT";"99394";"2022 AMA";"99394 - PREV VISIT EST AGE 12-17";"ein";"920162721";"22";"professional";337.0000;219.0500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"CPT";"99395";"2022 AMA";"99395 - PREV VISIT EST AGE 18-39";"ein";"342059488";"11";"professional";340.0000;340.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"CPT";"99441";"2022 AMA";"99441 - PHONE E/M PHYS/QHP 5-10 MIN";"ein";"920162721";"11";"professional";116.0000;75.4000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Ambulance";"CPT";"A0398";"2022 AMA";"A0398 - ALS ROUTINE DISPOSBLE SUPPLS";"ein";"371865858";"42";"professional";339.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"920059987";"41";"professional";60.0000;60.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Ambulance";"CPT";"A0426";"2022 AMA";"A0426 - ALS 1";"ein";"810373318";"41";"professional";1330.0000;494.3700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Anesthesia";"CPT";"00142";"2022 AMA";"00142 - ANESTH LENS SURGERY";"ein";"113644655";"24";"professional";750.0000;750.0000;"1629015722";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Anesthesia";"CPT";"00160";"2022 AMA";"00160 - ANESTH NOSE/SINUS SURGERY";"ein";"920104638";"24";"professional";1345.2000;1345.2000;"1871574749";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Cancer";"CPT";"96372";"2022 AMA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"821180162";"11";"professional";92.0000;92.0000;"1871529628";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Cancer";"CPT";"96413";"2022 AMA";"96413 - CHEMO IV INFUSION 1 HR";"ein";"920175249";"11";"professional";705.0000;705.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Cardiovascular";"CPT";"36415";"2022 AMA";"36415 - ROUTINE VENIPUNCTURE";"ein";"823785749";"11";"professional";58.5000;0.0000;"1043727878";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Cardiovascular";"CPT";"36415";"2022 AMA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920059987";"71";"professional";10.0000;0.0000;"1104979806";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Cardiovascular";"CPT";"36415";"2022 AMA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920086076";"11";"professional";41.3700;41.3700;"1487810420";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Cardiovascular";"CPT";"93790";"2022 AMA";"93790 - REVIEW/REPORT BP RECORDING";"ein";"920162721";"22";"professional";183.0000;54.9000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Category II";"CPT";"G0283";"2022 AMA";"G0283 - ELEC STIM OTHER THAN WOUND";"ein";"680649327";"11";"professional";48.0000;48.0000;"1861686255";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"CPT";"J2250";"2022 AMA";"J2250 - INJ MIDAZOLAM HYDROCHLORIDE";"ein";"461197268";"11";"professional";5.0000;5.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"CPT";"J3010";"2022 AMA";"J3010 - FENTANYL CITRATE INJECITON";"ein";"640913966";"12";"professional";1680.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"CPT";"J3301";"2022 AMA";"J3301 - TRIAMCINOLONE ACET INJ NOS";"ein";"463660458";"20";"professional";75.0000;0.0000;"1518389303";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"CPT";"J7030";"2022 AMA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"821180162";"11";"professional";10.0000;10.0000;"1871529628";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Musculoskeletal";"CPT";"20550";"2022 AMA";"20550 - INJ TENDON SHEATH/LIGAMENT";"ein";"141699947";"11";"professional";263.0000;263.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Musculoskeletal";"CPT";"20553";"2022 AMA";"20553 - INJECT TRIGGER POINTS 3/>";"ein";"510658550";"11";"professional";503.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Musculoskeletal";"CPT";"23120";"2022 AMA";"23120 - PARTIAL REMOVAL COLLAR BONE";"ein";"920162721";"22";"professional";4654.0000;1498.3200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"N/A";"CPT";"01938";"2022 AMA";"01938 - ANES DRG/ASPIR LMBR/SAC";"ein";"823785749";"24";"professional";10500.0000;6680.0000;"1043727878";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Nervous";"CPT";"95819";"2022 AMA";"95819 - EEG AWAKE AND ASLEEP";"ein";"920162721";"22";"professional";223.0000;144.9500;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Nervous";"CPT";"95886";"2022 AMA";"95886 - MUSC TEST DONE W/N TEST COMP";"ein";"475245730";"11";"professional";4000.0000;2010.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Office Visit";"CPT";"99202";"2022 AMA";"99202 - OFFICE/OUTPATIENT VISIT NEW";"ein";"920145498";"11";"professional";97.0000;97.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99203";"2022 AMA";"99203 - OFFICE/OUTPATIENT VISIT NEW";"ein";"320184292";"11";"professional";380.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99203";"2022 AMA";"99203 - OFFICE/OUTPATIENT VISIT NEW";"ein";"821706612";"11";"professional";270.0000;270.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99203";"2022 AMA";"99203 - OFFICE/OUTPATIENT VISIT NEW";"ein";"920169632";"11";"professional";190.0000;190.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99205";"2022 AMA";"99205 - OFFICE/OUTPATIENT VISIT NEW";"ein";"471524086";"11";"professional";525.0000;525.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99211";"2022 AMA";"99211 - OFFICE/OUTPATIENT VISIT EST";"ein";"463660458";"20";"professional";113.0000;34.2100;"1518389303";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99212";"2022 AMA";"99212 - OFFICE/OUTPATIENT VISIT EST";"ein";"611583020";"11";"professional";147.0000;147.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99212";"2022 AMA";"99212 - OFFICE/OUTPATIENT VISIT EST";"ein";"920046614";"11";"professional";174.0000;86.7100;"1194889287";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99213";"2022 AMA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"471524086";"11";"professional";220.0000;220.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99213";"2022 AMA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"871885433";"11";"professional";320.0000;255.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99213";"2022 AMA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"920040308";"11";"professional";191.0000;191.0000;"1821201278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99213";"2022 AMA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"920086076";"53";"professional";237.0000;237.0000;"1487810420";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"NECA IBEW Local 176 H&W Fund";"group";"Dental";"CPT";"D7230";"2022 AMA";"D7230 - removal of impacted tooth - partially bony";"ein";"362834572";"11";"professional";1692.0000;1229.6400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"NECA IBEW Local 176 H&W Fund";"group";"Eye and Ocular Adnexa";"CPT";"92250";"2022 AMA";"92250 - EYE EXAM WITH PHOTOS";"ein";"362970624";"11";"professional";114.1900;91.3500;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"82670";"2022 AMA";"82670 - ASSAY OF ESTRADIOL";"ein";"823785749";"11";"professional";285.0000;210.1600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"82728";"2022 AMA";"82728 - ASSAY OF FERRITIN";"ein";"043775917";"11";"professional";158.0000;158.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"84146";"2022 AMA";"84146 - ASSAY OF PROLACTIN";"ein";"823785749";"11";"professional";103.5000;75.5900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"84270";"2022 AMA";"84270 - ASSAY OF SEX HORMONE GLOBUL";"ein";"823785749";"11";"professional";193.5000;143.4800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"84550";"2022 AMA";"84550 - ASSAY OF BLOOD/URIC ACID";"ein";"208223285";"22";"professional";8.0000;0.0000;"1558417873";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"85025";"2022 AMA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"463599411";"21";"professional";24.1500;19.3200;"1457781825";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"87040";"2022 AMA";"87040 - BLOOD CULTURE FOR BACTERIA";"ein";"463599411";"23";"professional";39.1000;20.6400;"1457781825";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"87046";"2022 AMA";"87046 - STOOL CULTR AEROBIC BACT EA";"ein";"561565047";"81";"professional";122.8800;29.7900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"88304";"2022 AMA";"88304 - TISSUE EXAM BY PATHOLOGIST";"ein";"920162721";"22";"professional";103.0000;31.0000;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"95004";"2022 AMA";"95004 - PERCUT ALLERGY SKIN TESTS";"ein";"471524086";"11";"professional";799.0000;799.0000;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Musculoskeletal";"CPT";"L1200";"2022 AMA";"L1200 - FURNSH INITIAL ORTHOSIS ONLY";"ein";"208397735";"12";"professional";3142.6700;3005.5600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"N/A";"CPT";"0241U";"2022 AMA";"0241U - NFCT DS VIR RESP RNA 4 TRGT";"ein";"920040308";"11";"professional";285.0000;285.0000;"1821201278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"N/A";"CPT";"G1004";"2022 AMA";"G1004 - CDSM NDSC";"ein";"920162721";"22";"professional";0.0100;0.0100;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"N/A";"CPT";"Q0245";"2022 AMA";"Q0245 - Bamlanivimab and etesevima";"ein";"900726926";"11";"professional";0.0100;0.0000;"1699362673";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Nervous";"CPT";"95861";"2022 AMA";"95861 - MUSCLE TEST 2 LIMBS";"ein";"815384507";"22";"professional";186.7200;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Nervous";"CPT";"96116";"2022 AMA";"96116 - NEUROBEHAVIORAL STATUS EXAM";"ein";"841668847";"11";"professional";350.0000;350.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Nervous";"CPT";"96133";"2022 AMA";"96133 - NRPSYC TST EVAL PHYS/QHP EA";"ein";"841668847";"11";"professional";435.0000;217.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Office Visit";"CPT";"99202";"2022 AMA";"99202 - OFFICE/OUTPATIENT VISIT NEW";"ein";"161457919";"11";"professional";200.0000;200.0000;"1811082662";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Office Visit";"CPT";"99202";"2022 AMA";"99202 - OFFICE/OUTPATIENT VISIT NEW";"ein";"920162721";"22";"professional";260.0000;169.0000;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99203";"2022 AMA";"99203 - OFFICE/OUTPATIENT VISIT NEW";"ein";"823785749";"11";"professional";457.5000;320.2500;"1043727878";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99203";"2022 AMA";"99203 - OFFICE/OUTPATIENT VISIT NEW";"ein";"833149985";"11";"professional";310.0000;0.0000;"1316402720";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99204";"2022 AMA";"99204 - OFFICE/OUTPATIENT VISIT NEW";"ein";"920177230";"11";"professional";510.0000;510.0000;"1386815678";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99211";"2022 AMA";"99211 - OFFICE/OUTPATIENT VISIT EST";"ein";"900726926";"11";"professional";57.0300;57.0300;"1699362673";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99211";"2022 AMA";"99211 - OFFICE/OUTPATIENT VISIT EST";"ein";"920040308";"11";"professional";98.0000;98.0000;"1821201278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99212";"2022 AMA";"99212 - OFFICE/OUTPATIENT VISIT EST";"ein";"320184292";"11";"professional";190.0000;123.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99212";"2022 AMA";"99212 - OFFICE/OUTPATIENT VISIT EST";"ein";"920041638";"11";"professional";189.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99212";"2022 AMA";"99212 - OFFICE/OUTPATIENT VISIT EST";"ein";"920115326";"11";"professional";173.0000;0.0000;"1417092735";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99212";"2022 AMA";"99212 - OFFICE/OUTPATIENT VISIT EST";"ein";"920162721";"23";"professional";387.0000;144.5200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99213";"2022 AMA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"200961349";"11";"professional";225.0000;225.0000;"1649384744";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99213";"2022 AMA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"262003142";"11";"professional";180.0000;180.0000;"1841469996";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99213";"2022 AMA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"462741305";"11";"professional";195.0000;0.0000;"1013344670";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99213";"2022 AMA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"920040308";"11";"professional";220.0000;141.6300;"1821201278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99213";"2022 AMA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"920041488";"22";"professional";278.0000;218.6820;"1154358232";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99213";"2022 AMA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"920041638";"11";"professional";285.0000;260.0000;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99214";"2022 AMA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"205431410";"11";"professional";309.0000;309.0000;"1932282381";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"80076";"2022 AMA";"80076 - HEPATIC FUNCTION PANEL";"ein";"920041638";"11";"professional";87.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"81002";"2022 AMA";"81002 - URINALYSIS NONAUTO W/O SCOPE";"ein";"770625390";"11";"professional";21.0000;21.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"81003";"2022 AMA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"920041638";"11";"professional";40.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"81025";"2022 AMA";"81025 - URINE PREGNANCY TEST";"ein";"920040308";"11";"professional";54.0000;54.0000;"1821201278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"82670";"2022 AMA";"82670 - ASSAY OF ESTRADIOL";"ein";"823785749";"11";"professional";285.0000;208.1600;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"82715";"2022 AMA";"82715 - ASSAY OF FECAL FAT";"ein";"561565047";"81";"professional";39.6700;32.7500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"83036";"2022 AMA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"043775917";"11";"professional";109.0000;109.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"84402";"2022 AMA";"84402 - ASSAY OF FREE TESTOSTERONE";"ein";"823785749";"11";"professional";253.5000;187.9700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"84443";"2022 AMA";"84443 - ASSAY THYROID STIM HORMONE";"ein";"043775917";"11";"professional";194.0000;186.0000;"1093092116";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"85025";"2022 AMA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"463599411";"21";"professional";24.1500;15.5400;"1457781825";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"85025";"2022 AMA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"823785749";"11";"professional";94.5000;70.0700;"1043727878";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"85730";"2022 AMA";"85730 - THROMBOPLASTIN TIME PARTIAL";"ein";"753022282";"23";"professional";39.0000;9.9200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"87502";"2022 AMA";"87502 - INFLUENZA DNA AMP PROBE";"ein";"463599411";"23";"professional";290.9500;232.7600;"1457781825";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"87798";"2022 AMA";"87798 - DETECT AGENT NOS DNA AMP";"ein";"561565047";"81";"professional";1445.2800;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"88305";"2022 AMA";"88305 - TISSUE EXAM BY PATHOLOGIST";"ein";"920162721";"22";"professional";289.0000;103.0600;"1437368891";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"95004";"2022 AMA";"95004 - PERCUT ALLERGY SKIN TESTS";"ein";"200107631";"11";"professional";712.5000;712.5000;"1588711444";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"CPT";"80053";"2022 AMA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"363702022";"11";"professional";87.0000;16.1900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"CPT";"80061";"2022 AMA";"80061 - LIPID PANEL";"ein";"363702022";"11";"professional";52.0000;19.4200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"CPT";"82150";"2022 AMA";"82150 - ASSAY OF AMYLASE";"ein";"363702022";"11";"professional";31.0000;9.8100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"CPT";"82306";"2022 AMA";"82306 - VITAMIN D 25 HYDROXY";"ein";"363702022";"11";"professional";50.0000;25.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"CPT";"82947";"2022 AMA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"363702022";"11";"professional";27.0000;5.8900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"CPT";"83735";"2022 AMA";"83735 - ASSAY OF MAGNESIUM";"ein";"363702022";"11";"professional";21.0000;10.3000;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"CPT";"88342";"2022 AMA";"88342 - IMMUNOHISTO ANTB 1ST STAIN";"ein";"474903308";"81";"professional";200.0000;156.2500;"1740733708";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Radiology";"CPT";"76942";"2022 AMA";"76942 - ECHO GUIDE FOR BIOPSY";"ein";"841806852";"22";"professional";325.0000;45.0000;"1427619840";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UNITE HERE HEALTH - Alaska";"group";"Medical and Surgical Supplies";"CPT";"E1390";"2022 AMA";"E1390 - OXYGEN CONCENTRATOR";"ein";"330989359";"12";"professional";260.0000;104.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UNITE HERE HEALTH - Alaska";"group";"Medical and Surgical Supplies";"CPT";"E1392";"2022 AMA";"E1392 - PORTABLE OXYGEN CONCENTRATOR";"ein";"330989359";"12";"professional";75.5800;30.2320;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97035";"2022 AMA";"97035 - ULTRASOUND THERAPY";"ein";"870485172";"11";"professional";58.0000;58.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97039";"2022 AMA";"97039 - PHYSICAL THERAPY TREATMENT";"ein";"462741305";"11";"professional";50.0000;0.0000;"1013344670";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Ambulance";"CPT";"A0434";"2022 AMA";"A0434 - SPECIALTY CARE TRANSPORT";"ein";"203014294";"41";"professional";1000.0000;1000.0000;"1104922830";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Category II";"CPT";"G0438";"2022 AMA";"G0438 - PPPS, INITIAL VISIT";"ein";"371140016";"22";"professional";325.0000;260.0000;"1336482025";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Dental";"CPT";"41899";"2022 AMA";"41899 - DENTAL SURGERY PROCEDURE";"ein";"363643184";"11";"professional";427.0000;0.0000;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Emergency Department Services";"CPT";"99283";"2022 AMA";"99283 - EMERGENCY DEPT VISIT";"ein";"844593037";"23";"professional";747.0000;598.3500;"1992337000";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Integumentary";"CPT";"12011";"2022 AMA";"12011 - RPR F/E/E/N/L/M 2.5 CM/<";"ein";"462388325";"23";"professional";386.0000;75.4500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Medical and Surgical Supplies";"CPT";"A4557";"2022 AMA";"A4557 - LEAD WIRES, PAIR";"ein";"841451963";"12";"professional";39.0000;39.0000;"1770511552";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Medicine/Pharmacy/Vaccine";"CPT";"90791";"2022 AMA";"90791 - PSYCH DIAGNOSTIC EVALUATION";"ein";"356582335";"11";"professional";190.0000;0.0000;"1407902695";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Medicine/Pharmacy/Vaccine";"CPT";"95115";"2022 AMA";"95115 - IMMUNOTHERAPY ONE INJECTION";"ein";"370701328";"11";"professional";38.0000;31.1600;"1396782363";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Outpatient Services";"CPT";"99213";"2022 AMA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"363358384";"11";"professional";156.0000;121.8500;"1073592119";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Pathology and Laboratory";"CPT";"80053";"2022 AMA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"364315783";"22";"professional";33.8000;4.3300;"1700812047";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Pathology and Laboratory";"CPT";"80069";"2022 AMA";"80069 - RENAL FUNCTION PANEL";"ein";"364315783";"22";"professional";22.1000;2.8300;"1700812047";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Digestive";"CPT";"40808";"2022 AMA";"40808 - BIOPSY OF MOUTH LESION";"ein";"942781980";"11";"professional";395.0000;275.5700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Digestive";"CPT";"42700";"2022 AMA";"42700 - DRAINAGE OF TONSIL ABSCESS";"ein";"271562128";"23";"professional";1278.5600;174.6800;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Ambulance";"CPT";"A0427";"2022 AMA";"A0427 - ALS1-EMERGENCY";"ein";"366005857";"41";"professional";1957.0000;848.2600;"1437176385";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Ambulance";"CPT";"A0429";"2022 AMA";"A0429 - BLS-EMERGENCY";"ein";"363160550";"41";"professional";1600.0000;634.7600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Cardiovascular";"CPT";"93000";"2022 AMA";"93000 - ELECTROCARDIOGRAM COMPLETE";"ein";"362688847";"41";"professional";400.0000;25.9400;"1336107838";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Medical and Surgical Supplies";"CPT";"A4556";"2022 AMA";"A4556 - ELECTRODES, PAIR";"ein";"473030994";"12";"professional";900.0000;0.0000;"1154712370";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Medical and Surgical Supplies";"CPT";"A6449";"2022 AMA";"A6449 - LT COMPRES BAND >=3"" <5""/YD";"ein";"820936345";"11";"professional";2.7300;2.3500;"1629502810";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"CPT";"90791";"2022 AMA";"90791 - PSYCH DIAGNOSTIC EVALUATION";"ein";"999999999";"11";"professional";280.0000;280.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Office Visit";"CPT";"99202";"2022 AMA";"99202 - OFFICE/OUTPATIENT VISIT NEW";"ein";"813237343";"11";"professional";300.0000;0.0000;"1821541483";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Psychological";"CPT";"90837";"2022 AMA";"90837 - PSYTX PT&/FAMILY 60 MINUTES";"ein";"471456193";"11";"professional";125.0000;125.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Psychological";"CPT";"90837";"2022 AMA";"90837 - PSYTX PT&/FAMILY 60 MINUTES";"ein";"528663084";"11";"professional";125.0000;0.0000;"1427178482";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Psychological";"CPT";"90837";"2022 AMA";"90837 - PSYTX PT&/FAMILY 60 MINUTES";"ein";"544760203";"11";"professional";260.0000;208.0000;"1811923113";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Psychological";"CPT";"90837";"2022 AMA";"90837 - PSYTX PT&/FAMILY 60 MINUTES";"ein";"830606872";"11";"professional";160.0000;160.0000;"1801384862";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Psychological";"CPT";"90837";"2022 AMA";"90837 - PSYTX PT&/FAMILY 60 MINUTES";"ein";"832330981";"11";"professional";150.0000;0.0000;"1538223227";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Psychological";"CPT";"90847";"2022 AMA";"90847 - FAMILY PSYTX W/PATIENT";"ein";"462886938";"11";"professional";160.0000;104.0000;"1790856060";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Psychological";"CPT";"90853";"2022 AMA";"90853 - GROUP PSYCHOTHERAPY";"ein";"205553126";"11";"professional";100.0000;34.9600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Radiology";"CPT";"70486";"2022 AMA";"70486 - CT MAXILLOFACIAL W/O DYE";"ein";"911602128";"11";"professional";455.0000;273.0000;"1649535642";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Radiology";"CPT";"72148";"2022 AMA";"72148 - MRI LUMBAR SPINE W/O DYE";"ein";"911602128";"11";"professional";927.0000;556.2000;"1649535642";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Rehabilitation Services";"CPT";"H0004";"2022 AMA";"H0004 - ALCOHOL AND/OR DRUG SERVICES";"ein";"910854239";"53";"professional";152.0000;114.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Rehabilitation Services";"CPT";"H0046";"2022 AMA";"H0046 - MENTAL HEALTH SERVICE, NOS";"ein";"911069078";"11";"professional";28.0500;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Sheet Metal Workers Local 40";"group";"Pathology and Laboratory";"CPT";"80050";"2022 AMA";"80050 - GENERAL HEALTH PANEL";"ein";"061460613";"81";"professional";264.0600;0.0000;"1174569909";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Southern California Bakery & Conf Trust Fund";"group";"Outpatient Services";"CPT";"99214";"2022 AMA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"943192446";"11";"professional";417.0000;333.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Southern California Bakery & Conf Trust Fund";"group";"Outpatient Services";"CPT";"99214";"2022 AMA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"954664310";"11";"professional";290.0000;79.2000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"363850447";"41";"professional";1693.6300;1322.8800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"366006056";"41";"professional";22.5000;16.9600;"366006056";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"370963912";"41";"professional";61.0500;50.8800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"370988121";"41";"professional";780.0000;503.9300;"1831295252";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"370999878";"41";"professional";1296.0000;814.0800;"1699836379";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"371093692";"41";"professional";175.0000;175.0000;"1366570061";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"371093692";"41";"professional";285.6000;285.6000;"1366570061";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"371246777";"41";"professional";191.0600;186.5600;"1831244144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"850577412";"41";"professional";4350.5000;4350.5000;"1023627395";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Ambulance";"CPT";"A0426";"2022 AMA";"A0426 - ALS 1";"ein";"363850447";"41";"professional";935.6300;490.2700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Pathology and Laboratory";"CPT";"80307";"2022 AMA";"80307 - DRUG TEST PRSMV CHEM ANLYZR";"ein";"133757370";"81";"professional";70.3700;0.0000;"1932184322";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Pathology and Laboratory";"CPT";"82397";"2022 AMA";"82397 - CHEMILUMINESCENT ASSAY";"ein";"330685754";"81";"professional";105.0000;0.0000;"1073642641";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Pathology and Laboratory";"CPT";"82607";"2022 AMA";"82607 - VITAMIN B-12";"ein";"364315783";"22";"professional";41.0000;4.1200;"1700812047";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Pathology and Laboratory";"CPT";"83520";"2022 AMA";"83520 - IMMUNOASSAY QUANT NOS NONAB";"ein";"330685754";"81";"professional";125.0000;0.0000;"1073642641";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Pathology and Laboratory";"CPT";"83735";"2022 AMA";"83735 - ASSAY OF MAGNESIUM";"ein";"364315783";"22";"professional";32.8000;4.3600;"1700812047";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Pathology and Laboratory";"CPT";"86140";"2022 AMA";"86140 - C-REACTIVE PROTEIN";"ein";"330685754";"81";"professional";28.0000;0.0000;"1073642641";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Pathology and Laboratory";"CPT";"87491";"2022 AMA";"87491 - CHYLMD TRACH DNA AMP PROBE";"ein";"820550651";"22";"professional";58.2000;5.5400;"1740201003";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Pathology and Laboratory";"CPT";"88346";"2022 AMA";"88346 - IMMUNOFLUOR ANTB 1ST STAIN";"ein";"330685754";"81";"professional";150.0000;0.0000;"1073642641";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Physical Therapy";"CPT";"97112";"2022 AMA";"97112 - NEUROMUSCULAR REEDUCATION";"ein";"431666349";"11";"professional";40.0000;40.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Physical Therapy";"CPT";"98940";"2022 AMA";"98940 - CHIROPRACT MANJ 1-2 REGIONS";"ein";"431666349";"11";"professional";68.0000;29.9800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Physical Therapy";"CPT";"98941";"2022 AMA";"98941 - CHIROPRACT MANJ 3-4 REGIONS";"ein";"431666349";"11";"professional";65.0000;44.3400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Psychological";"CPT";"90832";"2022 AMA";"90832 - PSYTX PT&/FAMILY 30 MINUTES";"ein";"842098100";"11";"professional";110.9000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Psychological";"CPT";"90837";"2022 AMA";"90837 - PSYTX PT&/FAMILY 60 MINUTES";"ein";"842098100";"11";"professional";604.0000;188.0600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Ambulance";"CPT";"A0427";"2022 AMA";"A0427 - ALS1-EMERGENCY";"ein";"886000028";"41";"professional";1186.1300;445.3800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Cardiovascular";"CPT";"36415";"2022 AMA";"36415 - ROUTINE VENIPUNCTURE";"ein";"472390897";"81";"professional";9.3000;0.6000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"COVID-19";"CPT";"G2023";"2022 AMA";"G2023 - Spec Coll for SARS-CoV-2; any spec source;";"ein";"820973231";"81";"professional";65.0000;0.0000;"1205362522";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"COVID-19";"CPT";"G2023";"2022 AMA";"G2023 - Spec Coll for SARS-CoV-2; any spec source;";"ein";"862940625";"81";"professional";58.7500;0.0000;"1023786233";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"COVID-19";"CPT";"U0003";"2022 AMA";"U0003 - Inf agent detection SARS-CoV-2; high throughput";"ein";"820973231";"81";"professional";195.0000;0.0000;"1205362522";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"COVID-19";"CPT";"U0005";"2022 AMA";"U0005 - INFEC AGEN DETEC AMPLI PROBE";"ein";"320400050";"81";"professional";70.0000;18.2000;"1174964738";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"COVID-19";"CPT";"U0005";"2022 AMA";"U0005 - INFEC AGEN DETEC AMPLI PROBE";"ein";"472462178";"81";"professional";50.0000;25.0000;"1144731605";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Medical and Surgical Supplies";"CPT";"A7030";"2022 AMA";"A7030 - CPAP FULL FACE MASK";"ein";"452683127";"12";"professional";250.0000;53.6940;"1144767542";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Medical and Surgical Supplies";"CPT";"A7046";"2022 AMA";"A7046 - REPL WATER CHAMBER, PAP DEV";"ein";"452683127";"12";"professional";40.0000;6.7920;"1144767542";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"N/A";"CPT";"86363";"2022 AMA";"86363 - MOG-IGG1 ANTB FLO CYTMTRY EA";"ein";"411346366";"81";"professional";425.0000;4.8200;"1093792350";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"CPT";"99283";"2022 AMA";"99283 - EMERGENCY DEPT VISIT";"ein";"830727297";"23";"professional";428.0000;130.2200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"CPT";"99283";"2022 AMA";"99283 - EMERGENCY DEPT VISIT";"ein";"942728480";"23";"professional";289.0000;109.2900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"CPT";"99284";"2022 AMA";"99284 - EMERGENCY DEPT VISIT";"ein";"261491885";"23";"professional";514.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"CPT";"99284";"2022 AMA";"99284 - EMERGENCY DEPT VISIT";"ein";"274436407";"23";"professional";922.7900;177.7800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"CPT";"99284";"2022 AMA";"99284 - EMERGENCY DEPT VISIT";"ein";"274752989";"23";"professional";1085.6400;180.0200;"1588960413";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"CPT";"99284";"2022 AMA";"99284 - EMERGENCY DEPT VISIT";"ein";"680484234";"23";"professional";483.0000;197.9600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"CPT";"99284";"2022 AMA";"99284 - EMERGENCY DEPT VISIT";"ein";"911984897";"23";"professional";922.7900;181.1500;"1598862054";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"CPT";"99285";"2022 AMA";"99285 - EMERGENCY DEPT VISIT";"ein";"202977358";"23";"professional";1361.9500;279.3300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"CPT";"99285";"2022 AMA";"99285 - EMERGENCY DEPT VISIT";"ein";"274752989";"23";"professional";1363.0000;349.2700;"1588960413";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"CPT";"99285";"2022 AMA";"99285 - EMERGENCY DEPT VISIT";"ein";"821054491";"23";"professional";1431.0000;311.0400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"CPT";"99285";"2022 AMA";"99285 - EMERGENCY DEPT VISIT";"ein";"871491242";"23";"professional";1516.0000;317.2500;"1558638692";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Eye and Ocular Adnexa";"CPT";"92250";"2022 AMA";"92250 - EYE EXAM WITH PHOTOS";"ein";"854317619";"11";"professional";78.0000;78.0000;"1285642801";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Eye and Ocular Adnexa";"CPT";"99173";"2022 AMA";"99173 - VISUAL ACUITY SCREEN";"ein";"680076688";"11";"professional";42.0000;21.0000;"1104859354";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Integumentary";"CPT";"11042";"2022 AMA";"11042 - DEB SUBQ TISSUE 20 SQ CM/<";"ein";"822023810";"11";"professional";338.3700;75.0100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Integumentary";"CPT";"11042";"2022 AMA";"11042 - DEB SUBQ TISSUE 20 SQ CM/<";"ein";"822023810";"11";"professional";338.3700;139.3600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Integumentary";"CPT";"12002";"2022 AMA";"12002 - RPR S/N/AX/GEN/TRNK2.6-7.5CM";"ein";"770306947";"23";"professional";423.0000;75.2500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Integumentary";"CPT";"12002";"2022 AMA";"12002 - RPR S/N/AX/GEN/TRNK2.6-7.5CM";"ein";"831945151";"20";"professional";372.0000;186.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Integumentary";"CPT";"12013";"2022 AMA";"12013 - RPR F/E/E/N/L/M 2.6-5.0 CM";"ein";"474915823";"23";"professional";679.0000;81.5400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medical and Surgical Supplies";"CPT";"A4409";"2022 AMA";"A4409 - OST SKN BARR CONVEX <=4 SQ I";"ein";"753221011";"12";"professional";91.2000;68.4000;"1548367063";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medical and Surgical Supplies";"CPT";"A4556";"2022 AMA";"A4556 - ELECTRODES, PAIR";"ein";"274821930";"22";"professional";468.0000;374.4000;"1790083723";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medical and Surgical Supplies";"CPT";"A7030";"2022 AMA";"A7030 - CPAP FULL FACE MASK";"ein";"260779374";"12";"professional";265.0000;154.7400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medical and Surgical Supplies";"CPT";"A7030";"2022 AMA";"A7030 - CPAP FULL FACE MASK";"ein";"831450129";"12";"professional";170.4400;169.3300;"1457730293";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Pathology and Laboratory";"CPT";"82679";"2022 AMA";"82679 - ASSAY OF ESTRONE";"ein";"900732173";"81";"professional";92.4300;55.4580;"1477811503";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Pathology and Laboratory";"CPT";"84144";"2022 AMA";"84144 - ASSAY OF PROGESTERONE";"ein";"900732173";"81";"professional";77.2800;46.3680;"1477811503";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Administration";"CPT";"99601";"2022 AMA";"99601 - HOME INFUSION/VISIT 2 HRS";"ein";"850545441";"12";"professional";1495.0000;358.8000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Ambulance";"CPT";"A0429";"2022 AMA";"A0429 - BLS-EMERGENCY";"ein";"956000803";"41";"professional";1731.0000;782.4700;"1629251632";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Ambulance";"CPT";"A0999";"2022 AMA";"A0999 - UNLISTED AMBULANCE SERVICE";"ein";"330736730";"41";"professional";78.0000;0.0000;"1962576660";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Cardiovascular";"CPT";"93041";"2022 AMA";"93041 - RHYTHM ECG TRACING";"ein";"330736730";"41";"professional";175.0000;0.0000;"1962576660";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Medical and Surgical Supplies";"CPT";"A7033";"2022 AMA";"A7033 - REPLACEMENT NASAL PILLOWS";"ein";"452683127";"12";"professional";70.0000;18.9900;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Medical and Surgical Supplies";"CPT";"A7037";"2022 AMA";"A7037 - POS AIRWAY PRESSURE TUBING";"ein";"452683127";"12";"professional";48.0000;11.8080;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Medicine/Pharmacy/Vaccine";"CPT";"J1569";"2022 AMA";"J1569 - GAMMAGARD LIQUID INJECTION";"ein";"850545441";"12";"professional";52169.7600;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Outpatient Services";"CPT";"99204";"2022 AMA";"99204 - OFFICE/OUTPATIENT VISIT NEW";"ein";"870698478";"20";"professional";225.3600;0.0000;"1639314255";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Outpatient Services";"CPT";"99213";"2022 AMA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"330111479";"11";"professional";120.0000;51.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Radiology";"CPT";"73620";"2022 AMA";"73620 - X-RAY EXAM OF FOOT";"ein";"870698478";"20";"professional";19.8000;0.0000;"1639314255";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Administration";"CPT";"99223";"2022 AMA";"99223 - INITIAL HOSPITAL CARE";"ein";"330515386";"21";"professional";515.0000;249.8000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Administration";"CPT";"99232";"2022 AMA";"99232 - SUBSEQUENT HOSPITAL CARE";"ein";"330515386";"21";"professional";184.0000;89.8900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Administration";"CPT";"99394";"2022 AMA";"99394 - PREV VISIT EST AGE 12-17";"ein";"954890544";"11";"professional";159.0000;155.1600;"1801921952";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"330754132";"41";"professional";269.2000;0.0000;"1619244910";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Cancer";"CPT";"96372";"2022 AMA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"862328236";"11";"professional";45.0000;45.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Cardiovascular";"CPT";"36415";"2022 AMA";"36415 - ROUTINE VENIPUNCTURE";"ein";"710897031";"81";"professional";22.5000;4.7300;"1366479099";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Category II";"CPT";"3074F";"2022 AMA";"3074F - SYST BP LT 130 MM HG";"ein";"954890544";"11";"professional";3.0000;0.0200;"1801921952";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"COVID-19";"CPT";"G2023";"2022 AMA";"G2023 - Spec Coll for SARS-CoV-2; any spec source;";"ein";"475502891";"81";"professional";50.0000;23.4600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"COVID-19";"CPT";"U0003";"2022 AMA";"U0003 - Inf agent detection SARS-CoV-2; high throughput";"ein";"873930334";"81";"professional";225.0000;75.0000;"1265193973";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"COVID-19";"CPT";"U0005";"2022 AMA";"U0005 - INFEC AGEN DETEC AMPLI PROBE";"ein";"472462178";"81";"professional";50.0000;16.6650;"1144731605";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"COVID-19";"CPT";"U0005";"2022 AMA";"U0005 - INFEC AGEN DETEC AMPLI PROBE";"ein";"862940625";"81";"professional";62.5000;25.0000;"1023786233";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Ambulance";"CPT";"A0427";"2022 AMA";"A0427 - ALS1-EMERGENCY";"ein";"362688847";"41";"professional";2500.0000;829.1400;"1336107838";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Ambulance";"CPT";"A0427";"2022 AMA";"A0427 - ALS1-EMERGENCY";"ein";"370965846";"41";"professional";700.0000;700.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Ambulance";"CPT";"A0427";"2022 AMA";"A0427 - ALS1-EMERGENCY";"ein";"371074229";"41";"professional";1700.0000;757.1100;"1245453190";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Ambulance";"CPT";"A0427";"2022 AMA";"A0427 - ALS1-EMERGENCY";"ein";"811228834";"41";"professional";1600.0000;1200.0000;"1912350067";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Anesthesia";"CPT";"01400";"2022 AMA";"01400 - ANESTH KNEE JOINT SURGERY";"ein";"370701328";"24";"professional";801.0000;174.1500;"1396782363";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Anesthesia";"CPT";"01810";"2022 AMA";"01810 - ANESTH LOWER ARM SURGERY";"ein";"370701328";"24";"professional";445.0000;116.1000;"1396782363";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Cardiovascular";"CPT";"93010";"2022 AMA";"93010 - ELECTROCARDIOGRAM REPORT";"ein";"462388325";"23";"professional";56.0000;10.9600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Category II";"CPT";"S9328";"2022 AMA";"S9328 - HIT PAIN IMP PUMP DIEM";"ein";"510269822";"12";"professional";4279.7700;344.9600;"1770528994";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"COVID-19";"CPT";"87635";"2022 AMA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"820550651";"22";"professional";71.9000;35.9200;"1740201003";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Dental";"CPT";"41899";"2022 AMA";"41899 - DENTAL SURGERY PROCEDURE";"ein";"363643184";"11";"professional";667.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Dental";"CPT";"D7241";"2022 AMA";"D7241 - removal of impacted tooth - completely bony, with unusual surgical complications";"ein";"204011762";"11";"professional";620.0000;413.5100;"1811028848";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Emergency Department Services";"CPT";"99284";"2022 AMA";"99284 - EMERGENCY DEPT VISIT";"ein";"462388325";"23";"professional";796.0000;232.9600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Emergency Department Services";"CPT";"99285";"2022 AMA";"99285 - EMERGENCY DEPT VISIT";"ein";"462388325";"23";"professional";1157.0000;280.8100;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Emergency Department Services";"CPT";"99285";"2022 AMA";"99285 - EMERGENCY DEPT VISIT";"ein";"813460247";"23";"professional";1946.0000;295.6900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Medical and Surgical Supplies";"CPT";"A4556";"2022 AMA";"A4556 - ELECTRODES, PAIR";"ein";"841451963";"12";"professional";396.0000;158.4000;"1770511552";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Medical and Surgical Supplies";"CPT";"A4557";"2022 AMA";"A4557 - LEAD WIRES, PAIR";"ein";"205124193";"12";"professional";36.0000;0.0000;"1205908241";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Medical and Surgical Supplies";"CPT";"A4565";"2022 AMA";"A4565 - SLINGS";"ein";"364417116";"12";"professional";70.0000;8.4800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Medical and Surgical Supplies";"CPT";"A4630";"2022 AMA";"A4630 - REPL BAT T.E.N.S. OWN BY PT";"ein";"205124193";"12";"professional";54.0000;0.0000;"1205908241";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Medical and Surgical Supplies";"CPT";"E0651";"2022 AMA";"E0651 - PNEUM COMPRESSOR SEGMENTAL";"ein";"232788758";"12";"professional";120.0000;84.0000;"1760459010";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Office Visit";"CPT";"99202";"2022 AMA";"99202 - OFFICE/OUTPATIENT VISIT NEW";"ein";"371140016";"22";"professional";165.0000;132.0000;"1336482025";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Outpatient Services";"CPT";"99212";"2022 AMA";"99212 - OFFICE/OUTPATIENT VISIT EST";"ein";"431666349";"11";"professional";85.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Outpatient Services";"CPT";"99213";"2022 AMA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"371350641";"11";"professional";170.0000;0.0000;"1649255266";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Pathology and Laboratory";"CPT";"80061";"2022 AMA";"80061 - LIPID PANEL";"ein";"364315783";"22";"professional";55.6000;3.8500;"1700812047";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"N/A";"CPT";"NA";"2022 AMA";"None";"ein";"850958497";"21";"professional";4750.0000;2375.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Nervous";"CPT";"64635";"2022 AMA";"64635 - DESTROY LUMB/SAC FACET JNT";"ein";"822082775";"24";"professional";5500.0000;453.4200;"822082775";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Nervous";"CPT";"95927";"2022 AMA";"95927 - SOMATOSENSORY TESTING";"ein";"271622508";"21";"professional";287.0000;0.0000;"1174916522";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Nervous";"CPT";"95927";"2022 AMA";"95927 - SOMATOSENSORY TESTING";"ein";"850542512";"22";"professional";763.0000;177.8000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Nervous";"CPT";"95938";"2022 AMA";"95938 - SOMATOSENSORY TESTING";"ein";"850542512";"22";"professional";7270.0000;59.2100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Nervous";"CPT";"95938";"2022 AMA";"95938 - SOMATOSENSORY TESTING";"ein";"850542512";"22";"professional";7270.0000;396.3800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Nervous";"CPT";"95939";"2022 AMA";"95939 - C MOTOR EVOKED UPR&LWR LIMBS";"ein";"850542512";"22";"professional";10303.0000;585.6700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Outpatient Services";"CPT";"99214";"2022 AMA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"204199225";"22";"professional";221.0000;28.4220;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"81220";"2022 AMA";"81220 - CFTR GENE COM VARIANTS";"ein";"743238060";"81";"professional";1679.0000;178.1120;"1346479169";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"81329";"2022 AMA";"81329 - SMN1 GENE DOS/DELETION ALYS";"ein";"743238060";"81";"professional";2550.0000;43.8400;"1346479169";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"81420";"2022 AMA";"81420 - FETAL CHRMOML ANEUPLOIDY";"ein";"010894487";"81";"professional";3900.0000;500.0000;"1558672279";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"82248";"2022 AMA";"82248 - BILIRUBIN DIRECT";"ein";"840611484";"81";"professional";5.8600;2.4800;"1104829159";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"83036";"2022 AMA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"472390897";"81";"professional";30.1000;2.4000;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medical and Surgical Supplies";"CPT";"A9282";"2022 AMA";"A9282 - WIG ANY TYPE";"ein";"942986803";"11";"professional";4200.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medical and Surgical Supplies";"CPT";"E0601";"2022 AMA";"E0601 - CONT AIRWAY PRESSURE DEVICE";"ein";"260779374";"12";"professional";350.0000;77.5800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medical and Surgical Supplies";"CPT";"E0673";"2022 AMA";"E0673 - PRESSURE PNEUM APPL HALF LEG";"ein";"272164437";"24";"professional";934.6200;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"CPT";"90670";"2022 AMA";"90670 - PCV13 VACCINE IM";"ein";"942728480";"11";"professional";414.0000;345.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"CPT";"90715";"2022 AMA";"90715 - TDAP VACCINE 7 YRS/> IM";"ein";"237255435";"11";"professional";70.6100;35.3050;"1184791998";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Physical Therapy";"CPT";"97012";"2022 AMA";"97012 - MECHANICAL TRACTION THERAPY";"ein";"260051222";"11";"professional";30.0000;20.1100;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Physical Therapy";"CPT";"97014";"2022 AMA";"97014 - ELECTRIC STIMULATION THERAPY";"ein";"874373682";"11";"professional";22.2000;22.2000;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Air Ambulance";"CPT";"A0435";"2022 AMA";"A0435 - FIXED WING AIR MILEAGE";"ein";"371865858";"42";"professional";74774.0000;18419.1000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"926000082";"41";"professional";14.3000;14.3000;"1154487817";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Cancer";"CPT";"96367";"2022 AMA";"96367 - TX/PROPH/DG ADDL SEQ IV INF";"ein";"920175249";"11";"professional";580.0000;580.0000;"1487713848";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Musculoskeletal";"CPT";"27552";"2022 AMA";"27552 - TREAT KNEE DISLOCATION";"ein";"680365846";"21";"professional";1500.0000;749.7700;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Integumentary";"CPT";"11980";"2022 AMA";"11980 - IMPLANT HORMONE PELLET(S)";"ein";"823785749";"11";"professional";1050.0000;737.1400;"1043727878";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medical and Surgical Supplies";"CPT";"A4595";"2022 AMA";"A4595 - TENS SUPPL 2 LEAD PER MONTH";"ein";"841451963";"12";"professional";990.0000;0.0000;"1770511552";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medical and Surgical Supplies";"CPT";"A7031";"2022 AMA";"A7031 - REPLACEMENT FACEMASK INTERFA";"ein";"920126804";"12";"professional";215.0000;0.0000;"1255368866";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medical and Surgical Supplies";"CPT";"A7034";"2022 AMA";"A7034 - NASAL APPLICATION DEVICE";"ein";"920126804";"12";"professional";676.0000;0.0000;"1255368866";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medical and Surgical Supplies";"CPT";"A7035";"2022 AMA";"A7035 - POS AIRWAY PRESS HEADGEAR";"ein";"920126804";"12";"professional";169.0000;0.0000;"1255368866";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medical and Surgical Supplies";"CPT";"A7035";"2022 AMA";"A7035 - POS AIRWAY PRESS HEADGEAR";"ein";"920167944";"12";"professional";92.3100;55.3860;"1780625533";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medical and Surgical Supplies";"CPT";"A9900";"2022 AMA";"A9900 - SUPPLY/ACCESSORY/SERVICE";"ein";"920167944";"12";"professional";307.6900;0.0000;"1780625533";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medical and Surgical Supplies";"CPT";"E0601";"2022 AMA";"E0601 - CONT AIRWAY PRESSURE DEVICE";"ein";"920167944";"12";"professional";490.7700;294.4620;"1780625533";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medical and Surgical Supplies";"CPT";"K0053";"2022 AMA";"K0053 - ELEVATE FOOTREST ARTICULATE";"ein";"920167944";"12";"professional";46.1500;0.0000;"1780625533";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"CPT";"90791";"2022 AMA";"90791 - PSYCH DIAGNOSTIC EVALUATION";"ein";"862938970";"11";"professional";360.0000;360.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"CPT";"98928";"2022 AMA";"98928 - OSTEOPATH MANJ 7-8 REGIONS";"ein";"920040308";"11";"professional";207.0000;207.0000;"1821201278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"CPT";"J1756";"2022 AMA";"J1756 - IRON SUCROSE INJECTION";"ein";"920175249";"11";"professional";200.0000;200.0000;"1487713848";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"CPT";"J1885";"2022 AMA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"920041638";"11";"professional";82.5000;36.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"CPT";"J2001";"2022 AMA";"J2001 - LIDOCAINE INJECTION";"ein";"823785749";"11";"professional";50.0000;26.6800;"1043727878";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"CPT";"J2315";"2022 AMA";"J2315 - NALTREXONE, DEPOT FORM";"ein";"813671258";"11";"professional";0.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"CPT";"J7030";"2022 AMA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"920175249";"11";"professional";25.0000;25.0000;"1487713848";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Musculoskeletal";"CPT";"28476";"2022 AMA";"28476 - TREAT METATARSAL FRACTURE";"ein";"920177230";"24";"professional";700.0000;0.0000;"1386815678";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Musculoskeletal";"CPT";"L3908";"2022 AMA";"L3908 - WHO COCK-UP NONMOLDE PRE OTS";"ein";"320184292";"11";"professional";52.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"N/A";"CPT";"82653";"2022 AMA";"82653 - EL-1 FECAL QUANTITATIVE";"ein";"561565047";"81";"professional";77.2600;48.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"N/A";"CPT";"Q0222";"2022 AMA";"Q0222 - BEBTELOVIMAB 175 MG";"ein";"920041638";"11";"professional";0.0100;0.0100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Nervous";"CPT";"95913";"2022 AMA";"95913 - NRV CNDJ TEST 13/> STUDIES";"ein";"475245730";"11";"professional";4300.0000;4282.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Nervous";"CPT";"95937";"2022 AMA";"95937 - NEUROMUSCULAR JUNCTION TEST";"ein";"815384507";"22";"professional";750.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Nervous";"CPT";"96137";"2022 AMA";"96137 - PSYCL/NRPSYC TST PHY/QHP EA";"ein";"841668847";"11";"professional";652.5000;326.2500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Office Visit";"CPT";"99202";"2022 AMA";"99202 - OFFICE/OUTPATIENT VISIT NEW";"ein";"461384970";"11";"professional";250.0000;250.0000;"1497093926";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Office Visit";"CPT";"99202";"2022 AMA";"99202 - OFFICE/OUTPATIENT VISIT NEW";"ein";"770625390";"11";"professional";205.0000;205.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Office Visit";"CPT";"99202";"2022 AMA";"99202 - OFFICE/OUTPATIENT VISIT NEW";"ein";"920142140";"11";"professional";225.0000;146.2500;"1639102254";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99212";"2022 AMA";"99212 - OFFICE/OUTPATIENT VISIT EST";"ein";"911768351";"11";"professional";90.0000;90.0000;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99213";"2022 AMA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"320184292";"11";"professional";275.0000;255.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99213";"2022 AMA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"920086076";"11";"professional";236.4000;236.4000;"1487810420";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99214";"2022 AMA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"208306374";"11";"professional";328.0000;328.0000;"1659417137";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99214";"2022 AMA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"823202409";"11";"professional";245.0000;196.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99214";"2022 AMA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"823202409";"11";"professional";245.0000;245.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99214";"2022 AMA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"871885433";"11";"professional";400.0000;365.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99214";"2022 AMA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"920069243";"11";"professional";425.0000;380.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99214";"2022 AMA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"920143492";"11";"professional";423.0000;423.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99214";"2022 AMA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"920162721";"22";"professional";373.0000;242.4500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99215";"2022 AMA";"99215 - OFFICE/OUTPATIENT VISIT EST";"ein";"471524086";"11";"professional";385.0000;385.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"80050";"2022 AMA";"80050 - GENERAL HEALTH PANEL";"ein";"463599411";"23";"professional";19.5500;15.6400;"1457781825";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"81001";"2022 AMA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"463599411";"23";"professional";13.8000;0.0000;"1457781825";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"81003";"2022 AMA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"920041638";"11";"professional";40.0000;40.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"82306";"2022 AMA";"82306 - VITAMIN D 25 HYDROXY";"ein";"920040308";"11";"professional";284.0000;284.0000;"1821201278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"82607";"2022 AMA";"82607 - VITAMIN B-12";"ein";"043775917";"11";"professional";176.0000;176.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"83036";"2022 AMA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"920041638";"11";"professional";101.0000;101.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"84100";"2022 AMA";"84100 - ASSAY OF PHOSPHORUS";"ein";"463599411";"23";"professional";9.2000;0.0000;"1457781825";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"84270";"2022 AMA";"84270 - ASSAY OF SEX HORMONE GLOBUL";"ein";"823785749";"11";"professional";193.5000;142.6900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"84439";"2022 AMA";"84439 - ASSAY OF FREE THYROXINE";"ein";"043775917";"11";"professional";135.0000;135.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"84703";"2022 AMA";"84703 - CHORIONIC GONADOTROPIN ASSAY";"ein";"463599411";"23";"professional";25.3000;20.2400;"1457781825";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"85025";"2022 AMA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920040308";"11";"professional";70.0000;70.0000;"1821201278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"87177";"2022 AMA";"87177 - OVA AND PARASITES SMEARS";"ein";"561565047";"81";"professional";39.0900;9.3600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"87505";"2022 AMA";"87505 - NFCT AGENT DETECTION GI";"ein";"561565047";"81";"professional";175.0000;154.7800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"87880";"2022 AMA";"87880 - STREP A ASSAY W/OPTIC";"ein";"920143492";"11";"professional";72.0000;72.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"88305";"2022 AMA";"88305 - TISSUE EXAM BY PATHOLOGIST";"ein";"208223285";"22";"professional";620.0000;206.1200;"1558417873";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Administration";"CPT";"99238";"2022 AMA";"99238 - HOSPITAL DISCHARGE DAY";"ein";"910994224";"21";"professional";136.0000;83.2600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Ambulance";"CPT";"A0426";"2022 AMA";"A0426 - ALS 1";"ein";"204384107";"41";"professional";2730.0000;0.0000;"1679770549";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Ambulance";"CPT";"A0427";"2022 AMA";"A0427 - ALS1-EMERGENCY";"ein";"204384107";"41";"professional";2730.0000;763.1300;"1679770549";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Cardiovascular";"CPT";"93925";"2022 AMA";"93925 - LOWER EXTREMITY STUDY";"ein";"860770482";"11";"professional";519.0000;216.8300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Emergency Department Services";"CPT";"99285";"2022 AMA";"99285 - EMERGENCY DEPT VISIT";"ein";"911753075";"23";"professional";1176.0000;278.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Eye and Ocular Adnexa";"CPT";"66984";"2022 AMA";"66984 - CATARACT SURG W/IOL 1 STAGE";"ein";"474428628";"11";"professional";300.0000;223.9700;"1306229760";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Eye and Ocular Adnexa";"CPT";"92004";"2022 AMA";"92004 - EYE EXAM NEW PATIENT";"ein";"911939303";"11";"professional";145.0000;108.7500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Medicine/Pharmacy/Vaccine";"CPT";"90700";"2022 AMA";"90700 - DTAP VACCINE < 7 YRS IM";"ein";"272251833";"11";"professional";18.6300;18.6300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Outpatient Services";"CPT";"99203";"2022 AMA";"99203 - OFFICE/OUTPATIENT VISIT NEW";"ein";"472914614";"11";"professional";170.0000;136.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Outpatient Services";"CPT";"99203";"2022 AMA";"99203 - OFFICE/OUTPATIENT VISIT NEW";"ein";"860663432";"11";"professional";198.0000;82.8300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Outpatient Services";"CPT";"99212";"2022 AMA";"99212 - OFFICE/OUTPATIENT VISIT EST";"ein";"910982104";"11";"professional";95.0000;73.2800;"1588737944";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Outpatient Services";"CPT";"99213";"2022 AMA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"237297657";"11";"professional";113.0000;79.1000;"1487650636";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Outpatient Services";"CPT";"99214";"2022 AMA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"562392010";"11";"professional";289.0000;0.0000;"1023332749";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Outpatient Services";"CPT";"99214";"2022 AMA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"862599098";"11";"professional";175.0000;175.0000;"1376738310";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Pathology and Laboratory";"CPT";"80307";"2022 AMA";"80307 - DRUG TEST PRSMV CHEM ANLYZR";"ein";"822685329";"81";"professional";2300.0000;85.4000;"1386133650";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Pathology and Laboratory";"CPT";"84153";"2022 AMA";"84153 - ASSAY OF PSA TOTAL";"ein";"900991487";"11";"professional";33.0000;22.9400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Pathology and Laboratory";"CPT";"84403";"2022 AMA";"84403 - ASSAY OF TOTAL TESTOSTERONE";"ein";"900991487";"11";"professional";47.0000;33.0300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Pathology and Laboratory";"CPT";"84450";"2022 AMA";"84450 - TRANSFERASE (AST) (SGOT)";"ein";"900991487";"11";"professional";11.0000;7.3600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Pathology and Laboratory";"CPT";"87070";"2022 AMA";"87070 - CULTURE OTHR SPECIMN AEROBIC";"ein";"840611484";"81";"professional";82.0000;12.7500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Pathology and Laboratory";"CPT";"87205";"2022 AMA";"87205 - SMEAR GRAM STAIN";"ein";"840611484";"81";"professional";49.0000;5.7500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Physical Therapy";"CPT";"97012";"2022 AMA";"97012 - MECHANICAL TRACTION THERAPY";"ein";"536113878";"11";"professional";50.0000;21.9600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Physical Therapy";"CPT";"97110";"2022 AMA";"97110 - THERAPEUTIC EXERCISES";"ein";"463956853";"11";"professional";60.0000;50.3500;"1932530706";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Physical Therapy";"CPT";"97110";"2022 AMA";"97110 - THERAPEUTIC EXERCISES";"ein";"472914614";"11";"professional";38.0000;30.4000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Physical Therapy";"CPT";"97140";"2022 AMA";"97140 - MANUAL THERAPY 1/> REGIONS";"ein";"539687596";"11";"professional";120.0000;120.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Physical Therapy";"CPT";"97535";"2022 AMA";"97535 - SELF CARE MNGMENT TRAINING";"ein";"472914614";"11";"professional";51.6600;41.3300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Physical Therapy";"CPT";"98940";"2022 AMA";"98940 - CHIROPRACT MANJ 1-2 REGIONS";"ein";"270641533";"11";"professional";60.0000;38.7800;"1003146846";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Physical Therapy";"CPT";"98940";"2022 AMA";"98940 - CHIROPRACT MANJ 1-2 REGIONS";"ein";"911665856";"11";"professional";61.0000;33.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Physical Therapy";"CPT";"98941";"2022 AMA";"98941 - CHIROPRACT MANJ 3-4 REGIONS";"ein";"911911289";"11";"professional";63.0000;43.2200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Psychological";"CPT";"90837";"2022 AMA";"90837 - PSYTX PT&/FAMILY 60 MINUTES";"ein";"260431333";"11";"professional";130.0000;130.0000;"1518007350";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Psychological";"CPT";"90837";"2022 AMA";"90837 - PSYTX PT&/FAMILY 60 MINUTES";"ein";"930921282";"11";"professional";335.0000;234.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Psychological";"CPT";"90840";"2022 AMA";"90840 - PSYTX CRISIS EA ADDL 30 MIN";"ein";"574286122";"11";"professional";240.0000;192.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Sheet Metal Workers Local 40";"group";"Pathology and Laboratory";"CPT";"86617";"2022 AMA";"86617 - LYME DISEASE ANTIBODY";"ein";"061460613";"81";"professional";112.4800;0.0000;"1174569909";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Sheet Metal Workers Local 40";"group";"Pathology and Laboratory";"CPT";"86666";"2022 AMA";"86666 - EHRLICHIA ANTIBODY";"ein";"061460613";"81";"professional";119.2300;0.0000;"1174569909";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Sheet Metal Workers Local 40";"group";"Pathology and Laboratory";"CPT";"87798";"2022 AMA";"87798 - DETECT AGENT NOS DNA AMP";"ein";"061460613";"81";"professional";465.6900;0.0000;"1174569909";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Southern California Bakery & Conf Trust Fund";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"951488421";"41";"professional";95.0000;84.8000;"1932292604";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Southern California Bakery & Conf Trust Fund";"group";"Outpatient Services";"CPT";"99213";"2022 AMA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"943192446";"11";"professional";311.0000;127.6700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Southern California Bakery & Conf Trust Fund";"group";"Pathology and Laboratory";"CPT";"88305";"2022 AMA";"88305 - TISSUE EXAM BY PATHOLOGIST";"ein";"200329274";"11";"professional";201.0000;51.0800;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Administration";"CPT";"99393";"2022 AMA";"99393 - PREV VISIT EST AGE 5-11";"ein";"371140016";"22";"professional";170.0000;0.0000;"1336482025";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Administration";"CPT";"99396";"2022 AMA";"99396 - PREV VISIT EST AGE 40-64";"ein";"371140016";"22";"professional";295.0000;236.0000;"1336482025";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Ambulance";"CPT";"A0427";"2022 AMA";"A0427 - ALS1-EMERGENCY";"ein";"362434131";"41";"professional";1250.0000;848.2600;"1053325324";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Ambulance";"CPT";"A0428";"2022 AMA";"A0428 - BLS";"ein";"370999878";"41";"professional";664.0000;378.7500;"1699836379";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Anesthesia";"CPT";"00170";"2022 AMA";"00170 - ANESTH PROCEDURE ON MOUTH";"ein";"204011762";"11";"professional";800.0000;0.0000;"1811028848";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Category II";"CPT";"S9328";"2022 AMA";"S9328 - HIT PAIN IMP PUMP DIEM";"ein";"510269822";"12";"professional";4913.8100;49.2800;"1770528994";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"COVID-19";"CPT";"0001A";"2022 AMA";"0001A - ADM SARSCOV2 30MCG/0.3ML 1ST";"ein";"370701328";"11";"professional";180.0000;40.0000;"1396782363";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Emergency Department Services";"CPT";"99285";"2022 AMA";"99285 - EMERGENCY DEPT VISIT";"ein";"273816791";"23";"professional";2018.0000;381.1800;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Medical and Surgical Supplies";"CPT";"A7046";"2022 AMA";"A7046 - REPL WATER CHAMBER, PAP DEV";"ein";"200029841";"12";"professional";100.0000;80.0000;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Pathology and Laboratory";"CPT";"81479";"2022 AMA";"81479 - UNLISTED MOLECULAR PATHOLOGY";"ein";"474903308";"81";"professional";2000.0000;0.0000;"1740733708";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Pathology and Laboratory";"CPT";"83861";"2022 AMA";"83861 - MICROFLUID ANALY TEARS";"ein";"371051303";"11";"professional";35.0000;0.0000;"1003026204";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Pathology and Laboratory";"CPT";"87624";"2022 AMA";"87624 - HPV HIGH-RISK TYPES";"ein";"363888127";"22";"professional";72.2000;0.0000;"1548363138";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Pathology and Laboratory";"CPT";"88305";"2022 AMA";"88305 - TISSUE EXAM BY PATHOLOGIST";"ein";"363888127";"22";"professional";277.1000;46.2400;"1548363138";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"COVID-19";"CPT";"U0005";"2022 AMA";"U0005 - INFEC AGEN DETEC AMPLI PROBE";"ein";"473727159";"81";"professional";25.0000;0.0000;"1912521568";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"COVID-19";"CPT";"U0005";"2022 AMA";"U0005 - INFEC AGEN DETEC AMPLI PROBE";"ein";"852421177";"81";"professional";50.0000;11.8750;"1366048019";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Emergency Department Services";"CPT";"99283";"2022 AMA";"99283 - EMERGENCY DEPT VISIT";"ein";"870629690";"23";"professional";477.0000;108.6200;"1306860531";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"N/A";"CPT";"G2086";"2022 AMA";"G2086 - OFF BASE OPIOID TX 70MIN";"ein";"823927965";"11";"professional";700.0000;0.0000;"1245748201";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Pathology and Laboratory";"CPT";"81420";"2022 AMA";"81420 - FETAL CHRMOML ANEUPLOIDY";"ein";"743238060";"81";"professional";2000.0000;340.0000;"1346479169";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Pathology and Laboratory";"CPT";"87581";"2022 AMA";"87581 - M.PNEUMON DNA AMP PROBE";"ein";"813546703";"81";"professional";70.1800;0.0000;"1033655303";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Pathology and Laboratory";"CPT";"87633";"2022 AMA";"87633 - RESP VIRUS 12-25 TARGETS";"ein";"813546703";"81";"professional";833.5600;536.7100;"1033655303";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Pathology and Laboratory";"CPT";"87798";"2022 AMA";"87798 - DETECT AGENT NOS DNA AMP";"ein";"813546703";"81";"professional";70.1800;0.0000;"1033655303";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Pathology and Laboratory";"CPT";"87801";"2022 AMA";"87801 - DETECT AGNT MULT DNA AMPLI";"ein";"813546703";"81";"professional";140.4000;0.0000;"1033655303";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Physical Therapy";"CPT";"97012";"2022 AMA";"97012 - MECHANICAL TRACTION THERAPY";"ein";"742738465";"11";"professional";5.0000;5.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Physical Therapy";"CPT";"98940";"2022 AMA";"98940 - CHIROPRACT MANJ 1-2 REGIONS";"ein";"030408394";"11";"professional";48.0000;24.0000;"1851373633";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Physical Therapy";"CPT";"98940";"2022 AMA";"98940 - CHIROPRACT MANJ 1-2 REGIONS";"ein";"874373682";"11";"professional";66.0000;55.0000;"1760557870";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Physical Therapy";"CPT";"98941";"2022 AMA";"98941 - CHIROPRACT MANJ 3-4 REGIONS";"ein";"461984869";"11";"professional";100.0000;60.0000;"1902243108";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Physical Therapy";"CPT";"98941";"2022 AMA";"98941 - CHIROPRACT MANJ 3-4 REGIONS";"ein";"770144035";"11";"professional";70.0000;52.5000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Physical Therapy";"CPT";"98942";"2022 AMA";"98942 - CHIROPRACTIC MANJ 5 REGIONS";"ein";"770286562";"11";"professional";59.0000;38.5000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Psychological";"CPT";"90837";"2022 AMA";"90837 - PSYTX PT&/FAMILY 60 MINUTES";"ein";"833166523";"11";"professional";125.0000;125.0000;"1033411020";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Psychological";"CPT";"90837";"2022 AMA";"90837 - PSYTX PT&/FAMILY 60 MINUTES";"ein";"871637374";"11";"professional";150.0000;150.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Radiology";"CPT";"71046";"2022 AMA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"942728480";"23";"professional";53.0000;12.2400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Radiology";"CPT";"72100";"2022 AMA";"72100 - X-RAY EXAM L-S SPINE 2/3 VWS";"ein";"812424950";"15";"professional";45.0000;38.7800;"1124471214";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"CPT";"99050";"2022 AMA";"99050 - MEDICAL SERVICES AFTER HRS";"ein";"920086076";"11";"professional";31.0000;0.0000;"1487810420";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"CPT";"99231";"2022 AMA";"99231 - SUBSEQUENT HOSPITAL CARE";"ein";"920177314";"21";"professional";253.0000;253.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"CPT";"99232";"2022 AMA";"99232 - SUBSEQUENT HOSPITAL CARE";"ein";"920041488";"21";"professional";443.0000;264.6540;"1154358232";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"CPT";"99253";"2022 AMA";"99253 - INPATIENT CONSULTATION";"ein";"920162721";"21";"professional";580.0000;309.1600;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"CPT";"99393";"2022 AMA";"99393 - PREV VISIT EST AGE 5-11";"ein";"920086076";"11";"professional";325.0500;267.8700;"1487810420";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"CPT";"99396";"2022 AMA";"99396 - PREV VISIT EST AGE 40-64";"ein";"920162721";"22";"professional";431.0000;280.1500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"CPT";"99443";"2022 AMA";"99443 - PHONE E/M PHYS/QHP 21-30 MIN";"ein";"920162721";"11";"professional";342.0000;222.3000;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"810373318";"41";"professional";1290.0000;1102.4000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Ambulance";"CPT";"A0427";"2022 AMA";"A0427 - ALS1-EMERGENCY";"ein";"920059987";"41";"professional";950.0000;830.2300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Ambulance";"CPT";"A0429";"2022 AMA";"A0429 - BLS-EMERGENCY";"ein";"920030612";"41";"professional";1000.0000;1000.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Ambulance";"CPT";"A0429";"2022 AMA";"A0429 - BLS-EMERGENCY";"ein";"926001644";"41";"professional";466.0000;0.0000;"1619005683";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Anesthesia";"CPT";"01402";"2022 AMA";"01402 - ANESTH KNEE ARTHROPLASTY";"ein";"920162721";"21";"professional";2190.0000;894.3000;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Anesthesia";"CPT";"01810";"2022 AMA";"01810 - ANESTH LOWER ARM SURGERY";"ein";"920162721";"22";"professional";876.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Auditory";"CPT";"69210";"2022 AMA";"69210 - REMOVE IMPACTED EAR WAX UNI";"ein";"920142140";"11";"professional";225.0000;0.0000;"1639102254";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Cancer";"CPT";"96367";"2022 AMA";"96367 - TX/PROPH/DG ADDL SEQ IV INF";"ein";"920175249";"11";"professional";580.0000;580.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Cancer";"CPT";"96372";"2022 AMA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"384037710";"20";"professional";67.0000;27.8600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Cardiovascular";"CPT";"36415";"2022 AMA";"36415 - ROUTINE VENIPUNCTURE";"ein";"043775917";"11";"professional";44.0000;0.0000;"1093092116";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Cardiovascular";"CPT";"36415";"2022 AMA";"36415 - ROUTINE VENIPUNCTURE";"ein";"823785749";"11";"professional";58.5000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Cardiovascular";"CPT";"36415";"2022 AMA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920086076";"11";"professional";41.3700;20.6850;"1487810420";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Cardiovascular";"CPT";"93000";"2022 AMA";"93000 - ELECTROCARDIOGRAM COMPLETE";"ein";"860800150";"11";"professional";120.0000;95.0000;"1558332494";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Cardiovascular";"CPT";"93010";"2022 AMA";"93010 - ELECTROCARDIOGRAM REPORT";"ein";"920162721";"22";"professional";93.0000;27.9000;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Cardiovascular";"CPT";"93306";"2022 AMA";"93306 - TTE W/DOPPLER COMPLETE";"ein";"920162721";"22";"professional";505.0000;193.9400;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Cardiovascular";"CPT";"93308";"2022 AMA";"93308 - TTE F-UP OR LMTD";"ein";"920162721";"22";"professional";153.0000;0.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Category II";"CPT";"G0279";"2022 AMA";"G0279 - TOMOSYNTHESIS, MAMMO";"ein";"474131087";"22";"professional";300.0000;300.0000;"1497137905";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Category II";"CPT";"T2022";"2022 AMA";"T2022 - CASE MANAGEMENT, PER MONTH";"ein";"920086076";"11";"professional";259.0000;259.0000;"1487810420";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"COVID-19";"CPT";"87635";"2022 AMA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"463599411";"23";"professional";115.0000;92.0000;"1457781825";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"COVID-19";"CPT";"87811";"2022 AMA";"87811 - SarsCov2 Covid19 W/Optic";"ein";"821180162";"11";"professional";35.0000;35.0000;"1871529628";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"COVID-19";"CPT";"G2023";"2022 AMA";"G2023 - Spec Coll for SARS-CoV-2; any spec source;";"ein";"853253201";"81";"professional";28.0000;14.0000;"1982202453";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Dialysis";"CPT";"90966";"2022 AMA";"90966 - ESRD HOME PT SERV P MO 20+";"ein";"208306374";"11";"professional";749.3300;749.3300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Digestive";"CPT";"43235";"2022 AMA";"43235 - EGD DIAGNOSTIC BRUSH WASH";"ein";"710964332";"22";"professional";2337.0000;2337.0000;"1497844617";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Digestive";"CPT";"49568";"2022 AMA";"49568 - HERNIA REPAIR W/MESH";"ein";"920177511";"24";"professional";1792.0000;1792.0000;"1932316296";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Emergency Department Services";"CPT";"99285";"2022 AMA";"99285 - EMERGENCY DEPT VISIT";"ein";"911766565";"23";"professional";1163.0000;1163.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Eye and Ocular Adnexa";"CPT";"92083";"2022 AMA";"92083 - VISUAL FIELD EXAMINATION(S)";"ein";"271232714";"11";"professional";230.0000;230.0000;"1063740363";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Infant";"CPT";"99152";"2022 AMA";"99152 - NEWBORN RESUSCITATION";"ein";"461197268";"11";"professional";250.0000;250.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medical and Surgical Supplies";"CPT";"A4604";"2022 AMA";"A4604 - TUBING WITH HEATING ELEMENT";"ein";"920126804";"12";"professional";144.0000;0.0000;"1255368866";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medical and Surgical Supplies";"CPT";"A7032";"2022 AMA";"A7032 - REPLACEMENT NASAL CUSHION";"ein";"920126804";"12";"professional";103.0000;97.8500;"1255368866";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medical and Surgical Supplies";"CPT";"A7034";"2022 AMA";"A7034 - NASAL APPLICATION DEVICE";"ein";"920167944";"12";"professional";346.1500;207.6900;"1780625533";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medical and Surgical Supplies";"CPT";"E0486";"2022 AMA";"E0486 - ORAL DEVICE/APPLIANCE CUSFAB";"ein";"920175036";"12";"professional";3500.0000;3500.0000;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"CPT";"95117";"2022 AMA";"95117 - IMMUNOTHERAPY INJECTIONS";"ein";"471524086";"11";"professional";50.0000;50.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"CPT";"98926";"2022 AMA";"98926 - OSTEOPATH MANJ 3-4 REGIONS";"ein";"510658550";"11";"professional";228.0000;228.0000;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"CPT";"J2250";"2022 AMA";"J2250 - INJ MIDAZOLAM HYDROCHLORIDE";"ein";"461197268";"11";"professional";5.0000;0.1400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"CPT";"J3490";"2022 AMA";"J3490 - DRUGS UNCLASSIFIED INJECTION";"ein";"141699947";"11";"professional";95.0000;0.0000;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"CPT";"J7030";"2022 AMA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"920175249";"11";"professional";25.0000;25.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Musculoskeletal";"CPT";"L0625";"2022 AMA";"L0625 - LO FLEX L1-BELOW L5 PRE OTS";"ein";"900958666";"12";"professional";110.0000;82.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"N/A";"CPT";"G1004";"2022 AMA";"G1004 - CDSM NDSC";"ein";"920162721";"22";"professional";0.0100;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"N/A";"CPT";"G1004";"2022 AMA";"G1004 - CDSM NDSC";"ein";"920162721";"22";"professional";0.0100;0.0000;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Nervous";"CPT";"95806";"2022 AMA";"95806 - SLEEP STUDY UNATT&RESP EFFT";"ein";"920126804";"11";"professional";3225.0000;3063.7500;"1255368866";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Nervous";"CPT";"95806";"2022 AMA";"95806 - SLEEP STUDY UNATT&RESP EFFT";"ein";"920162721";"22";"professional";437.0000;131.1000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Nervous";"CPT";"95865";"2022 AMA";"95865 - MUSCLE TEST LARYNX";"ein";"815384507";"22";"professional";137.4200;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Nervous";"CPT";"95940";"2022 AMA";"95940 - IONM IN OPERATNG ROOM 15 MIN";"ein";"815384507";"22";"professional";3999.9600;2095.1898;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Nervous";"CPT";"96137";"2022 AMA";"96137 - PSYCL/NRPSYC TST PHY/QHP EA";"ein";"841668847";"11";"professional";1522.5000;1522.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Office Visit";"CPT";"99202";"2022 AMA";"99202 - OFFICE/OUTPATIENT VISIT NEW";"ein";"271496057";"11";"professional";275.0000;254.0000;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Office Visit";"CPT";"99202";"2022 AMA";"99202 - OFFICE/OUTPATIENT VISIT NEW";"ein";"920041638";"11";"professional";296.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99203";"2022 AMA";"99203 - OFFICE/OUTPATIENT VISIT NEW";"ein";"823785749";"11";"professional";457.5000;320.2500;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99203";"2022 AMA";"99203 - OFFICE/OUTPATIENT VISIT NEW";"ein";"920177230";"11";"professional";285.0000;285.0000;"1356307458";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99212";"2022 AMA";"99212 - OFFICE/OUTPATIENT VISIT EST";"ein";"920041488";"22";"professional";139.0000;125.1000;"1154358232";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99213";"2022 AMA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"851442613";"11";"professional";200.0000;130.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99213";"2022 AMA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"920040308";"11";"professional";220.0000;220.0000;"1821201278";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99213";"2022 AMA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"920041488";"22";"professional";278.0000;227.6820;"1154358232";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"80053";"2022 AMA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920040308";"11";"professional";110.0000;110.0000;"1821201278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"80306";"2022 AMA";"80306 - DRUG TEST PRSMV INSTRMNT";"ein";"920040308";"11";"professional";84.5000;0.0000;"1821201278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"81001";"2022 AMA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"463599411";"21";"professional";13.8000;11.0400;"1457781825";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"82670";"2022 AMA";"82670 - ASSAY OF ESTRADIOL";"ein";"823785749";"11";"professional";285.0000;211.3300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"82728";"2022 AMA";"82728 - ASSAY OF FERRITIN";"ein";"920040308";"11";"professional";144.0000;144.0000;"1821201278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"82803";"2022 AMA";"82803 - BLOOD GASES ANY COMBINATION";"ein";"463599411";"23";"professional";31.0500;20.1800;"1457781825";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"82950";"2022 AMA";"82950 - GLUCOSE TEST";"ein";"920040308";"11";"professional";55.0000;55.0000;"1821201278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"83002";"2022 AMA";"83002 - ASSAY OF GONADOTROPIN (LH)";"ein";"823785749";"11";"professional";99.0000;73.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"83036";"2022 AMA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"920040308";"11";"professional";99.0000;99.0000;"1821201278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"83036";"2022 AMA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"920069243";"11";"professional";95.0000;95.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"83550";"2022 AMA";"83550 - IRON BINDING TEST";"ein";"043775917";"11";"professional";84.0000;84.0000;"1093092116";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"84402";"2022 AMA";"84402 - ASSAY OF FREE TESTOSTERONE";"ein";"823785749";"11";"professional";253.5000;187.9700;"1043727878";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"85025";"2022 AMA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"463599411";"23";"professional";24.1500;15.5400;"1457781825";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"86480";"2022 AMA";"86480 - TB TEST CELL IMMUN MEASURE";"ein";"920059987";"71";"professional";40.0000;40.0000;"1104979806";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"95004";"2022 AMA";"95004 - PERCUT ALLERGY SKIN TESTS";"ein";"471524086";"11";"professional";833.0000;833.0000;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97811";"2022 AMA";"97811 - ACUPUNCT W/O STIMUL ADDL 15M";"ein";"823920246";"11";"professional";78.0000;78.0000;"1780906305";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"CPT";"71046";"2022 AMA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"920162721";"23";"professional";52.0000;29.4600;"1437368891";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"CPT";"72100";"2022 AMA";"72100 - X-RAY EXAM L-S SPINE 2/3 VWS";"ein";"510658550";"11";"professional";301.0000;301.0000;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"CPT";"76642";"2022 AMA";"76642 - ULTRASOUND BREAST LIMITED";"ein";"474131087";"22";"professional";310.0000;310.0000;"1497137905";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"CPT";"76816";"2022 AMA";"76816 - OB US FOLLOW-UP PER FETUS";"ein";"920040308";"11";"professional";582.0000;582.0000;"1821201278";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Reproductive";"CPT";"58611";"2022 AMA";"58611 - LIGATE OVIDUCT(S) ADD-ON";"ein";"920040308";"21";"professional";1440.0000;1440.0000;"1821201278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Respiratory";"CPT";"94060";"2022 AMA";"94060 - EVALUATION OF WHEEZING";"ein";"471524086";"11";"professional";165.0000;165.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Urinary";"CPT";"51798";"2022 AMA";"51798 - US URINE CAPACITY MEASURE";"ein";"920162721";"22";"professional";199.0000;0.0000;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"204384107";"41";"professional";900.8000;0.0000;"1679770549";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Cardiovascular";"CPT";"93010";"2022 AMA";"93010 - ELECTROCARDIOGRAM REPORT";"ein";"833494977";"23";"professional";84.0000;14.6900;"1558827998";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Dental";"CPT";"D7240";"2022 AMA";"D7240 - removal of impacted tooth - completely bony";"ein";"370925220";"11";"professional";708.0000;708.0000;"1154357291";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Integumentary";"CPT";"10060";"2022 AMA";"10060 - DRAINAGE OF SKIN ABSCESS";"ein";"371140016";"22";"professional";435.0000;348.0000;"1336482025";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Medical and Surgical Supplies";"CPT";"A4595";"2022 AMA";"A4595 - TENS SUPPL 2 LEAD PER MONTH";"ein";"841451963";"12";"professional";217.9800;0.0000;"1770511552";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Medical and Surgical Supplies";"CPT";"A4630";"2022 AMA";"A4630 - REPL BAT T.E.N.S. OWN BY PT";"ein";"205124193";"12";"professional";54.0000;22.0000;"1205908241";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Medical and Surgical Supplies";"CPT";"E0667";"2022 AMA";"E0667 - SEG PNEUMATIC APPL FULL LEG";"ein";"232788758";"12";"professional";1000.0000;700.0000;"1760459010";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Medical and Surgical Supplies";"CPT";"L1833";"2022 AMA";"L1833 - KO ADJ JNT POS R SUP PRE OTS";"ein";"364417116";"12";"professional";1650.0000;563.6700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Nervous";"CPT";"64635";"2022 AMA";"64635 - DESTROY LUMB/SAC FACET JNT";"ein";"833101804";"11";"professional";30630.0000;701.0300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Outpatient Services";"CPT";"99203";"2022 AMA";"99203 - OFFICE/OUTPATIENT VISIT NEW";"ein";"204011762";"11";"professional";90.0000;0.0000;"1811028848";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Outpatient Services";"CPT";"99204";"2022 AMA";"99204 - OFFICE/OUTPATIENT VISIT NEW";"ein";"371140016";"22";"professional";345.0000;193.8000;"1336482025";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Outpatient Services";"CPT";"99212";"2022 AMA";"99212 - OFFICE/OUTPATIENT VISIT EST";"ein";"371140016";"22";"professional";83.0000;66.4000;"1336482025";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Outpatient Services";"CPT";"99213";"2022 AMA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"370701328";"11";"professional";349.0000;286.1800;"1396782363";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Outpatient Services";"CPT";"99214";"2022 AMA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"371140016";"22";"professional";205.0000;205.0000;"1336482025";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Outpatient Services";"CPT";"99214";"2022 AMA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"462903452";"11";"professional";213.0000;165.4100;"1144352170";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Outpatient Services";"CPT";"99215";"2022 AMA";"99215 - OFFICE/OUTPATIENT VISIT EST";"ein";"454963094";"11";"professional";125.0000;125.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Pathology and Laboratory";"CPT";"81232";"2022 AMA";"81232 - DPYD GENE COMMON VARIANTS";"ein";"474903308";"81";"professional";350.0000;228.2500;"1740733708";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Pathology and Laboratory";"CPT";"81479";"2022 AMA";"81479 - UNLISTED MOLECULAR PATHOLOGY";"ein";"330685754";"81";"professional";18.0000;0.0000;"1073642641";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Pathology and Laboratory";"CPT";"82306";"2022 AMA";"82306 - VITAMIN D 25 HYDROXY";"ein";"364315783";"22";"professional";95.3000;3.9800;"1700812047";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Pathology and Laboratory";"CPT";"83605";"2022 AMA";"83605 - ASSAY OF LACTIC ACID";"ein";"364315783";"22";"professional";35.2000;1.1000;"1700812047";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Pathology and Laboratory";"CPT";"83735";"2022 AMA";"83735 - ASSAY OF MAGNESIUM";"ein";"364315783";"22";"professional";16.4000;2.1800;"1700812047";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Pathology and Laboratory";"CPT";"87591";"2022 AMA";"87591 - N.GONORRHOEAE DNA AMP PROB";"ein";"820550651";"22";"professional";58.2000;5.5400;"1740201003";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Psychological";"CPT";"90837";"2022 AMA";"90837 - PSYTX PT&/FAMILY 60 MINUTES";"ein";"842098100";"11";"professional";214.6000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Psychological";"CPT";"90847";"2022 AMA";"90847 - FAMILY PSYTX W/PATIENT";"ein";"273171445";"11";"professional";150.0000;0.0000;"1053597633";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Radiology";"CPT";"76830";"2022 AMA";"76830 - TRANSVAGINAL US NON-OB";"ein";"852215753";"11";"professional";250.0000;183.8100;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Administration";"CPT";"99217";"2022 AMA";"99217 - OBSERVATION CARE DISCHARGE";"ein";"453308093";"22";"professional";461.0000;97.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Administration";"CPT";"99223";"2022 AMA";"99223 - INITIAL HOSPITAL CARE";"ein";"954651079";"21";"professional";500.0000;166.0500;"1861422941";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"680358779";"41";"professional";328.0000;328.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Ambulance";"CPT";"A0427";"2022 AMA";"A0427 - ALS1-EMERGENCY";"ein";"770324739";"41";"professional";3693.0100;780.5500;"1386678605";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Cardiovascular";"CPT";"93010";"2022 AMA";"93010 - ELECTROCARDIOGRAM REPORT";"ein";"844302859";"21";"professional";26.0000;9.0960;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"COVID-19";"CPT";"0011A";"2022 AMA";"0011A - ADM SARSCOV2 100MCG/0.5ML1ST";"ein";"361924025";"11";"professional";60.0000;40.0000;"361924025";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"COVID-19";"CPT";"U0003";"2022 AMA";"U0003 - Inf agent detection SARS-CoV-2; high throughput";"ein";"320400050";"81";"professional";250.0000;20.8000;"1174964738";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"COVID-19";"CPT";"U0003";"2022 AMA";"U0003 - Inf agent detection SARS-CoV-2; high throughput";"ein";"820973231";"81";"professional";195.0000;37.5000;"1205362522";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"COVID-19";"CPT";"U0005";"2022 AMA";"U0005 - INFEC AGEN DETEC AMPLI PROBE";"ein";"464429957";"11";"professional";75.0000;23.8600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"COVID-19";"CPT";"U0005";"2022 AMA";"U0005 - INFEC AGEN DETEC AMPLI PROBE";"ein";"820973231";"81";"professional";25.0000;12.5000;"1205362522";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Emergency Department Services";"CPT";"99285";"2022 AMA";"99285 - EMERGENCY DEPT VISIT";"ein";"880262438";"23";"professional";1544.0000;289.3900;"1679550149";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Emergency Department Services";"CPT";"99285";"2022 AMA";"99285 - EMERGENCY DEPT VISIT";"ein";"880262438";"23";"professional";1567.0000;289.3900;"1679550149";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Medical and Surgical Supplies";"CPT";"A7037";"2022 AMA";"A7037 - POS AIRWAY PRESSURE TUBING";"ein";"452683127";"12";"professional";48.0000;7.3200;"1144767542";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Medical and Surgical Supplies";"CPT";"L1833";"2022 AMA";"L1833 - KO ADJ JNT POS R SUP PRE OTS";"ein";"272164437";"12";"professional";2040.1500;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"N/A";"CPT";"0004A";"2022 AMA";"0004A - ADM SARSCOV2 30MCG/0.3ML BST";"ein";"361924025";"11";"professional";60.0000;33.2900;"361924025";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"N/A";"CPT";"D9223";"2022 AMA";"D9223 - DS/GEN ANES-EA SUBSQT 15 MIN INCR";"ein";"204714507";"11";"professional";375.0000;200.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Nervous";"CPT";"95941";"2022 AMA";"95941 - IONM REMOTE/>1 PT OR PER HR";"ein";"271622508";"21";"professional";2760.0000;72.9700;"1174916522";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Outpatient Services";"CPT";"99214";"2022 AMA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"861939324";"11";"professional";263.7000;47.3700;"1912599168";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"80050";"2022 AMA";"80050 - GENERAL HEALTH PANEL";"ein";"472390897";"81";"professional";108.9100;8.6800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"80053";"2022 AMA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"840611484";"81";"professional";50.0000;0.0000;"1104829159";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"80061";"2022 AMA";"80061 - LIPID PANEL";"ein";"472390897";"81";"professional";41.5100;4.5200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"80061";"2022 AMA";"80061 - LIPID PANEL";"ein";"840611484";"81";"professional";102.0000;9.0400;"1104829159";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"81001";"2022 AMA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"472390897";"81";"professional";9.8300;0.7850;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"81433";"2022 AMA";"81433 - HRDTRY BRST CA-RLATD DSORDRS";"ein";"330892453";"81";"professional";3400.0000;216.7600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"82306";"2022 AMA";"82306 - VITAMIN D 25 HYDROXY";"ein";"474332775";"81";"professional";207.2000;8.3900;"1285018523";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"82306";"2022 AMA";"82306 - VITAMIN D 25 HYDROXY";"ein";"742554159";"81";"professional";99.0000;12.5850;"1194769497";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"82378";"2022 AMA";"82378 - CARCINOEMBRYONIC ANTIGEN";"ein";"474332775";"81";"professional";132.7200;4.6800;"1285018523";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"83018";"2022 AMA";"83018 - QUANTITATIVE SCREEN METALS";"ein";"222405059";"81";"professional";175.0000;6.5100;"1134277494";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"84402";"2022 AMA";"84402 - ASSAY OF FREE TESTOSTERONE";"ein";"472390897";"81";"professional";78.9600;6.2900;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"86431";"2022 AMA";"86431 - RHEUMATOID FACTOR QUANT";"ein";"472390897";"81";"professional";30.0000;1.4000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"86803";"2022 AMA";"86803 - HEPATITIS C AB TEST";"ein";"880099333";"81";"professional";145.1100;3.5200;"1043256886";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"87070";"2022 AMA";"87070 - CULTURE OTHR SPECIMN AEROBIC";"ein";"880099333";"81";"professional";75.3700;2.1300;"1043256886";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"87186";"2022 AMA";"87186 - MICROBE SUSCEPTIBLE MIC";"ein";"742554159";"81";"professional";41.5000;3.2025;"1194769497";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Pathology and Laboratory";"CPT";"87500";"2022 AMA";"87500 - VANOMYCIN DNA AMP PROBE";"ein";"851843898";"81";"professional";105.2700;36.6400;"1407474190";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Rehabilitation Services";"CPT";"H0031";"2022 AMA";"H0031 - MH HEALTH ASSESS BY NON-MD";"ein";"920078235";"57";"professional";493.0000;330.0000;"1073701033";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Rehabilitation Services";"CPT";"H0032";"2022 AMA";"H0032 - MH SVC PLAN DEV BY NON-MD";"ein";"742240098";"11";"professional";203.0000;168.1500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Rehabilitation Services";"CPT";"H2019";"2022 AMA";"H2019 - THER BEHAV SVC, PER 15 MIN";"ein";"510152394";"11";"professional";300.0000;300.0000;"1538389598";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Rehabilitation Services";"CPT";"H2021";"2022 AMA";"H2021 - COM WRAP-AROUND SV, 15 MIN";"ein";"920086076";"53";"professional";24.0000;0.0000;"1487810420";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Reproductive";"CPT";"54150";"2022 AMA";"54150 - CIRCUMCISION W/REGIONL BLOCK";"ein";"920119413";"11";"professional";901.0000;875.0000;"1851506836";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Reproductive";"CPT";"58300";"2022 AMA";"58300 - INSERT INTRAUTERINE DEVICE";"ein";"920041414";"22";"professional";227.9000;148.1400;"1396958609";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Reproductive";"CPT";"58300";"2022 AMA";"58300 - INSERT INTRAUTERINE DEVICE";"ein";"920119413";"11";"professional";716.0000;716.0000;"1851506836";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Respiratory";"CPT";"31575";"2022 AMA";"31575 - DIAGNOSTIC LARYNGOSCOPY";"ein";"920162721";"22";"professional";710.0000;461.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Respiratory";"CPT";"92504";"2022 AMA";"92504 - EAR MICROSCOPY EXAMINATION";"ein";"920162721";"22";"professional";171.0000;70.9600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Respiratory";"CPT";"92504";"2022 AMA";"92504 - EAR MICROSCOPY EXAMINATION";"ein";"920162721";"22";"professional";171.0000;70.9600;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Respiratory";"CPT";"92590";"2022 AMA";"92590 - HEARING AID EXAM ONE EAR";"ein";"920145498";"11";"professional";110.0000;110.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Respiratory";"CPT";"92591";"2022 AMA";"92591 - HEARING AID EXAM BOTH EARS";"ein";"920145498";"11";"professional";204.0000;204.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Urinary";"CPT";"50590";"2022 AMA";"50590 - FRAGMENTING OF KIDNEY STONE";"ein";"263251875";"19";"professional";9610.0000;2337.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Bakery Workers H&W Local 24";"group";"COVID-19";"CPT";"G2023";"2022 AMA";"G2023 - Spec Coll for SARS-CoV-2; any spec source;";"ein";"851959038";"11";"professional";40.0000;0.0000;"1386235125";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Bakery Workers H&W Local 24";"group";"Outpatient Services";"CPT";"99214";"2022 AMA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"270403280";"11";"professional";230.0000;115.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Bakery Workers H&W Local 24";"group";"Radiology";"CPT";"71045";"2022 AMA";"71045 - X-RAY EXAM CHEST 1 VIEW";"ein";"942728480";"23";"professional";45.0000;11.6900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Administration";"CPT";"99000";"2022 AMA";"99000 - SPECIMEN HANDLING OFFICE-LAB";"ein";"510586004";"20";"professional";15.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Administration";"CPT";"99053";"2022 AMA";"99053 - MED SERV 10PM-8AM 24 HR FAC";"ein";"271562128";"23";"professional";114.7400;67.8700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Administration";"CPT";"99231";"2022 AMA";"99231 - SUBSEQUENT HOSPITAL CARE";"ein";"330515386";"21";"professional";100.0000;48.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Administration";"CPT";"99232";"2022 AMA";"99232 - SUBSEQUENT HOSPITAL CARE";"ein";"330515386";"21";"professional";184.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Administration";"CPT";"99233";"2022 AMA";"99233 - SUBSEQUENT HOSPITAL CARE";"ein";"261129616";"21";"professional";434.4800;170.1000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Administration";"CPT";"99239";"2022 AMA";"99239 - HOSPITAL DISCHARGE DAY";"ein";"824780648";"21";"professional";588.0000;154.6600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Administration";"CPT";"99395";"2022 AMA";"99395 - PREV VISIT EST AGE 18-39";"ein";"237255435";"11";"professional";279.0000;139.5000;"1184791998";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Ambulance";"CPT";"A0398";"2022 AMA";"A0398 - ALS ROUTINE DISPOSBLE SUPPLS";"ein";"731498164";"41";"professional";29.2600;0.0000;"1922391226";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Ambulance";"CPT";"A0398";"2022 AMA";"A0398 - ALS ROUTINE DISPOSBLE SUPPLS";"ein";"731498164";"41";"professional";32.9300;0.0000;"1922391226";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Ambulance";"CPT";"A0398";"2022 AMA";"A0398 - ALS ROUTINE DISPOSBLE SUPPLS";"ein";"731498164";"41";"professional";34.6600;0.0000;"1922391226";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Ambulance";"CPT";"A0427";"2022 AMA";"A0427 - ALS1-EMERGENCY";"ein";"731498164";"41";"professional";2846.3900;884.2800;"1922391226";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Ambulance";"CPT";"A0427";"2022 AMA";"A0427 - ALS1-EMERGENCY";"ein";"941562311";"41";"professional";3787.0000;774.5300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Auditory";"CPT";"V5261";"2022 AMA";"V5261 - HEARING AID, DIGIT, BIN, BTE";"ein";"364870994";"11";"professional";5800.0000;3132.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"COVID-19";"CPT";"0001A";"2022 AMA";"0001A - ADM SARSCOV2 30MCG/0.3ML 1ST";"ein";"820667208";"11";"professional";120.0000;40.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"COVID-19";"CPT";"91300";"2022 AMA";"91300 - SARSCOV2 VAC 30MCG/0.3ML IM";"ein";"852421177";"60";"professional";0.0100;0.0000;"1366048019";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"COVID-19";"CPT";"G2023";"2022 AMA";"G2023 - Spec Coll for SARS-CoV-2; any spec source;";"ein";"852364612";"81";"professional";70.0000;23.4600;"1790386746";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"COVID-19";"CPT";"U0003";"2022 AMA";"U0003 - Inf agent detection SARS-CoV-2; high throughput";"ein";"472462178";"81";"professional";250.0000;83.3250;"1144731605";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"COVID-19";"CPT";"U0003";"2022 AMA";"U0003 - Inf agent detection SARS-CoV-2; high throughput";"ein";"852364612";"81";"professional";225.0000;0.0000;"1790386746";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"COVID-19";"CPT";"U0003";"2022 AMA";"U0003 - Inf agent detection SARS-CoV-2; high throughput";"ein";"990370089";"81";"professional";200.0000;80.0800;"1265897078";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"COVID-19";"CPT";"U0004";"2022 AMA";"U0004 - SARS-CoV-2/2019-nCoV-2 any technique, high throughput";"ein";"463908799";"11";"professional";150.0000;75.0000;"1093136418";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"COVID-19";"CPT";"U0005";"2022 AMA";"U0005 - INFEC AGEN DETEC AMPLI PROBE";"ein";"823258920";"81";"professional";37.5000;18.7500;"1457942401";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Emergency Department Services";"CPT";"99283";"2022 AMA";"99283 - EMERGENCY DEPT VISIT";"ein";"821289818";"23";"professional";970.0000;127.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Emergency Department Services";"CPT";"99285";"2022 AMA";"99285 - EMERGENCY DEPT VISIT";"ein";"825462847";"23";"professional";695.0000;432.5600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Integumentary";"CPT";"10001";"2022 AMA";"10001 - INC & DRAIN SEBACEOUS CYSTS (2)";"ein";"822707493";"24";"professional";600.0000;390.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Medicine/Pharmacy/Vaccine";"CPT";"90472";"2022 AMA";"90472 - IMMUNIZATION ADMIN EACH ADD";"ein";"237255435";"11";"professional";9.0000;0.6750;"1184791998";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Medicine/Pharmacy/Vaccine";"CPT";"90746";"2022 AMA";"90746 - HEPB VACCINE 3 DOSE ADULT IM";"ein";"237255435";"11";"professional";70.0000;5.2500;"1184791998";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"N/A";"CPT";"99072";"2022 AMA";"99072 - ADDL SUPL MATRL&STAF TM PHE";"ein";"823826671";"20";"professional";85.0000;0.0000;"1538709837";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Pathology and Laboratory";"CPT";"88361";"2022 AMA";"88361 - TUMOR IMMUNOHISTOCHEM/COMPUT";"ein";"593725585";"81";"professional";83.0000;15.6310;"1447437355";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Radiology";"CPT";"74022";"2022 AMA";"74022 - X-RAY EXAM SERIES ABDOMEN";"ein";"942728480";"23";"professional";78.0000;28.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Radiology";"CPT";"76000";"2022 AMA";"76000 - FLUOROSCOPE EXAMINATION";"ein";"460799758";"15";"professional";1000.0000;73.7350;"1962746339";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Pathology and Laboratory";"CPT";"82670";"2022 AMA";"82670 - ASSAY OF ESTRADIOL";"ein";"900732173";"81";"professional";103.4700;62.0820;"1477811503";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Pathology and Laboratory";"CPT";"82696";"2022 AMA";"82696 - ASSAY OF ETIOCHOLANOLONE";"ein";"900732173";"81";"professional";87.3600;52.4160;"1477811503";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Pathology and Laboratory";"CPT";"88361";"2022 AMA";"88361 - TUMOR IMMUNOHISTOCHEM/COMPUT";"ein";"208473531";"81";"professional";3179.8400;637.5200;"1427273598";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Physical Therapy";"CPT";"98941";"2022 AMA";"98941 - CHIROPRACT MANJ 3-4 REGIONS";"ein";"363223106";"11";"professional";58.0000;46.9700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Psychological";"CPT";"96127";"2022 AMA";"96127 - BRIEF EMOTIONAL/BEHAV ASSMT";"ein";"474607572";"57";"professional";210.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Radiology";"CPT";"70355";"2022 AMA";"70355 - PANORAMIC X-RAY OF JAWS";"ein";"205146678";"11";"professional";110.0000;38.2100;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Ambulance";"CPT";"A0398";"2022 AMA";"A0398 - ALS ROUTINE DISPOSBLE SUPPLS";"ein";"330736730";"41";"professional";939.7000;0.0000;"1962576660";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Ambulance";"CPT";"A0429";"2022 AMA";"A0429 - BLS-EMERGENCY";"ein";"956000669";"41";"professional";1620.0000;782.4700;"1487659413";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Anesthesia";"CPT";"99100";"2022 AMA";"99100 - SPECIAL ANESTHESIA SERVICE";"ein";"464160061";"24";"professional";300.0000;0.0000;"1508283698";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Cardiovascular";"CPT";"92950";"2022 AMA";"92950 - HEART/LUNG RESUSCITATION CPR";"ein";"201054671";"23";"professional";2176.0000;211.0300;"1437220258";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Category II";"CPT";"S9338";"2022 AMA";"S9338 - HIT IMMUNOTHERAPY DIEM";"ein";"850545441";"12";"professional";3600.0000;863.9400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"COVID-19";"CPT";"87811";"2022 AMA";"87811 - SarsCov2 Covid19 W/Optic";"ein";"843172409";"81";"professional";80.0000;41.3800;"1003437500";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"COVID-19";"CPT";"U0005";"2022 AMA";"U0005 - INFEC AGEN DETEC AMPLI PROBE";"ein";"463371474";"81";"professional";30.0000;18.0000;"1700212735";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Medicine/Pharmacy/Vaccine";"CPT";"J1100";"2022 AMA";"J1100 - DEXAMETHASONE SODIUM PHOS";"ein";"850545441";"12";"professional";2997.6400;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Medicine/Pharmacy/Vaccine";"CPT";"J1569";"2022 AMA";"J1569 - GAMMAGARD LIQUID INJECTION";"ein";"850545441";"12";"professional";11694.9600;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Medicine/Pharmacy/Vaccine";"CPT";"J1569";"2022 AMA";"J1569 - GAMMAGARD LIQUID INJECTION";"ein";"850545441";"12";"professional";57203.7100;12520.7900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Medicine/Pharmacy/Vaccine";"CPT";"J7030";"2022 AMA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"850545441";"12";"professional";3000.0700;720.0187;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Pathology and Laboratory";"CPT";"88305";"2022 AMA";"88305 - TISSUE EXAM BY PATHOLOGIST";"ein";"830565295";"21";"professional";108.0000;48.3900;"1972080752";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Administration";"CPT";"99053";"2022 AMA";"99053 - MED SERV 10PM-8AM 24 HR FAC";"ein";"371759104";"23";"professional";52.0000;37.0400;"1639577802";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Administration";"CPT";"99291";"2022 AMA";"99291 - CRITICAL CARE FIRST HOUR";"ein";"264084001";"23";"professional";1459.0000;329.7400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Ambulance";"CPT";"A0429";"2022 AMA";"A0429 - BLS-EMERGENCY";"ein";"752474011";"41";"professional";1359.1400;0.0000;"1437350063";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Cardiovascular";"CPT";"93010";"2022 AMA";"93010 - ELECTROCARDIOGRAM REPORT";"ein";"371759104";"23";"professional";55.0000;16.1200;"1639577802";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Cardiovascular";"CPT";"93010";"2022 AMA";"93010 - ELECTROCARDIOGRAM REPORT";"ein";"954599970";"23";"professional";66.0000;16.3000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Category II";"CPT";"G8420";"2022 AMA";"G8420 - CALC BMI NORM PARAMETERS";"ein";"954890544";"11";"professional";3.0000;0.1900;"1801921952";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"COVID-19";"CPT";"0001A";"2022 AMA";"0001A - ADM SARSCOV2 30MCG/0.3ML 1ST";"ein";"951750445";"11";"professional";51.0000;40.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"COVID-19";"CPT";"87426";"2022 AMA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"455125571";"11";"professional";125.0000;45.2300;"1144821224";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"COVID-19";"CPT";"G2023";"2022 AMA";"G2023 - Spec Coll for SARS-CoV-2; any spec source;";"ein";"831342609";"81";"professional";50.0000;23.4600;"1073101028";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"COVID-19";"CPT";"U0003";"2022 AMA";"U0003 - Inf agent detection SARS-CoV-2; high throughput";"ein";"475502891";"81";"professional";285.0000;75.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"COVID-19";"CPT";"U0003";"2022 AMA";"U0003 - Inf agent detection SARS-CoV-2; high throughput";"ein";"951750445";"81";"professional";299.0000;75.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Emergency Department Services";"CPT";"99284";"2022 AMA";"99284 - EMERGENCY DEPT VISIT";"ein";"770062466";"23";"professional";1061.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Emergency Department Services";"CPT";"99285";"2022 AMA";"99285 - EMERGENCY DEPT VISIT";"ein";"475480999";"23";"professional";1761.0000;0.0000;"1194180968";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Eye and Ocular Adnexa";"CPT";"99173";"2022 AMA";"99173 - VISUAL ACUITY SCREEN";"ein";"954890544";"11";"professional";10.0000;10.0000;"1801921952";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Medicine/Pharmacy/Vaccine";"CPT";"90686";"2022 AMA";"90686 - IIV4 VACC NO PRSV 3 YRS+ IM";"ein";"954890544";"11";"professional";35.0000;0.0000;"1801921952";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Medicine/Pharmacy/Vaccine";"CPT";"90791";"2022 AMA";"90791 - PSYCH DIAGNOSTIC EVALUATION";"ein";"951690990";"99";"professional";659.4000;228.2500;"1669508974";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Medicine/Pharmacy/Vaccine";"CPT";"J1885";"2022 AMA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"862328236";"11";"professional";200.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Medicine/Pharmacy/Vaccine";"CPT";"J1885";"2022 AMA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"862328236";"11";"professional";200.0000;3.8800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Outpatient Services";"CPT";"99213";"2022 AMA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"752972112";"11";"professional";126.0000;49.5000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Outpatient Services";"CPT";"99213";"2022 AMA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"954890544";"11";"professional";294.0000;121.5400;"1801921952";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Pathology and Laboratory";"CPT";"80061";"2022 AMA";"80061 - LIPID PANEL";"ein";"710897031";"81";"professional";154.8500;19.9800;"1366479099";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Pathology and Laboratory";"CPT";"85018";"2022 AMA";"85018 - HEMOGLOBIN";"ein";"954890544";"11";"professional";10.0000;3.4500;"1801921952";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Pathology and Laboratory";"CPT";"86140";"2022 AMA";"86140 - C-REACTIVE PROTEIN";"ein";"710897031";"81";"professional";30.8900;7.5000;"1366479099";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Physical Therapy";"CPT";"97012";"2022 AMA";"97012 - MECHANICAL TRACTION THERAPY";"ein";"330653026";"11";"professional";40.0000;4.4000;"1386647451";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Physical Therapy";"CPT";"97161";"2022 AMA";"97161 - PT EVAL LOW COMPLEX 20 MIN";"ein";"770126579";"11";"professional";120.0000;96.0000;"1770665630";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Physical Therapy";"CPT";"98941";"2022 AMA";"98941 - CHIROPRACT MANJ 3-4 REGIONS";"ein";"330653026";"11";"professional";85.0000;36.3000;"1386647451";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Respiratory";"CPT";"94760";"2022 AMA";"94760 - MEASURE BLOOD OXYGEN LEVEL";"ein";"954890544";"11";"professional";16.0000;5.4500;"1801921952";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"237448054";"41";"professional";78.2000;67.8400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Category II";"CPT";"S9342";"2022 AMA";"S9342 - HIT ENTERAL PUMP DIEM";"ein";"832850905";"12";"professional";783.0000;686.7000;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Integumentary";"CPT";"17110";"2022 AMA";"17110 - DESTRUCT B9 LESION 1-14";"ein";"232829194";"21";"professional";145.0000;87.0000;"1629009295";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Medical and Surgical Supplies";"CPT";"B4161";"2022 AMA";"B4161 - EF PED HYDROLYZED/AMINO ACID";"ein";"832850905";"12";"professional";900.0000;900.0000;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Administration";"CPT";"99217";"2022 AMA";"99217 - OBSERVATION CARE DISCHARGE";"ein";"823537014";"23";"professional";1540.2400;71.7300;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Administration";"CPT";"99001";"2022 AMA";"99001 - SPECIMEN HANDLING PT-LAB";"ein";"860857176";"20";"professional";72.0000;0.0000;"1790329407";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Administration";"CPT";"99053";"2022 AMA";"99053 - MED SERV 10PM-8AM 24 HR FAC";"ein";"880262438";"23";"professional";44.0000;0.0000;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Administration";"CPT";"99238";"2022 AMA";"99238 - HOSPITAL DISCHARGE DAY";"ein";"202685988";"21";"professional";223.5600;178.8480;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Ambulance";"CPT";"A0429";"2022 AMA";"A0429 - BLS-EMERGENCY";"ein";"886000200";"41";"professional";1106.6800;737.9900;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Anesthesia";"CPT";"00952";"2022 AMA";"00952 - ANESTH HYSTEROSCOPE/GRAPH";"ein";"760739760";"24";"professional";490.0000;189.2000;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Integumentary";"CPT";"10001";"2022 AMA";"10001 - INC & DRAIN SEBACEOUS CYSTS (2)";"ein";"880310956";"24";"professional";750.0000;637.5000;"1063458594";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Medicine/Pharmacy/Vaccine";"CPT";"J1100";"2022 AMA";"J1100 - DEXAMETHASONE SODIUM PHOS";"ein";"263148812";"11";"professional";35.0000;0.3900;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Pathology and Laboratory";"CPT";"81226";"2022 AMA";"81226 - CYP2D6 GENE COM VARIANTS";"ein";"271453375";"81";"professional";1300.0000;494.4100;"1235363052";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Pathology and Laboratory";"CPT";"81291";"2022 AMA";"81291 - MTHFR GENE";"ein";"271453375";"81";"professional";150.0000;91.8400;"1235363052";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Pathology and Laboratory";"CPT";"82533";"2022 AMA";"82533 - TOTAL CORTISOL";"ein";"472390897";"81";"professional";43.0000;16.5000;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Air Ambulance";"CPT";"A0435";"2022 AMA";"A0435 - FIXED WING AIR MILEAGE";"ein";"680222123";"42";"professional";72413.0000;3504.8800;"1134169535";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"COVID-19";"CPT";"U0005";"2022 AMA";"U0005 - INFEC AGEN DETEC AMPLI PROBE";"ein";"800943522";"81";"professional";25.0000;25.0000;"1902070030";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Emergency Department Services";"CPT";"99284";"2022 AMA";"99284 - EMERGENCY DEPT VISIT";"ein";"870629690";"23";"professional";876.0000;179.8800;"1235355702";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Emergency Department Services";"CPT";"99285";"2022 AMA";"99285 - EMERGENCY DEPT VISIT";"ein";"832744329";"23";"professional";1520.0000;377.4200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Medicine/Pharmacy/Vaccine";"CPT";"90791";"2022 AMA";"90791 - PSYCH DIAGNOSTIC EVALUATION";"ein";"546450457";"11";"professional";200.0000;160.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Outpatient Services";"CPT";"99211";"2022 AMA";"99211 - OFFICE/OUTPATIENT VISIT EST";"ein";"770144035";"11";"professional";90.0000;30.8300;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Outpatient Services";"CPT";"99215";"2022 AMA";"99215 - OFFICE/OUTPATIENT VISIT EST";"ein";"200293632";"11";"professional";185.0000;185.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Pathology and Laboratory";"CPT";"80053";"2022 AMA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"710897031";"81";"professional";61.7300;10.5600;"1366479099";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Physical Therapy";"CPT";"97010";"2022 AMA";"97010 - HOT OR COLD PACKS THERAPY";"ein";"874373682";"11";"professional";18.4500;0.0000;"1760557870";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Physical Therapy";"CPT";"97012";"2022 AMA";"97012 - MECHANICAL TRACTION THERAPY";"ein";"030408394";"11";"professional";25.0000;12.5000;"1851373633";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Physical Therapy";"CPT";"97035";"2022 AMA";"97035 - ULTRASOUND THERAPY";"ein";"770144035";"11";"professional";45.0000;18.8000;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Physical Therapy";"CPT";"97112";"2022 AMA";"97112 - NEUROMUSCULAR REEDUCATION";"ein";"364827329";"11";"professional";102.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Physical Therapy";"CPT";"97112";"2022 AMA";"97112 - NEUROMUSCULAR REEDUCATION";"ein";"752984189";"11";"professional";60.0000;7.6100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Physical Therapy";"CPT";"97530";"2022 AMA";"97530 - THERAPEUTIC ACTIVITIES";"ein";"364827329";"11";"professional";51.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Physical Therapy";"CPT";"97530";"2022 AMA";"97530 - THERAPEUTIC ACTIVITIES";"ein";"364827329";"11";"professional";102.0000;59.5000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Physical Therapy";"CPT";"98940";"2022 AMA";"98940 - CHIROPRACT MANJ 1-2 REGIONS";"ein";"874373682";"11";"professional";66.0000;40.6800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Physical Therapy";"CPT";"98941";"2022 AMA";"98941 - CHIROPRACT MANJ 3-4 REGIONS";"ein";"481906298";"11";"professional";55.0000;55.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Physical Therapy";"CPT";"98941";"2022 AMA";"98941 - CHIROPRACT MANJ 3-4 REGIONS";"ein";"752984189";"11";"professional";75.0000;30.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Physical Therapy";"CPT";"98941";"2022 AMA";"98941 - CHIROPRACT MANJ 3-4 REGIONS";"ein";"823941015";"11";"professional";75.0000;36.3000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Psychological";"CPT";"90834";"2022 AMA";"90834 - PSYTX PT&/FAMILY 45 MINUTES";"ein";"546450457";"11";"professional";120.0000;96.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Psychological";"CPT";"90834";"2022 AMA";"90834 - PSYTX PT&/FAMILY 45 MINUTES";"ein";"871637374";"11";"professional";150.0000;109.2200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Psychological";"CPT";"90837";"2022 AMA";"90837 - PSYTX PT&/FAMILY 60 MINUTES";"ein";"461901154";"11";"professional";200.0000;100.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Radiology";"CPT";"75635";"2022 AMA";"75635 - CT ANGIO ABDOMINAL ARTERIES";"ein";"825332205";"22";"professional";666.0000;137.0600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"CPT";"99001";"2022 AMA";"99001 - SPECIMEN HANDLING PT-LAB";"ein";"900726926";"11";"professional";35.0000;32.6200;"1699362673";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"CPT";"99222";"2022 AMA";"99222 - INITIAL HOSPITAL CARE";"ein";"920177314";"21";"professional";764.0000;764.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"CPT";"99348";"2022 AMA";"99348 - HOME VISIT EST PATIENT";"ein";"920041638";"12";"professional";278.0000;278.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"CPT";"99392";"2022 AMA";"99392 - PREV VISIT EST AGE 1-4";"ein";"770625390";"11";"professional";235.0000;235.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"CPT";"99396";"2022 AMA";"99396 - PREV VISIT EST AGE 40-64";"ein";"920162721";"22";"professional";431.0000;280.1500;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"CPT";"99442";"2022 AMA";"99442 - PHONE E/M PHYS/QHP 11-20 MIN";"ein";"920041488";"11";"professional";124.0000;111.6000;"1154358232";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"CPT";"99442";"2022 AMA";"99442 - PHONE E/M PHYS/QHP 11-20 MIN";"ein";"920069243";"11";"professional";150.0000;150.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"CPT";"99442";"2022 AMA";"99442 - PHONE E/M PHYS/QHP 11-20 MIN";"ein";"920086076";"11";"professional";160.0000;160.0000;"1487810420";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"CPT";"99475";"2022 AMA";"99475 - PED CRIT CARE AGE 2-5 INIT";"ein";"920177314";"21";"professional";3834.0000;1150.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Air Ambulance";"CPT";"A0430";"2022 AMA";"A0430 - FIXED WING AIR TRANSPORT";"ein";"371865858";"42";"professional";17450.0000;10020.9200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"926001644";"41";"professional";0.0000;0.0000;"1619005683";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Ambulance";"CPT";"A0429";"2022 AMA";"A0429 - BLS-EMERGENCY";"ein";"926001644";"41";"professional";466.0000;466.0000;"1619005683";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Anesthesia";"CPT";"00142";"2022 AMA";"00142 - ANESTH LENS SURGERY";"ein";"920162721";"22";"professional";876.0000;0.0000;"1437189339";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Cancer";"CPT";"96401";"2022 AMA";"96401 - CHEMO ANTI-NEOPL SQ/IM";"ein";"364577398";"11";"professional";580.0000;566.0000;"1649249483";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Cardiovascular";"CPT";"36415";"2022 AMA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920069243";"11";"professional";32.0500;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Cardiovascular";"CPT";"93005";"2022 AMA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"920086076";"11";"professional";82.9500;0.0000;"1487810420";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Category II";"CPT";"S0189";"2022 AMA";"S0189 - TESTOSTERONE PELLET 75 MG";"ein";"823785749";"11";"professional";3037.8000;2132.6400;"1043727878";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"COVID-19";"CPT";"87635";"2022 AMA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"463599411";"21";"professional";115.0000;74.7500;"1457781825";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Infant";"CPT";"99152";"2022 AMA";"99152 - NEWBORN RESUSCITATION";"ein";"461197268";"11";"professional";250.0000;67.1300;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Nervous";"CPT";"95806";"2022 AMA";"95806 - SLEEP STUDY UNATT&RESP EFFT";"ein";"920126804";"11";"professional";3225.0000;3225.0000;"1255368866";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Nervous";"CPT";"96137";"2022 AMA";"96137 - PSYCL/NRPSYC TST PHY/QHP EA";"ein";"841668847";"11";"professional";1305.0000;1305.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99203";"2022 AMA";"99203 - OFFICE/OUTPATIENT VISIT NEW";"ein";"680586754";"11";"professional";320.0000;320.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99204";"2022 AMA";"99204 - OFFICE/OUTPATIENT VISIT NEW";"ein";"920162721";"11";"professional";610.0000;396.5000;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99205";"2022 AMA";"99205 - OFFICE/OUTPATIENT VISIT NEW";"ein";"860800150";"11";"professional";680.0000;610.0000;"1558332494";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99211";"2022 AMA";"99211 - OFFICE/OUTPATIENT VISIT EST";"ein";"920041488";"11";"professional";78.0000;70.2000;"1154358232";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99212";"2022 AMA";"99212 - OFFICE/OUTPATIENT VISIT EST";"ein";"851037654";"11";"professional";160.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99212";"2022 AMA";"99212 - OFFICE/OUTPATIENT VISIT EST";"ein";"920040308";"11";"professional";150.0000;150.0000;"1821201278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99212";"2022 AMA";"99212 - OFFICE/OUTPATIENT VISIT EST";"ein";"920090940";"11";"professional";50.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99212";"2022 AMA";"99212 - OFFICE/OUTPATIENT VISIT EST";"ein";"920162721";"22";"professional";160.0000;104.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99213";"2022 AMA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"208306374";"11";"professional";231.1700;231.1700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99213";"2022 AMA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"920041488";"22";"professional";265.0000;238.5000;"1629293246";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99213";"2022 AMA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"920069243";"11";"professional";280.0000;275.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99213";"2022 AMA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"920162721";"22";"professional";245.0000;245.0000;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99214";"2022 AMA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"270359222";"11";"professional";265.0000;265.0000;"1790735579";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99214";"2022 AMA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"823202409";"11";"professional";245.0000;147.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99214";"2022 AMA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"823785749";"11";"professional";397.5000;278.2500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99214";"2022 AMA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"920040308";"11";"professional";325.0000;325.0000;"1821201278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99214";"2022 AMA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"920041414";"22";"professional";227.9000;0.0000;"1396958609";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99214";"2022 AMA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"920041488";"11";"professional";411.0000;310.5000;"1154358232";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99214";"2022 AMA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"920041638";"11";"professional";423.0000;423.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99214";"2022 AMA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"920086076";"11";"professional";342.7800;342.7800;"1487810420";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99215";"2022 AMA";"99215 - OFFICE/OUTPATIENT VISIT EST";"ein";"920040308";"11";"professional";430.0000;430.0000;"1821201278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Outpatient Services";"CPT";"99215";"2022 AMA";"99215 - OFFICE/OUTPATIENT VISIT EST";"ein";"920162721";"22";"professional";525.0000;0.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"80305";"2022 AMA";"80305 - DRUG TEST PRSMV DIR OPT OBS";"ein";"920086076";"57";"professional";33.0000;33.0000;"1487810420";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"81000";"2022 AMA";"81000 - URINALYSIS NONAUTO W/SCOPE";"ein";"920040308";"11";"professional";33.0000;33.0000;"1821201278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"81001";"2022 AMA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"920040308";"11";"professional";68.0000;68.0000;"1821201278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"82306";"2022 AMA";"82306 - VITAMIN D 25 HYDROXY";"ein";"043775917";"11";"professional";312.0000;312.0000;"1093092116";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"82542";"2022 AMA";"82542 - COL CHROMOTOGRAPHY QUAL/QUAN";"ein";"561565047";"81";"professional";62.3700;28.9400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"82746";"2022 AMA";"82746 - ASSAY OF FOLIC ACID SERUM";"ein";"043775917";"11";"professional";170.0000;170.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"82784";"2022 AMA";"82784 - ASSAY IGA/IGD/IGG/IGM EACH";"ein";"561565047";"81";"professional";32.5800;10.1900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"83002";"2022 AMA";"83002 - ASSAY OF GONADOTROPIN (LH)";"ein";"823785749";"11";"professional";99.0000;72.3100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"83550";"2022 AMA";"83550 - IRON BINDING TEST";"ein";"043775917";"11";"professional";84.0000;84.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"83605";"2022 AMA";"83605 - ASSAY OF LACTIC ACID";"ein";"463599411";"23";"professional";36.8000;29.4400;"1457781825";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"83605";"2022 AMA";"83605 - ASSAY OF LACTIC ACID";"ein";"463599411";"23";"professional";73.6000;0.0000;"1457781825";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"84146";"2022 AMA";"84146 - ASSAY OF PROLACTIN";"ein";"823785749";"11";"professional";103.5000;76.3200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"84311";"2022 AMA";"84311 - SPECTROPHOTOMETRY";"ein";"561565047";"81";"professional";37.2300;8.9800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"84439";"2022 AMA";"84439 - ASSAY OF FREE THYROXINE";"ein";"043775917";"11";"professional";135.0000;133.0000;"1093092116";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"84466";"2022 AMA";"84466 - ASSAY OF TRANSFERRIN";"ein";"920040308";"11";"professional";89.8000;89.8000;"1821201278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"85014";"2022 AMA";"85014 - HEMATOCRIT";"ein";"920041638";"11";"professional";45.0000;45.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"86141";"2022 AMA";"86141 - C-REACTIVE PROTEIN HS";"ein";"208223285";"22";"professional";21.0000;0.0000;"1558417873";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"86592";"2022 AMA";"86592 - SYPHILIS TEST NON-TREP QUAL";"ein";"753022282";"23";"professional";15.7500;7.0500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"86901";"2022 AMA";"86901 - BLOOD TYPING SEROLOGIC RH(D)";"ein";"753022282";"23";"professional";26.0000;4.9300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"87045";"2022 AMA";"87045 - FECES CULTURE AEROBIC BACT";"ein";"561565047";"81";"professional";40.9600;10.4400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"87102";"2022 AMA";"87102 - FUNGUS ISOLATION CULTURE";"ein";"561565047";"81";"professional";40.0200;10.3300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"87209";"2022 AMA";"87209 - SMEAR COMPLEX STAIN";"ein";"561565047";"81";"professional";44.6800;19.4800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"88302";"2022 AMA";"88302 - TISSUE EXAM BY PATHOLOGIST";"ein";"920162721";"22";"professional";74.0000;22.2000;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"88311";"2022 AMA";"88311 - DECALCIFY TISSUE";"ein";"920162721";"22";"professional";90.0000;33.8600;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"95018";"2022 AMA";"95018 - PERQ&IC ALLG TEST DRUGS/BIOL";"ein";"200107631";"11";"professional";512.0000;512.0000;"1588711444";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"CPT";"95024";"2022 AMA";"95024 - ICUT ALLERGY TEST DRUG/BUG";"ein";"471524086";"11";"professional";385.0000;158.8200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97014";"2022 AMA";"97014 - ELECTRIC STIMULATION THERAPY";"ein";"203425604";"11";"professional";42.0000;42.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97014";"2022 AMA";"97014 - ELECTRIC STIMULATION THERAPY";"ein";"320182818";"11";"professional";55.0000;55.0000;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97035";"2022 AMA";"97035 - ULTRASOUND THERAPY";"ein";"920156906";"11";"professional";60.0000;45.0000;"1972643138";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97110";"2022 AMA";"97110 - THERAPEUTIC EXERCISES";"ein";"274711260";"11";"professional";104.4000;104.4000;"1649577578";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97110";"2022 AMA";"97110 - THERAPEUTIC EXERCISES";"ein";"920167575";"11";"professional";116.0000;116.0000;"1891790184";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97112";"2022 AMA";"97112 - NEUROMUSCULAR REEDUCATION";"ein";"920041638";"11";"professional";129.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97124";"2022 AMA";"97124 - MASSAGE THERAPY";"ein";"920174052";"11";"professional";135.0000;135.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97140";"2022 AMA";"97140 - MANUAL THERAPY 1/> REGIONS";"ein";"273848773";"11";"professional";180.0000;180.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97140";"2022 AMA";"97140 - MANUAL THERAPY 1/> REGIONS";"ein";"462741305";"11";"professional";170.0000;170.0000;"1013344670";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97140";"2022 AMA";"97140 - MANUAL THERAPY 1/> REGIONS";"ein";"833149985";"11";"professional";85.0000;85.0000;"1316402720";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"97140";"2022 AMA";"97140 - MANUAL THERAPY 1/> REGIONS";"ein";"920041638";"11";"professional";123.0000;0.0000;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"98940";"2022 AMA";"98940 - CHIROPRACT MANJ 1-2 REGIONS";"ein";"461384970";"11";"professional";75.0000;75.0000;"1497093926";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"98941";"2022 AMA";"98941 - CHIROPRACT MANJ 3-4 REGIONS";"ein";"208019622";"11";"professional";85.0000;85.0000;"1083767826";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"CPT";"98941";"2022 AMA";"98941 - CHIROPRACT MANJ 3-4 REGIONS";"ein";"851037654";"11";"professional";90.0000;90.0000;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Psychological";"CPT";"90832";"2022 AMA";"90832 - PSYTX PT&/FAMILY 30 MINUTES";"ein";"421728605";"11";"professional";300.0000;165.6000;"1568671766";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Psychological";"CPT";"90837";"2022 AMA";"90837 - PSYTX PT&/FAMILY 60 MINUTES";"ein";"263025853";"11";"professional";300.0000;269.0000;"1528223948";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"CPT";"70355";"2022 AMA";"70355 - PANORAMIC X-RAY OF JAWS";"ein";"920175036";"11";"professional";400.0000;220.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"CPT";"71046";"2022 AMA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"920069243";"11";"professional";125.0000;125.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"CPT";"72070";"2022 AMA";"72070 - X-RAY EXAM THORAC SPINE 2VWS";"ein";"920162721";"22";"professional";84.0000;27.3800;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"CPT";"72120";"2022 AMA";"72120 - X-RAY BEND ONLY L-S SPINE";"ein";"920162721";"22";"professional";101.0000;30.3000;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"CPT";"73030";"2022 AMA";"73030 - X-RAY EXAM OF SHOULDER";"ein";"920162721";"22";"professional";78.0000;25.3000;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"CPT";"73620";"2022 AMA";"73620 - X-RAY EXAM OF FOOT";"ein";"920177230";"11";"professional";190.0000;190.0000;"1356307458";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"CPT";"74176";"2022 AMA";"74176 - CT ABD & PELVIS W/O CONTRAST";"ein";"920162721";"22";"professional";1161.0000;348.3000;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"CPT";"76801";"2022 AMA";"76801 - OB US < 14 WKS SINGLE FETUS";"ein";"920162721";"22";"professional";315.0000;132.3400;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"CPT";"76817";"2022 AMA";"76817 - TRANSVAGINAL US OBSTETRIC";"ein";"920162721";"22";"professional";268.0000;101.2400;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Reproductive";"CPT";"55250";"2022 AMA";"55250 - REMOVAL OF SPERM DUCT(S)";"ein";"823785749";"11";"professional";3261.0000;3261.0000;"1043727878";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Respiratory";"CPT";"31231";"2022 AMA";"31231 - NASAL ENDOSCOPY DX";"ein";"161457919";"11";"professional";650.0000;620.0000;"1811082662";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Respiratory";"CPT";"31575";"2022 AMA";"31575 - DIAGNOSTIC LARYNGOSCOPY";"ein";"920162721";"22";"professional";710.0000;318.5800;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Respiratory";"CPT";"92552";"2022 AMA";"92552 - PURE TONE AUDIOMETRY AIR";"ein";"920145498";"11";"professional";65.0000;65.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Ambulance";"CPT";"A0427";"2022 AMA";"A0427 - ALS1-EMERGENCY";"ein";"911247371";"41";"professional";800.0000;763.1300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Ambulance";"CPT";"A0429";"2022 AMA";"A0429 - BLS-EMERGENCY";"ein";"911225672";"41";"professional";756.0000;571.0400;"1750354528";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Cancer";"CPT";"96365";"2022 AMA";"96365 - THER/PROPH/DIAG IV INF INIT";"ein";"264508541";"11";"professional";175.0000;96.2500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Cardiovascular";"CPT";"93042";"2022 AMA";"93042 - RHYTHM ECG REPORT";"ein";"911170922";"23";"professional";67.0000;11.8300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Medicine/Pharmacy/Vaccine";"CPT";"98926";"2022 AMA";"98926 - OSTEOPATH MANJ 3-4 REGIONS";"ein";"562392010";"11";"professional";81.0000;78.5700;"1023332749";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Medicine/Pharmacy/Vaccine";"CPT";"J1756";"2022 AMA";"J1756 - IRON SUCROSE INJECTION";"ein";"264508541";"11";"professional";75.0000;41.2500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"N/A";"CPT";"99072";"2022 AMA";"99072 - ADDL SUPL MATRL&STAF TM PHE";"ein";"200394228";"11";"professional";6.5700;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"N/A";"CPT";"99072";"2022 AMA";"99072 - ADDL SUPL MATRL&STAF TM PHE";"ein";"830426771";"11";"professional";6.7200;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Nervous";"CPT";"95870";"2022 AMA";"95870 - MUSCLE TEST NONPARASPINAL";"ein";"263725656";"22";"professional";359.0000;34.8500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Outpatient Services";"CPT";"99203";"2022 AMA";"99203 - OFFICE/OUTPATIENT VISIT NEW";"ein";"472914614";"11";"professional";170.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Outpatient Services";"CPT";"99212";"2022 AMA";"99212 - OFFICE/OUTPATIENT VISIT EST";"ein";"911665856";"11";"professional";99.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Outpatient Services";"CPT";"99213";"2022 AMA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"910994224";"11";"professional";120.0000;51.4200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Outpatient Services";"CPT";"99214";"2022 AMA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"860770482";"11";"professional";215.0000;113.6500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Pathology and Laboratory";"CPT";"84270";"2022 AMA";"84270 - ASSAY OF SEX HORMONE GLOBUL";"ein";"900991487";"11";"professional";40.0000;26.0700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Pathology and Laboratory";"CPT";"84478";"2022 AMA";"84478 - ASSAY OF TRIGLYCERIDES";"ein";"830426771";"11";"professional";14.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Physical Therapy";"CPT";"97012";"2022 AMA";"97012 - MECHANICAL TRACTION THERAPY";"ein";"472914614";"11";"professional";30.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Physical Therapy";"CPT";"97012";"2022 AMA";"97012 - MECHANICAL TRACTION THERAPY";"ein";"472914614";"11";"professional";30.0000;30.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Physical Therapy";"CPT";"97530";"2022 AMA";"97530 - THERAPEUTIC ACTIVITIES";"ein";"911665856";"11";"professional";74.5000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Physical Therapy";"CPT";"98943";"2022 AMA";"98943 - CHIROPRACT MANJ XTRSPINL 1/>";"ein";"270641533";"11";"professional";38.0000;32.0000;"1003146846";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Radiology";"CPT";"71045";"2022 AMA";"71045 - X-RAY EXAM CHEST 1 VIEW";"ein";"911853574";"23";"professional";30.0000;21.0000;"1999999992";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Radiology";"CPT";"72040";"2022 AMA";"72040 - X-RAY EXAM NECK SPINE 2-3 VW";"ein";"201332330";"11";"professional";96.0000;69.4300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Sheet Metal Workers Local 40";"group";"Pathology and Laboratory";"CPT";"86617";"2022 AMA";"86617 - LYME DISEASE ANTIBODY";"ein";"061460613";"81";"professional";112.4900;0.0000;"1174569909";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Southern California Bakery & Conf Trust Fund";"group";"Pathology and Laboratory";"CPT";"88381";"2022 AMA";"88381 - MICRODISSECTION MANUAL";"ein";"260691876";"81";"professional";200.0000;160.0000;"1043344435";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Administration";"CPT";"99394";"2022 AMA";"99394 - PREV VISIT EST AGE 12-17";"ein";"371140016";"22";"professional";200.0000;160.0000;"1336482025";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Anesthesia";"CPT";"00910";"2022 AMA";"00910 - ANESTH BLADDER SURGERY";"ein";"370701328";"24";"professional";623.0000;135.4500;"1396782363";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Cardiovascular";"CPT";"93010";"2022 AMA";"93010 - ELECTROCARDIOGRAM REPORT";"ein";"370701328";"22";"professional";58.0000;47.5600;"1396782363";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"COVID-19";"CPT";"87635";"2022 AMA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"364315783";"22";"professional";71.9000;35.9200;"1700812047";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Dental";"CPT";"D7240";"2022 AMA";"D7240 - removal of impacted tooth - completely bony";"ein";"204011762";"11";"professional";550.0000;550.0000;"1811028848";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Emergency Department Services";"CPT";"99285";"2022 AMA";"99285 - EMERGENCY DEPT VISIT";"ein";"061665203";"23";"professional";1070.0000;280.8100;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Pathology and Laboratory";"CPT";"85610";"2022 AMA";"85610 - PROTHROMBIN TIME";"ein";"364315783";"22";"professional";11.7000;1.3500;"1700812047";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Pathology and Laboratory";"CPT";"87086";"2022 AMA";"87086 - URINE CULTURE/COLONY COUNT";"ein";"364315783";"22";"professional";17.5000;1.7100;"1700812047";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Pathology and Laboratory";"CPT";"87502";"2022 AMA";"87502 - INFLUENZA DNA AMP PROBE";"ein";"364315783";"22";"professional";77.2000;9.6600;"1700812047";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Pathology and Laboratory";"CPT";"87641";"2022 AMA";"87641 - MR-STAPH DNA AMP PROBE";"ein";"364315783";"22";"professional";56.2000;3.1200;"1700812047";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Physical Therapy";"CPT";"98941";"2022 AMA";"98941 - CHIROPRACT MANJ 3-4 REGIONS";"ein";"364121646";"11";"professional";50.0000;41.9300;"1588974513";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Psychological";"CPT";"90832";"2022 AMA";"90832 - PSYTX PT&/FAMILY 30 MINUTES";"ein";"842098100";"11";"professional";64.0300;64.0300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Psychological";"CPT";"90837";"2022 AMA";"90837 - PSYTX PT&/FAMILY 60 MINUTES";"ein";"842098100";"11";"professional";151.0000;151.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Radiology";"CPT";"70355";"2022 AMA";"70355 - PANORAMIC X-RAY OF JAWS";"ein";"371379539";"11";"professional";125.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Radiology";"CPT";"72080";"2022 AMA";"72080 - X-RAY EXAM THORACOLMB 2/> VW";"ein";"370701328";"11";"professional";201.0000;164.8200;"1396782363";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Reproductive";"CPT";"58100";"2022 AMA";"58100 - BIOPSY OF UTERUS LINING";"ein";"852215753";"11";"professional";200.0000;149.1100;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Administration";"CPT";"99218";"2022 AMA";"99218 - INITIAL OBSERVATION CARE";"ein";"453308093";"22";"professional";435.0000;133.6100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Administration";"CPT";"99222";"2022 AMA";"99222 - INITIAL HOSPITAL CARE";"ein";"204199225";"21";"professional";277.0000;143.7200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Administration";"CPT";"99233";"2022 AMA";"99233 - SUBSEQUENT HOSPITAL CARE";"ein";"272614037";"21";"professional";300.0000;123.0900;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Ambulance";"CPT";"A0429";"2022 AMA";"A0429 - BLS-EMERGENCY";"ein";"886000200";"41";"professional";1128.8100;584.8500;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Emergency Department Services";"CPT";"99283";"2022 AMA";"99283 - EMERGENCY DEPT VISIT";"ein";"880262438";"23";"professional";563.0000;106.3400;"1679550149";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Integumentary";"CPT";"11042";"2022 AMA";"11042 - DEB SUBQ TISSUE 20 SQ CM/<";"ein";"204199225";"22";"professional";251.0000;50.3160;;"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Nervous";"CPT";"95861";"2022 AMA";"95861 - MUSCLE TEST 2 LIMBS";"ein";"850542512";"22";"professional";4753.0000;88.7100;"0";"2022-10-31";"v1.2.0"
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"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UA290";"group";"N/A";"CPT";"0071A";"2022 AMA";"0071A - ADM SARSCV2 10MCG TRS-SUCR 1";"ein";"930798039";"11";"professional";45.0000;45.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UA290";"group";"N/A";"CPT";"99072";"2022 AMA";"99072 - ADDL SUPL MATRL&STAF TM PHE";"ein";"204989419";"11";"professional";20.0000;0.0000;"1528619111";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UA290";"group";"Nervous";"CPT";"95886";"2022 AMA";"95886 - MUSC TEST DONE W/N TEST COMP";"ein";"260016028";"11";"professional";555.5000;555.5000;"1538518600";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UA290";"group";"Outpatient Services";"CPT";"99203";"2022 AMA";"99203 - OFFICE/OUTPATIENT VISIT NEW";"ein";"260016028";"11";"professional";306.0300;306.0300;"1538518600";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UA290";"group";"Pathology and Laboratory";"CPT";"80307";"2022 AMA";"80307 - DRUG TEST PRSMV CHEM ANLYZR";"ein";"930798074";"57";"professional";20.0000;20.0000;"1780712851";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UA290";"group";"Pathology and Laboratory";"CPT";"87799";"2022 AMA";"87799 - DETECT AGENT NOS DNA QUANT";"ein";"473208084";"81";"professional";47.0000;47.0000;"1811379001";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Administration";"CPT";"99231";"2022 AMA";"99231 - SUBSEQUENT HOSPITAL CARE";"ein";"832303473";"11";"professional";499.0000;46.7200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Administration";"CPT";"99235";"2022 AMA";"99235 - OBSERV/HOSP SAME DATE";"ein";"844506858";"23";"professional";3591.9800;201.0600;"1346871217";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Ambulance";"CPT";"A0425";"2022 AMA";"A0425 - GROUND MILEAGE";"ein";"362698031";"41";"professional";64.0000;48.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Cardiovascular";"CPT";"93224";"2022 AMA";"93224 - ECG MONIT/REPRT UP TO 48 HRS";"ein";"363702022";"11";"professional";650.0000;118.3100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Cardiovascular";"CPT";"93701";"2022 AMA";"93701 - BIOIMPEDANCE CV ANALYSIS";"ein";"363702022";"11";"professional";100.0000;50.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Outpatient Services";"CPT";"99211";"2022 AMA";"99211 - OFFICE/OUTPATIENT VISIT EST";"ein";"363702022";"11";"professional";65.0000;33.4700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Outpatient Services";"CPT";"99214";"2022 AMA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"363702022";"11";"professional";125.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"CPT";"80074";"2022 AMA";"80074 - ACUTE HEPATITIS PANEL";"ein";"363702022";"11";"professional";175.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"CPT";"82270";"2022 AMA";"82270 - OCCULT BLOOD FECES";"ein";"363702022";"11";"professional";50.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"CPT";"82306";"2022 AMA";"82306 - VITAMIN D 25 HYDROXY";"ein";"363702022";"11";"professional";50.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"CPT";"82947";"2022 AMA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"363702022";"11";"professional";27.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"CPT";"83540";"2022 AMA";"83540 - ASSAY OF IRON";"ein";"363702022";"11";"professional";45.0000;9.8100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"CPT";"84436";"2022 AMA";"84436 - ASSAY OF TOTAL THYROXINE";"ein";"363702022";"11";"professional";20.0000;10.3000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"CPT";"86430";"2022 AMA";"86430 - RHEUMATOID FACTOR TEST QUAL";"ein";"363702022";"11";"professional";23.0000;9.3200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"CPT";"87086";"2022 AMA";"87086 - URINE CULTURE/COLONY COUNT";"ein";"363702022";"11";"professional";40.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"CPT";"87086";"2022 AMA";"87086 - URINE CULTURE/COLONY COUNT";"ein";"363702022";"11";"professional";40.0000;20.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"CPT";"88387";"2022 AMA";"88387 - TISS EXAM MOLECULAR STUDY";"ein";"474903308";"81";"professional";100.0000;100.0000;"1740733708";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Physical Therapy";"CPT";"97035";"2022 AMA";"97035 - ULTRASOUND THERAPY";"ein";"317157907";"11";"professional";35.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Physical Therapy";"CPT";"98940";"2022 AMA";"98940 - CHIROPRACT MANJ 1-2 REGIONS";"ein";"317157907";"11";"professional";40.0000;31.7800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UNITE HERE HEALTH - Alaska";"group";"COVID-19";"CPT";"U0004";"2022 AMA";"U0004 - SARS-CoV-2/2019-nCoV-2 any technique, high throughput";"ein";"853253201";"81";"professional";174.0000;87.0000;"1982202453";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UNITE HERE HEALTH - Alaska";"group";"Outpatient Services";"CPT";"99214";"2022 AMA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"920162721";"22";"professional";373.0000;242.4500;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UNITE HERE HEALTH-Hospitality";"group";"COVID-19";"CPT";"87426";"2022 AMA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"831244902";"20";"professional";150.0000;45.2300;"1861977902";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"17000";"2022 CMS,AHA";"17000 - DESTRUCT PREMALG LESION";"ein";"910928081";;"institutional";219.5500;219.5500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"17003";"2022 CMS,AHA";"17003 - DESTRUCT PREMALG LES 2-14";"ein";"910928081";;"institutional";135.9500;122.3550;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"71260";"2022 CMS,AHA";"71260 - CT THORAX W/DYE";"ein";"920016490";;"institutional";443.0000;443.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"73502";"2022 CMS,AHA";"73502 - X-RAY EXAM HIP UNI 2-3 VIEWS";"ein";"920016490";;"institutional";80.0000;76.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"73560";"2022 CMS,AHA";"73560 - X-RAY EXAM OF KNEE 1 OR 2";"ein";"920016490";;"institutional";60.0000;12.7600;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"99211";"2022 CMS,AHA";"99211 - OFFICE/OUTPATIENT VISIT EST";"ein";"920056274";;"institutional";1479.7100;961.8100;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"99211";"2022 CMS,AHA";"99211 - OFFICE/OUTPATIENT VISIT EST";"ein";"920056274";;"institutional";1479.7100;1479.7100;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"99211";"2022 CMS,AHA";"99211 - OFFICE/OUTPATIENT VISIT EST";"ein";"920162721";;"institutional";2208.5000;662.5500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"99213";"2022 CMS,AHA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"920037099";;"institutional";184.0000;184.0000;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"99213";"2022 CMS,AHA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"920139171";;"institutional";80.0100;80.0100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"99213";"2022 CMS,AHA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"920139171";;"institutional";183.8000;29.4080;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"99214";"2022 CMS,AHA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"920037099";;"institutional";72.2900;68.6800;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"99215";"2022 CMS,AHA";"99215 - OFFICE/OUTPATIENT VISIT EST";"ein";"911784793";;"institutional";24.0000;24.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"99215";"2022 CMS,AHA";"99215 - OFFICE/OUTPATIENT VISIT EST";"ein";"920016490";;"institutional";463.0000;463.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"99225";"2022 CMS,AHA";"99225 - SUBSEQUENT OBSERVATION CARE";"ein";"920016490";;"institutional";234.0000;234.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"820200895";;"institutional";142.0000;142.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"916001709";;"institutional";139.0000;139.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920077523";;"institutional";189.0000;183.3300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"G0467";"2022 CMS,AHA";"G0467 - FQHC VISIT, ESTAB PT";"ein";"200495394";;"institutional";236.9000;236.9000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Anesthesia";"HCPCS";;"2022 CMS,AHA";;"ein";"920077523";;"institutional";273.0000;273.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cardiovascular";"HCPCS";"93306";"2022 CMS,AHA";"93306 - TTE W/DOPPLER COMPLETE";"ein";"931329784";;"institutional";2200.0000;1143.3500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"943281657";;"institutional";88.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"943281657";;"institutional";2495.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"920016490";;"institutional";228.0000;216.6000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"70496";"2022 CMS,AHA";"70496 - CT ANGIOGRAPHY HEAD";"ein";"920037099";;"institutional";506.6000;481.2700;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"71045";"2022 CMS,AHA";"71045 - X-RAY EXAM CHEST 1 VIEW";"ein";"920037099";;"institutional";62.2300;59.1200;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"99211";"2022 CMS,AHA";"99211 - OFFICE/OUTPATIENT VISIT EST";"ein";"920056274";;"institutional";458.6400;298.1200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"99213";"2022 CMS,AHA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"920139171";;"institutional";80.0100;12.8016;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"99215";"2022 CMS,AHA";"99215 - OFFICE/OUTPATIENT VISIT EST";"ein";"911784793";;"institutional";389.0000;389.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"99215";"2022 CMS,AHA";"99215 - OFFICE/OUTPATIENT VISIT EST";"ein";"920016490";;"institutional";463.0000;439.8500;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920077523";;"institutional";189.0000;189.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cardiovascular";"HCPCS";"93306";"2022 CMS,AHA";"93306 - TTE W/DOPPLER COMPLETE";"ein";"943281657";;"institutional";7171.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Dialysis";"HCPCS";;"2022 CMS,AHA";;"ein";"260717654";;"institutional";135290.5400;114996.9600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Dialysis";"HCPCS";"90999";"2022 CMS,AHA";"90999 - DIALYSIS PROCEDURE";"ein";"412171117";;"institutional";3937.5500;3346.9200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"HCPCS";"96365";"2022 CMS,AHA";"96365 - THER/PROPH/DIAG IV INF INIT";"ein";"920016490";;"institutional";562.0000;562.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"320499956";;"institutional";1455.2000;321.2210;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"320499956";;"institutional";2752.7600;501.4507;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"940562680";;"institutional";4270.0000;4270.0000;"1659439834";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"880159958";;"institutional";4228.0000;4228.0000;"1548250582";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"943281657";;"institutional";8687.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"630891904";;"institutional";55.7100;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"920077523";;"institutional";362.0000;362.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medical and Surgical Supplies";"HCPCS";"A4657";"2022 CMS,AHA";"A4657 - SYRINGE W/WO NEEDLE";"ein";"841177951";;"institutional";135.2400;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"320499956";;"institutional";9.9900;0.0000;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920016490";;"institutional";63.8500;63.8500;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"920016490";;"institutional";358.0000;358.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"920016490";;"institutional";114.0000;108.3000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96376";"2022 CMS,AHA";"96376 - TX/PRO/DX INJ SAME DRUG ADON";"ein";"920016490";;"institutional";83.0000;83.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"17003";"2022 CMS,AHA";"17003 - DESTRUCT PREMALG LES 2-14";"ein";"910928081";;"institutional";135.9500;135.9500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"29880";"2022 CMS,AHA";"29880 - KNEE ARTHROSCOPY/SURGERY";"ein";"920016490";;"institutional";3145.0000;817.0400;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"64566";"2022 CMS,AHA";"64566 - NEUROELTRD STIM POST TIBIAL";"ein";"460319070";;"institutional";692.0000;664.3200;"1821477746";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"69209";"2022 CMS,AHA";"69209 - REMOVE IMPACTED EAR WAX UNI";"ein";"920077523";;"institutional";102.0000;98.9400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"71260";"2022 CMS,AHA";"71260 - CT THORAX W/DYE";"ein";"920016490";;"institutional";443.0000;420.8500;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"99212";"2022 CMS,AHA";"99212 - OFFICE/OUTPATIENT VISIT EST";"ein";"910928081";;"institutional";90.9600;90.9600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"920037099";;"institutional";799.2400;759.2800;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"Q3014";"2022 CMS,AHA";"Q3014 - TELEHEALTH FACILITY FEE";"ein";"943281657";;"institutional";109.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Anesthesia";"HCPCS";;"2022 CMS,AHA";;"ein";"920016490";;"institutional";1701.0000;0.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Anesthesia";"HCPCS";;"2022 CMS,AHA";;"ein";"920077523";;"institutional";273.0000;264.8100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"HCPCS";"96365";"2022 CMS,AHA";"96365 - THER/PROPH/DIAG IV INF INIT";"ein";"320499956";;"institutional";512.5400;93.3658;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"HCPCS";"96366";"2022 CMS,AHA";"96366 - THER/PROPH/DIAG IV INF ADDON";"ein";"920016490";;"institutional";241.0000;241.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"920016490";;"institutional";562.0000;562.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"412171117";;"institutional";3076.3200;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"820146328";;"institutional";275.5500;179.1100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920016429";;"institutional";825.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920016490";;"institutional";1.0500;1.0500;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920016490";;"institutional";112.6000;0.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920077523";;"institutional";21.2000;20.5600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"920016490";;"institutional";723.0000;686.8500;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96366";"2022 CMS,AHA";"96366 - THER/PROPH/DIAG IV INF ADDON";"ein";"920016490";;"institutional";482.0000;457.9000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96367";"2022 CMS,AHA";"96367 - TX/PROPH/DG ADDL SEQ IV INF";"ein";"920016490";;"institutional";279.0000;279.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"920016490";;"institutional";228.0000;228.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96376";"2022 CMS,AHA";"96376 - TX/PRO/DX INJ SAME DRUG ADON";"ein";"920016490";;"institutional";664.0000;630.8000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"70498";"2022 CMS,AHA";"70498 - CT ANGIOGRAPHY NECK";"ein";"920037099";;"institutional";549.1800;521.7200;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"72125";"2022 CMS,AHA";"72125 - CT NECK SPINE W/O DYE";"ein";"920016490";;"institutional";380.0000;361.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"99214";"2022 CMS,AHA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"200495394";;"institutional";372.9400;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"99214";"2022 CMS,AHA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"920037099";;"institutional";72.2900;72.2900;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"Q3014";"2022 CMS,AHA";"Q3014 - TELEHEALTH FACILITY FEE";"ein";"943281657";;"institutional";109.0000;54.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"REVENUE CODE";"921";"2022 AHA";"PERI VASCUL LAB";"ein";"910908129";;"institutional";1500.0600;1050.0420;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"REVENUE CODE";"921";"2022 AHA";"PERI VASCUL LAB";"ein";"910908129";;"institutional";1500.0600;1500.0600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Anesthesia";"REVENUE CODE";"370";"2022 AHA";"ANESTHESIA";"ein";"752918774";;"institutional";13901.0000;12510.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cardiovascular";"HCPCS";"93296";"2022 CMS,AHA";"93296 - PM/ICD REMOTE TECH SERV";"ein";"320499956";;"institutional";722.8100;722.8100;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cardiovascular";"HCPCS";"93306";"2022 CMS,AHA";"93306 - TTE W/DOPPLER COMPLETE";"ein";"920016429";;"institutional";4390.0000;1756.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Dialysis";"HCPCS";"90999";"2022 CMS,AHA";"90999 - DIALYSIS PROCEDURE";"ein";"841177951";;"institutional";8010.8900;1201.6335;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"920016490";;"institutional";562.0000;533.9000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"HCPCS";"96376";"2022 CMS,AHA";"96376 - TX/PRO/DX INJ SAME DRUG ADON";"ein";"920037099";;"institutional";250.0000;237.5000;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"920016429";;"institutional";1525.0000;266.2200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"320499956";;"institutional";2752.7600;2752.7600;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"940562680";;"institutional";4270.0000;3416.0000;"1659439834";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"920077523";;"institutional";688.7400;668.0800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"042104691";;"institutional";15.7500;14.9600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"0064A";"2022 CMS,AHA";"0064A - ADM SARSCOV2 50MCG/0.25MLBST";"ein";"920162721";;"institutional";30.0000;11.3000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"78452";"2022 CMS,AHA";"78452 - HT MUSCLE IMAGE SPECT MULT";"ein";"820146328";;"institutional";4119.0200;2677.3600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96376";"2022 CMS,AHA";"96376 - TX/PRO/DX INJ SAME DRUG ADON";"ein";"920016490";;"institutional";664.0000;664.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96376";"2022 CMS,AHA";"96376 - TX/PRO/DX INJ SAME DRUG ADON";"ein";"920016490";;"institutional";913.0000;913.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"A9150";"2022 CMS,AHA";"A9150 - MISC/EXPER NON-PRESCRIPT DRU";"ein";"920037099";;"institutional";63.0700;59.9200;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"A9270";"2022 CMS,AHA";"A9270 - NON-COVERED ITEM OR SERVICE";"ein";"920016490";;"institutional";14.1000;13.4000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"20610";"2022 CMS,AHA";"20610 - DRAIN/INJ JOINT/BURSA W/O US";"ein";"943281657";;"institutional";2184.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"72125";"2022 CMS,AHA";"72125 - CT NECK SPINE W/O DYE";"ein";"920016490";;"institutional";380.0000;380.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"99211";"2022 CMS,AHA";"99211 - OFFICE/OUTPATIENT VISIT EST";"ein";"920056274";;"institutional";458.6400;458.6400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"99225";"2022 CMS,AHA";"99225 - SUBSEQUENT OBSERVATION CARE";"ein";"920016490";;"institutional";234.0000;222.3000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"426005883";;"institutional";225.8000;214.5100;"1255328621";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"562570686";;"institutional";44.0000;44.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"710772737";;"institutional";145.0000;92.8000;"1568406536";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"710772737";;"institutional";145.0000;145.0000;"1568406536";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";229.0000;86.2200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";229.0000;229.0000;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cardiovascular";"HCPCS";"93017";"2022 CMS,AHA";"93017 - CARDIOVASCULAR STRESS TEST";"ein";"820146328";;"institutional";789.2300;513.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cardiovascular";"HCPCS";"93306";"2022 CMS,AHA";"93306 - TTE W/DOPPLER COMPLETE";"ein";"320499956";;"institutional";1475.1100;555.8400;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cardiovascular";"HCPCS";"93306";"2022 CMS,AHA";"93306 - TTE W/DOPPLER COMPLETE";"ein";"931329784";;"institutional";2200.0000;2200.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cardiovascular";"HCPCS";"C8924";"2022 CMS,AHA";"C8924 - 2D TTE W OR W/O FOL W/CON,FU";"ein";"931329784";;"institutional";1200.0000;623.6500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"HCPCS";"10061";"2022 CMS,AHA";"10061 - DRAINAGE OF SKIN ABSCESS";"ein";"920016429";;"institutional";1263.0000;397.6100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"HCPCS";"10061";"2022 CMS,AHA";"10061 - DRAINAGE OF SKIN ABSCESS";"ein";"920016429";;"institutional";1263.0000;1263.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"HCPCS";"96360";"2022 CMS,AHA";"96360 - HYDRATION IV INFUSION INIT";"ein";"880159958";;"institutional";847.0000;0.0000;"1548250582";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"HCPCS";"96360";"2022 CMS,AHA";"96360 - HYDRATION IV INFUSION INIT";"ein";"943281657";;"institutional";889.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"920016429";;"institutional";1525.0000;1525.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"920016490";;"institutional";2010.0000;1909.5000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"920077523";;"institutional";362.0000;351.1400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920016429";;"institutional";706.1300;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920016490";;"institutional";63.8500;60.6600;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920037099";;"institutional";47.1900;44.8300;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"A9270";"2022 CMS,AHA";"A9270 - NON-COVERED ITEM OR SERVICE";"ein";"910564491";;"institutional";62.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"A9270";"2022 CMS,AHA";"A9270 - NON-COVERED ITEM OR SERVICE";"ein";"920016490";;"institutional";6.0000;0.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"A9270";"2022 CMS,AHA";"A9270 - NON-COVERED ITEM OR SERVICE";"ein";"920016490";;"institutional";34.1000;32.4000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0696";"2022 CMS,AHA";"J0696 - CEFTRIAXONE SODIUM INJECTION";"ein";"320499956";;"institutional";97.4000;0.0000;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0887";"2022 CMS,AHA";"J0887 - EPOETIN BETA ESRD USE";"ein";"412171117";;"institutional";5337.9000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1100";"2022 CMS,AHA";"J1100 - DEXAMETHASONE SODIUM PHOS";"ein";"920016429";;"institutional";65.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1644";"2022 CMS,AHA";"J1644 - INJ HEPARIN SODIUM PER 1000U";"ein";"920016490";;"institutional";112.8000;112.8000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2001";"2022 CMS,AHA";"J2001 - LIDOCAINE INJECTION";"ein";"920077523";;"institutional";21.2000;20.5600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2060";"2022 CMS,AHA";"J2060 - LORAZEPAM INJECTION";"ein";"920016490";;"institutional";85.0000;80.7500;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2060";"2022 CMS,AHA";"J2060 - LORAZEPAM INJECTION";"ein";"920016490";;"institutional";595.0000;595.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2270";"2022 CMS,AHA";"J2270 - MORPHINE SULFATE INJECTION";"ein";"920016490";;"institutional";340.0000;323.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"920016490";;"institutional";55.0000;52.2500;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"920077523";;"institutional";21.2000;21.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7323";"2022 CMS,AHA";"J7323 - EUFLEXXA INJ PER DOSE";"ein";"943281657";;"institutional";2100.7600;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"943281657";;"institutional";10.7400;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"943281657";;"institutional";20.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J9022";"2022 CMS,AHA";"J9022 - INJ, ATEZOLIZUMAB,10 MG";"ein";"931176109";;"institutional";33595.3800;24873.8900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9957";"2022 CMS,AHA";"Q9957 - INJ PERFLUTREN LIP MICROS,ML";"ein";"931329784";;"institutional";992.0900;515.5900;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"920016490";;"institutional";64.7000;61.4700;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"920016490";;"institutional";64.7000;64.7000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"920077523";;"institutional";298.8000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"910908129";;"institutional";1984.9100;1984.9100;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"710772737";;"institutional";29.0000;18.5600;"1568406536";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"920016490";;"institutional";2010.0000;2010.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medical and Surgical Supplies";"HCPCS";"Q4102";"2022 CMS,AHA";"Q4102 - OASIS WOUND MATRIX";"ein";"910564491";;"institutional";60.6100;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"320499956";;"institutional";36.7500;0.0000;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"920037099";;"institutional";250.0000;237.5000;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96376";"2022 CMS,AHA";"96376 - TX/PRO/DX INJ SAME DRUG ADON";"ein";"920016490";;"institutional";913.0000;867.3500;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"A9270";"2022 CMS,AHA";"A9270 - NON-COVERED ITEM OR SERVICE";"ein";"920016490";;"institutional";6.0000;6.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"A9270";"2022 CMS,AHA";"A9270 - NON-COVERED ITEM OR SERVICE";"ein";"920016490";;"institutional";34.1000;34.1000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2270";"2022 CMS,AHA";"J2270 - MORPHINE SULFATE INJECTION";"ein";"920016490";;"institutional";170.0000;161.5000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2704";"2022 CMS,AHA";"J2704 - INJ, PROPOFOL, 10 MG";"ein";"920077523";;"institutional";21.2000;20.5600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3010";"2022 CMS,AHA";"J3010 - FENTANYL CITRATE INJECITON";"ein";"920016490";;"institutional";85.0000;85.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"920077523";;"institutional";35.5000;35.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"943281657";;"institutional";60.0000;60.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"80048";"2022 CMS,AHA";"80048 - METABOLIC PANEL TOTAL CA";"ein";"943281657";;"institutional";448.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"80051";"2022 CMS,AHA";"80051 - ELECTROLYTE PANEL";"ein";"943281657";;"institutional";370.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"320499956";;"institutional";372.3000;0.0000;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"746001118";;"institutional";673.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920037099";;"institutional";171.9100;163.3100;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"920162721";;"institutional";184.0000;69.2800;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"80320";"2022 CMS,AHA";"80320 - DRUG SCREEN QUANTALCOHOLS";"ein";"920037099";;"institutional";251.6900;0.0000;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"82040";"2022 CMS,AHA";"82040 - ASSAY OF SERUM ALBUMIN";"ein";"260717654";;"institutional";230.2600;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"82040";"2022 CMS,AHA";"82040 - ASSAY OF SERUM ALBUMIN";"ein";"841177951";;"institutional";196.5000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"82043";"2022 CMS,AHA";"82043 - MICROALBUMIN QUANTITATIVE";"ein";"920077523";;"institutional";155.0000;150.3500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"82310";"2022 CMS,AHA";"82310 - ASSAY OF CALCIUM";"ein";"260717654";;"institutional";296.8100;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"A9270";"2022 CMS,AHA";"A9270 - NON-COVERED ITEM OR SERVICE";"ein";"920016490";;"institutional";18.0500;17.1500;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0131";"2022 CMS,AHA";"J0131 - ACETAMINOPHEN INJECTION";"ein";"920016429";;"institutional";65.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1644";"2022 CMS,AHA";"J1644 - INJ HEPARIN SODIUM PER 1000U";"ein";"920016490";;"institutional";112.8000;107.1600;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"920016490";;"institutional";55.0000;55.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2270";"2022 CMS,AHA";"J2270 - MORPHINE SULFATE INJECTION";"ein";"920016490";;"institutional";340.0000;340.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"920016490";;"institutional";55.0000;55.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"920077523";;"institutional";21.2000;20.5600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3010";"2022 CMS,AHA";"J3010 - FENTANYL CITRATE INJECITON";"ein";"920016429";;"institutional";70.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"943281657";;"institutional";60.0000;12.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J9271";"2022 CMS,AHA";"J9271 - INJ PEMBROLIZUMAB";"ein";"920077523";;"institutional";13512.5000;13512.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q5118";"2022 CMS,AHA";"Q5118 - INJ., ZIRABEV, 10 MG";"ein";"931176109";;"institutional";33478.9600;33478.9600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"752918774";;"institutional";25797.0000;25797.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"910908129";;"institutional";1984.9100;1389.4370;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920016490";;"institutional";56.0000;56.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920077523";;"institutional";26.0000;25.2200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"80051";"2022 CMS,AHA";"80051 - ELECTROLYTE PANEL";"ein";"841177951";;"institutional";198.1500;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"710772737";;"institutional";435.0000;278.4000;"1568406536";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"880502320";;"institutional";101.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920077523";;"institutional";171.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"931176109";;"institutional";66.0000;48.8700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"82533";"2022 CMS,AHA";"82533 - TOTAL CORTISOL";"ein";"920077523";;"institutional";200.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"82550";"2022 CMS,AHA";"82550 - ASSAY OF CK (CPK)";"ein";"920016490";;"institutional";87.0000;82.6500;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"82693";"2022 CMS,AHA";"82693 - ASSAY OF ETHYLENE GLYCOL";"ein";"920037099";;"institutional";37.1000;35.2500;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";;"2022 CMS,AHA";;"ein";"920016490";;"institutional";4155.0000;0.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"17000";"2022 CMS,AHA";"17000 - DESTRUCT PREMALG LESION";"ein";"910928081";;"institutional";219.5500;197.5950;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"69209";"2022 CMS,AHA";"69209 - REMOVE IMPACTED EAR WAX UNI";"ein";"920077523";;"institutional";102.0000;102.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"70450";"2022 CMS,AHA";"70450 - CT HEAD/BRAIN W/O DYE";"ein";"920016490";;"institutional";303.0000;287.8500;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"73502";"2022 CMS,AHA";"73502 - X-RAY EXAM HIP UNI 2-3 VIEWS";"ein";"920016490";;"institutional";80.0000;80.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"99213";"2022 CMS,AHA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"920037099";;"institutional";50.6000;0.0000;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"99214";"2022 CMS,AHA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"426038397";;"institutional";197.0000;187.1500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"99220";"2022 CMS,AHA";"99220 - INITIAL OBSERVATION CARE";"ein";"920016490";;"institutional";596.0000;566.2000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"880213754";;"institutional";866.0000;866.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920077523";;"institutional";165.0000;160.0500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920077523";;"institutional";165.0000;165.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"Q3014";"2022 CMS,AHA";"Q3014 - TELEHEALTH FACILITY FEE";"ein";"943281657";;"institutional";109.0000;109.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Dialysis";"HCPCS";;"2022 CMS,AHA";;"ein";"260717654";;"institutional";135290.5400;135290.5400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Dialysis";"HCPCS";"90945";"2022 CMS,AHA";"90945 - DIALYSIS ONE EVALUATION";"ein";"260717654";;"institutional";4207.5900;3576.4500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Dialysis";"HCPCS";"90945";"2022 CMS,AHA";"90945 - DIALYSIS ONE EVALUATION";"ein";"260717654";;"institutional";4207.5900;4207.5900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"HCPCS";"96365";"2022 CMS,AHA";"96365 - THER/PROPH/DIAG IV INF INIT";"ein";"320499956";;"institutional";512.5400;512.5400;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"HCPCS";"96365";"2022 CMS,AHA";"96365 - THER/PROPH/DIAG IV INF INIT";"ein";"920016490";;"institutional";562.0000;533.9000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"920016490";;"institutional";228.0000;228.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"920037099";;"institutional";3632.6000;3450.9700;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"REVENUE CODE";"450";"2022 AHA";"EMERG ROOM";"ein";"752918774";;"institutional";10953.0000;9857.7000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"920077523";;"institutional";69.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"920077523";;"institutional";688.7400;688.7400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"320499956";;"institutional";429.0000;0.0000;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"880213754";;"institutional";119.2500;119.2500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0690";"2022 CMS,AHA";"J0690 - CEFAZOLIN SODIUM INJECTION";"ein";"920016429";;"institutional";65.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1170";"2022 CMS,AHA";"J1170 - HYDROMORPHONE INJECTION";"ein";"920016490";;"institutional";85.0000;85.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"880159958";;"institutional";41.0000;0.0000;"1548250582";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"920037099";;"institutional";39.1800;37.2200;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3475";"2022 CMS,AHA";"J3475 - INJ MAGNESIUM SULFATE";"ein";"920016490";;"institutional";175.0000;166.2500;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3475";"2022 CMS,AHA";"J3475 - INJ MAGNESIUM SULFATE";"ein";"920037099";;"institutional";83.9800;79.7800;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"920077523";;"institutional";35.5000;34.4300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"943281657";;"institutional";60.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"943281657";;"institutional";10.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J9022";"2022 CMS,AHA";"J9022 - INJ, ATEZOLIZUMAB,10 MG";"ein";"931176109";;"institutional";33595.3800;33595.3800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"M0220";"2022 CMS,AHA";"M0220 - TIXAGEV AND CILGAV, INJ";"ein";"311626179";;"institutional";507.0000;507.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"042104691";;"institutional";24.0000;22.8000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"920077523";;"institutional";298.8000;289.8400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920037099";;"institutional";46.0700;43.7700;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"80048";"2022 CMS,AHA";"80048 - METABOLIC PANEL TOTAL CA";"ein";"920016490";;"institutional";106.0000;106.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"943281657";;"institutional";585.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"80069";"2022 CMS,AHA";"80069 - RENAL FUNCTION PANEL";"ein";"412171117";;"institutional";1835.1300;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"81001";"2022 CMS,AHA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"920016490";;"institutional";65.0000;61.7500;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"82043";"2022 CMS,AHA";"82043 - MICROALBUMIN QUANTITATIVE";"ein";"920077523";;"institutional";155.0000;155.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"82728";"2022 CMS,AHA";"82728 - ASSAY OF FERRITIN";"ein";"260717654";;"institutional";769.3200;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"943281657";;"institutional";167.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"83540";"2022 CMS,AHA";"83540 - ASSAY OF IRON";"ein";"841177951";;"institutional";256.7500;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"83605";"2022 CMS,AHA";"83605 - ASSAY OF LACTIC ACID";"ein";"943281657";;"institutional";345.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"74177";"2022 CMS,AHA";"74177 - CT ABD & PELV W/CONTRAST";"ein";"920016490";;"institutional";650.0000;650.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"99212";"2022 CMS,AHA";"99212 - OFFICE/OUTPATIENT VISIT EST";"ein";"910928081";;"institutional";90.9600;81.8640;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"99213";"2022 CMS,AHA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"920037099";;"institutional";46.0000;46.0000;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"99213";"2022 CMS,AHA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"920037099";;"institutional";184.0000;174.8000;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"99213";"2022 CMS,AHA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"920139171";;"institutional";183.8000;183.8000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"99214";"2022 CMS,AHA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"920037099";;"institutional";289.1700;274.7100;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"99214";"2022 CMS,AHA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"920037099";;"institutional";289.1700;289.1700;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"820200895";;"institutional";142.0000;127.8000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"943281657";;"institutional";213.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cardiovascular";"HCPCS";"93306";"2022 CMS,AHA";"93306 - TTE W/DOPPLER COMPLETE";"ein";"820146328";;"institutional";2193.0000;1425.4500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Dialysis";"HCPCS";"90999";"2022 CMS,AHA";"90999 - DIALYSIS PROCEDURE";"ein";"412171117";;"institutional";3937.5500;3937.5500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"HCPCS";"94640";"2022 CMS,AHA";"94640 - AIRWAY INHALATION TREATMENT";"ein";"320499956";;"institutional";502.6900;0.0000;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"880159958";;"institutional";2583.0000;0.0000;"1548250582";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"920037099";;"institutional";165.0000;156.7500;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"HCPCS";"96366";"2022 CMS,AHA";"96366 - THER/PROPH/DIAG IV INF ADDON";"ein";"920016490";;"institutional";241.0000;228.9500;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"880159958";;"institutional";407.0000;407.0000;"1548250582";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"REVENUE CODE";"450";"2022 AHA";"EMERG ROOM";"ein";"752918774";;"institutional";10953.0000;10953.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"880159958";;"institutional";1245.0000;0.0000;"1548250582";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"920077523";;"institutional";60.0500;60.0500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"920077523";;"institutional";362.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medical and Surgical Supplies";"HCPCS";"C1713";"2022 CMS,AHA";"C1713 - ANCHOR/SCREW BN/BN,TIS/BN";"ein";"920016490";;"institutional";7030.0000;0.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medical and Surgical Supplies";"REVENUE CODE";"278";"2022 AHA";"SUPPLY/IMPLANTS";"ein";"752918774";;"institutional";29519.6300;26567.6700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"630891904";;"institutional";20.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920077523";;"institutional";21.2000;21.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920037099";;"institutional";315.9200;300.1200;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"920016490";;"institutional";723.0000;723.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"920016490";;"institutional";2410.0000;2410.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96366";"2022 CMS,AHA";"96366 - THER/PROPH/DIAG IV INF ADDON";"ein";"920016490";;"institutional";482.0000;482.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96367";"2022 CMS,AHA";"96367 - TX/PROPH/DG ADDL SEQ IV INF";"ein";"920016490";;"institutional";279.0000;265.0500;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"920016490";;"institutional";179.0000;179.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"A9270";"2022 CMS,AHA";"A9270 - NON-COVERED ITEM OR SERVICE";"ein";"880159958";;"institutional";136.0000;136.0000;"1548250582";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"A9270";"2022 CMS,AHA";"A9270 - NON-COVERED ITEM OR SERVICE";"ein";"910564491";;"institutional";62.0000;43.4000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"A9270";"2022 CMS,AHA";"A9270 - NON-COVERED ITEM OR SERVICE";"ein";"920016490";;"institutional";6.0000;5.7000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"A9270";"2022 CMS,AHA";"A9270 - NON-COVERED ITEM OR SERVICE";"ein";"920016490";;"institutional";18.0500;18.0500;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"A9500";"2022 CMS,AHA";"A9500 - TC99M SESTAMIBI";"ein";"820146328";;"institutional";552.8400;359.3500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0690";"2022 CMS,AHA";"J0690 - CEFAZOLIN SODIUM INJECTION";"ein";"920016490";;"institutional";202.1500;0.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0690";"2022 CMS,AHA";"J0690 - CEFAZOLIN SODIUM INJECTION";"ein";"920077523";;"institutional";35.8000;34.7200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1644";"2022 CMS,AHA";"J1644 - INJ HEPARIN SODIUM PER 1000U";"ein";"920016490";;"institutional";55.0000;55.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1756";"2022 CMS,AHA";"J1756 - IRON SUCROSE INJECTION";"ein";"841177951";;"institutional";1594.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2060";"2022 CMS,AHA";"J2060 - LORAZEPAM INJECTION";"ein";"920016490";;"institutional";85.0000;85.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2060";"2022 CMS,AHA";"J2060 - LORAZEPAM INJECTION";"ein";"920016490";;"institutional";425.0000;403.7500;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2060";"2022 CMS,AHA";"J2060 - LORAZEPAM INJECTION";"ein";"920016490";;"institutional";425.0000;425.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2704";"2022 CMS,AHA";"J2704 - INJ, PROPOFOL, 10 MG";"ein";"920077523";;"institutional";21.2000;21.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3411";"2022 CMS,AHA";"J3411 - THIAMINE HCL 100 MG";"ein";"920016490";;"institutional";62.2000;59.0900;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3411";"2022 CMS,AHA";"J3411 - THIAMINE HCL 100 MG";"ein";"920016490";;"institutional";62.2000;62.2000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3411";"2022 CMS,AHA";"J3411 - THIAMINE HCL 100 MG";"ein";"920037099";;"institutional";56.8800;54.0400;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J9217";"2022 CMS,AHA";"J9217 - LEUPROLIDE ACETATE SUSPNSION";"ein";"410695596";;"institutional";1952.4900;1854.8700;"1043269798";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"746001118";;"institutional";51.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920016429";;"institutional";30.0000;30.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920016490";;"institutional";56.0000;53.2000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"80305";"2022 CMS,AHA";"80305 - DRUG TEST PRSMV DIR OPT OBS";"ein";"920016490";;"institutional";116.0000;0.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"82570";"2022 CMS,AHA";"82570 - ASSAY OF URINE CREATININE";"ein";"920077523";;"institutional";108.0000;104.7600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"83690";"2022 CMS,AHA";"83690 - ASSAY OF LIPASE";"ein";"920016490";;"institutional";91.0000;91.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"83970";"2022 CMS,AHA";"83970 - ASSAY OF PARATHORMONE";"ein";"841177951";;"institutional";1637.9400;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"84145";"2022 CMS,AHA";"84145 - PROCALCITONIN (PCT)";"ein";"920037099";;"institutional";320.2300;304.2200;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"84155";"2022 CMS,AHA";"84155 - ASSAY OF PROTEIN SERUM";"ein";"412171117";;"institutional";145.4300;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"84443";"2022 CMS,AHA";"84443 - ASSAY THYROID STIM HORMONE";"ein";"746001118";;"institutional";265.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"84443";"2022 CMS,AHA";"84443 - ASSAY THYROID STIM HORMONE";"ein";"920077523";;"institutional";194.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"84466";"2022 CMS,AHA";"84466 - ASSAY OF TRANSFERRIN";"ein";"260717654";;"institutional";722.7300;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"84484";"2022 CMS,AHA";"84484 - ASSAY OF TROPONIN QUANT";"ein";"920016490";;"institutional";242.0000;242.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"84540";"2022 CMS,AHA";"84540 - ASSAY OF URINE/UREA-N";"ein";"260717654";;"institutional";220.9500;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"320499956";;"institutional";264.2200;0.0000;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"880159958";;"institutional";521.0000;0.0000;"1548250582";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920016429";;"institutional";60.0000;60.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"86708";"2022 CMS,AHA";"86708 - HEPATITIS A ANTIBODY";"ein";"920077523";;"institutional";215.0000;208.5500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"86709";"2022 CMS,AHA";"86709 - HEPATITIS A IGM ANTIBODY";"ein";"920016490";;"institutional";155.0000;155.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"86803";"2022 CMS,AHA";"86803 - HEPATITIS C AB TEST";"ein";"710772737";;"institutional";200.0000;128.0000;"1568406536";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"87340";"2022 CMS,AHA";"87340 - HEPATITIS B SURFACE AG IA";"ein";"920016490";;"institutional";94.0000;0.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"87389";"2022 CMS,AHA";"87389 - HIV-1 AG W/HIV-1 & HIV-2 AB";"ein";"920016490";;"institutional";95.0000;90.2500;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"87486";"2022 CMS,AHA";"87486 - CHYLMD PNEUM DNA AMP PROBE";"ein";"920037099";;"institutional";5.6200;5.3400;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"70450";"2022 CMS,AHA";"70450 - CT HEAD/BRAIN W/O DYE";"ein";"920016490";;"institutional";303.0000;303.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"74177";"2022 CMS,AHA";"74177 - CT ABD & PELV W/CONTRAST";"ein";"920016490";;"institutional";650.0000;617.5000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"99213";"2022 CMS,AHA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"920037099";;"institutional";46.0000;43.7000;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"99213";"2022 CMS,AHA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"920037099";;"institutional";202.4000;0.0000;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"99220";"2022 CMS,AHA";"99220 - INITIAL OBSERVATION CARE";"ein";"920016490";;"institutional";596.0000;596.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"410695596";;"institutional";316.0000;300.2000;"1043269798";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"910565539";;"institutional";140.0000;133.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920077523";;"institutional";155.0000;150.3500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920077523";;"institutional";155.0000;155.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";229.0000;148.8500;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Anesthesia";"REVENUE CODE";"370";"2022 AHA";"ANESTHESIA";"ein";"752918774";;"institutional";13901.0000;13901.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Cardiovascular";"HCPCS";"93306";"2022 CMS,AHA";"93306 - TTE W/DOPPLER COMPLETE";"ein";"920016429";;"institutional";4390.0000;4390.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Dialysis";"HCPCS";"90999";"2022 CMS,AHA";"90999 - DIALYSIS PROCEDURE";"ein";"841177951";;"institutional";8010.8900;8010.8900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"320499956";;"institutional";1455.2000;1455.2000;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"940562680";;"institutional";4270.0000;518.8200;"1659439834";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Emergency Department Services";"REVENUE CODE";"450";"2022 AHA";"EMERG ROOM";"ein";"752918774";;"institutional";10953.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"630891904";;"institutional";61.8600;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"920077523";;"institutional";60.0500;58.2500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medical and Surgical Supplies";"HCPCS";"A4216";"2022 CMS,AHA";"A4216 - STERILE WATER/SALINE, 10 ML";"ein";"943281657";;"institutional";50.6000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medical and Surgical Supplies";"HCPCS";"A4657";"2022 CMS,AHA";"A4657 - SYRINGE W/WO NEEDLE";"ein";"412171117";;"institutional";270.4800;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medical and Surgical Supplies";"REVENUE CODE";"278";"2022 AHA";"SUPPLY/IMPLANTS";"ein";"752918774";;"institutional";29519.6300;29519.6300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"320499956";;"institutional";91.1800;0.0000;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920016429";;"institutional";65.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920037099";;"institutional";45.8600;43.5700;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"82365";"2022 CMS,AHA";"82365 - CALCULUS SPECTROSCOPY";"ein";"920139171";;"institutional";75.7800;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"82570";"2022 CMS,AHA";"82570 - ASSAY OF URINE CREATININE";"ein";"920077523";;"institutional";108.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"82746";"2022 CMS,AHA";"82746 - ASSAY OF FOLIC ACID SERUM";"ein";"920016490";;"institutional";151.0000;143.4500;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"920077523";;"institutional";51.0000;51.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"920077523";;"institutional";152.0000;152.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"83605";"2022 CMS,AHA";"83605 - ASSAY OF LACTIC ACID";"ein";"920037099";;"institutional";182.0200;172.9200;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"83615";"2022 CMS,AHA";"83615 - LACTATE (LD) (LDH) ENZYME";"ein";"710772737";;"institutional";70.0000;44.8000;"1568406536";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"83735";"2022 CMS,AHA";"83735 - ASSAY OF MAGNESIUM";"ein";"920016490";;"institutional";99.0000;94.0500;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"83880";"2022 CMS,AHA";"83880 - ASSAY OF NATRIURETIC PEPTIDE";"ein";"320499956";;"institutional";629.0700;0.0000;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"83880";"2022 CMS,AHA";"83880 - ASSAY OF NATRIURETIC PEPTIDE";"ein";"943281657";;"institutional";464.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"84075";"2022 CMS,AHA";"84075 - ASSAY ALKALINE PHOSPHATASE";"ein";"841177951";;"institutional";205.1500;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"710772737";;"institutional";115.0000;115.0000;"1568406536";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"910573108";;"institutional";154.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"85610";"2022 CMS,AHA";"85610 - PROTHROMBIN TIME";"ein";"920016490";;"institutional";52.0000;52.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"86706";"2022 CMS,AHA";"86706 - HEP B SURFACE ANTIBODY";"ein";"710772737";;"institutional";183.0000;117.1200;"1568406536";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"86803";"2022 CMS,AHA";"86803 - HEPATITIS C AB TEST";"ein";"710772737";;"institutional";200.0000;200.0000;"1568406536";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"86850";"2022 CMS,AHA";"86850 - RBC ANTIBODY SCREEN";"ein";"920016429";;"institutional";120.0000;120.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"86900";"2022 CMS,AHA";"86900 - BLOOD TYPING SEROLOGIC ABO";"ein";"920016429";;"institutional";61.0000;61.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"87340";"2022 CMS,AHA";"87340 - HEPATITIS B SURFACE AG IA";"ein";"920077523";;"institutional";205.0000;205.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"87581";"2022 CMS,AHA";"87581 - M.PNEUMON DNA AMP PROBE";"ein";"920037099";;"institutional";5.6000;5.3200;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"G0480";"2022 CMS,AHA";"G0480 - Drug test def 1-7 classes";"ein";"920037099";;"institutional";404.4900;384.2700;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"REVENUE CODE";"300";"2022 AHA";"LABORATORY";"ein";"752918774";;"institutional";21476.0000;21476.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"92526";"2022 CMS,AHA";"92526 - ORAL FUNCTION THERAPY";"ein";"208212094";;"institutional";210.0000;210.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"82728";"2022 CMS,AHA";"82728 - ASSAY OF FERRITIN";"ein";"841177951";;"institutional";540.1400;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"920077523";;"institutional";51.0000;49.4700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"83550";"2022 CMS,AHA";"83550 - IRON BINDING TEST";"ein";"841177951";;"institutional";346.5200;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"83605";"2022 CMS,AHA";"83605 - ASSAY OF LACTIC ACID";"ein";"880159958";;"institutional";404.0000;0.0000;"1548250582";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"83615";"2022 CMS,AHA";"83615 - LACTATE (LD) (LDH) ENZYME";"ein";"920077523";;"institutional";79.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"83690";"2022 CMS,AHA";"83690 - ASSAY OF LIPASE";"ein";"880159958";;"institutional";529.0000;0.0000;"1548250582";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"83735";"2022 CMS,AHA";"83735 - ASSAY OF MAGNESIUM";"ein";"320499956";;"institutional";204.4000;0.0000;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"83735";"2022 CMS,AHA";"83735 - ASSAY OF MAGNESIUM";"ein";"841177951";;"institutional";265.6300;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"83735";"2022 CMS,AHA";"83735 - ASSAY OF MAGNESIUM";"ein";"920016490";;"institutional";99.0000;99.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"84075";"2022 CMS,AHA";"84075 - ASSAY ALKALINE PHOSPHATASE";"ein";"260717654";;"institutional";240.9100;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"84075";"2022 CMS,AHA";"84075 - ASSAY ALKALINE PHOSPHATASE";"ein";"412171117";;"institutional";205.1500;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"84100";"2022 CMS,AHA";"84100 - ASSAY OF PHOSPHORUS";"ein";"260717654";;"institutional";275.5200;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"84439";"2022 CMS,AHA";"84439 - ASSAY OF FREE THYROXINE";"ein";"746001118";;"institutional";144.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"84484";"2022 CMS,AHA";"84484 - ASSAY OF TROPONIN QUANT";"ein";"920016490";;"institutional";242.0000;229.9000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"84520";"2022 CMS,AHA";"84520 - ASSAY OF UREA NITROGEN";"ein";"841177951";;"institutional";156.3500;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920016490";;"institutional";79.0000;75.0500;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920077523";;"institutional";204.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"86706";"2022 CMS,AHA";"86706 - HEP B SURFACE ANTIBODY";"ein";"920077523";;"institutional";181.0000;181.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"87070";"2022 CMS,AHA";"87070 - CULTURE OTHR SPECIMN AEROBIC";"ein";"920016429";;"institutional";262.0000;262.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"87205";"2022 CMS,AHA";"87205 - SMEAR GRAM STAIN";"ein";"920016429";;"institutional";145.0000;145.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"88304";"2022 CMS,AHA";"88304 - TISSUE EXAM BY PATHOLOGIST";"ein";"920077523";;"institutional";220.0000;213.4000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"94625";"2022 CMS,AHA";"94625 - PHY/QHP OP PULM RHB W/O MNTR";"ein";"823913174";;"institutional";504.0000;403.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"94625";"2022 CMS,AHA";"94625 - PHY/QHP OP PULM RHB W/O MNTR";"ein";"823913174";;"institutional";504.0000;504.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920016490";;"institutional";1.0500;1.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920037099";;"institutional";142.5600;135.4300;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"931176109";;"institutional";13.6000;13.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"91306";"2022 CMS,AHA";"91306 - SARSCOV2 VAC 50MCG/0.25ML IM";"ein";"920162721";;"institutional";0.0100;0.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"920016490";;"institutional";2410.0000;2289.5000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"920016490";;"institutional";179.0000;170.0500;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"920016490";;"institutional";228.0000;216.6000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96376";"2022 CMS,AHA";"96376 - TX/PRO/DX INJ SAME DRUG ADON";"ein";"920016490";;"institutional";83.0000;78.8500;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"A9270";"2022 CMS,AHA";"A9270 - NON-COVERED ITEM OR SERVICE";"ein";"920016490";;"institutional";8.0000;7.6000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"A9552";"2022 CMS,AHA";"A9552 - F18 FDG";"ein";"746001118";;"institutional";994.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"A9585";"2022 CMS,AHA";"A9585 - GADOBUTROL INJECTION";"ein";"746001118";;"institutional";300.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"920077523";;"institutional";21.2000;21.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2001";"2022 CMS,AHA";"J2001 - LIDOCAINE INJECTION";"ein";"920077523";;"institutional";21.2000;21.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"920016490";;"institutional";55.0000;0.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3010";"2022 CMS,AHA";"J3010 - FENTANYL CITRATE INJECITON";"ein";"920016490";;"institutional";85.0000;80.7500;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7050";"2022 CMS,AHA";"J7050 - NORMAL SALINE SOLUTION INFUS";"ein";"920077523";;"institutional";53.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q5118";"2022 CMS,AHA";"Q5118 - INJ., ZIRABEV, 10 MG";"ein";"931176109";;"institutional";33478.9600;24787.6900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"920077523";;"institutional";298.8000;298.8000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"752918774";;"institutional";25797.0000;23217.3000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"426038397";;"institutional";0.0100;0.0100;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920162721";;"institutional";54.0000;20.3300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"80048";"2022 CMS,AHA";"80048 - METABOLIC PANEL TOTAL CA";"ein";"920016490";;"institutional";106.0000;100.7000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"710772737";;"institutional";435.0000;435.0000;"1568406536";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"83735";"2022 CMS,AHA";"83735 - ASSAY OF MAGNESIUM";"ein";"943281657";;"institutional";255.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"83970";"2022 CMS,AHA";"83970 - ASSAY OF PARATHORMONE";"ein";"412171117";;"institutional";1637.9400;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"84443";"2022 CMS,AHA";"84443 - ASSAY THYROID STIM HORMONE";"ein";"920037099";;"institutional";124.7200;118.4800;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"931176109";;"institutional";89.0000;65.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"86803";"2022 CMS,AHA";"86803 - HEPATITIS C AB TEST";"ein";"920077523";;"institutional";138.0000;133.8600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"86901";"2022 CMS,AHA";"86901 - BLOOD TYPING SEROLOGIC RH(D)";"ein";"920016429";;"institutional";49.0000;49.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"87070";"2022 CMS,AHA";"87070 - CULTURE OTHR SPECIMN AEROBIC";"ein";"920016429";;"institutional";262.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"87340";"2022 CMS,AHA";"87340 - HEPATITIS B SURFACE AG IA";"ein";"710772737";;"institutional";176.0000;176.0000;"1568406536";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"87340";"2022 CMS,AHA";"87340 - HEPATITIS B SURFACE AG IA";"ein";"841177951";;"institutional";409.3100;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"88341";"2022 CMS,AHA";"88341 - IMMUNOHISTO ANTB ADDL SLIDE";"ein";"920016429";;"institutional";2580.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"97129";"2022 CMS,AHA";"97129 - THER IVNTJ 1ST 15 MIN";"ein";"208212094";;"institutional";210.0000;210.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"97161";"2022 CMS,AHA";"97161 - PT EVAL LOW COMPLEX 20 MIN";"ein";"920016490";;"institutional";344.0000;344.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"97535";"2022 CMS,AHA";"97535 - SELF CARE MNGMENT TRAINING";"ein";"311679605";;"institutional";81.5600;15.3800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"97535";"2022 CMS,AHA";"97535 - SELF CARE MNGMENT TRAINING";"ein";"721531238";;"institutional";88.0000;44.0000;"1407872781";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"REVENUE CODE";"420";"2022 AHA";"PHYSICAL THERP";"ein";"752918774";;"institutional";7229.0000;7229.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"REVENUE CODE";"420";"2022 AHA";"PHYSICAL THERP";"ein";"910908129";;"institutional";1625.4000;1137.7800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"REVENUE CODE";"430";"2022 AHA";"OCCUPATION THER";"ein";"910908129";;"institutional";759.7200;531.8040;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"REVENUE CODE";"440";"2022 AHA";"SPEECH PATHOL";"ein";"910908129";;"institutional";280.0500;196.0350;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"REVENUE CODE";"942";"2022 AHA";"EDUC/TRAINING";"ein";"910908129";;"institutional";42.8300;42.8300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"71045";"2022 CMS,AHA";"71045 - X-RAY EXAM CHEST 1 VIEW";"ein";"320499956";;"institutional";172.3700;38.0490;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"71260";"2022 CMS,AHA";"71260 - CT THORAX W/DYE";"ein";"042104691";;"institutional";2900.0000;2755.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"71260";"2022 CMS,AHA";"71260 - CT THORAX W/DYE";"ein";"920077523";;"institutional";3217.0000;540.4800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"71260";"2022 CMS,AHA";"71260 - CT THORAX W/DYE";"ein";"920077523";;"institutional";3217.0000;3120.4900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"72050";"2022 CMS,AHA";"72050 - X-RAY EXAM NECK SPINE 4/5VWS";"ein";"331065485";;"institutional";504.0000;504.0000;"1700809829";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"931176109";;"institutional";13.6000;10.0700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"920016490";;"institutional";114.0000;114.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"A9270";"2022 CMS,AHA";"A9270 - NON-COVERED ITEM OR SERVICE";"ein";"880159958";;"institutional";362.0000;362.0000;"1548250582";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"A9503";"2022 CMS,AHA";"A9503 - TC99M MEDRONATE";"ein";"880213754";;"institutional";150.0000;150.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"G1004";"2022 CMS,AHA";"G1004 - CDSM NDSC";"ein";"880213754";;"institutional";0.0100;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0131";"2022 CMS,AHA";"J0131 - ACETAMINOPHEN INJECTION";"ein";"920016490";;"institutional";257.0000;0.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0690";"2022 CMS,AHA";"J0690 - CEFAZOLIN SODIUM INJECTION";"ein";"920077523";;"institutional";35.8000;35.8000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1100";"2022 CMS,AHA";"J1100 - DEXAMETHASONE SODIUM PHOS";"ein";"920016490";;"institutional";55.0000;0.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1170";"2022 CMS,AHA";"J1170 - HYDROMORPHONE INJECTION";"ein";"920016490";;"institutional";85.0000;80.7500;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1644";"2022 CMS,AHA";"J1644 - INJ HEPARIN SODIUM PER 1000U";"ein";"920016490";;"institutional";55.0000;52.2500;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1756";"2022 CMS,AHA";"J1756 - IRON SUCROSE INJECTION";"ein";"412171117";;"institutional";6376.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"920016490";;"institutional";55.0000;52.2500;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"920077523";;"institutional";21.2000;20.5600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2060";"2022 CMS,AHA";"J2060 - LORAZEPAM INJECTION";"ein";"920016490";;"institutional";595.0000;565.2500;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2270";"2022 CMS,AHA";"J2270 - MORPHINE SULFATE INJECTION";"ein";"920016490";;"institutional";170.0000;170.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3010";"2022 CMS,AHA";"J3010 - FENTANYL CITRATE INJECITON";"ein";"920016490";;"institutional";510.0000;0.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3475";"2022 CMS,AHA";"J3475 - INJ MAGNESIUM SULFATE";"ein";"920016490";;"institutional";175.0000;175.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"920037099";;"institutional";47.1900;44.8300;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7050";"2022 CMS,AHA";"J7050 - NORMAL SALINE SOLUTION INFUS";"ein";"920037099";;"institutional";47.1900;44.8300;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7512";"2022 CMS,AHA";"J7512 - PREDNISONE IR OR DR ORAL 1MG";"ein";"320499956";;"institutional";12.7000;0.0000;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"910573108";;"institutional";185.3600;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"880502320";;"institutional";22.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920077523";;"institutional";26.0000;26.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J9271";"2022 CMS,AHA";"J9271 - INJ PEMBROLIZUMAB";"ein";"920077523";;"institutional";13512.5000;13107.1300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q0220";"2022 CMS,AHA";"Q0220 - TIXAGEV AND CILGAV, 300MG";"ein";"311626179";;"institutional";1.0000;1.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"630891904";;"institutional";53.7600;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"746001118";;"institutional";100.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"880159958";;"institutional";535.0000;0.0000;"1548250582";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"710772737";;"institutional";29.0000;29.0000;"1568406536";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920016490";;"institutional";140.0000;133.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"880159958";;"institutional";90.0000;0.0000;"1548250582";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"82310";"2022 CMS,AHA";"82310 - ASSAY OF CALCIUM";"ein";"841177951";;"institutional";204.2600;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"82565";"2022 CMS,AHA";"82565 - ASSAY OF CREATININE";"ein";"260717654";;"institutional";239.5800;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"82565";"2022 CMS,AHA";"82565 - ASSAY OF CREATININE";"ein";"630891904";;"institutional";100.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"82570";"2022 CMS,AHA";"82570 - ASSAY OF URINE CREATININE";"ein";"260717654";;"institutional";240.9100;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"82570";"2022 CMS,AHA";"82570 - ASSAY OF URINE CREATININE";"ein";"260717654";;"institutional";481.8200;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"83690";"2022 CMS,AHA";"83690 - ASSAY OF LIPASE";"ein";"320499956";;"institutional";226.4200;0.0000;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"83880";"2022 CMS,AHA";"83880 - ASSAY OF NATRIURETIC PEPTIDE";"ein";"880502320";;"institutional";323.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"83880";"2022 CMS,AHA";"83880 - ASSAY OF NATRIURETIC PEPTIDE";"ein";"920037099";;"institutional";511.2400;485.6800;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"84155";"2022 CMS,AHA";"84155 - ASSAY OF PROTEIN SERUM";"ein";"841177951";;"institutional";145.4300;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"84484";"2022 CMS,AHA";"84484 - ASSAY OF TROPONIN QUANT";"ein";"920037099";;"institutional";280.9000;266.8600;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"84484";"2022 CMS,AHA";"84484 - ASSAY OF TROPONIN QUANT";"ein";"943281657";;"institutional";307.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"710772737";;"institutional";115.0000;73.6000;"1568406536";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"85610";"2022 CMS,AHA";"85610 - PROTHROMBIN TIME";"ein";"820200895";;"institutional";16.0000;14.4000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"85730";"2022 CMS,AHA";"85730 - THROMBOPLASTIN TIME PARTIAL";"ein";"943281657";;"institutional";292.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"86708";"2022 CMS,AHA";"86708 - HEPATITIS A ANTIBODY";"ein";"920077523";;"institutional";215.0000;215.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"320499956";;"institutional";250.0000;250.0000;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"320499956";;"institutional";502.5500;502.5500;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"88305";"2022 CMS,AHA";"88305 - TISSUE EXAM BY PATHOLOGIST";"ein";"320499956";;"institutional";365.1900;365.1900;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"88307";"2022 CMS,AHA";"88307 - TISSUE EXAM BY PATHOLOGIST";"ein";"920016429";;"institutional";488.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"U0003";"2022 CMS,AHA";"U0003 - Inf agent detection SARS-CoV-2; high throughput";"ein";"943281657";;"institutional";200.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"REVENUE CODE";"300";"2022 AHA";"LABORATORY";"ein";"752918774";;"institutional";21476.0000;19328.4000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"REVENUE CODE";"300";"2022 AHA";"LABORATORY";"ein";"910908129";;"institutional";521.6100;365.1270;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"REVENUE CODE";"300";"2022 AHA";"LABORATORY";"ein";"910908129";;"institutional";521.6100;521.6100;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"92526";"2022 CMS,AHA";"92526 - ORAL FUNCTION THERAPY";"ein";"208212094";;"institutional";210.0000;89.9400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"97112";"2022 CMS,AHA";"97112 - NEUROMUSCULAR REEDUCATION";"ein";"721531238";;"institutional";90.0000;45.0000;"1407872781";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"97130";"2022 CMS,AHA";"97130 - THER IVNTJ EA ADDL 15 MIN";"ein";"208212094";;"institutional";210.0000;210.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"97161";"2022 CMS,AHA";"97161 - PT EVAL LOW COMPLEX 20 MIN";"ein";"721531238";;"institutional";218.0000;109.0000;"1407872781";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"97161";"2022 CMS,AHA";"97161 - PT EVAL LOW COMPLEX 20 MIN";"ein";"920139171";;"institutional";320.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"97597";"2022 CMS,AHA";"97597 - RMVL DEVITAL TIS 20 CM/<";"ein";"911784793";;"institutional";569.0000;569.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"REVENUE CODE";"420";"2022 AHA";"PHYSICAL THERP";"ein";"752918774";;"institutional";7229.0000;6506.1000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"70498";"2022 CMS,AHA";"70498 - CT ANGIOGRAPHY NECK";"ein";"920037099";;"institutional";3835.9700;3644.1700;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"71045";"2022 CMS,AHA";"71045 - X-RAY EXAM CHEST 1 VIEW";"ein";"320499956";;"institutional";172.3700;172.3700;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"71046";"2022 CMS,AHA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"320499956";;"institutional";162.4800;162.4800;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"72125";"2022 CMS,AHA";"72125 - CT NECK SPINE W/O DYE";"ein";"920016490";;"institutional";2656.0000;2523.2000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"72131";"2022 CMS,AHA";"72131 - CT LUMBAR SPINE W/O DYE";"ein";"920016490";;"institutional";2616.0000;2616.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"72141";"2022 CMS,AHA";"72141 - MRI NECK SPINE W/O DYE";"ein";"331065485";;"institutional";2594.0000;2594.0000;"1700809829";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"74181";"2022 CMS,AHA";"74181 - MRI ABDOMEN W/O DYE";"ein";"880159958";;"institutional";8773.0000;8773.0000;"1548250582";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"96417";"2022 CMS,AHA";"96417 - CHEMO IV INFUS EACH ADDL SEQ";"ein";"931176109";;"institutional";598.0000;598.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"G1004";"2022 CMS,AHA";"G1004 - CDSM NDSC";"ein";"920077523";;"institutional";0.0200;0.0200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"73560";"2022 CMS,AHA";"73560 - X-RAY EXAM OF KNEE 1 OR 2";"ein";"920016490";;"institutional";336.0000;0.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"74176";"2022 CMS,AHA";"74176 - CT ABD & PELVIS W/O CONTRAST";"ein";"920016490";;"institutional";2728.0000;2591.6000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"76000";"2022 CMS,AHA";"76000 - FLUOROSCOPE EXAMINATION";"ein";"920016490";;"institutional";710.0000;0.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"76700";"2022 CMS,AHA";"76700 - US EXAM ABDOM COMPLETE";"ein";"880159958";;"institutional";3366.0000;3366.0000;"1548250582";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"920016490";;"institutional";219.0000;219.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"REVENUE CODE";"730";"2022 AHA";"EKG/ECG";"ein";"752918774";;"institutional";1181.0000;1062.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"HCPCS";;"2022 CMS,AHA";;"ein";"920077523";;"institutional";1270.0000;1270.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"HCPCS";"11406";"2022 CMS,AHA";"11406 - EXC TR-EXT B9+MARG >4.0 CM";"ein";"920077523";;"institutional";5360.0000;5199.2200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"HCPCS";"97607";"2022 CMS,AHA";"97607 - NEG PRESS WND TX =50 SQ CM";"ein";"910564491";;"institutional";761.0700;532.7500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"HCPCS";"G0378";"2022 CMS,AHA";"G0378 - HOSPITAL OBSERVATION PER HR";"ein";"920016490";;"institutional";423.0000;0.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"916000986";;"institutional";155.0000;133.8100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"REVENUE CODE";"360";"2022 AHA";"OR SERVICES";"ein";"752918774";;"institutional";57943.0000;57943.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"REVENUE CODE";"710";"2022 AHA";"RECOVERY ROOM";"ein";"752918774";;"institutional";6496.0000;5846.4000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Administration";"HCPCS";"99211";"2022 CMS,AHA";"99211 - OFFICE/OUTPATIENT VISIT EST";"ein";"920162721";;"institutional";274.0000;128.8700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"0053A";"2022 CMS,AHA";"0053A - ADM SARSCV2 30MCG TRS-SUCR 3";"ein";"920162721";;"institutional";30.0000;19.5000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920162721";;"institutional";228.0000;61.4000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Pathology and Laboratory";"HCPCS";"86780";"2022 CMS,AHA";"86780 - TREPONEMA PALLIDUM";"ein";"920162721";;"institutional";148.0000;87.9700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Pathology and Laboratory";"HCPCS";"87389";"2022 CMS,AHA";"87389 - HIV-1 AG W/HIV-1 & HIV-2 AB";"ein";"920162721";;"institutional";137.0000;81.4300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"11056";"2022 CMS,AHA";"11056 - TRIM SKIN LESIONS 2 TO 4";"ein";"920162721";;"institutional";272.0000;176.8000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"11200";"2022 CMS,AHA";"11200 - REMOVAL OF SKIN TAGS REGIONS";"ein";"880159958";;"institutional";1292.0000;1292.0000;"1548250582";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"97161";"2022 CMS,AHA";"97161 - PT EVAL LOW COMPLEX 20 MIN";"ein";"920016490";;"institutional";344.0000;326.8000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"97161";"2022 CMS,AHA";"97161 - PT EVAL LOW COMPLEX 20 MIN";"ein";"943281657";;"institutional";478.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"97530";"2022 CMS,AHA";"97530 - THERAPEUTIC ACTIVITIES";"ein";"320499956";;"institutional";257.7600;257.7600;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"97530";"2022 CMS,AHA";"97530 - THERAPEUTIC ACTIVITIES";"ein";"320499956";;"institutional";515.5200;515.5200;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"97530";"2022 CMS,AHA";"97530 - THERAPEUTIC ACTIVITIES";"ein";"920016429";;"institutional";180.0000;180.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"97530";"2022 CMS,AHA";"97530 - THERAPEUTIC ACTIVITIES";"ein";"920016490";;"institutional";244.0000;231.8000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"REVENUE CODE";"424";"2022 AHA";"PHYS THERP/EVAL";"ein";"752918774";;"institutional";454.0000;454.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"REVENUE CODE";"430";"2022 AHA";"OCCUPATION THER";"ein";"910908129";;"institutional";759.7200;759.7200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"70450";"2022 CMS,AHA";"70450 - CT HEAD/BRAIN W/O DYE";"ein";"920016490";;"institutional";1982.0000;1882.9000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"70450";"2022 CMS,AHA";"70450 - CT HEAD/BRAIN W/O DYE";"ein";"920016490";;"institutional";1982.0000;1982.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"70553";"2022 CMS,AHA";"70553 - MRI BRAIN STEM W/O & W/DYE";"ein";"880213754";;"institutional";2393.0000;2393.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"71045";"2022 CMS,AHA";"71045 - X-RAY EXAM CHEST 1 VIEW";"ein";"920037099";;"institutional";387.6400;368.2600;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"72050";"2022 CMS,AHA";"72050 - X-RAY EXAM NECK SPINE 4/5VWS";"ein";"331065485";;"institutional";504.0000;124.7400;"1700809829";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"72125";"2022 CMS,AHA";"72125 - CT NECK SPINE W/O DYE";"ein";"920016490";;"institutional";2656.0000;2656.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"72131";"2022 CMS,AHA";"72131 - CT LUMBAR SPINE W/O DYE";"ein";"920016490";;"institutional";2616.0000;2485.2000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"74177";"2022 CMS,AHA";"74177 - CT ABD & PELV W/CONTRAST";"ein";"920077523";;"institutional";5088.0000;5088.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"HCPCS";;"2022 CMS,AHA";;"ein";"570314381";;"institutional";8471.8500;5930.2950;"1134172000";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"HCPCS";"27339";"2022 CMS,AHA";"27339 - EXC THIGH/KNEE TUM DEP 5CM/>";"ein";"920016429";;"institutional";9705.0000;9705.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"HCPCS";;"2022 CMS,AHA";;"ein";"920016490";;"institutional";235.0000;0.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"HCPCS";"97607";"2022 CMS,AHA";"97607 - NEG PRESS WND TX =50 SQ CM";"ein";"910564491";;"institutional";761.0700;195.8400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"HCPCS";"99212";"2022 CMS,AHA";"99212 - OFFICE/OUTPATIENT VISIT EST";"ein";"910928081";;"institutional";58.5500;58.5500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"916000986";;"institutional";155.0000;77.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";1307.0000;776.8400;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920162721";;"institutional";0.9500;0.2600;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920162721";;"institutional";226.0000;60.8600;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920162721";;"institutional";226.0000;67.8000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"920162721";;"institutional";178.0000;53.4000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Pathology and Laboratory";"HCPCS";"80306";"2022 CMS,AHA";"80306 - DRUG TEST PRSMV INSTRMNT";"ein";"920162721";;"institutional";81.0000;21.8200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"920162721";;"institutional";213.0000;63.9000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Pathology and Laboratory";"HCPCS";"84702";"2022 CMS,AHA";"84702 - CHORIONIC GONADOTROPIN TEST";"ein";"920162721";;"institutional";199.0000;53.5900;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920162721";;"institutional";228.0000;68.4000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Physical Therapy";"HCPCS";"98940";"2022 CMS,AHA";"98940 - CHIROPRACT MANJ 1-2 REGIONS";"ein";"920162721";;"institutional";157.0000;157.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920162721";;"institutional";54.0000;35.1000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"58301";"2022 CMS,AHA";"58301 - REMOVE INTRAUTERINE DEVICE";"ein";"920041488";;"institutional";479.0000;431.1000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"99211";"2022 CMS,AHA";"99211 - OFFICE/OUTPATIENT VISIT EST";"ein";"920162721";;"institutional";274.0000;141.8000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"99211";"2022 CMS,AHA";"99211 - OFFICE/OUTPATIENT VISIT EST";"ein";"920162721";;"institutional";274.0000;155.8100;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Ambulatory Surgical Care";"HCPCS";"52356";"2022 CMS,AHA";"52356 - CYSTO/URETERO W/LITHOTRIPSY";"ein";"844668583";;"institutional";63400.0000;8297.7650;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Ambulatory Surgical Care";"HCPCS";"63048";"2022 CMS,AHA";"63048 - REMOVE SPINAL LAMINA ADD-ON";"ein";"592280782";;"institutional";11236.0000;3483.1600;"1306995063";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Ambulatory Surgical Care";"HCPCS";"64479";"2022 CMS,AHA";"64479 - INJ FORAMEN EPIDURAL C/T";"ein";"271378179";;"institutional";4016.0000;2620.2300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Ambulatory Surgical Care";"HCPCS";"64483";"2022 CMS,AHA";"64483 - INJ FORAMEN EPIDURAL L/S";"ein";"271378179";;"institutional";3364.0000;1682.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Ambulatory Surgical Care";"HCPCS";"64483";"2022 CMS,AHA";"64483 - INJ FORAMEN EPIDURAL L/S";"ein";"271378179";;"institutional";3364.0000;3364.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";229.0000;78.5700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";229.0000;133.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";229.0000;229.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Ambulatory Surgical Care";"HCPCS";"63046";"2022 CMS,AHA";"63046 - REMOVE SPINE LAMINA 1 THRC";"ein";"592280782";;"institutional";40750.0000;12632.5000;"1306995063";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Ambulatory Surgical Care";"HCPCS";"63046";"2022 CMS,AHA";"63046 - REMOVE SPINE LAMINA 1 THRC";"ein";"592280782";;"institutional";43166.0000;11000.0000;"1306995063";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Ambulatory Surgical Care";"HCPCS";"63048";"2022 CMS,AHA";"63048 - REMOVE SPINAL LAMINA ADD-ON";"ein";"592280782";;"institutional";11236.0000;3479.3500;"1306995063";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Ambulatory Surgical Care";"HCPCS";"64483";"2022 CMS,AHA";"64483 - INJ FORAMEN EPIDURAL L/S";"ein";"271378179";;"institutional";3364.0000;2691.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Ambulatory Surgical Care";"HCPCS";"99152";"2022 CMS,AHA";"99152 - NEWBORN RESUSCITATION";"ein";"271378179";;"institutional";600.0000;600.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Anesthesia";"HCPCS";"99152";"2022 CMS,AHA";"99152 - NEWBORN RESUSCITATION";"ein";"271378179";;"institutional";600.0000;600.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";1268.0000;722.8600;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";1307.0000;765.9300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";2602.0000;1115.6700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medical and Surgical Supplies";"HCPCS";"A4565";"2022 CMS,AHA";"A4565 - SLINGS";"ein";"920162721";;"institutional";28.0000;17.1500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920041488";;"institutional";0.5000;0.4500;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920041488";;"institutional";8.1000;7.2900;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920162721";;"institutional";0.4000;0.2300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920162721";;"institutional";10.1500;6.2200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920162721";;"institutional";101.0000;50.4200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"0072A";"2022 CMS,AHA";"0072A - ADM SARSCV2 10MCG TRS-SUCR 2";"ein";"920162721";;"institutional";30.0000;19.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90471";"2022 CMS,AHA";"90471 - IMMUNIZATION ADMIN";"ein";"920041461";;"institutional";77.0000;55.6800;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90471";"2022 CMS,AHA";"90471 - IMMUNIZATION ADMIN";"ein";"920162721";;"institutional";29.0000;18.8500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"91305";"2022 CMS,AHA";"91305 - SARSCOV2 VAC 30 MCG TRS-SUCR";"ein";"920162721";;"institutional";0.0100;0.0065;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"91309";"2022 CMS,AHA";"91309 - SARSCOV2 VAC 50MCG/0.5ML IM";"ein";"920162721";;"institutional";0.0100;0.0100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"80051";"2022 CMS,AHA";"80051 - ELECTROLYTE PANEL";"ein";"260717654";;"institutional";2249.3900;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"910573108";;"institutional";175.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"81002";"2022 CMS,AHA";"81002 - URINALYSIS NONAUTO W/O SCOPE";"ein";"916000986";;"institutional";10.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"81002";"2022 CMS,AHA";"81002 - URINALYSIS NONAUTO W/O SCOPE";"ein";"916000986";;"institutional";10.0000;5.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"81002";"2022 CMS,AHA";"81002 - URINALYSIS NONAUTO W/O SCOPE";"ein";"916000986";;"institutional";10.0000;10.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"931176109";;"institutional";31.0000;31.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"82565";"2022 CMS,AHA";"82565 - ASSAY OF CREATININE";"ein";"841177951";;"institutional";202.8200;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"83540";"2022 CMS,AHA";"83540 - ASSAY OF IRON";"ein";"260717654";;"institutional";370.0200;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"83550";"2022 CMS,AHA";"83550 - IRON BINDING TEST";"ein";"412171117";;"institutional";346.5200;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"83690";"2022 CMS,AHA";"83690 - ASSAY OF LIPASE";"ein";"920016490";;"institutional";91.0000;86.4500;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"84100";"2022 CMS,AHA";"84100 - ASSAY OF PHOSPHORUS";"ein";"320499956";;"institutional";76.7400;0.0000;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"84155";"2022 CMS,AHA";"84155 - ASSAY OF PROTEIN SERUM";"ein";"260717654";;"institutional";173.0300;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"84484";"2022 CMS,AHA";"84484 - ASSAY OF TROPONIN QUANT";"ein";"320499956";;"institutional";334.2800;0.0000;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"746001118";;"institutional";112.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"943281657";;"institutional";219.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"85027";"2022 CMS,AHA";"85027 - COMPLETE CBC AUTOMATED";"ein";"412171117";;"institutional";397.6900;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"85610";"2022 CMS,AHA";"85610 - PROTHROMBIN TIME";"ein";"920016490";;"institutional";52.0000;49.4000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"85610";"2022 CMS,AHA";"85610 - PROTHROMBIN TIME";"ein";"920037099";;"institutional";95.5100;90.7300;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"85730";"2022 CMS,AHA";"85730 - THROMBOPLASTIN TIME PARTIAL";"ein";"920037099";;"institutional";174.1600;165.4500;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"86304";"2022 CMS,AHA";"86304 - IMMUNOASSAY TUMOR CA 125";"ein";"910573108";;"institutional";250.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"86705";"2022 CMS,AHA";"86705 - HEP B CORE ANTIBODY IGM";"ein";"920077523";;"institutional";101.0000;97.9700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"86706";"2022 CMS,AHA";"86706 - HEP B SURFACE ANTIBODY";"ein";"920077523";;"institutional";181.0000;175.5700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"86709";"2022 CMS,AHA";"86709 - HEPATITIS A IGM ANTIBODY";"ein";"920016490";;"institutional";155.0000;147.2500;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"97110";"2022 CMS,AHA";"97110 - THERAPEUTIC EXERCISES";"ein";"920139171";;"institutional";540.0000;540.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"97605";"2022 CMS,AHA";"97605 - NEG PRESS WOUND TX =50 CM";"ein";"911784793";;"institutional";524.0000;524.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"REVENUE CODE";"440";"2022 AHA";"SPEECH PATHOL";"ein";"910908129";;"institutional";280.0500;280.0500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"70450";"2022 CMS,AHA";"70450 - CT HEAD/BRAIN W/O DYE";"ein";"320499956";;"institutional";1128.8700;1128.8700;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"70450";"2022 CMS,AHA";"70450 - CT HEAD/BRAIN W/O DYE";"ein";"940562680";;"institutional";3746.0000;3746.0000;"1659439834";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"71045";"2022 CMS,AHA";"71045 - X-RAY EXAM CHEST 1 VIEW";"ein";"320499956";;"institutional";172.3700;31.3994;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"71045";"2022 CMS,AHA";"71045 - X-RAY EXAM CHEST 1 VIEW";"ein";"920016490";;"institutional";251.0000;238.4500;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"71045";"2022 CMS,AHA";"71045 - X-RAY EXAM CHEST 1 VIEW";"ein";"943281657";;"institutional";322.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"71260";"2022 CMS,AHA";"71260 - CT THORAX W/DYE";"ein";"920077523";;"institutional";3217.0000;3217.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"72148";"2022 CMS,AHA";"72148 - MRI LUMBAR SPINE W/O DYE";"ein";"920016490";;"institutional";3647.0000;3464.6500;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"73590";"2022 CMS,AHA";"73590 - X-RAY EXAM OF LOWER LEG";"ein";"920077523";;"institutional";655.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"74177";"2022 CMS,AHA";"74177 - CT ABD & PELV W/CONTRAST";"ein";"920077523";;"institutional";5088.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"74177";"2022 CMS,AHA";"74177 - CT ABD & PELV W/CONTRAST";"ein";"920077523";;"institutional";5088.0000;4935.3600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"G1004";"2022 CMS,AHA";"G1004 - CDSM NDSC";"ein";"042104691";;"institutional";0.0100;0.0100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"HCPCS";;"2022 CMS,AHA";;"ein";"920016490";;"institutional";2909.0000;0.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"HCPCS";;"2022 CMS,AHA";;"ein";"920077523";;"institutional";1270.0000;1231.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"HCPCS";"11042";"2022 CMS,AHA";"11042 - DEB SUBQ TISSUE 20 SQ CM/<";"ein";"910564491";;"institutional";1520.5900;1520.5900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"HCPCS";"11721";"2022 CMS,AHA";"11721 - DEBRIDE NAIL 6 OR MORE";"ein";"920077523";;"institutional";282.0000;282.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"HCPCS";"G0378";"2022 CMS,AHA";"G0378 - HOSPITAL OBSERVATION PER HR";"ein";"943281657";;"institutional";7085.0000;1417.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"REVENUE CODE";"120";"2022 AHA";"ROOM-BOARD/SIM";"ein";"910908129";;"institutional";37050.1300;37050.1300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Emergency Department Services";"HCPCS";"99282";"2022 CMS,AHA";"99282 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";725.0000;235.3600;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"0054A";"2022 CMS,AHA";"0054A - ADM SARSCV2 30MCG TRS-SUCR B";"ein";"920162721";;"institutional";30.0000;19.5000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Pathology and Laboratory";"HCPCS";"87591";"2022 CMS,AHA";"87591 - N.GONORRHOEAE DNA AMP PROB";"ein";"920162721";;"institutional";232.0000;45.3200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"95909";"2022 CMS,AHA";"95909 - NRV CNDJ TST 5-6 STUDIES";"ein";"920162721";;"institutional";526.0000;341.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"HCPCS";"97607";"2022 CMS,AHA";"97607 - NEG PRESS WND TX =50 SQ CM";"ein";"910564491";;"institutional";761.0700;761.0700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"916000986";;"institutional";155.0000;155.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"REVENUE CODE";"120";"2022 AHA";"ROOM-BOARD/SIM";"ein";"910908129";;"institutional";37050.1300;25935.0910;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"REVENUE CODE";"710";"2022 AHA";"RECOVERY ROOM";"ein";"752918774";;"institutional";6496.0000;6496.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";229.0000;0.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";229.0000;148.8500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Emergency Department Services";"HCPCS";"99282";"2022 CMS,AHA";"99282 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";703.0000;410.7200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"920162721";;"institutional";99.0000;26.6600;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Pathology and Laboratory";"HCPCS";"82951";"2022 CMS,AHA";"82951 - GLUCOSE TOLERANCE TEST (GTT)";"ein";"920162721";;"institutional";178.0000;53.4000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Pathology and Laboratory";"HCPCS";"86780";"2022 CMS,AHA";"86780 - TREPONEMA PALLIDUM";"ein";"920162721";;"institutional";143.0000;42.9000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Pathology and Laboratory";"HCPCS";"87491";"2022 CMS,AHA";"87491 - CHYLMD TRACH DNA AMP PROBE";"ein";"920162721";;"institutional";232.0000;45.3300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Pathology and Laboratory";"HCPCS";"87591";"2022 CMS,AHA";"87591 - N.GONORRHOEAE DNA AMP PROB";"ein";"920162721";;"institutional";696.0000;413.6700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Pathology and Laboratory";"HCPCS";"87661";"2022 CMS,AHA";"87661 - TRICHOMONAS VAGINALIS AMPLIF";"ein";"920162721";;"institutional";224.0000;43.7700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"57454";"2022 CMS,AHA";"57454 - BX/CURETT OF CERVIX W/SCOPE";"ein";"920162721";;"institutional";773.0000;502.4500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"95810";"2022 CMS,AHA";"95810 - POLYSOM 6/> YRS 4/> PARAM";"ein";"920162721";;"institutional";6235.0000;2870.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"C9803";"2022 CMS,AHA";"C9803 - Specimen collection any source";"ein";"920041488";;"institutional";76.0000;68.4000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";222.0000;135.3500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";229.0000;121.4400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Ambulatory Surgical Care";"HCPCS";"19318";"2022 CMS,AHA";"19318 - REDUCTION OF LARGE BREAST";"ein";"263075650";;"institutional";32311.0000;9999.9700;"1134385701";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Ambulatory Surgical Care";"HCPCS";"62321";"2022 CMS,AHA";"62321 - NJX INTERLAMINAR CRV/THRC";"ein";"271378179";;"institutional";4654.0000;1293.6650;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Ambulatory Surgical Care";"HCPCS";"63047";"2022 CMS,AHA";"63047 - REMOVE SPINE LAMINA 1 LMBR";"ein";"592280782";;"institutional";40750.0000;12618.6900;"1306995063";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Ambulatory Surgical Care";"HCPCS";"J2001";"2022 CMS,AHA";"J2001 - LIDOCAINE INJECTION";"ein";"592280782";;"institutional";57.0000;17.6500;"1306995063";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Anesthesia";"HCPCS";"99152";"2022 CMS,AHA";"99152 - NEWBORN RESUSCITATION";"ein";"271378179";;"institutional";600.0000;510.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0690";"2022 CMS,AHA";"J0690 - CEFAZOLIN SODIUM INJECTION";"ein";"920162721";;"institutional";45.7000;29.7100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Musculoskeletal";"HCPCS";"L3908";"2022 CMS,AHA";"L3908 - WHO COCK-UP NONMOLDE PRE OTS";"ein";"920041488";;"institutional";71.0000;63.9000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Musculoskeletal";"HCPCS";"L4350";"2022 CMS,AHA";"L4350 - ANKLE CONTROL ORTHO PRE OTS";"ein";"920162721";;"institutional";219.0000;130.6200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920162721";;"institutional";54.0000;27.0200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920162721";;"institutional";54.0000;32.0900;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920162721";;"institutional";54.0000;33.3000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920162721";;"institutional";54.0000;54.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920162721";;"institutional";226.0000;137.7900;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920162721";;"institutional";233.0000;69.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920162721";;"institutional";233.0000;79.9400;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920162721";;"institutional";233.0000;141.1700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"920162721";;"institutional";178.0000;53.4000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"81001";"2022 CMS,AHA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"910873623";;"institutional";90.7200;90.7200;"1306933643";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"81001";"2022 CMS,AHA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"920162721";;"institutional";158.0000;92.5900;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82040";"2022 CMS,AHA";"82040 - ASSAY OF SERUM ALBUMIN";"ein";"920162721";;"institutional";74.0000;48.1000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82043";"2022 CMS,AHA";"82043 - MICROALBUMIN QUANTITATIVE";"ein";"920162721";;"institutional";166.0000;100.1000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82274";"2022 CMS,AHA";"82274 - ASSAY TEST FOR BLOOD FECAL";"ein";"920162721";;"institutional";210.0000;63.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82306";"2022 CMS,AHA";"82306 - VITAMIN D 25 HYDROXY";"ein";"920162721";;"institutional";266.0000;164.9900;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"920162721";;"institutional";220.0000;130.7300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"920162721";;"institutional";220.0000;136.4400;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"920162721";;"institutional";220.0000;143.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83525";"2022 CMS,AHA";"83525 - ASSAY OF INSULIN";"ein";"920162721";;"institutional";159.0000;47.7000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83540";"2022 CMS,AHA";"83540 - ASSAY OF IRON";"ein";"920162721";;"institutional";155.0000;46.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Ambulatory Surgical Care";"HCPCS";"A4461";"2022 CMS,AHA";"A4461 - SURGICL DRESS HOLD NON-REUSE";"ein";"592280782";;"institutional";57.0000;17.6700;"1306995063";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Ambulatory Surgical Care";"HCPCS";"J0690";"2022 CMS,AHA";"J0690 - CEFAZOLIN SODIUM INJECTION";"ein";"592280782";;"institutional";17.0000;5.2700;"1306995063";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Anesthesia";"HCPCS";"99152";"2022 CMS,AHA";"99152 - NEWBORN RESUSCITATION";"ein";"271378179";;"institutional";600.0000;480.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"99282";"2022 CMS,AHA";"99282 - EMERGENCY DEPT VISIT";"ein";"920041461";;"institutional";434.0000;325.5000;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"920041488";;"institutional";952.0000;856.8000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";1307.0000;779.5500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";4650.0000;1961.1700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"920162721";;"institutional";58.0000;36.6900;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920162721";;"institutional";107.4000;53.7300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"0002A";"2022 CMS,AHA";"0002A - ADM SARSCOV2 30MCG/0.3ML 2ND";"ein";"920162721";;"institutional";30.0000;19.5000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"0064A";"2022 CMS,AHA";"0064A - ADM SARSCOV2 50MCG/0.25MLBST";"ein";"920162721";;"institutional";30.0000;19.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90472";"2022 CMS,AHA";"90472 - IMMUNIZATION ADMIN EACH ADD";"ein";"920041488";;"institutional";250.0000;203.7780;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90651";"2022 CMS,AHA";"90651 - 9VHPV VACCINE 3 DOSE IM";"ein";"920162721";;"institutional";0.0100;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90688";"2022 CMS,AHA";"90688 - IIV4 VACCINE 3 YRS PLUS IM";"ein";"920162721";;"institutional";0.0100;0.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90734";"2022 CMS,AHA";"90734 - MENACWY VACCINE IM";"ein";"920162721";;"institutional";0.0100;0.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"91307";"2022 CMS,AHA";"91307 - SARSCOV2 VAC 10 MCG TRS-SUCR";"ein";"920162721";;"institutional";0.0100;0.0100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"920162721";;"institutional";398.0000;234.7200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1100";"2022 CMS,AHA";"J1100 - DEXAMETHASONE SODIUM PHOS";"ein";"920041488";;"institutional";80.8000;72.7200;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1100";"2022 CMS,AHA";"J1100 - DEXAMETHASONE SODIUM PHOS";"ein";"920162721";;"institutional";80.8000;46.4500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1100";"2022 CMS,AHA";"J1100 - DEXAMETHASONE SODIUM PHOS";"ein";"920162721";;"institutional";153.2000;99.5800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2795";"2022 CMS,AHA";"J2795 - ROPIVACAINE HCL INJECTION";"ein";"920162721";;"institutional";240.8500;156.5500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3010";"2022 CMS,AHA";"J3010 - FENTANYL CITRATE INJECITON";"ein";"920041488";;"institutional";38.7800;34.9020;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3480";"2022 CMS,AHA";"J3480 - INJ POTASSIUM CHLORIDE";"ein";"320197974";;"institutional";13.7000;6.1700;"1508029422";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"880159958";;"institutional";1041.0000;0.0000;"1548250582";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"81001";"2022 CMS,AHA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"943281657";;"institutional";144.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"920077523";;"institutional";30.0000;29.1000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"920077523";;"institutional";30.0000;30.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"931176109";;"institutional";31.0000;22.9500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"82043";"2022 CMS,AHA";"82043 - MICROALBUMIN QUANTITATIVE";"ein";"920077523";;"institutional";155.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"82248";"2022 CMS,AHA";"82248 - BILIRUBIN DIRECT";"ein";"746001118";;"institutional";86.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"82803";"2022 CMS,AHA";"82803 - BLOOD GASES ANY COMBINATION";"ein";"920037099";;"institutional";337.0800;320.2300;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"920077523";;"institutional";152.0000;147.4400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"920162721";;"institutional";220.0000;82.8300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"83540";"2022 CMS,AHA";"83540 - ASSAY OF IRON";"ein";"412171117";;"institutional";256.7500;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"83615";"2022 CMS,AHA";"83615 - LACTATE (LD) (LDH) ENZYME";"ein";"710772737";;"institutional";70.0000;70.0000;"1568406536";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"83615";"2022 CMS,AHA";"83615 - LACTATE (LD) (LDH) ENZYME";"ein";"746001118";;"institutional";42.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"83735";"2022 CMS,AHA";"83735 - ASSAY OF MAGNESIUM";"ein";"260717654";;"institutional";312.7900;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"83970";"2022 CMS,AHA";"83970 - ASSAY OF PARATHORMONE";"ein";"260717654";;"institutional";2334.5700;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"84145";"2022 CMS,AHA";"84145 - PROCALCITONIN (PCT)";"ein";"320499956";;"institutional";222.5700;0.0000;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"84425";"2022 CMS,AHA";"84425 - ASSAY OF VITAMIN B-1";"ein";"920016490";;"institutional";217.0000;206.1500;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"84520";"2022 CMS,AHA";"84520 - ASSAY OF UREA NITROGEN";"ein";"260717654";;"institutional";185.0100;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"85018";"2022 CMS,AHA";"85018 - HEMOGLOBIN";"ein";"841177951";;"institutional";93.8100;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"85018";"2022 CMS,AHA";"85018 - HEMOGLOBIN";"ein";"943281657";;"institutional";58.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"841177951";;"institutional";308.4800;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920016490";;"institutional";79.0000;79.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920162721";;"institutional";235.0000;88.4800;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Cardiovascular";"HCPCS";"93306";"2022 CMS,AHA";"93306 - TTE W/DOPPLER COMPLETE";"ein";"920162721";;"institutional";5686.0000;1912.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"99282";"2022 CMS,AHA";"99282 - EMERGENCY DEPT VISIT";"ein";"920041488";;"institutional";541.0000;486.9000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";1307.0000;770.8100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";2602.0000;1308.7700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920041488";;"institutional";0.7500;0.6750;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920041488";;"institutional";3.8500;3.4650;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920041488";;"institutional";12.8000;11.5200;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"0054A";"2022 CMS,AHA";"0054A - ADM SARSCV2 30MCG TRS-SUCR B";"ein";"910873623";;"institutional";121.5700;48.8100;"1306933643";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"0054A";"2022 CMS,AHA";"0054A - ADM SARSCV2 30MCG TRS-SUCR B";"ein";"920162721";;"institutional";30.0000;19.5000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"0064A";"2022 CMS,AHA";"0064A - ADM SARSCOV2 50MCG/0.25MLBST";"ein";"920162721";;"institutional";30.0000;10.2900;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"0071A";"2022 CMS,AHA";"0071A - ADM SARSCV2 10MCG TRS-SUCR 1";"ein";"920162721";;"institutional";30.0000;30.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90670";"2022 CMS,AHA";"90670 - PCV13 VACCINE IM";"ein";"920041488";;"institutional";0.0100;0.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90696";"2022 CMS,AHA";"90696 - DTAP-IPV VACCINE 4-6 YRS IM";"ein";"920162721";;"institutional";0.0100;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90723";"2022 CMS,AHA";"90723 - DTAP-HEP B-IPV VACCINE IM";"ein";"920041488";;"institutional";0.0100;0.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"91306";"2022 CMS,AHA";"91306 - SARSCOV2 VAC 50MCG/0.25ML IM";"ein";"920162721";;"institutional";0.0100;0.0100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"920162721";;"institutional";330.0000;165.1000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1170";"2022 CMS,AHA";"J1170 - HYDROMORPHONE INJECTION";"ein";"920162721";;"institutional";188.4000;122.4600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"920162721";;"institutional";69.9000;29.9800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3490";"2022 CMS,AHA";"J3490 - DRUGS UNCLASSIFIED INJECTION";"ein";"920162721";;"institutional";82.5000;53.6250;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"910873623";;"institutional";46.3100;46.3100;"1306933643";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"920041461";;"institutional";53.0000;39.7500;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"920162721";;"institutional";3068.5500;1994.5600;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"258";"2022 AHA";"IV SOLUTIONS";"ein";"920041488";;"institutional";664.1500;64.3000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"910873623";;"institutional";319.5000;319.5000;"1306933643";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"920041488";;"institutional";958.6500;862.7900;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"0241U";"2022 CMS,AHA";"0241U - NFCT DS VIR RESP RNA 4 TRGT";"ein";"920162721";;"institutional";335.0000;154.3300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"320197974";;"institutional";3.0000;1.3500;"1508029422";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920162721";;"institutional";54.0000;0.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920162721";;"institutional";54.0000;33.0600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920162721";;"institutional";54.0000;35.1000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80048";"2022 CMS,AHA";"80048 - METABOLIC PANEL TOTAL CA";"ein";"920162721";;"institutional";193.0000;116.3800;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80069";"2022 CMS,AHA";"80069 - RENAL FUNCTION PANEL";"ein";"920162721";;"institutional";257.0000;82.5400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80320";"2022 CMS,AHA";"80320 - DRUG SCREEN QUANTALCOHOLS";"ein";"920162721";;"institutional";105.0000;45.0200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"81001";"2022 CMS,AHA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"320197974";;"institutional";216.0000;97.2000;"1508029422";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"920162721";;"institutional";102.0000;66.3000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82247";"2022 CMS,AHA";"82247 - BILIRUBIN TOTAL";"ein";"920162721";;"institutional";73.0000;47.4500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82306";"2022 CMS,AHA";"82306 - VITAMIN D 25 HYDROXY";"ein";"920162721";;"institutional";266.0000;79.8000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82570";"2022 CMS,AHA";"82570 - ASSAY OF URINE CREATININE";"ein";"920162721";;"institutional";99.0000;64.3500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"920162721";;"institutional";220.0000;132.6600;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83690";"2022 CMS,AHA";"83690 - ASSAY OF LIPASE";"ein";"910873623";;"institutional";282.6800;204.7800;"1306933643";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84439";"2022 CMS,AHA";"84439 - ASSAY OF FREE THYROXINE";"ein";"920041488";;"institutional";198.0000;178.2000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84439";"2022 CMS,AHA";"84439 - ASSAY OF FREE THYROXINE";"ein";"920162721";;"institutional";281.0000;171.3300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84443";"2022 CMS,AHA";"84443 - ASSAY THYROID STIM HORMONE";"ein";"920041461";;"institutional";197.0000;147.7500;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84450";"2022 CMS,AHA";"84450 - TRANSFERASE (AST) (SGOT)";"ein";"920162721";;"institutional";73.0000;44.0200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84450";"2022 CMS,AHA";"84450 - TRANSFERASE (AST) (SGOT)";"ein";"920162721";;"institutional";73.0000;47.4500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84460";"2022 CMS,AHA";"84460 - ALANINE AMINO (ALT) (SGPT)";"ein";"920162721";;"institutional";152.0000;45.6000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"99211";"2022 CMS,AHA";"99211 - OFFICE/OUTPATIENT VISIT EST";"ein";"910873623";;"institutional";208.5400;62.5600;"1306933643";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"99211";"2022 CMS,AHA";"99211 - OFFICE/OUTPATIENT VISIT EST";"ein";"920162721";;"institutional";274.0000;82.2000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"99211";"2022 CMS,AHA";"99211 - OFFICE/OUTPATIENT VISIT EST";"ein";"920162721";;"institutional";274.0000;274.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"99212";"2022 CMS,AHA";"99212 - OFFICE/OUTPATIENT VISIT EST";"ein";"920041488";;"institutional";247.0000;222.3000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";229.0000;116.3300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Ambulatory Surgical Care";"HCPCS";"64493";"2022 CMS,AHA";"64493 - INJ PARAVERT F JNT L/S 1 LEV";"ein";"271378179";;"institutional";5170.0000;4394.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Ambulatory Surgical Care";"HCPCS";"J2001";"2022 CMS,AHA";"J2001 - LIDOCAINE INJECTION";"ein";"592280782";;"institutional";57.0000;17.6700;"1306995063";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Auditory";"HCPCS";"92552";"2022 CMS,AHA";"92552 - PURE TONE AUDIOMETRY AIR";"ein";"920162721";;"institutional";148.0000;59.3100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Digestive";"HCPCS";"43239";"2022 CMS,AHA";"43239 - EGD BIOPSY SINGLE/MULTIPLE";"ein";"920041488";;"institutional";2506.0000;1565.5500;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"99282";"2022 CMS,AHA";"99282 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";725.0000;416.7900;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";1307.0000;747.7200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";1307.0000;757.6300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medical and Surgical Supplies";"REVENUE CODE";"272";"2022 AHA";"STERILE SUPPLY";"ein";"920041488";;"institutional";170.0000;0.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920041488";;"institutional";89.2500;80.3250;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920162721";;"institutional";370.1500;184.7700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"0003A";"2022 CMS,AHA";"0003A - ADM SARSCOV2 30MCG/0.3ML 3RD";"ein";"920162721";;"institutional";30.0000;19.5000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"0004A";"2022 CMS,AHA";"0004A - ADM SARSCOV2 30MCG/0.3ML BST";"ein";"920162721";;"institutional";29.0000;18.8500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"0054A";"2022 CMS,AHA";"0054A - ADM SARSCV2 30MCG TRS-SUCR B";"ein";"920162721";;"institutional";30.0000;9.4100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"0054A";"2022 CMS,AHA";"0054A - ADM SARSCV2 30MCG TRS-SUCR B";"ein";"920162721";;"institutional";30.0000;19.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"0094A";"2022 CMS,AHA";"0094A - ADM SARSCOV2 50 MCG/.5 MLBST";"ein";"920162721";;"institutional";30.0000;19.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90472";"2022 CMS,AHA";"90472 - IMMUNIZATION ADMIN EACH ADD";"ein";"920162721";;"institutional";30.0000;19.5000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90620";"2022 CMS,AHA";"90620 - MENB RP W/OMV VACCINE IM";"ein";"920162721";;"institutional";0.0100;0.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90715";"2022 CMS,AHA";"90715 - TDAP VACCINE 7 YRS/> IM";"ein";"920041461";;"institutional";244.9000;160.6125;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83605";"2022 CMS,AHA";"83605 - ASSAY OF LACTIC ACID";"ein";"920162721";;"institutional";232.0000;115.8100;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83615";"2022 CMS,AHA";"83615 - LACTATE (LD) (LDH) ENZYME";"ein";"320197974";;"institutional";142.0000;63.9000;"1508029422";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83630";"2022 CMS,AHA";"83630 - LACTOFERRIN FECAL (QUAL)";"ein";"920162721";;"institutional";163.0000;49.9000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83690";"2022 CMS,AHA";"83690 - ASSAY OF LIPASE";"ein";"920162721";;"institutional";205.0000;87.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83735";"2022 CMS,AHA";"83735 - ASSAY OF MAGNESIUM";"ein";"920162721";;"institutional";145.0000;72.3800;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83970";"2022 CMS,AHA";"83970 - ASSAY OF PARATHORMONE";"ein";"920162721";;"institutional";370.0000;370.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84443";"2022 CMS,AHA";"84443 - ASSAY THYROID STIM HORMONE";"ein";"920162721";;"institutional";208.0000;62.4000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84703";"2022 CMS,AHA";"84703 - CHORIONIC GONADOTROPIN ASSAY";"ein";"920162721";;"institutional";174.0000;74.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84703";"2022 CMS,AHA";"84703 - CHORIONIC GONADOTROPIN ASSAY";"ein";"920162721";;"institutional";174.0000;113.1000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"320197974";;"institutional";238.0000;107.1000;"1508029422";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920162721";;"institutional";235.0000;70.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920162721";;"institutional";235.0000;117.9900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920162721";;"institutional";235.0000;139.6500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"85610";"2022 CMS,AHA";"85610 - PROTHROMBIN TIME";"ein";"920041488";;"institutional";110.0000;99.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"85652";"2022 CMS,AHA";"85652 - RBC SED RATE AUTOMATED";"ein";"920162721";;"institutional";100.0000;30.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"86146";"2022 CMS,AHA";"86146 - BETA-2 GLYCOPROTEIN ANTIBODY";"ein";"920041488";;"institutional";756.0000;680.4000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87070";"2022 CMS,AHA";"87070 - CULTURE OTHR SPECIMN AEROBIC";"ein";"920162721";;"institutional";297.0000;170.9600;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87081";"2022 CMS,AHA";"87081 - CULTURE SCREEN ONLY";"ein";"920162721";;"institutional";159.0000;92.1700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87491";"2022 CMS,AHA";"87491 - CHYLMD TRACH DNA AMP PROBE";"ein";"920162721";;"institutional";232.0000;144.9300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87591";"2022 CMS,AHA";"87591 - N.GONORRHOEAE DNA AMP PROB";"ein";"920162721";;"institutional";225.0000;127.9300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87624";"2022 CMS,AHA";"87624 - HPV HIGH-RISK TYPES";"ein";"920041488";;"institutional";172.0000;0.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"920162721";;"institutional";198.0000;102.6200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"920162721";;"institutional";204.0000;101.8300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"260";"2022 AHA";"IV THERAPY";"ein";"920162721";;"institutional";398.0000;258.7000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920041461";;"institutional";27.0000;20.2500;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920041488";;"institutional";57.0000;51.3000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920041488";;"institutional";60.0000;54.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920162721";;"institutional";54.0000;33.7300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80048";"2022 CMS,AHA";"80048 - METABOLIC PANEL TOTAL CA";"ein";"920162721";;"institutional";193.0000;125.4500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920162721";;"institutional";233.0000;145.5600;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"920041461";;"institutional";180.0000;135.0000;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"920162721";;"institutional";184.0000;114.9400;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"920162721";;"institutional";184.0000;119.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"81002";"2022 CMS,AHA";"81002 - URINALYSIS NONAUTO W/O SCOPE";"ein";"920041488";;"institutional";62.0000;55.8000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"81025";"2022 CMS,AHA";"81025 - URINE PREGNANCY TEST";"ein";"920162721";;"institutional";161.0000;92.1000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82274";"2022 CMS,AHA";"82274 - ASSAY TEST FOR BLOOD FECAL";"ein";"920162721";;"institutional";210.0000;30.5700;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82306";"2022 CMS,AHA";"82306 - VITAMIN D 25 HYDROXY";"ein";"920162721";;"institutional";266.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82306";"2022 CMS,AHA";"82306 - VITAMIN D 25 HYDROXY";"ein";"920162721";;"institutional";266.0000;81.4400;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82570";"2022 CMS,AHA";"82570 - ASSAY OF URINE CREATININE";"ein";"920162721";;"institutional";99.0000;29.7000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82652";"2022 CMS,AHA";"82652 - VIT D 1 25-DIHYDROXY";"ein";"920162721";;"institutional";393.0000;117.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82728";"2022 CMS,AHA";"82728 - ASSAY OF FERRITIN";"ein";"920162721";;"institutional";252.0000;75.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83002";"2022 CMS,AHA";"83002 - ASSAY OF GONADOTROPIN (LH)";"ein";"910873623";;"institutional";467.2200;288.8500;"1306933643";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83002";"2022 CMS,AHA";"83002 - ASSAY OF GONADOTROPIN (LH)";"ein";"920162721";;"institutional";232.0000;69.6000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"920162721";;"institutional";213.0000;129.8700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"920162721";;"institutional";220.0000;66.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"920162721";;"institutional";220.0000;75.4800;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"910873623";;"institutional";154.0700;96.0500;"1306933643";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920041488";;"institutional";179.0000;86.4450;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"85027";"2022 CMS,AHA";"85027 - COMPLETE CBC AUTOMATED";"ein";"920162721";;"institutional";171.0000;111.1500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"86141";"2022 CMS,AHA";"86141 - C-REACTIVE PROTEIN HS";"ein";"920162721";;"institutional";202.0000;100.8300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"86148";"2022 CMS,AHA";"86148 - ANTI-PHOSPHOLIPID ANTIBODY";"ein";"920041488";;"institutional";264.0000;237.6000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"86580";"2022 CMS,AHA";"86580 - TB INTRADERMAL TEST";"ein";"920162721";;"institutional";50.0000;32.5000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87075";"2022 CMS,AHA";"87075 - CULTR BACTERIA EXCEPT BLOOD";"ein";"920162721";;"institutional";393.0000;226.2300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87086";"2022 CMS,AHA";"87086 - URINE CULTURE/COLONY COUNT";"ein";"920162721";;"institutional";222.0000;117.7200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87389";"2022 CMS,AHA";"87389 - HIV-1 AG W/HIV-1 & HIV-2 AB";"ein";"920162721";;"institutional";137.0000;89.0500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87491";"2022 CMS,AHA";"87491 - CHYLMD TRACH DNA AMP PROBE";"ein";"920041461";;"institutional";260.0000;0.0000;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87529";"2022 CMS,AHA";"87529 - HSV DNA AMP PROBE";"ein";"920162721";;"institutional";476.0000;284.9300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87591";"2022 CMS,AHA";"87591 - N.GONORRHOEAE DNA AMP PROB";"ein";"920162721";;"institutional";225.0000;116.4500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87624";"2022 CMS,AHA";"87624 - HPV HIGH-RISK TYPES";"ein";"920162721";;"institutional";194.0000;126.1000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"920041461";;"institutional";80.0000;60.0000;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"920041488";;"institutional";221.0000;132.1380;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"920041488";;"institutional";221.0000;198.9000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"920162721";;"institutional";204.0000;118.4700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"REVENUE CODE";"305";"2022 AHA";"LAB/HEMATOLOGY";"ein";"920041488";;"institutional";895.0000;805.5000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"REVENUE CODE";"305";"2022 AHA";"LAB/HEMATOLOGY";"ein";"920041488";;"institutional";895.0000;895.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Physical Therapy";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"920162721";;"institutional";192.0000;124.8000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"70480";"2022 CMS,AHA";"70480 - CT ORBIT/EAR/FOSSA W/O DYE";"ein";"920162721";;"institutional";2984.0000;895.2000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"73110";"2022 CMS,AHA";"73110 - X-RAY EXAM OF WRIST";"ein";"920162721";;"institutional";596.0000;252.5000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"74150";"2022 CMS,AHA";"74150 - CT ABDOMEN W/O DYE";"ein";"920162721";;"institutional";2957.0000;887.1000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"931176109";;"institutional";89.0000;89.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"85045";"2022 CMS,AHA";"85045 - AUTOMATED RETICULOCYTE COUNT";"ein";"841177951";;"institutional";158.9600;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"85610";"2022 CMS,AHA";"85610 - PROTHROMBIN TIME";"ein";"820200895";;"institutional";16.0000;16.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"86705";"2022 CMS,AHA";"86705 - HEP B CORE ANTIBODY IGM";"ein";"920016490";;"institutional";149.0000;149.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"86705";"2022 CMS,AHA";"86705 - HEP B CORE ANTIBODY IGM";"ein";"920077523";;"institutional";101.0000;101.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"86706";"2022 CMS,AHA";"86706 - HEP B SURFACE ANTIBODY";"ein";"710772737";;"institutional";183.0000;183.0000;"1568406536";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"86803";"2022 CMS,AHA";"86803 - HEPATITIS C AB TEST";"ein";"920016490";;"institutional";126.0000;126.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"86803";"2022 CMS,AHA";"86803 - HEPATITIS C AB TEST";"ein";"920077523";;"institutional";138.0000;138.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"920016490";;"institutional";103.0000;103.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"920037099";;"institutional";0.0100;0.0100;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"87798";"2022 CMS,AHA";"87798 - DETECT AGENT NOS DNA AMP";"ein";"920037099";;"institutional";5.6400;5.3600;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"97110";"2022 CMS,AHA";"97110 - THERAPEUTIC EXERCISES";"ein";"920139171";;"institutional";540.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"97140";"2022 CMS,AHA";"97140 - MANUAL THERAPY 1/> REGIONS";"ein";"880159958";;"institutional";1292.0000;904.4000;"1548250582";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"97530";"2022 CMS,AHA";"97530 - THERAPEUTIC ACTIVITIES";"ein";"311679605";;"institutional";92.2000;17.3900;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"REVENUE CODE";"420";"2022 AHA";"PHYSICAL THERP";"ein";"910908129";;"institutional";1625.4000;1625.4000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"70491";"2022 CMS,AHA";"70491 - CT SOFT TISSUE NECK W/DYE";"ein";"630891904";;"institutional";2060.7500;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"71260";"2022 CMS,AHA";"71260 - CT THORAX W/DYE";"ein";"630891904";;"institutional";2060.7500;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"71260";"2022 CMS,AHA";"71260 - CT THORAX W/DYE";"ein";"910573108";;"institutional";2260.0000;2124.4000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"71260";"2022 CMS,AHA";"71260 - CT THORAX W/DYE";"ein";"910573108";;"institutional";2260.0000;2260.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"71260";"2022 CMS,AHA";"71260 - CT THORAX W/DYE";"ein";"920016490";;"institutional";3283.0000;3118.8500;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"71260";"2022 CMS,AHA";"71260 - CT THORAX W/DYE";"ein";"920016490";;"institutional";3283.0000;3283.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"72148";"2022 CMS,AHA";"72148 - MRI LUMBAR SPINE W/O DYE";"ein";"920016490";;"institutional";3647.0000;1823.5000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"72148";"2022 CMS,AHA";"72148 - MRI LUMBAR SPINE W/O DYE";"ein";"920016490";;"institutional";3647.0000;3647.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"73610";"2022 CMS,AHA";"73610 - X-RAY EXAM OF ANKLE";"ein";"920077523";;"institutional";894.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87661";"2022 CMS,AHA";"87661 - TRICHOMONAS VAGINALIS AMPLIF";"ein";"920041461";;"institutional";243.0000;0.0000;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87661";"2022 CMS,AHA";"87661 - TRICHOMONAS VAGINALIS AMPLIF";"ein";"920162721";;"institutional";224.0000;145.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"88305";"2022 CMS,AHA";"88305 - TISSUE EXAM BY PATHOLOGIST";"ein";"920041488";;"institutional";366.0000;0.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"88305";"2022 CMS,AHA";"88305 - TISSUE EXAM BY PATHOLOGIST";"ein";"920162721";;"institutional";1164.0000;756.6000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"U0002";"2022 CMS,AHA";"U0002 - Independent lab test";"ein";"920041461";;"institutional";75.0000;56.2500;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"REVENUE CODE";"305";"2022 AHA";"LAB/HEMATOLOGY";"ein";"920162721";;"institutional";577.0000;375.0500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"REVENUE CODE";"306";"2022 AHA";"LAB/BACT-MICRO";"ein";"920041488";;"institutional";461.0000;461.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"70486";"2022 CMS,AHA";"70486 - CT MAXILLOFACIAL W/O DYE";"ein";"920162721";;"institutional";3105.0000;931.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"70496";"2022 CMS,AHA";"70496 - CT ANGIOGRAPHY HEAD";"ein";"920041488";;"institutional";1189.0000;1070.1000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"71046";"2022 CMS,AHA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"920162721";;"institutional";758.0000;378.3700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"73130";"2022 CMS,AHA";"73130 - X-RAY EXAM OF HAND";"ein";"920162721";;"institutional";802.0000;482.0300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"74420";"2022 CMS,AHA";"74420 - CONTRST X-RAY URINARY TRACT";"ein";"844668583";;"institutional";1350.0000;675.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"77072";"2022 CMS,AHA";"77072 - X-RAYS FOR BONE AGE";"ein";"920162721";;"institutional";595.0000;340.1200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"920041488";;"institutional";386.0000;347.4000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"920162721";;"institutional";704.0000;241.5300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"93225";"2022 CMS,AHA";"93225 - ECG MONIT/REPRT UP TO 48 HRS";"ein";"920162721";;"institutional";659.0000;221.6500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Room and Board";"HCPCS";;"2022 CMS,AHA";;"ein";"920162721";;"institutional";2008.0000;1305.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Room and Board";"REVENUE CODE";"128";"2022 AHA";"REHAB/2BED";"ein";"271701480";;"institutional";2200.0000;836.0000;"1952618357";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Bakery Workers H&W Local 24";"group";"Pathology and Laboratory";"HCPCS";"80051";"2022 CMS,AHA";"80051 - ELECTROLYTE PANEL";"ein";"941105628";;"institutional";78.0000;13.1700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";8.9000;1.7500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"941105628";;"institutional";9.6000;1.8900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"941105628";;"institutional";68.0000;7.3100;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Pathology and Laboratory";"HCPCS";"82962";"2022 CMS,AHA";"82962 - GLUCOSE BLOOD TEST";"ein";"943302014";;"institutional";158.0000;34.4800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83690";"2022 CMS,AHA";"83690 - ASSAY OF LIPASE";"ein";"920162721";;"institutional";205.0000;120.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83880";"2022 CMS,AHA";"83880 - ASSAY OF NATRIURETIC PEPTIDE";"ein";"920162721";;"institutional";670.0000;395.1400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84403";"2022 CMS,AHA";"84403 - ASSAY OF TOTAL TESTOSTERONE";"ein";"920162721";;"institutional";243.0000;149.8600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84481";"2022 CMS,AHA";"84481 - FREE ASSAY (FT-3)";"ein";"920162721";;"institutional";301.0000;39.7400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84484";"2022 CMS,AHA";"84484 - ASSAY OF TROPONIN QUANT";"ein";"920162721";;"institutional";1150.0000;678.2200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920162721";;"institutional";235.0000;117.5700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"85652";"2022 CMS,AHA";"85652 - RBC SED RATE AUTOMATED";"ein";"920162721";;"institutional";100.0000;60.5900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"86021";"2022 CMS,AHA";"86021 - WBC ANTIBODY IDENTIFICATION";"ein";"920041488";;"institutional";171.0000;153.9000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"86141";"2022 CMS,AHA";"86141 - C-REACTIVE PROTEIN HS";"ein";"920041488";;"institutional";222.0000;181.2330;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"86431";"2022 CMS,AHA";"86431 - RHEUMATOID FACTOR QUANT";"ein";"920162721";;"institutional";216.0000;64.8000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"86780";"2022 CMS,AHA";"86780 - TREPONEMA PALLIDUM";"ein";"920162721";;"institutional";148.0000;88.5900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"86901";"2022 CMS,AHA";"86901 - BLOOD TYPING SEROLOGIC RH(D)";"ein";"910873623";;"institutional";133.3100;64.3500;"1306933643";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87088";"2022 CMS,AHA";"87088 - URINE BACTERIA CULTURE";"ein";"920162721";;"institutional";101.0000;59.1900;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87186";"2022 CMS,AHA";"87186 - MICROBE SUSCEPTIBLE MIC";"ein";"920162721";;"institutional";192.0000;112.5100;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87389";"2022 CMS,AHA";"87389 - HIV-1 AG W/HIV-1 & HIV-2 AB";"ein";"920162721";;"institutional";137.0000;83.8800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87491";"2022 CMS,AHA";"87491 - CHYLMD TRACH DNA AMP PROBE";"ein";"920162721";;"institutional";232.0000;133.5500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87491";"2022 CMS,AHA";"87491 - CHYLMD TRACH DNA AMP PROBE";"ein";"920162721";;"institutional";232.0000;142.0300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87591";"2022 CMS,AHA";"87591 - N.GONORRHOEAE DNA AMP PROB";"ein";"920041461";;"institutional";165.0000;123.7500;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87591";"2022 CMS,AHA";"87591 - N.GONORRHOEAE DNA AMP PROB";"ein";"920162721";;"institutional";464.0000;277.7400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87624";"2022 CMS,AHA";"87624 - HPV HIGH-RISK TYPES";"ein";"920041461";;"institutional";276.0000;207.0000;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"920162721";;"institutional";198.0000;102.6200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"920162721";;"institutional";204.0000;102.6200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"920162721";;"institutional";240.0000;102.6200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"920162721";;"institutional";704.0000;413.2500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"REVENUE CODE";"320";"2022 AHA";"DX X-RAY";"ein";"920041488";;"institutional";1042.0000;937.8000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Room and Board";"HCPCS";"12001";"2022 CMS,AHA";"12001 - RPR S/N/AX/GEN/TRNK 2.5CM/<";"ein";"920041461";;"institutional";900.0000;93.7575;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Room and Board";"HCPCS";"17110";"2022 CMS,AHA";"17110 - DESTRUCT B9 LESION 1-14";"ein";"920041461";;"institutional";418.8000;68.7900;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Room and Board";"HCPCS";"29888";"2022 CMS,AHA";"29888 - KNEE ARTHROSCOPY/SURGERY";"ein";"920162721";;"institutional";9791.0000;6364.1500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Room and Board";"REVENUE CODE";"120";"2022 AHA";"ROOM-BOARD/SIM";"ein";"920041488";;"institutional";32844.0000;32844.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Bakery Workers H&W Local 24";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"941105628";;"institutional";48.0000;8.1100;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Emergency Department Services";"HCPCS";"99281";"2022 CMS,AHA";"99281 - EMERGENCY DEPT VISIT";"ein";"956000930";;"institutional";572.0000;136.3400;"1821159195";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Emergency Department Services";"HCPCS";"99282";"2022 CMS,AHA";"99282 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";1248.0000;270.6500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"943302014";;"institutional";7.1100;1.5500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Pathology and Laboratory";"HCPCS";"86850";"2022 CMS,AHA";"86850 - RBC ANTIBODY SCREEN";"ein";"941105628";;"institutional";257.0000;46.1200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Psychological";"HCPCS";"H0002";"2022 CMS,AHA";"H0002 - ALCOHOL AND/OR DRUG SCREENIN";"ein";"474607572";;"institutional";814.0000;76.2800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Psychological";"HCPCS";"H0035";"2022 CMS,AHA";"H0035 - MH PARTIAL HOSP TX UNDER 24H";"ein";"474607572";;"institutional";2535.0000;110.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Radiology";"HCPCS";"76830";"2022 CMS,AHA";"76830 - TRANSVAGINAL US NON-OB";"ein";"831287043";;"institutional";1094.4900;0.0000;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Room and Board";"REVENUE CODE";"156";"2022 AHA";"DETOX/WARD";"ein";"832303473";;"institutional";3648.0000;2736.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"951816017";;"institutional";472.0000;52.0200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Pathology and Laboratory";"HCPCS";"84484";"2022 CMS,AHA";"84484 - ASSAY OF TROPONIN QUANT";"ein";"951816017";;"institutional";607.0000;66.8900;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"951816017";;"institutional";174.0000;19.1800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Radiology";"HCPCS";"70450";"2022 CMS,AHA";"70450 - CT HEAD/BRAIN W/O DYE";"ein";"202898771";;"institutional";5065.0000;671.2300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"636";"2022 AHA";"DRUGS/DETAIL CODE";"ein";"550383321";;"institutional";9.5800;8.6220;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"636";"2022 AHA";"DRUGS/DETAIL CODE";"ein";"550383321";;"institutional";58.7100;52.8390;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Pathology and Laboratory";"REVENUE CODE";"306";"2022 AHA";"LAB/BACT-MICRO";"ein";"550383321";;"institutional";970.0000;873.0000;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Room and Board";"REVENUE CODE";"200";"2022 AHA";"INTENSIVE CARE or (ICU)";"ein";"550383321";;"institutional";3630.0000;3267.0000;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"74220";"2022 CMS,AHA";"74220 - CONTRAST X-RAY ESOPHAGUS";"ein";"320499956";;"institutional";447.5100;205.4800;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"74220";"2022 CMS,AHA";"74220 - CONTRAST X-RAY ESOPHAGUS";"ein";"320499956";;"institutional";447.5100;447.5100;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"78816";"2022 CMS,AHA";"78816 - PET IMAGE W/CT FULL BODY";"ein";"746001118";;"institutional";7793.0000;7793.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"320499956";;"institutional";663.3200;0.0000;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"920016490";;"institutional";219.0000;208.0500;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"HCPCS";"11042";"2022 CMS,AHA";"11042 - DEB SUBQ TISSUE 20 SQ CM/<";"ein";"910564491";;"institutional";1520.5900;1064.4100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"HCPCS";"11406";"2022 CMS,AHA";"11406 - EXC TR-EXT B9+MARG >4.0 CM";"ein";"920077523";;"institutional";5360.0000;5360.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"HCPCS";"G0378";"2022 CMS,AHA";"G0378 - HOSPITAL OBSERVATION PER HR";"ein";"920016490";;"institutional";6768.0000;6429.6000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"HCPCS";"G0378";"2022 CMS,AHA";"G0378 - HOSPITAL OBSERVATION PER HR";"ein";"920016490";;"institutional";6768.0000;6768.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Administration";"HCPCS";"59025";"2022 CMS,AHA";"59025 - FETAL NON-STRESS TEST";"ein";"920162721";;"institutional";1005.0000;472.6700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"91305";"2022 CMS,AHA";"91305 - SARSCOV2 VAC 30 MCG TRS-SUCR";"ein";"920162721";;"institutional";0.0100;0.0065;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Pathology and Laboratory";"HCPCS";"87491";"2022 CMS,AHA";"87491 - CHYLMD TRACH DNA AMP PROBE";"ein";"920162721";;"institutional";696.0000;413.6700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Pathology and Laboratory";"HCPCS";"87661";"2022 CMS,AHA";"87661 - TRICHOMONAS VAGINALIS AMPLIF";"ein";"920162721";;"institutional";224.0000;133.1300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"99211";"2022 CMS,AHA";"99211 - OFFICE/OUTPATIENT VISIT EST";"ein";"920041488";;"institutional";217.0000;186.6420;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";229.0000;138.0700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";229.0000;143.0600;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";229.0000;148.8500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Ambulatory Surgical Care";"HCPCS";"52352";"2022 CMS,AHA";"52352 - CYSTOURETERO W/STONE REMOVE";"ein";"844668583";;"institutional";21500.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Ambulatory Surgical Care";"HCPCS";"J0690";"2022 CMS,AHA";"J0690 - CEFAZOLIN SODIUM INJECTION";"ein";"592280782";;"institutional";17.0000;5.2600;"1306995063";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Cardiovascular";"HCPCS";"93296";"2022 CMS,AHA";"93296 - PM/ICD REMOTE TECH SERV";"ein";"920162721";;"institutional";657.0000;197.1000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Digestive";"HCPCS";"45380";"2022 CMS,AHA";"45380 - COLONOSCOPY AND BIOPSY";"ein";"920041488";;"institutional";2779.0000;1986.9570;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"29125";"2022 CMS,AHA";"29125 - APPLY FOREARM SPLINT";"ein";"920162721";;"institutional";714.0000;436.9700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"29125";"2022 CMS,AHA";"29125 - APPLY FOREARM SPLINT";"ein";"920162721";;"institutional";714.0000;437.4000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Pathology and Laboratory";"HCPCS";"86900";"2022 CMS,AHA";"86900 - BLOOD TYPING SEROLOGIC ABO";"ein";"941105628";;"institutional";380.0000;68.1900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Pathology and Laboratory";"HCPCS";"87205";"2022 CMS,AHA";"87205 - SMEAR GRAM STAIN";"ein";"941105628";;"institutional";284.0000;55.7800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Psychological";"HCPCS";"90853";"2022 CMS,AHA";"90853 - GROUP PSYCHOTHERAPY";"ein";"823334211";;"institutional";1500.0000;170.1000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"831287043";;"institutional";2774.2900;0.0000;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"81025";"2022 CMS,AHA";"81025 - URINE PREGNANCY TEST";"ein";"831287043";;"institutional";143.3600;0.0000;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Psychological";"HCPCS";"T1023";"2022 CMS,AHA";"T1023 - PROGRAM INTAKE ASSESSMENT";"ein";"474607572";;"institutional";4095.0000;73.6200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Emergency Department Services";"HCPCS";"96360";"2022 CMS,AHA";"96360 - HYDRATION IV INFUSION INIT";"ein";"202898771";;"institutional";898.8500;119.1200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"951816017";;"institutional";2721.0000;299.8500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"202898771";;"institutional";837.0000;110.9200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Radiology";"HCPCS";"76770";"2022 CMS,AHA";"76770 - US EXAM ABDO BACK WALL COMP";"ein";"951816017";;"institutional";1678.0000;184.9200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Emergency Department Services";"REVENUE CODE";"450";"2022 AHA";"EMERG ROOM";"ein";"550383321";;"institutional";787.0000;708.3000;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"550383321";;"institutional";450.6800;405.6120;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"258";"2022 AHA";"IV SOLUTIONS";"ein";"550383321";;"institutional";120.0000;108.0000;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"636";"2022 AHA";"DRUGS/DETAIL CODE";"ein";"550383321";;"institutional";102.0200;91.8180;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Pathology and Laboratory";"REVENUE CODE";"300";"2022 AHA";"LABORATORY";"ein";"550383321";;"institutional";81.0000;72.9000;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Pathology and Laboratory";"REVENUE CODE";"301";"2022 AHA";"LAB/CHEMISTRY";"ein";"550383321";;"institutional";2038.0000;1834.2000;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Radiology";"REVENUE CODE";"730";"2022 AHA";"EKG/ECG";"ein";"550383321";;"institutional";205.0000;184.5000;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Administration";"HCPCS";"99205";"2022 CMS,AHA";"99205 - OFFICE/OUTPATIENT VISIT NEW";"ein";"471005761";;"institutional";725.0000;355.2500;"1558765420";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Administration";"HCPCS";"99215";"2022 CMS,AHA";"99215 - OFFICE/OUTPATIENT VISIT EST";"ein";"850416296";;"institutional";300.3800;164.4100;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Administration";"HCPCS";"V2103";"2022 CMS,AHA";"V2103 - SPHEROCYLINDR 4.00D/12-2.00D";"ein";"850416296";;"institutional";123.1800;109.7400;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Administration";"HCPCS";"V2784";"2022 CMS,AHA";"V2784 - LENS POLYCARB OR EQUAL";"ein";"850416296";;"institutional";138.6400;123.5100;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Ambulatory Surgical Care";"HCPCS";"20553";"2022 CMS,AHA";"20553 - INJECT TRIGGER POINTS 3/>";"ein";"870972215";;"institutional";2689.1500;380.0000;"1538838081";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Ambulatory Surgical Care";"HCPCS";"64484";"2022 CMS,AHA";"64484 - INJ FORAMEN EPIDURAL ADD-ON";"ein";"870972215";;"institutional";4402.2200;198.0600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"843073061";;"institutional";42.0000;4.3100;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"99281";"2022 CMS,AHA";"99281 - EMERGENCY DEPT VISIT";"ein";"910873623";;"institutional";442.6600;287.7300;"1306933643";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";1307.0000;771.7700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"920041488";;"institutional";1790.0000;1362.9600;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";2602.0000;1306.4300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920041488";;"institutional";82.2500;74.0250;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920162721";;"institutional";2.7500;1.5800;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90471";"2022 CMS,AHA";"90471 - IMMUNIZATION ADMIN";"ein";"920041488";;"institutional";205.0000;66.8160;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"91305";"2022 CMS,AHA";"91305 - SARSCOV2 VAC 30 MCG TRS-SUCR";"ein";"920162721";;"institutional";0.0100;0.0065;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"920041488";;"institutional";88.3500;79.5150;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2001";"2022 CMS,AHA";"J2001 - LIDOCAINE INJECTION";"ein";"920041461";;"institutional";114.6500;85.9875;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"920162721";;"institutional";69.9000;41.2200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3010";"2022 CMS,AHA";"J3010 - FENTANYL CITRATE INJECITON";"ein";"920162721";;"institutional";153.3000;99.6500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J9060";"2022 CMS,AHA";"J9060 - CISPLATIN 10 MG INJECTION";"ein";"320197974";;"institutional";467.6000;210.4200;"1508029422";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q0162";"2022 CMS,AHA";"Q0162 - ONDANSETRON ORAL";"ein";"920162721";;"institutional";89.2000;51.3400;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"920041488";;"institutional";49.0000;44.1000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"920041488";;"institutional";958.6500;958.6500;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920162721";;"institutional";54.0000;16.2000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80048";"2022 CMS,AHA";"80048 - METABOLIC PANEL TOTAL CA";"ein";"920162721";;"institutional";193.0000;57.9000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"910873623";;"institutional";249.9100;249.9100;"1306933643";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920162721";;"institutional";233.0000;71.3300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"920041488";;"institutional";213.0000;88.6230;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"920162721";;"institutional";184.0000;55.2000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"920162721";;"institutional";184.0000;109.3400;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87661";"2022 CMS,AHA";"87661 - TRICHOMONAS VAGINALIS AMPLIF";"ein";"920162721";;"institutional";224.0000;70.7100;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87880";"2022 CMS,AHA";"87880 - STREP A ASSAY W/OPTIC";"ein";"920041488";;"institutional";207.0000;87.4620;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"REVENUE CODE";"301";"2022 AHA";"LAB/CHEMISTRY";"ein";"920041488";;"institutional";2624.0000;2624.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"71046";"2022 CMS,AHA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"920162721";;"institutional";758.0000;319.6900;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"71046";"2022 CMS,AHA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"920162721";;"institutional";758.0000;447.0300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"72141";"2022 CMS,AHA";"72141 - MRI NECK SPINE W/O DYE";"ein";"920162721";;"institutional";4921.0000;1476.3000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"73130";"2022 CMS,AHA";"73130 - X-RAY EXAM OF HAND";"ein";"920041488";;"institutional";617.0000;185.6070;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"76857";"2022 CMS,AHA";"76857 - US EXAM PELVIC LIMITED";"ein";"920041488";;"institutional";690.0000;621.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"77063";"2022 CMS,AHA";"77063 - BREAST TOMOSYNTHESIS BI";"ein";"920162721";;"institutional";137.0000;89.0500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Room and Board";"HCPCS";"64450";"2022 CMS,AHA";"64450 - N BLOCK OTHER PERIPHERAL";"ein";"920162721";;"institutional";435.0000;282.7500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Room and Board";"HCPCS";"92504";"2022 CMS,AHA";"92504 - EAR MICROSCOPY EXAMINATION";"ein";"920162721";;"institutional";884.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Room and Board";"REVENUE CODE";"128";"2022 AHA";"REHAB/2BED";"ein";"844178336";;"institutional";3800.0000;1900.0000;"1528698321";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Room and Board";"REVENUE CODE";"180";"2022 AHA";"LEAVE OF ABSENCE OR LOA";"ein";"824196380";;"institutional";2700.0000;1620.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Room and Board";"REVENUE CODE";"360";"2022 AHA";"OR SERVICES";"ein";"920162721";;"institutional";9342.0000;6072.3000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Bakery Workers H&W Local 24";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"941105628";;"institutional";68.0000;11.4900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Emergency Department Services";"HCPCS";"99281";"2022 CMS,AHA";"99281 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";525.0000;146.1900;"1801960513";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"943302014";;"institutional";4084.7600;891.3900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"0004A";"2022 CMS,AHA";"0004A - ADM SARSCOV2 30MCG/0.3ML BST";"ein";"946000509";;"institutional";40.0000;9.7300;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"0054A";"2022 CMS,AHA";"0054A - ADM SARSCV2 30MCG TRS-SUCR B";"ein";"946000509";;"institutional";40.0000;40.0000;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90471";"2022 CMS,AHA";"90471 - IMMUNIZATION ADMIN";"ein";"946000509";;"institutional";15.0000;12.1300;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Pathology and Laboratory";"HCPCS";"83880";"2022 CMS,AHA";"83880 - ASSAY OF NATRIURETIC PEPTIDE";"ein";"941105628";;"institutional";461.0000;49.5700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"831287043";;"institutional";328.1000;0.0000;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Psychological";"HCPCS";"90832";"2022 CMS,AHA";"90832 - PSYTX PT&/FAMILY 30 MINUTES";"ein";"474607572";;"institutional";383.0000;135.4700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Administration";"HCPCS";"93926";"2022 CMS,AHA";"93926 - LOWER EXTREMITY STUDY";"ein";"473923087";;"institutional";1151.0500;92.9300;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Administration";"HCPCS";"93970";"2022 CMS,AHA";"93970 - EXTREMITY STUDY";"ein";"820984034";;"institutional";1893.4200;200.3500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Administration";"HCPCS";"99443";"2022 CMS,AHA";"99443 - PHONE E/M PHYS/QHP 21-30 MIN";"ein";"850416296";;"institutional";109.0100;35.6800;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"746000949";;"institutional";323.0000;137.3900;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Administration";"REVENUE CODE";"240";"2022 AHA";"ALL INCL ANCIL";"ein";"850416296";;"institutional";61777.3600;30056.0800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Ambulatory Surgical Care";"HCPCS";"64484";"2022 CMS,AHA";"64484 - INJ FORAMEN EPIDURAL ADD-ON";"ein";"871529394";;"institutional";30000.0000;7938.9000;"1437720828";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Auditory";"HCPCS";"92557";"2022 CMS,AHA";"92557 - COMPREHENSIVE HEARING TEST";"ein";"850416296";;"institutional";575.1800;186.8200;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Auditory";"HCPCS";"92567";"2022 CMS,AHA";"92567 - TYMPANOMETRY";"ein";"850416296";;"institutional";145.9700;47.4100;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Dialysis";"HCPCS";"A4928";"2022 CMS,AHA";"A4928 - SURGICAL MASK";"ein";"852007987";;"institutional";35.6400;1.6500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"29125";"2022 CMS,AHA";"29125 - APPLY FOREARM SPLINT";"ein";"833265408";;"institutional";529.1000;39.0450;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99282";"2022 CMS,AHA";"99282 - EMERGENCY DEPT VISIT";"ein";"843073061";;"institutional";867.7200;165.2400;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99282";"2022 CMS,AHA";"99282 - EMERGENCY DEPT VISIT";"ein";"850416296";;"institutional";539.5600;155.2600;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99282";"2022 CMS,AHA";"99282 - EMERGENCY DEPT VISIT";"ein";"850416296";;"institutional";539.5600;169.1100;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"464499268";;"institutional";2100.0000;291.4800;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"473231590";;"institutional";2265.3200;297.5600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"474187773";;"institutional";1336.0400;326.7800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"814084541";;"institutional";2265.3200;304.9100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"815038663";;"institutional";2265.3200;312.8200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"842951019";;"institutional";4200.0000;258.0500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"843073061";;"institutional";1603.5000;255.5400;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"843073061";;"institutional";1603.5000;296.2100;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"465735510";;"institutional";2480.0000;2108.0000;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"465735510";;"institutional";3100.0000;689.1400;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"472166397";;"institutional";3100.0000;415.0900;"1093191397";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"472616215";;"institutional";2480.0000;2108.0000;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"94761";"2022 CMS,AHA";"94761 - MEASURE BLOOD OXYGEN LEVEL";"ein";"472971495";;"institutional";675.0200;25.8700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"94761";"2022 CMS,AHA";"94761 - MEASURE BLOOD OXYGEN LEVEL";"ein";"851820772";;"institutional";85.2000;5.6600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"96365";"2022 CMS,AHA";"96365 - THER/PROPH/DIAG IV INF INIT";"ein";"811862049";;"institutional";439.0000;72.4000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"843073061";;"institutional";972.0000;163.3500;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"843073061";;"institutional";719.7500;95.8600;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"811862049";;"institutional";196.0000;32.3200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99000";"2022 CMS,AHA";"99000 - SPECIMEN HANDLING OFFICE-LAB";"ein";"843073061";;"institutional";152.3600;21.4000;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"463049741";;"institutional";2600.0000;243.6500;"1700214863";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"473231590";;"institutional";2265.3200;354.3800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"473923087";;"institutional";1336.0400;279.8300;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"474187773";;"institutional";1336.0400;249.4300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"842951019";;"institutional";5040.0000;336.6300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"871528012";;"institutional";2073.9000;175.6800;"1912677295";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"871528012";;"institutional";2073.9000;190.8800;"1912677295";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"843073061";;"institutional";2938.5300;301.6000;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"465735510";;"institutional";4237.5000;713.7500;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"820984034";;"institutional";3622.8600;383.3600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"472177648";;"institutional";23.2500;4.1900;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4207";"2022 CMS,AHA";"A4207 - 2 CC STERILE SYRINGE&NEEDLE";"ein";"473248194";;"institutional";50.0000;7.8900;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4208";"2022 CMS,AHA";"A4208 - 3 CC STERILE SYRINGE&NEEDLE";"ein";"870972215";;"institutional";120.7500;5.4300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4209";"2022 CMS,AHA";"A4209 - 5+ CC STERILE SYRINGE&NEEDLE";"ein";"472616215";;"institutional";100.0000;10.8970;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4213";"2022 CMS,AHA";"A4213 - 20+ CC SYRINGE ONLY";"ein";"465735510";;"institutional";10.0000;1.6800;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4213";"2022 CMS,AHA";"A4213 - 20+ CC SYRINGE ONLY";"ein";"473248194";;"institutional";10.0000;1.0900;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4215";"2022 CMS,AHA";"A4215 - STERILE NEEDLE";"ein";"464499268";;"institutional";10.7500;1.2000;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"81002";"2022 CMS,AHA";"81002 - URINALYSIS NONAUTO W/O SCOPE";"ein";"920162721";;"institutional";48.0000;31.2000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"81025";"2022 CMS,AHA";"81025 - URINE PREGNANCY TEST";"ein";"920162721";;"institutional";161.0000;99.2900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"81025";"2022 CMS,AHA";"81025 - URINE PREGNANCY TEST";"ein";"920162721";;"institutional";161.0000;104.6500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82043";"2022 CMS,AHA";"82043 - MICROALBUMIN QUANTITATIVE";"ein";"910873623";;"institutional";280.3400;173.3200;"1306933643";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82306";"2022 CMS,AHA";"82306 - VITAMIN D 25 HYDROXY";"ein";"910873623";;"institutional";629.1000;388.9400;"1306933643";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82306";"2022 CMS,AHA";"82306 - VITAMIN D 25 HYDROXY";"ein";"920041461";;"institutional";163.0000;122.2500;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82570";"2022 CMS,AHA";"82570 - ASSAY OF URINE CREATININE";"ein";"920162721";;"institutional";99.0000;64.3500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82627";"2022 CMS,AHA";"82627 - DEHYDROEPIANDROSTERONE";"ein";"920041461";;"institutional";144.0000;75.1650;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"920162721";;"institutional";63.0000;31.4400;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"910873623";;"institutional";185.0200;114.3900;"1306933643";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"920041488";;"institutional";200.0000;117.7560;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"920162721";;"institutional";220.0000;122.3800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83721";"2022 CMS,AHA";"83721 - ASSAY OF BLOOD LIPOPROTEIN";"ein";"920162721";;"institutional";129.0000;38.7000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83721";"2022 CMS,AHA";"83721 - ASSAY OF BLOOD LIPOPROTEIN";"ein";"920162721";;"institutional";133.0000;39.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83735";"2022 CMS,AHA";"83735 - ASSAY OF MAGNESIUM";"ein";"320197974";;"institutional";166.0000;74.7000;"1508029422";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84443";"2022 CMS,AHA";"84443 - ASSAY THYROID STIM HORMONE";"ein";"920041488";;"institutional";267.0000;240.3000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84443";"2022 CMS,AHA";"84443 - ASSAY THYROID STIM HORMONE";"ein";"920162721";;"institutional";215.0000;67.4400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84460";"2022 CMS,AHA";"84460 - ALANINE AMINO (ALT) (SGPT)";"ein";"920162721";;"institutional";152.0000;98.8000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920041488";;"institutional";170.0000;86.4450;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920162721";;"institutional";235.0000;73.7300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920162721";;"institutional";235.0000;152.7500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"85379";"2022 CMS,AHA";"85379 - FIBRIN DEGRADATION QUANT";"ein";"920162721";;"institutional";487.0000;316.5500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"86038";"2022 CMS,AHA";"86038 - ANTINUCLEAR ANTIBODIES";"ein";"920162721";;"institutional";185.0000;55.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Psychological";"HCPCS";"90837";"2022 CMS,AHA";"90837 - PSYTX PT&/FAMILY 60 MINUTES";"ein";"474607572";;"institutional";1020.0000;151.6800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Psychological";"HCPCS";"90876";"2022 CMS,AHA";"90876 - PSYCHOPHYSIOLOGICAL THERAPY";"ein";"474607572";;"institutional";1019.0000;619.7400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Psychological";"HCPCS";"90876";"2022 CMS,AHA";"90876 - PSYCHOPHYSIOLOGICAL THERAPY";"ein";"474607572";;"institutional";1019.0000;619.7400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Psychological";"HCPCS";"H0001";"2022 CMS,AHA";"H0001 - ALCOHOL AND/OR DRUG ASSESS";"ein";"474607572";;"institutional";4095.0000;383.0600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Psychological";"HCPCS";"H0015";"2022 CMS,AHA";"H0015 - ALCOHOL AND/OR DRUG SERVICES";"ein";"474607572";;"institutional";1563.0000;91.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Emergency Department Services";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"951816017";;"institutional";3070.0000;338.3200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Administration";"HCPCS";"95800";"2022 CMS,AHA";"95800 - SLP STDY UNATTENDED";"ein";"230465970";;"institutional";1066.0000;200.5000;"1902804552";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"550383321";;"institutional";273.2300;245.9070;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"550383321";;"institutional";378.5800;340.7220;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"800407200";;"institutional";104.0000;35.9200;"1467450353";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Pathology and Laboratory";"REVENUE CODE";"301";"2022 AHA";"LAB/CHEMISTRY";"ein";"550383321";;"institutional";950.0000;855.0000;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Pathology and Laboratory";"REVENUE CODE";"305";"2022 AHA";"LAB/HEMATOLOGY";"ein";"550383321";;"institutional";245.0000;220.5000;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Pathology and Laboratory";"REVENUE CODE";"310";"2022 AHA";"PATHOLOGY LAB";"ein";"550383321";;"institutional";505.0000;454.5000;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Room and Board";"HCPCS";"64491";"2022 CMS,AHA";"64491 - INJ PARAVERT F JNT C/T 2 LEV";"ein";"550383321";;"institutional";1178.0000;696.9300;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Administration";"HCPCS";"92083";"2022 CMS,AHA";"92083 - VISUAL FIELD EXAMINATION(S)";"ein";"860719852";;"institutional";249.9500;174.9600;"1780639971";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Administration";"HCPCS";"99214";"2022 CMS,AHA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"850416296";;"institutional";273.8600;75.9300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";;"2022 CMS,AHA";;"ein";"851820772";;"institutional";11288.0600;1451.0600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99000";"2022 CMS,AHA";"99000 - SPECIMEN HANDLING OFFICE-LAB";"ein";"843073061";;"institutional";152.3600;20.2900;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99000";"2022 CMS,AHA";"99000 - SPECIMEN HANDLING OFFICE-LAB";"ein";"851820772";;"institutional";338.8500;43.5600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99281";"2022 CMS,AHA";"99281 - EMERGENCY DEPT VISIT";"ein";"860719852";;"institutional";153.3500;107.3500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"472616215";;"institutional";1725.0000;304.1200;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"473231590";;"institutional";2265.3200;345.8200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"832010142";;"institutional";4200.0000;310.1000;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"833265408";;"institutional";2097.5000;154.7750;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"473231590";;"institutional";2774.2900;410.2300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"473248194";;"institutional";3100.0000;405.3000;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"474187773";;"institutional";1669.8000;261.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"820756286";;"institutional";1669.8000;286.3800;"1821501875";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"472177648";;"institutional";47.9000;6.3500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"823659997";;"institutional";3855.3000;751.0200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"94761";"2022 CMS,AHA";"94761 - MEASURE BLOOD OXYGEN LEVEL";"ein";"465702822";;"institutional";180.0000;35.6300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"94761";"2022 CMS,AHA";"94761 - MEASURE BLOOD OXYGEN LEVEL";"ein";"465735510";;"institutional";180.0000;25.2000;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4207";"2022 CMS,AHA";"A4207 - 2 CC STERILE SYRINGE&NEEDLE";"ein";"472616215";;"institutional";50.0000;42.5000;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4207";"2022 CMS,AHA";"A4207 - 2 CC STERILE SYRINGE&NEEDLE";"ein";"473248194";;"institutional";50.0000;7.4900;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4208";"2022 CMS,AHA";"A4208 - 3 CC STERILE SYRINGE&NEEDLE";"ein";"842951019";;"institutional";138.0000;7.1000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4209";"2022 CMS,AHA";"A4209 - 5+ CC STERILE SYRINGE&NEEDLE";"ein";"473248194";;"institutional";50.0000;5.4300;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4209";"2022 CMS,AHA";"A4209 - 5+ CC STERILE SYRINGE&NEEDLE";"ein";"473248194";;"institutional";100.0000;15.7700;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4209";"2022 CMS,AHA";"A4209 - 5+ CC STERILE SYRINGE&NEEDLE";"ein";"842951019";;"institutional";125.0000;7.5400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4209";"2022 CMS,AHA";"A4209 - 5+ CC STERILE SYRINGE&NEEDLE";"ein";"842951019";;"institutional";125.0000;10.5900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4209";"2022 CMS,AHA";"A4209 - 5+ CC STERILE SYRINGE&NEEDLE";"ein";"870972215";;"institutional";362.2500;16.3000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4213";"2022 CMS,AHA";"A4213 - 20+ CC SYRINGE ONLY";"ein";"273908339";;"institutional";13.6800;1.8000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4213";"2022 CMS,AHA";"A4213 - 20+ CC SYRINGE ONLY";"ein";"473248194";;"institutional";10.0000;1.5800;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4215";"2022 CMS,AHA";"A4215 - STERILE NEEDLE";"ein";"273908339";;"institutional";49.2200;8.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4215";"2022 CMS,AHA";"A4215 - STERILE NEEDLE";"ein";"473248194";;"institutional";20.0000;2.1700;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4215";"2022 CMS,AHA";"A4215 - STERILE NEEDLE";"ein";"473248194";;"institutional";20.0000;3.1500;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4216";"2022 CMS,AHA";"A4216 - STERILE WATER/SALINE, 10 ML";"ein";"464499268";;"institutional";3.0000;0.3200;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4216";"2022 CMS,AHA";"A4216 - STERILE WATER/SALINE, 10 ML";"ein";"473248194";;"institutional";10.0000;1.5800;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4327";"2022 CMS,AHA";"A4327 - FEM URINARY COLLECT DEV CUP";"ein";"871528012";;"institutional";77.1800;7.1000;"1912677295";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4215";"2022 CMS,AHA";"A4215 - STERILE NEEDLE";"ein";"465735510";;"institutional";20.0000;3.3700;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4215";"2022 CMS,AHA";"A4215 - STERILE NEEDLE";"ein";"465735510";;"institutional";20.0000;17.0000;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4215";"2022 CMS,AHA";"A4215 - STERILE NEEDLE";"ein";"870972215";;"institutional";1125.6000;50.6400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4216";"2022 CMS,AHA";"A4216 - STERILE WATER/SALINE, 10 ML";"ein";"465735510";;"institutional";10.0000;1.6800;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4216";"2022 CMS,AHA";"A4216 - STERILE WATER/SALINE, 10 ML";"ein";"473248194";;"institutional";10.0000;1.0900;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4216";"2022 CMS,AHA";"A4216 - STERILE WATER/SALINE, 10 ML";"ein";"832010142";;"institutional";125.0000;9.0600;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4216";"2022 CMS,AHA";"A4216 - STERILE WATER/SALINE, 10 ML";"ein";"842951019";;"institutional";250.0000;15.0800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4216";"2022 CMS,AHA";"A4216 - STERILE WATER/SALINE, 10 ML";"ein";"842951019";;"institutional";250.0000;21.1800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4216";"2022 CMS,AHA";"A4216 - STERILE WATER/SALINE, 10 ML";"ein";"870972215";;"institutional";448.5000;20.1800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4223";"2022 CMS,AHA";"A4223 - INFUSION SUPPLIES W/O PUMP";"ein";"851820772";;"institutional";24.6000;3.1600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4244";"2022 CMS,AHA";"A4244 - ALCOHOL OR PEROXIDE PER PINT";"ein";"842951019";;"institutional";138.0000;7.1000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4245";"2022 CMS,AHA";"A4245 - ALCOHOL WIPES PER BOX";"ein";"851984103";;"institutional";64.5300;2.4800;"1376151365";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4467";"2022 CMS,AHA";"A4467 - BELT STRAP SLEEV GRMNT COVER";"ein";"852007987";;"institutional";2370.6000;109.7400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4606";"2022 CMS,AHA";"A4606 - OXYGEN PROBE USED W OXIMETER";"ein";"465735510";;"institutional";170.0000;28.6400;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4606";"2022 CMS,AHA";"A4606 - OXYGEN PROBE USED W OXIMETER";"ein";"473248194";;"institutional";170.0000;30.5600;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4606";"2022 CMS,AHA";"A4606 - OXYGEN PROBE USED W OXIMETER";"ein";"832010142";;"institutional";138.0000;4.7300;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"465735510";;"institutional";280.0000;0.0000;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"472166397";;"institutional";10.0000;0.0000;"1093191397";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"472616215";;"institutional";60.0000;0.0000;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"472616215";;"institutional";280.0000;0.0000;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"472971495";;"institutional";2750.6000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"473248194";;"institutional";2.0000;0.0000;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4663";"2022 CMS,AHA";"A4663 - DIALYSIS BLOOD PRESSURE CUFF";"ein";"870972215";;"institutional";948.7500;42.6800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4670";"2022 CMS,AHA";"A4670 - AUTOMATIC BP MONITOR, DIAL";"ein";"472616215";;"institutional";50.0000;10.6700;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"86141";"2022 CMS,AHA";"86141 - C-REACTIVE PROTEIN HS";"ein";"920162721";;"institutional";196.0000;58.8000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"86696";"2022 CMS,AHA";"86696 - HERPES SIMPLEX TYPE 2 TEST";"ein";"920162721";;"institutional";141.0000;42.3000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87040";"2022 CMS,AHA";"87040 - BLOOD CULTURE FOR BACTERIA";"ein";"920162721";;"institutional";796.0000;482.3000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87046";"2022 CMS,AHA";"87046 - STOOL CULTR AEROBIC BACT EA";"ein";"920162721";;"institutional";124.0000;37.9700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87486";"2022 CMS,AHA";"87486 - CHYLMD PNEUM DNA AMP PROBE";"ein";"920041488";;"institutional";183.0000;156.8880;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87491";"2022 CMS,AHA";"87491 - CHYLMD TRACH DNA AMP PROBE";"ein";"920162721";;"institutional";225.0000;116.4500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87491";"2022 CMS,AHA";"87491 - CHYLMD TRACH DNA AMP PROBE";"ein";"920162721";;"institutional";232.0000;73.2300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87581";"2022 CMS,AHA";"87581 - M.PNEUMON DNA AMP PROBE";"ein";"920041488";;"institutional";183.0000;156.8880;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87591";"2022 CMS,AHA";"87591 - N.GONORRHOEAE DNA AMP PROB";"ein";"920162721";;"institutional";232.0000;133.5500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"920162721";;"institutional";204.0000;132.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"88142";"2022 CMS,AHA";"88142 - CYTOPATH C/V THIN LAYER";"ein";"920162721";;"institutional";146.0000;91.2100;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"88175";"2022 CMS,AHA";"88175 - CYTOPATH C/V AUTO FLUID REDO";"ein";"920041461";;"institutional";218.0000;163.5000;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"88304";"2022 CMS,AHA";"88304 - TISSUE EXAM BY PATHOLOGIST";"ein";"920162721";;"institutional";232.0000;150.8000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"89060";"2022 CMS,AHA";"89060 - EXAM SYNOVIAL FLUID CRYSTALS";"ein";"920162721";;"institutional";266.0000;153.1200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Physical Therapy";"HCPCS";"97535";"2022 CMS,AHA";"97535 - SELF CARE MNGMENT TRAINING";"ein";"920162721";;"institutional";518.0000;155.4000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Psychological";"HCPCS";"S0201";"2022 CMS,AHA";"S0201 - PARTIAL HOSPITALIZATION SERV";"ein";"472119460";;"institutional";3708.0000;2595.6000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Psychological";"HCPCS";"S0201";"2022 CMS,AHA";"S0201 - PARTIAL HOSPITALIZATION SERV";"ein";"582670224";;"institutional";2970.0000;2227.5000;"1649500182";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"72100";"2022 CMS,AHA";"72100 - X-RAY EXAM L-S SPINE 2/3 VWS";"ein";"320197974";;"institutional";826.0000;371.7000;"1508029422";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"73560";"2022 CMS,AHA";"73560 - X-RAY EXAM OF KNEE 1 OR 2";"ein";"920162721";;"institutional";730.0000;252.5000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"73562";"2022 CMS,AHA";"73562 - X-RAY EXAM OF KNEE 3";"ein";"920162721";;"institutional";895.0000;450.1800;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"76000";"2022 CMS,AHA";"76000 - FLUOROSCOPE EXAMINATION";"ein";"844668583";;"institutional";1350.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"76536";"2022 CMS,AHA";"76536 - US EXAM OF HEAD AND NECK";"ein";"920162721";;"institutional";1107.0000;340.1200;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"G1004";"2022 CMS,AHA";"G1004 - CDSM NDSC";"ein";"920162721";;"institutional";0.0100;0.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"842951019";;"institutional";5040.0000;315.4400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"465735510";;"institutional";3100.0000;506.0100;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"473231590";;"institutional";2774.2900;446.9500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"473248194";;"institutional";3100.0000;415.0900;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"473248194";;"institutional";3100.0000;424.7900;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"842951019";;"institutional";5400.0000;277.7900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"843073061";;"institutional";2938.5300;391.3800;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"832010142";;"institutional";6000.0000;205.9700;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"842951019";;"institutional";5000.0000;423.5700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"REVENUE CODE";"450";"2022 AHA";"EMERG ROOM";"ein";"383813467";;"institutional";4687.6500;4218.8800;"1497053912";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Infant";"REVENUE CODE";"171";"2022 AHA";"NURSERY/NEWBORN";"ein";"201547519";;"institutional";594.5000;190.4772;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"751912147";;"institutional";504.4700;0.0000;"1023013448";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"752756307";;"institutional";194.6300;164.0900;"1669480323";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"94761";"2022 CMS,AHA";"94761 - MEASURE BLOOD OXYGEN LEVEL";"ein";"473248194";;"institutional";180.0000;19.5300;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4206";"2022 CMS,AHA";"A4206 - 1 CC STERILE SYRINGE&NEEDLE";"ein";"473248194";;"institutional";50.0000;7.4900;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4215";"2022 CMS,AHA";"A4215 - STERILE NEEDLE";"ein";"464499268";;"institutional";10.7500;1.1500;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4215";"2022 CMS,AHA";"A4215 - STERILE NEEDLE";"ein";"842951019";;"institutional";250.0000;14.8900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4216";"2022 CMS,AHA";"A4216 - STERILE WATER/SALINE, 10 ML";"ein";"273908339";;"institutional";6.8700;0.9000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4216";"2022 CMS,AHA";"A4216 - STERILE WATER/SALINE, 10 ML";"ein";"472616215";;"institutional";10.0000;1.0880;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4244";"2022 CMS,AHA";"A4244 - ALCOHOL OR PEROXIDE PER PINT";"ein";"842951019";;"institutional";250.0000;14.8900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4248";"2022 CMS,AHA";"A4248 - CHLORHEXIDINE ANTISEPT";"ein";"842951019";;"institutional";125.0000;10.5900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4450";"2022 CMS,AHA";"A4450 - NON-WATERPROOF TAPE";"ein";"870972215";;"institutional";104.0100;4.6300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4467";"2022 CMS,AHA";"A4467 - BELT STRAP SLEEV GRMNT COVER";"ein";"852007987";;"institutional";2370.6000;108.4000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4606";"2022 CMS,AHA";"A4606 - OXYGEN PROBE USED W OXIMETER";"ein";"465702822";;"institutional";170.0000;26.3400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4452";"2022 CMS,AHA";"A4452 - WATERPROOF TAPE";"ein";"870972215";;"institutional";155.2500;6.9800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4467";"2022 CMS,AHA";"A4467 - BELT STRAP SLEEV GRMNT COVER";"ein";"870972215";;"institutional";1035.0000;46.5600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4606";"2022 CMS,AHA";"A4606 - OXYGEN PROBE USED W OXIMETER";"ein";"465702822";;"institutional";170.0000;33.6500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4606";"2022 CMS,AHA";"A4606 - OXYGEN PROBE USED W OXIMETER";"ein";"473248194";;"institutional";170.0000;22.2800;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4606";"2022 CMS,AHA";"A4606 - OXYGEN PROBE USED W OXIMETER";"ein";"473248194";;"institutional";170.0000;22.6000;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4606";"2022 CMS,AHA";"A4606 - OXYGEN PROBE USED W OXIMETER";"ein";"473248194";;"institutional";170.0000;22.7600;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4606";"2022 CMS,AHA";"A4606 - OXYGEN PROBE USED W OXIMETER";"ein";"473248194";;"institutional";170.0000;23.2900;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"465735510";;"institutional";60.0000;0.0000;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"473248194";;"institutional";4.0000;0.0000;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"473248194";;"institutional";120.0000;0.0000;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"473248194";;"institutional";175.0000;0.0000;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"851820772";;"institutional";2750.6000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"851931245";;"institutional";2750.6000;0.0000;"1750909974";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4657";"2022 CMS,AHA";"A4657 - SYRINGE W/WO NEEDLE";"ein";"852007987";;"institutional";65.0000;2.9700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4670";"2022 CMS,AHA";"A4670 - AUTOMATIC BP MONITOR, DIAL";"ein";"473248194";;"institutional";50.0000;7.0900;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4670";"2022 CMS,AHA";"A4670 - AUTOMATIC BP MONITOR, DIAL";"ein";"852007987";;"institutional";78.3200;3.6300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4930";"2022 CMS,AHA";"A4930 - STERILE, GLOVES PER PAIR";"ein";"832010142";;"institutional";45.0000;4.3300;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4930";"2022 CMS,AHA";"A4930 - STERILE, GLOVES PER PAIR";"ein";"832010142";;"institutional";50.0000;1.7200;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6203";"2022 CMS,AHA";"A6203 - COMPOSITE DRSG <= 16 SQ IN";"ein";"464499268";;"institutional";15.0000;1.6100;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6203";"2022 CMS,AHA";"A6203 - COMPOSITE DRSG <= 16 SQ IN";"ein";"851820772";;"institutional";130.1400;16.7300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6257";"2022 CMS,AHA";"A6257 - TRANSPARENT FILM <= 16 SQ IN";"ein";"852007987";;"institutional";67.5000;3.0800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6413";"2022 CMS,AHA";"A6413 - ADHESIVE BANDAGE, FIRST-AID";"ein";"852007987";;"institutional";48.6000;2.2200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"C1751";"2022 CMS,AHA";"C1751 - CATH, INF, PER/CENT/MIDLINE";"ein";"464499268";;"institutional";475.0000;53.2400;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"E0776";"2022 CMS,AHA";"E0776 - IV POLE";"ein";"472616215";;"institutional";120.0000;25.6000;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4670";"2022 CMS,AHA";"A4670 - AUTOMATIC BP MONITOR, DIAL";"ein";"472616215";;"institutional";50.0000;42.5000;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4670";"2022 CMS,AHA";"A4670 - AUTOMATIC BP MONITOR, DIAL";"ein";"473248194";;"institutional";50.0000;6.8500;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4670";"2022 CMS,AHA";"A4670 - AUTOMATIC BP MONITOR, DIAL";"ein";"473248194";;"institutional";50.0000;9.0600;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6203";"2022 CMS,AHA";"A6203 - COMPOSITE DRSG <= 16 SQ IN";"ein";"852007987";;"institutional";130.1400;5.9500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6216";"2022 CMS,AHA";"A6216 - NON-STERILE GAUZE<=16 SQ IN";"ein";"472616215";;"institutional";20.0000;17.0000;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6250";"2022 CMS,AHA";"A6250 - SKIN SEAL PROTECT MOISTURIZR";"ein";"473248194";;"institutional";50.0000;8.4300;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6251";"2022 CMS,AHA";"A6251 - ABSORPT DRG <=16 SQ IN W/O B";"ein";"473248194";;"institutional";40.0000;6.7400;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6402";"2022 CMS,AHA";"A6402 - STERILE GAUZE <= 16 SQ IN";"ein";"473248194";;"institutional";40.0000;5.9900;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6413";"2022 CMS,AHA";"A6413 - ADHESIVE BANDAGE, FIRST-AID";"ein";"473248194";;"institutional";10.0000;1.3700;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6413";"2022 CMS,AHA";"A6413 - ADHESIVE BANDAGE, FIRST-AID";"ein";"473248194";;"institutional";10.0000;1.6900;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6453";"2022 CMS,AHA";"A6453 - SELF-ADHER BAND W <3""/YD";"ein";"832010142";;"institutional";138.0000;4.7300;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"473231590";;"institutional";112.0400;16.9200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"L4350";"2022 CMS,AHA";"L4350 - ANKLE CONTROL ORTHO PRE OTS";"ein";"472616215";;"institutional";510.0000;433.5000;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"S1015";"2022 CMS,AHA";"S1015 - IV TUBING EXTENSION SET";"ein";"842951019";;"institutional";75.0000;6.3500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"860719852";;"institutional";65.8800;46.1200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"860719857";;"institutional";78.2100;54.7500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"87086";"2022 CMS,AHA";"87086 - URINE CULTURE/COLONY COUNT";"ein";"854042853";;"institutional";479.0300;51.9600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96360";"2022 CMS,AHA";"96360 - HYDRATION IV INFUSION INIT";"ein";"851820772";;"institutional";2550.9600;327.9200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96365";"2022 CMS,AHA";"96365 - THER/PROPH/DIAG IV INF INIT";"ein";"472177648";;"institutional";1451.0000;261.4700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"473231590";;"institutional";454.3500;47.8400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"473231590";;"institutional";454.3500;64.9100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"842951019";;"institutional";1030.4000;62.1400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"473923087";;"institutional";1597.9800;117.0700;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"474187773";;"institutional";266.3300;62.4400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Room and Board";"HCPCS";"29880";"2022 CMS,AHA";"29880 - KNEE ARTHROSCOPY/SURGERY";"ein";"920162721";;"institutional";9791.0000;6364.1500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Room and Board";"HCPCS";"58301";"2022 CMS,AHA";"58301 - REMOVE INTRAUTERINE DEVICE";"ein";"920041461";;"institutional";215.0000;161.2500;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Room and Board";"HCPCS";"62321";"2022 CMS,AHA";"62321 - NJX INTERLAMINAR CRV/THRC";"ein";"920162721";;"institutional";2672.0000;1690.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Room and Board";"HCPCS";"92504";"2022 CMS,AHA";"92504 - EAR MICROSCOPY EXAMINATION";"ein";"920162721";;"institutional";884.0000;574.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Bakery Workers H&W Local 24";"group";"Pathology and Laboratory";"HCPCS";"82803";"2022 CMS,AHA";"82803 - BLOOD GASES ANY COMBINATION";"ein";"941105628";;"institutional";647.0000;109.3000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Bakery Workers H&W Local 24";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"941105628";;"institutional";183.0000;30.9200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Bakery Workers H&W Local 24";"group";"Radiology";"HCPCS";"71045";"2022 CMS,AHA";"71045 - X-RAY EXAM CHEST 1 VIEW";"ein";"941105628";;"institutional";636.0000;107.4400;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Ambulatory Surgical Care";"HCPCS";"41899";"2022 CMS,AHA";"41899 - DENTAL SURGERY PROCEDURE";"ein";"203350078";;"institutional";2961.0100;370.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Emergency Department Services";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"941105628";;"institutional";307.0000;66.5800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Emergency Department Services";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"941105628";;"institutional";887.0000;159.1700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Emergency Department Services";"HCPCS";"99282";"2022 CMS,AHA";"99282 - EMERGENCY DEPT VISIT";"ein";"943302014";;"institutional";1240.4400;315.8700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Pathology and Laboratory";"HCPCS";"80051";"2022 CMS,AHA";"80051 - ELECTROLYTE PANEL";"ein";"941105628";;"institutional";78.0000;13.9900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"941105628";;"institutional";108.0000;23.4200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"941105628";;"institutional";48.0000;8.6100;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"941105628";;"institutional";48.0000;9.4300;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"941105628";;"institutional";183.0000;35.9400;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Radiology";"HCPCS";"74022";"2022 CMS,AHA";"74022 - X-RAY EXAM SERIES ABDOMEN";"ein";"941105628";;"institutional";967.0000;209.7100;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Psychological";"HCPCS";"90834";"2022 CMS,AHA";"90834 - PSYTX PT&/FAMILY 45 MINUTES";"ein";"474607572";;"institutional";805.0000;154.5900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Psychological";"HCPCS";"90837";"2022 CMS,AHA";"90837 - PSYTX PT&/FAMILY 60 MINUTES";"ein";"474607572";;"institutional";1020.0000;151.6800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Psychological";"HCPCS";"H0015";"2022 CMS,AHA";"H0015 - ALCOHOL AND/OR DRUG SERVICES";"ein";"850958497";;"institutional";1800.0000;113.4000;"1932727096";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Radiology";"HCPCS";"73060";"2022 CMS,AHA";"73060 - X-RAY EXAM OF HUMERUS";"ein";"956000930";;"institutional";597.6900;128.6200;"1821159195";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"951816017";;"institutional";11.4700;1.2600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"202898771";;"institutional";1058.0000;140.2100;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4606";"2022 CMS,AHA";"A4606 - OXYGEN PROBE USED W OXIMETER";"ein";"465735510";;"institutional";170.0000;144.5000;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4606";"2022 CMS,AHA";"A4606 - OXYGEN PROBE USED W OXIMETER";"ein";"472166397";;"institutional";170.0000;22.7600;"1093191397";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4606";"2022 CMS,AHA";"A4606 - OXYGEN PROBE USED W OXIMETER";"ein";"472616215";;"institutional";170.0000;29.9700;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4606";"2022 CMS,AHA";"A4606 - OXYGEN PROBE USED W OXIMETER";"ein";"473248194";;"institutional";170.0000;22.2300;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4606";"2022 CMS,AHA";"A4606 - OXYGEN PROBE USED W OXIMETER";"ein";"473248194";;"institutional";170.0000;27.1400;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4606";"2022 CMS,AHA";"A4606 - OXYGEN PROBE USED W OXIMETER";"ein";"473248194";;"institutional";170.0000;28.6800;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"473248194";;"institutional";6.0000;0.0000;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"473248194";;"institutional";10.0000;0.0000;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"842951019";;"institutional";500.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4670";"2022 CMS,AHA";"A4670 - AUTOMATIC BP MONITOR, DIAL";"ein";"473248194";;"institutional";227.0000;24.6300;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4670";"2022 CMS,AHA";"A4670 - AUTOMATIC BP MONITOR, DIAL";"ein";"473248194";;"institutional";227.0000;30.1700;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4670";"2022 CMS,AHA";"A4670 - AUTOMATIC BP MONITOR, DIAL";"ein";"851820772";;"institutional";78.3200;10.0600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4670";"2022 CMS,AHA";"A4670 - AUTOMATIC BP MONITOR, DIAL";"ein";"851984103";;"institutional";78.3200;3.0200;"1376151365";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4673";"2022 CMS,AHA";"A4673 - EXT LINE W EASY LOCK CONNECT";"ein";"472616215";;"institutional";20.0000;4.2700;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4927";"2022 CMS,AHA";"A4927 - NON-STERILE GLOVES";"ein";"870972215";;"institutional";134.0900;6.0300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4930";"2022 CMS,AHA";"A4930 - STERILE, GLOVES PER PAIR";"ein";"472971495";;"institutional";216.0000;8.2800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4930";"2022 CMS,AHA";"A4930 - STERILE, GLOVES PER PAIR";"ein";"831973983";;"institutional";50.0000;3.0100;"1669020277";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4930";"2022 CMS,AHA";"A4930 - STERILE, GLOVES PER PAIR";"ein";"842951019";;"institutional";45.0000;2.7100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4930";"2022 CMS,AHA";"A4930 - STERILE, GLOVES PER PAIR";"ein";"852007987";;"institutional";216.0000;9.8800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6257";"2022 CMS,AHA";"A6257 - TRANSPARENT FILM <= 16 SQ IN";"ein";"273908339";;"institutional";17.1800;2.2600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6402";"2022 CMS,AHA";"A6402 - STERILE GAUZE <= 16 SQ IN";"ein";"473248194";;"institutional";20.0000;2.1100;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6402";"2022 CMS,AHA";"A6402 - STERILE GAUZE <= 16 SQ IN";"ein";"473248194";;"institutional";20.0000;2.8400;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6413";"2022 CMS,AHA";"A6413 - ADHESIVE BANDAGE, FIRST-AID";"ein";"273908339";;"institutional";0.7500;0.1200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6413";"2022 CMS,AHA";"A6413 - ADHESIVE BANDAGE, FIRST-AID";"ein";"473248194";;"institutional";10.0000;1.4200;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96376";"2022 CMS,AHA";"96376 - TX/PRO/DX INJ SAME DRUG ADON";"ein";"473231590";;"institutional";334.1400;50.1600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96376";"2022 CMS,AHA";"96376 - TX/PRO/DX INJ SAME DRUG ADON";"ein";"473923087";;"institutional";289.2900;43.6100;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0696";"2022 CMS,AHA";"J0696 - CEFTRIAXONE SODIUM INJECTION";"ein";"473231590";;"institutional";268.5600;46.5700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1100";"2022 CMS,AHA";"J1100 - DEXAMETHASONE SODIUM PHOS";"ein";"473231590";;"institutional";325.3000;60.2800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1100";"2022 CMS,AHA";"J1100 - DEXAMETHASONE SODIUM PHOS";"ein";"842951019";;"institutional";200.0000;11.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"473248194";;"institutional";154.2400;21.8800;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"473923087";;"institutional";150.0000;12.1200;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"842951019";;"institutional";228.0000;12.6500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"852007987";;"institutional";84.2400;3.8500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"854042853";;"institutional";81.5800;8.8400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2270";"2022 CMS,AHA";"J2270 - MORPHINE SULFATE INJECTION";"ein";"473231590";;"institutional";32.5300;5.3500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2270";"2022 CMS,AHA";"J2270 - MORPHINE SULFATE INJECTION";"ein";"473248194";;"institutional";30.0000;4.7300;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2270";"2022 CMS,AHA";"J2270 - MORPHINE SULFATE INJECTION";"ein";"842951019";;"institutional";190.0000;11.4600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2360";"2022 CMS,AHA";"J2360 - ORPHENADRINE INJECTION";"ein";"473923087";;"institutional";161.1100;13.0100;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"474187773";;"institutional";112.6400;25.4100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"820756286";;"institutional";225.2800;38.6400;"1821501875";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"843073061";;"institutional";42.0000;5.5900;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3301";"2022 CMS,AHA";"J3301 - TRIAMCINOLONE ACET INJ NOS";"ein";"870972215";;"institutional";3068.5600;138.0500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3420";"2022 CMS,AHA";"J3420 - VITAMIN B12 INJECTION";"ein";"474187773";;"institutional";117.1000;26.4200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3490";"2022 CMS,AHA";"J3490 - DRUGS UNCLASSIFIED INJECTION";"ein";"465735510";;"institutional";64.0700;0.0000;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3490";"2022 CMS,AHA";"J3490 - DRUGS UNCLASSIFIED INJECTION";"ein";"842951019";;"institutional";30.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"273908339";;"institutional";208.7000;27.4400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"472177648";;"institutional";30.0000;3.9800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"473231590";;"institutional";80.6300;12.1000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90471";"2022 CMS,AHA";"90471 - IMMUNIZATION ADMIN";"ein";"850416296";;"institutional";369.7400;102.5100;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96360";"2022 CMS,AHA";"96360 - HYDRATION IV INFUSION INIT";"ein";"465735510";;"institutional";340.0000;57.2700;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"472616215";;"institutional";320.0000;68.2700;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"852489965";;"institutional";313.7000;31.7400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96365";"2022 CMS,AHA";"96365 - THER/PROPH/DIAG IV INF INIT";"ein";"474187773";;"institutional";476.0300;74.5500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96367";"2022 CMS,AHA";"96367 - TX/PROPH/DG ADDL SEQ IV INF";"ein";"474187773";;"institutional";344.4000;64.3000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"473231590";;"institutional";328.1000;44.0900;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"473231590";;"institutional";328.1000;56.8900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"473231590";;"institutional";984.3000;145.5500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"473231590";;"institutional";1312.4000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"842951019";;"institutional";1030.4000;87.2800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96376";"2022 CMS,AHA";"96376 - TX/PRO/DX INJ SAME DRUG ADON";"ein";"473923087";;"institutional";1735.7400;127.1600;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0561";"2022 CMS,AHA";"J0561 - PENICILLIN G BENZATHINE INJ";"ein";"473231590";;"institutional";164.2800;24.8000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0696";"2022 CMS,AHA";"J0696 - CEFTRIAXONE SODIUM INJECTION";"ein";"464499268";;"institutional";120.0000;12.8900;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0696";"2022 CMS,AHA";"J0696 - CEFTRIAXONE SODIUM INJECTION";"ein";"843073061";;"institutional";42.0000;7.0600;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1100";"2022 CMS,AHA";"J1100 - DEXAMETHASONE SODIUM PHOS";"ein";"473231590";;"institutional";325.3000;43.7200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1642";"2022 CMS,AHA";"J1642 - INJ HEPARIN SODIUM PER 10 U";"ein";"852007987";;"institutional";31.8600;1.4600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1642";"2022 CMS,AHA";"J1642 - INJ HEPARIN SODIUM PER 10 U";"ein";"870972215";;"institutional";2055.6300;92.4800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"473248194";;"institutional";154.2400;23.1200;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"474187773";;"institutional";50.0000;11.7200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"842951019";;"institutional";190.0000;16.0900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"843073061";;"institutional";29.8000;4.1800;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2270";"2022 CMS,AHA";"J2270 - MORPHINE SULFATE INJECTION";"ein";"473231590";;"institutional";32.5300;32.5300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2270";"2022 CMS,AHA";"J2270 - MORPHINE SULFATE INJECTION";"ein";"852007987";;"institutional";63.4500;2.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"550383321";;"institutional";15.7500;9.3200;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"258";"2022 AHA";"IV SOLUTIONS";"ein";"550383321";;"institutional";485.6300;437.0670;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Pathology and Laboratory";"REVENUE CODE";"305";"2022 AHA";"LAB/HEMATOLOGY";"ein";"550383321";;"institutional";186.0000;167.4000;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Pathology and Laboratory";"REVENUE CODE";"306";"2022 AHA";"LAB/BACT-MICRO";"ein";"550383321";;"institutional";155.0000;139.5000;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Radiology";"REVENUE CODE";"324";"2022 AHA";"DX X-RAY/CHEST";"ein";"550383321";;"institutional";317.0000;285.3000;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Respiratory";"REVENUE CODE";"410";"2022 AHA";"RESPIRATORY SVC";"ein";"550383321";;"institutional";189.0000;170.1000;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Administration";"HCPCS";"93971";"2022 CMS,AHA";"93971 - EXTREMITY STUDY";"ein";"473923087";;"institutional";844.9200;68.2200;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Administration";"HCPCS";"V2744";"2022 CMS,AHA";"V2744 - TINT PHOTOCHROMATIC LENS/ES";"ein";"850416296";;"institutional";87.2200;77.7100;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Ambulatory Surgical Care";"HCPCS";"64450";"2022 CMS,AHA";"64450 - N BLOCK OTHER PERIPHERAL";"ein";"870972215";;"institutional";3062.0000;401.7300;"1538838081";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"94761";"2022 CMS,AHA";"94761 - MEASURE BLOOD OXYGEN LEVEL";"ein";"851820772";;"institutional";85.2000;10.9500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"842951019";;"institutional";2520.0000;150.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"843073061";;"institutional";648.0000;91.0200;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"463151282";;"institutional";2100.0000;230.5900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"464499268";;"institutional";2100.0000;0.0000;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"812098192";;"institutional";1603.5000;265.1000;"1649722463";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"814084541";;"institutional";2265.3200;310.4800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"832010142";;"institutional";5040.0000;275.0700;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"842951019";;"institutional";4200.0000;249.9900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"851931245";;"institutional";6766.0000;352.5300;"1750909974";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"465702822";;"institutional";3100.0000;433.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"465702822";;"institutional";3100.0000;480.2900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"473231590";;"institutional";2774.2900;481.1100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"473248194";;"institutional";3100.0000;406.3400;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"473923087";;"institutional";1669.8000;122.3300;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"814084541";;"institutional";2774.2900;425.3100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"473231590";;"institutional";80.6300;12.9900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"474187773";;"institutional";69.8000;13.0300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"820756286";;"institutional";69.8000;11.9700;"1821501875";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7050";"2022 CMS,AHA";"J7050 - NORMAL SALINE SOLUTION INFUS";"ein";"464499268";;"institutional";48.0000;5.1500;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7050";"2022 CMS,AHA";"J7050 - NORMAL SALINE SOLUTION INFUS";"ein";"473231590";;"institutional";39.5700;5.9600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"473231590";;"institutional";3.2500;0.5100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"815038663";;"institutional";18.4000;2.5200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"821703810";;"institutional";3.7500;0.2600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"832010142";;"institutional";30.0000;1.0300;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"833265408";;"institutional";35.4200;2.6150;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9954";"2022 CMS,AHA";"Q9954 - ORAL MR CONTRAST, 100 ML";"ein";"811862049";;"institutional";503.0000;82.9500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9966";"2022 CMS,AHA";"Q9966 - LOCM 200-299MG/ML IODINE,1ML";"ein";"870972215";;"institutional";2432.2500;109.4300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"S0030";"2022 CMS,AHA";"S0030 - INJECTION, METRONIDAZOLE";"ein";"464499268";;"institutional";50.0000;5.3700;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"S0119";"2022 CMS,AHA";"S0119 - ONDANSETRON 4 MG";"ein";"473231590";;"institutional";22.5000;3.3300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"S0119";"2022 CMS,AHA";"S0119 - ONDANSETRON 4 MG";"ein";"474187773";;"institutional";3.4500;0.8400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"S5000";"2022 CMS,AHA";"S5000 - PRESCRIPTION DRUG, GENERIC";"ein";"474187773";;"institutional";10.3500;1.9300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"S5001";"2022 CMS,AHA";"S5001 - PRESCRIPTION DRUG,BRAND NAME";"ein";"474187773";;"institutional";9.7300;2.3800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"383813467";;"institutional";21.0000;18.9000;"1497053912";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"260";"2022 AHA";"IV THERAPY";"ein";"383813467";;"institutional";422.6100;380.3500;"1497053912";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"262";"2022 AHA";"IV THER/PHARM/SVC";"ein";"821703810";;"institutional";307.6100;253.1900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"465735510";;"institutional";60.0000;10.1000;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"472177648";;"institutional";98.0200;13.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"473248194";;"institutional";60.0000;9.4600;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80050";"2022 CMS,AHA";"80050 - GENERAL HEALTH PANEL";"ein";"472177648";;"institutional";520.0000;68.9700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6453";"2022 CMS,AHA";"A6453 - SELF-ADHER BAND W <3""/YD";"ein";"473248194";;"institutional";10.0000;1.6900;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"E0114";"2022 CMS,AHA";"E0114 - CRUTCH UNDERARM PAIR NO WOOD";"ein";"465702822";;"institutional";160.0000;31.6700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"E0114";"2022 CMS,AHA";"E0114 - CRUTCH UNDERARM PAIR NO WOOD";"ein";"473231590";;"institutional";107.7900;15.9400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"S1015";"2022 CMS,AHA";"S1015 - IV TUBING EXTENSION SET";"ein";"870972215";;"institutional";862.5000;38.8000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"REVENUE CODE";"272";"2022 AHA";"STERILE SUPPLY";"ein";"201547519";;"institutional";45.0900;14.4468;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"REVENUE CODE";"272";"2022 AHA";"STERILE SUPPLY";"ein";"821703810";;"institutional";37.2600;30.6600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"REVENUE CODE";"272";"2022 AHA";"STERILE SUPPLY";"ein";"821703810";;"institutional";111.7800;92.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"752756307";;"institutional";36.0000;8.9800;"1669480323";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"752756307";;"institutional";133.7600;33.3800;"1669480323";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"860719852";;"institutional";40.0000;28.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"860719855";;"institutional";78.2100;46.9260;"1225002322";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"860719855";;"institutional";153.3100;91.9860;"1225002322";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90471";"2022 CMS,AHA";"90471 - IMMUNIZATION ADMIN";"ein";"860719852";;"institutional";65.8800;46.1200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90714";"2022 CMS,AHA";"90714 - TD VACC NO PRESV 7 YRS+ IM";"ein";"473231590";;"institutional";217.7000;32.8100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90732";"2022 CMS,AHA";"90732 - PPSV23 VACC 2 YRS+ SUBQ/IM";"ein";"860719852";;"institutional";224.8600;157.4000;"1780639971";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"821703810";;"institutional";3182.2200;222.6600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96365";"2022 CMS,AHA";"96365 - THER/PROPH/DIAG IV INF INIT";"ein";"474187773";;"institutional";476.0300;139.1600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96365";"2022 CMS,AHA";"96365 - THER/PROPH/DIAG IV INF INIT";"ein";"852007987";;"institutional";4735.2600;216.5100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96366";"2022 CMS,AHA";"96366 - THER/PROPH/DIAG IV INF ADDON";"ein";"472177648";;"institutional";226.0000;40.7200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"850416296";;"institutional";531.7600;153.0200;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"273908339";;"institutional";588.1000;77.3400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"464499268";;"institutional";748.0000;80.3100;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"473231590";;"institutional";615.2200;99.1100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"473231590";;"institutional";615.2200;113.3100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"A4222";"2022 CMS,AHA";"A4222 - INFUSION SUPPLIES WITH PUMP";"ein";"464499268";;"institutional";156.9000;16.8500;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"474187773";;"institutional";112.6400;17.6400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2543";"2022 CMS,AHA";"J2543 - PIPERACILLIN/TAZOBACTAM";"ein";"852007987";;"institutional";301.3200;13.7800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2930";"2022 CMS,AHA";"J2930 - METHYLPREDNISOLONE INJECTION";"ein";"843073061";;"institutional";72.1000;10.1200;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3490";"2022 CMS,AHA";"J3490 - DRUGS UNCLASSIFIED INJECTION";"ein";"465735510";;"institutional";10.0000;0.0000;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"464499268";;"institutional";45.0000;4.8300;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"473923087";;"institutional";69.8000;5.6300;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"474187773";;"institutional";69.8000;15.7500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"751912147";;"institutional";84.0000;0.0000;"1023013448";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"842951019";;"institutional";246.4000;20.8700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"472166397";;"institutional";30.0000;4.6700;"1093191397";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"472616215";;"institutional";40.0000;4.3775;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"473231590";;"institutional";3.2500;0.4400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"843073061";;"institutional";42.5900;7.1600;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"843073061";;"institutional";42.5900;7.5700;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q0144";"2022 CMS,AHA";"Q0144 - AZITHROMYCIN DIHYDRATE, ORAL";"ein";"473231590";;"institutional";243.9700;36.8300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"473231590";;"institutional";391.0000;41.1600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"473231590";;"institutional";391.0000;58.7100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"S0028";"2022 CMS,AHA";"S0028 - INJECTION, FAMOTIDINE, 20 MG";"ein";"820756286";;"institutional";92.4500;15.8600;"1821501875";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"S0077";"2022 CMS,AHA";"S0077 - INJECTION, CLINDAMYCIN PHOSP";"ein";"473231590";;"institutional";96.6400;96.6400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"S5000";"2022 CMS,AHA";"S5000 - PRESCRIPTION DRUG, GENERIC";"ein";"474187773";;"institutional";3.4500;0.8400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"383813467";;"institutional";38.2500;34.4200;"1497053912";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";;"2022 CMS,AHA";;"ein";"854042853";;"institutional";1500.0000;162.6900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80048";"2022 CMS,AHA";"80048 - METABOLIC PANEL TOTAL CA";"ein";"472616215";;"institutional";370.0000;40.3325;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80048";"2022 CMS,AHA";"80048 - METABOLIC PANEL TOTAL CA";"ein";"753175630";;"institutional";101.0000;11.5100;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"97110";"2022 CMS,AHA";"97110 - THERAPEUTIC EXERCISES";"ein";"920016429";;"institutional";540.0000;540.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"97110";"2022 CMS,AHA";"97110 - THERAPEUTIC EXERCISES";"ein";"920139171";;"institutional";135.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"97110";"2022 CMS,AHA";"97110 - THERAPEUTIC EXERCISES";"ein";"920139171";;"institutional";405.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"97130";"2022 CMS,AHA";"97130 - THER IVNTJ EA ADDL 15 MIN";"ein";"208212094";;"institutional";210.0000;23.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"97140";"2022 CMS,AHA";"97140 - MANUAL THERAPY 1/> REGIONS";"ein";"952226406";;"institutional";201.0000;150.7500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"97535";"2022 CMS,AHA";"97535 - SELF CARE MNGMENT TRAINING";"ein";"911784793";;"institutional";184.0000;184.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"97535";"2022 CMS,AHA";"97535 - SELF CARE MNGMENT TRAINING";"ein";"911784793";;"institutional";368.0000;368.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"REVENUE CODE";"424";"2022 AHA";"PHYS THERP/EVAL";"ein";"752918774";;"institutional";454.0000;408.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"70496";"2022 CMS,AHA";"70496 - CT ANGIOGRAPHY HEAD";"ein";"920037099";;"institutional";4522.4900;4296.3700;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"70553";"2022 CMS,AHA";"70553 - MRI BRAIN STEM W/O & W/DYE";"ein";"746001118";;"institutional";5962.0000;5962.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"73030";"2022 CMS,AHA";"73030 - X-RAY EXAM OF SHOULDER";"ein";"920016429";;"institutional";714.0000;714.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"74177";"2022 CMS,AHA";"74177 - CT ABD & PELV W/CONTRAST";"ein";"320499956";;"institutional";2454.5300;0.0000;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"74177";"2022 CMS,AHA";"74177 - CT ABD & PELV W/CONTRAST";"ein";"920016490";;"institutional";4182.0000;4182.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"96402";"2022 CMS,AHA";"96402 - CHEMO HORMON ANTINEOPL SQ/IM";"ein";"410695596";;"institutional";417.5000;0.0000;"1043269798";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"96413";"2022 CMS,AHA";"96413 - CHEMO IV INFUSION 1 HR";"ein";"920077523";;"institutional";962.0000;962.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"G1003";"2022 CMS,AHA";"G1003 - CDSM MEDICALIS";"ein";"746001118";;"institutional";0.0100;0.0100;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"G1004";"2022 CMS,AHA";"G1004 - CDSM NDSC";"ein";"880213754";;"institutional";0.0100;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"G1004";"2022 CMS,AHA";"G1004 - CDSM NDSC";"ein";"910573108";;"institutional";0.0200;0.0200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"G1004";"2022 CMS,AHA";"G1004 - CDSM NDSC";"ein";"920077523";;"institutional";0.0200;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"REVENUE CODE";"320";"2022 AHA";"DX X-RAY";"ein";"752918774";;"institutional";10247.0000;10247.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"REVENUE CODE";"730";"2022 AHA";"EKG/ECG";"ein";"752918774";;"institutional";1181.0000;1181.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"HCPCS";"G0378";"2022 CMS,AHA";"G0378 - HOSPITAL OBSERVATION PER HR";"ein";"943281657";;"institutional";7085.0000;7085.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"REVENUE CODE";"120";"2022 AHA";"ROOM-BOARD/SIM";"ein";"752918774";;"institutional";25629.0000;23066.1000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"REVENUE CODE";"120";"2022 AHA";"ROOM-BOARD/SIM";"ein";"752918774";;"institutional";25629.0000;25629.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920162721";;"institutional";4.8500;1.3100;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"843073061";;"institutional";2938.5300;493.8600;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"472616215";;"institutional";4237.5000;684.3400;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"473231590";;"institutional";3622.8600;517.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"473923087";;"institutional";2226.4000;179.7600;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"821703810";;"institutional";3622.8600;253.4900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"842951019";;"institutional";5000.0000;301.5600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99291";"2022 CMS,AHA";"99291 - CRITICAL CARE FIRST HOUR";"ein";"852007987";;"institutional";13220.5000;604.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"472177648";;"institutional";13.0500;2.3500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"94761";"2022 CMS,AHA";"94761 - MEASURE BLOOD OXYGEN LEVEL";"ein";"472616215";;"institutional";180.0000;153.0000;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4215";"2022 CMS,AHA";"A4215 - STERILE NEEDLE";"ein";"473248194";;"institutional";20.0000;2.1100;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4216";"2022 CMS,AHA";"A4216 - STERILE WATER/SALINE, 10 ML";"ein";"851820772";;"institutional";36.4500;4.6800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4223";"2022 CMS,AHA";"A4223 - INFUSION SUPPLIES W/O PUMP";"ein";"870972215";;"institutional";1207.5000;54.3300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4245";"2022 CMS,AHA";"A4245 - ALCOHOL WIPES PER BOX";"ein";"852007987";;"institutional";64.5300;2.9500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4247";"2022 CMS,AHA";"A4247 - BETADINE/IODINE SWABS/WIPES";"ein";"473231590";;"institutional";38.1500;5.7500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4301";"2022 CMS,AHA";"A4301 - IMPLANTABLE ACCESS SYST PERC";"ein";"852007987";;"institutional";107.2000;4.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4327";"2022 CMS,AHA";"A4327 - FEM URINARY COLLECT DEV CUP";"ein";"842951019";;"institutional";125.0000;10.5900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4467";"2022 CMS,AHA";"A4467 - BELT STRAP SLEEV GRMNT COVER";"ein";"472971495";;"institutional";2370.6000;90.8600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4556";"2022 CMS,AHA";"A4556 - ELECTRODES, PAIR";"ein";"473248194";;"institutional";100.0000;15.7700;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4556";"2022 CMS,AHA";"A4556 - ELECTRODES, PAIR";"ein";"832010142";;"institutional";276.0000;9.4800;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4570";"2022 CMS,AHA";"A4570 - SPLINT";"ein";"833265408";;"institutional";181.8000;13.4150;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4606";"2022 CMS,AHA";"A4606 - OXYGEN PROBE USED W OXIMETER";"ein";"465735510";;"institutional";170.0000;23.7900;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4606";"2022 CMS,AHA";"A4606 - OXYGEN PROBE USED W OXIMETER";"ein";"472616215";;"institutional";170.0000;36.2700;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4606";"2022 CMS,AHA";"A4606 - OXYGEN PROBE USED W OXIMETER";"ein";"473248194";;"institutional";170.0000;30.8100;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"465735510";;"institutional";2.0000;0.0000;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80050";"2022 CMS,AHA";"80050 - GENERAL HEALTH PANEL";"ein";"850416296";;"institutional";411.2100;76.7200;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80051";"2022 CMS,AHA";"80051 - ELECTROLYTE PANEL";"ein";"463151282";;"institutional";450.0000;22.4000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80051";"2022 CMS,AHA";"80051 - ELECTROLYTE PANEL";"ein";"474187773";;"institutional";364.7500;68.0900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80051";"2022 CMS,AHA";"80051 - ELECTROLYTE PANEL";"ein";"842951019";;"institutional";450.0000;27.1500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"473231590";;"institutional";823.8500;124.1300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"854042853";;"institutional";886.7500;96.1700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"850416296";;"institutional";147.7700;18.5900;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"850416296";;"institutional";147.7700;25.7800;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80076";"2022 CMS,AHA";"80076 - HEPATIC FUNCTION PANEL";"ein";"852489965";;"institutional";399.0600;40.3700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80305";"2022 CMS,AHA";"80305 - DRUG TEST PRSMV DIR OPT OBS";"ein";"821703810";;"institutional";345.3200;24.1600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81001";"2022 CMS,AHA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"850416296";;"institutional";90.9200;15.8700;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81002";"2022 CMS,AHA";"81002 - URINALYSIS NONAUTO W/O SCOPE";"ein";"852007987";;"institutional";122.0400;5.5800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"474187773";;"institutional";168.3700;31.4300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"842951019";;"institutional";545.0000;28.0300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82040";"2022 CMS,AHA";"82040 - ASSAY OF SERUM ALBUMIN";"ein";"851820772";;"institutional";191.9700;24.6800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82150";"2022 CMS,AHA";"82150 - ASSAY OF AMYLASE";"ein";"473248194";;"institutional";24.0000;3.7800;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82150";"2022 CMS,AHA";"82150 - ASSAY OF AMYLASE";"ein";"843073061";;"institutional";292.0000;38.9000;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82247";"2022 CMS,AHA";"82247 - BILIRUBIN TOTAL";"ein";"473923087";;"institutional";102.1700;7.4900;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82550";"2022 CMS,AHA";"82550 - ASSAY OF CK (CPK)";"ein";"474187773";;"institutional";229.6000;42.8600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82550";"2022 CMS,AHA";"82550 - ASSAY OF CK (CPK)";"ein";"815038663";;"institutional";265.1900;30.5700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82550";"2022 CMS,AHA";"82550 - ASSAY OF CK (CPK)";"ein";"832010142";;"institutional";468.0000;16.0600;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82553";"2022 CMS,AHA";"82553 - CREATINE MB FRACTION";"ein";"473231590";;"institutional";397.7900;56.8300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82565";"2022 CMS,AHA";"82565 - ASSAY OF CREATININE";"ein";"815038663";;"institutional";221.0000;25.4800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82565";"2022 CMS,AHA";"82565 - ASSAY OF CREATININE";"ein";"842951019";;"institutional";390.0000;23.5200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82565";"2022 CMS,AHA";"82565 - ASSAY OF CREATININE";"ein";"843073061";;"institutional";88.0000;11.7200;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0696";"2022 CMS,AHA";"J0696 - CEFTRIAXONE SODIUM INJECTION";"ein";"472177648";;"institutional";459.5000;60.9400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0696";"2022 CMS,AHA";"J0696 - CEFTRIAXONE SODIUM INJECTION";"ein";"473923087";;"institutional";1394.1600;102.1300;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0696";"2022 CMS,AHA";"J0696 - CEFTRIAXONE SODIUM INJECTION";"ein";"843073061";;"institutional";42.0000;5.9000;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1100";"2022 CMS,AHA";"J1100 - DEXAMETHASONE SODIUM PHOS";"ein";"472616215";;"institutional";159.8000;135.8300;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1100";"2022 CMS,AHA";"J1100 - DEXAMETHASONE SODIUM PHOS";"ein";"473231590";;"institutional";325.3000;46.4700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1100";"2022 CMS,AHA";"J1100 - DEXAMETHASONE SODIUM PHOS";"ein";"473231590";;"institutional";325.3000;53.5000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1100";"2022 CMS,AHA";"J1100 - DEXAMETHASONE SODIUM PHOS";"ein";"473231590";;"institutional";325.3000;59.9200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1100";"2022 CMS,AHA";"J1100 - DEXAMETHASONE SODIUM PHOS";"ein";"473248194";;"institutional";127.8400;17.5100;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1100";"2022 CMS,AHA";"J1100 - DEXAMETHASONE SODIUM PHOS";"ein";"473248194";;"institutional";159.8000;22.6700;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1170";"2022 CMS,AHA";"J1170 - HYDROMORPHONE INJECTION";"ein";"473231590";;"institutional";61.8800;9.1500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1200";"2022 CMS,AHA";"J1200 - DIPHENHYDRAMINE HCL INJECTIO";"ein";"473923087";;"institutional";28.1600;2.0600;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1642";"2022 CMS,AHA";"J1642 - INJ HEPARIN SODIUM PER 10 U";"ein";"851820772";;"institutional";31.8600;4.0900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"464499268";;"institutional";40.0000;4.2900;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"473231590";;"institutional";65.0600;6.8500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"843073061";;"institutional";14.9000;1.9900;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2270";"2022 CMS,AHA";"J2270 - MORPHINE SULFATE INJECTION";"ein";"852489965";;"institutional";19.4500;1.9700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"473231590";;"institutional";260.2400;41.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"852489965";;"institutional";44.8000;4.5300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3010";"2022 CMS,AHA";"J3010 - FENTANYL CITRATE INJECITON";"ein";"474187773";;"institutional";3.4500;0.7800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3490";"2022 CMS,AHA";"J3490 - DRUGS UNCLASSIFIED INJECTION";"ein";"473248194";;"institutional";6.1000;0.0000;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3490";"2022 CMS,AHA";"J3490 - DRUGS UNCLASSIFIED INJECTION";"ein";"843073061";;"institutional";5.0000;0.0000;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"273908339";;"institutional";104.3500;16.9700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"473231590";;"institutional";80.6300;14.8500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"821703810";;"institutional";161.2600;11.2800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80048";"2022 CMS,AHA";"80048 - METABOLIC PANEL TOTAL CA";"ein";"850416296";;"institutional";201.5100;25.3800;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80050";"2022 CMS,AHA";"80050 - GENERAL HEALTH PANEL";"ein";"850416296";;"institutional";411.2100;74.8800;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80051";"2022 CMS,AHA";"80051 - ELECTROLYTE PANEL";"ein";"832010142";;"institutional";540.0000;18.5400;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80051";"2022 CMS,AHA";"80051 - ELECTROLYTE PANEL";"ein";"842951019";;"institutional";450.0000;38.1300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"273908339";;"institutional";1066.3700;140.2200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"473231590";;"institutional";823.8500;112.4700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"473231590";;"institutional";823.8500;130.4200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"821703810";;"institutional";823.8500;57.6500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"820984034";;"institutional";194.4700;20.5700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81025";"2022 CMS,AHA";"81025 - URINE PREGNANCY TEST";"ein";"473248194";;"institutional";30.0000;3.1700;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82040";"2022 CMS,AHA";"82040 - ASSAY OF SERUM ALBUMIN";"ein";"820984034";;"institutional";49.5300;5.2400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82150";"2022 CMS,AHA";"82150 - ASSAY OF AMYLASE";"ein";"474187773";;"institutional";275.5200;51.4300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82247";"2022 CMS,AHA";"82247 - BILIRUBIN TOTAL";"ein";"465735510";;"institutional";23.0000;3.8700;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82306";"2022 CMS,AHA";"82306 - VITAMIN D 25 HYDROXY";"ein";"753175630";;"institutional";264.0000;36.5100;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82306";"2022 CMS,AHA";"82306 - VITAMIN D 25 HYDROXY";"ein";"850416296";;"institutional";194.3400;40.7300;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82550";"2022 CMS,AHA";"82550 - ASSAY OF CK (CPK)";"ein";"473248194";;"institutional";23.0000;3.6300;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82550";"2022 CMS,AHA";"82550 - ASSAY OF CK (CPK)";"ein";"473923087";;"institutional";229.6000;34.6100;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82565";"2022 CMS,AHA";"82565 - ASSAY OF CREATININE";"ein";"820756286";;"institutional";191.3400;32.8100;"1821501875";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82570";"2022 CMS,AHA";"82570 - ASSAY OF URINE CREATININE";"ein";"850416296";;"institutional";63.6200;11.1100;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82570";"2022 CMS,AHA";"82570 - ASSAY OF URINE CREATININE";"ein";"850416296";;"institutional";63.6200;11.5200;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82570";"2022 CMS,AHA";"82570 - ASSAY OF URINE CREATININE";"ein";"850416296";;"institutional";63.6200;11.5900;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82607";"2022 CMS,AHA";"82607 - VITAMIN B-12";"ein";"850416296";;"institutional";147.4400;26.6800;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"474187773";;"institutional";144.2300;22.5900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"474187773";;"institutional";144.2300;26.9200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"465735510";;"institutional";6.0000;0.0000;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"465735510";;"institutional";40.0000;0.0000;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"465735510";;"institutional";120.0000;0.0000;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"472616215";;"institutional";2.0000;0.0000;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"473248194";;"institutional";40.0000;0.0000;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"832010142";;"institutional";552.0000;0.0000;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4670";"2022 CMS,AHA";"A4670 - AUTOMATIC BP MONITOR, DIAL";"ein";"465702822";;"institutional";50.0000;9.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4670";"2022 CMS,AHA";"A4670 - AUTOMATIC BP MONITOR, DIAL";"ein";"472166397";;"institutional";50.0000;7.7800;"1093191397";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4670";"2022 CMS,AHA";"A4670 - AUTOMATIC BP MONITOR, DIAL";"ein";"472616215";;"institutional";50.0000;8.0700;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4670";"2022 CMS,AHA";"A4670 - AUTOMATIC BP MONITOR, DIAL";"ein";"473248194";;"institutional";50.0000;6.5500;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4670";"2022 CMS,AHA";"A4670 - AUTOMATIC BP MONITOR, DIAL";"ein";"473248194";;"institutional";50.0000;6.7000;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4670";"2022 CMS,AHA";"A4670 - AUTOMATIC BP MONITOR, DIAL";"ein";"473248194";;"institutional";50.0000;8.4300;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4673";"2022 CMS,AHA";"A4673 - EXT LINE W EASY LOCK CONNECT";"ein";"472616215";;"institutional";20.0000;0.0000;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4928";"2022 CMS,AHA";"A4928 - SURGICAL MASK";"ein";"472971495";;"institutional";65.0000;2.4900;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4930";"2022 CMS,AHA";"A4930 - STERILE, GLOVES PER PAIR";"ein";"832010142";;"institutional";45.0000;3.3200;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4930";"2022 CMS,AHA";"A4930 - STERILE, GLOVES PER PAIR";"ein";"870972215";;"institutional";189.7500;8.5400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6216";"2022 CMS,AHA";"A6216 - NON-STERILE GAUZE<=16 SQ IN";"ein";"465735510";;"institutional";20.0000;17.0000;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6257";"2022 CMS,AHA";"A6257 - TRANSPARENT FILM <= 16 SQ IN";"ein";"465735510";;"institutional";20.0000;3.3700;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6257";"2022 CMS,AHA";"A6257 - TRANSPARENT FILM <= 16 SQ IN";"ein";"851820772";;"institutional";67.5000;8.6700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6402";"2022 CMS,AHA";"A6402 - STERILE GAUZE <= 16 SQ IN";"ein";"473248194";;"institutional";20.0000;2.7400;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6402";"2022 CMS,AHA";"A6402 - STERILE GAUZE <= 16 SQ IN";"ein";"832010142";;"institutional";138.0000;4.7300;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6413";"2022 CMS,AHA";"A6413 - ADHESIVE BANDAGE, FIRST-AID";"ein";"473248194";;"institutional";20.0000;3.0000;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6413";"2022 CMS,AHA";"A6413 - ADHESIVE BANDAGE, FIRST-AID";"ein";"870972215";;"institutional";759.0000;34.1500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6449";"2022 CMS,AHA";"A6449 - LT COMPRES BAND >=3"" <5""/YD";"ein";"465702822";;"institutional";20.0000;3.9600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Radiology";"HCPCS";"76805";"2022 CMS,AHA";"76805 - OB US >/= 14 WKS SNGL FETUS";"ein";"920162721";;"institutional";854.0000;229.9800;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"90471";"2022 CMS,AHA";"90471 - IMMUNIZATION ADMIN";"ein";"920041461";;"institutional";77.0000;55.6800;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"95811";"2022 CMS,AHA";"95811 - POLYSOM 6/>YRS CPAP 4/> PARM";"ein";"920162721";;"institutional";7140.0000;2870.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"C9803";"2022 CMS,AHA";"C9803 - Specimen collection any source";"ein";"920041488";;"institutional";72.0000;64.8000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920041461";;"institutional";133.0000;99.7500;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";229.0000;127.3900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";229.0000;136.0800;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";229.0000;140.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";229.0000;142.0200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Ambulatory Surgical Care";"HCPCS";"64484";"2022 CMS,AHA";"64484 - INJ FORAMEN EPIDURAL ADD-ON";"ein";"271378179";;"institutional";1297.0000;648.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Ambulatory Surgical Care";"HCPCS";"A4461";"2022 CMS,AHA";"A4461 - SURGICL DRESS HOLD NON-REUSE";"ein";"592280782";;"institutional";57.0000;17.6500;"1306995063";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Anesthesia";"HCPCS";;"2022 CMS,AHA";;"ein";"920162721";;"institutional";2725.0000;1771.2500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Auditory";"HCPCS";"92556";"2022 CMS,AHA";"92556 - SPEECH AUDIOMETRY COMPLETE";"ein";"920162721";;"institutional";190.0000;76.1500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Auditory";"HCPCS";"92567";"2022 CMS,AHA";"92567 - TYMPANOMETRY";"ein";"920162721";;"institutional";176.0000;70.5400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"96360";"2022 CMS,AHA";"96360 - HYDRATION IV INFUSION INIT";"ein";"920162721";;"institutional";775.0000;386.8500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"920162721";;"institutional";286.0000;122.6300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"920041461";;"institutional";611.0000;458.2500;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";1268.0000;776.7700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";1307.0000;782.3700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";1307.0000;791.9200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";1307.0000;799.8800;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";1307.0000;849.5500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";2602.0000;1135.3000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"843073061";;"institutional";18.7500;2.5000;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7120";"2022 CMS,AHA";"J7120 - RINGERS LACTATE INFUSION";"ein";"472177648";;"institutional";120.0000;21.6200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7512";"2022 CMS,AHA";"J7512 - PREDNISONE IR OR DR ORAL 1MG";"ein";"843073061";;"institutional";138.0000;16.6400;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7620";"2022 CMS,AHA";"J7620 - ALBUTEROL IPRATROP NON-COMP";"ein";"474187773";;"institutional";18.5200;4.1800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7620";"2022 CMS,AHA";"J7620 - ALBUTEROL IPRATROP NON-COMP";"ein";"474187773";;"institutional";18.5200;4.3400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"473248194";;"institutional";10.0000;1.3100;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"473248194";;"institutional";30.0000;3.9300;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"473248194";;"institutional";30.0000;5.0600;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q0144";"2022 CMS,AHA";"Q0144 - AZITHROMYCIN DIHYDRATE, ORAL";"ein";"473923087";;"institutional";211.2300;15.4700;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"820756286";;"institutional";260.3000;44.6400;"1821501875";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"S0077";"2022 CMS,AHA";"S0077 - INJECTION, CLINDAMYCIN PHOSP";"ein";"473231590";;"institutional";96.6400;15.9000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"S0119";"2022 CMS,AHA";"S0119 - ONDANSETRON 4 MG";"ein";"465735510";;"institutional";45.0000;7.5800;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"S5001";"2022 CMS,AHA";"S5001 - PRESCRIPTION DRUG,BRAND NAME";"ein";"474187773";;"institutional";58.3800;13.1700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"S5001";"2022 CMS,AHA";"S5001 - PRESCRIPTION DRUG,BRAND NAME";"ein";"820756286";;"institutional";9.7300;2.1800;"1821501875";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"383813467";;"institutional";10.5000;9.4500;"1497053912";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"260";"2022 AHA";"IV THERAPY";"ein";"383813467";;"institutional";281.9000;253.7100;"1497053912";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Outpatient Services";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"860719852";;"institutional";266.4000;186.4800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";;"2022 CMS,AHA";;"ein";"860719855";;"institutional";75.0000;45.0000;"1225002322";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"273908339";;"institutional";52.7200;6.9400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"464499268";;"institutional";150.0000;16.1100;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"752756307";;"institutional";17.5000;4.3700;"1669480323";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"753175630";;"institutional";29.0000;3.3000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"73218";"2022 CMS,AHA";"73218 - MRI UPPER EXTREMITY W/O DYE";"ein";"473231590";;"institutional";2319.3200;431.3000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80051";"2022 CMS,AHA";"80051 - ELECTROLYTE PANEL";"ein";"473923087";;"institutional";364.7500;26.7200;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"832010142";;"institutional";276.0000;9.4800;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82977";"2022 CMS,AHA";"82977 - ASSAY OF GGT";"ein";"811862049";;"institutional";94.0000;15.5000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82977";"2022 CMS,AHA";"82977 - ASSAY OF GGT";"ein";"815038663";;"institutional";116.9700;13.4800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82977";"2022 CMS,AHA";"82977 - ASSAY OF GGT";"ein";"852489965";;"institutional";40.0000;4.0400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"83721";"2022 CMS,AHA";"83721 - ASSAY OF BLOOD LIPOPROTEIN";"ein";"850416296";;"institutional";87.3500;10.9900;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"83735";"2022 CMS,AHA";"83735 - ASSAY OF MAGNESIUM";"ein";"820984034";;"institutional";238.6700;25.2500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"83735";"2022 CMS,AHA";"83735 - ASSAY OF MAGNESIUM";"ein";"851820772";;"institutional";250.2900;32.1700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"83874";"2022 CMS,AHA";"83874 - ASSAY OF MYOGLOBIN";"ein";"820984034";;"institutional";259.8900;27.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"83874";"2022 CMS,AHA";"83874 - ASSAY OF MYOGLOBIN";"ein";"842951019";;"institutional";650.0000;39.2100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84439";"2022 CMS,AHA";"84439 - ASSAY OF FREE THYROXINE";"ein";"472177648";;"institutional";355.0000;47.0800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84484";"2022 CMS,AHA";"84484 - ASSAY OF TROPONIN QUANT";"ein";"472177648";;"institutional";397.0000;52.6500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84484";"2022 CMS,AHA";"84484 - ASSAY OF TROPONIN QUANT";"ein";"473248194";;"institutional";350.0000;55.2000;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84520";"2022 CMS,AHA";"84520 - ASSAY OF UREA NITROGEN";"ein";"473923087";;"institutional";166.8600;12.2200;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84520";"2022 CMS,AHA";"84520 - ASSAY OF UREA NITROGEN";"ein";"832010142";;"institutional";431.0000;14.7900;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"472616215";;"institutional";280.0000;30.5235;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"473248194";;"institutional";280.0000;30.3800;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"474187773";;"institutional";267.8700;50.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"854042853";;"institutional";323.6600;35.1000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85379";"2022 CMS,AHA";"85379 - FIBRIN DEGRADATION QUANT";"ein";"474187773";;"institutional";413.7200;120.9400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85379";"2022 CMS,AHA";"85379 - FIBRIN DEGRADATION QUANT";"ein";"820984034";;"institutional";477.8600;50.5700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"86328";"2022 CMS,AHA";"86328 - IA Infect AB SARSCOV2 COVID19";"ein";"854042853";;"institutional";581.8000;63.1000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"86677";"2022 CMS,AHA";"86677 - HELICOBACTER PYLORI ANTIBODY";"ein";"821703810";;"institutional";238.7200;16.7100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87081";"2022 CMS,AHA";"87081 - CULTURE SCREEN ONLY";"ein";"474187773";;"institutional";265.2500;64.8700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87086";"2022 CMS,AHA";"87086 - URINE CULTURE/COLONY COUNT";"ein";"472177648";;"institutional";553.8500;73.4600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"800810304";;"institutional";125.0000;26.5400;"1295213601";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6453";"2022 CMS,AHA";"A6453 - SELF-ADHER BAND W <3""/YD";"ein";"472616215";;"institutional";10.0000;8.5000;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"C1751";"2022 CMS,AHA";"C1751 - CATH, INF, PER/CENT/MIDLINE";"ein";"464499268";;"institutional";475.0000;51.0000;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"C1760";"2022 CMS,AHA";"C1760 - CLOSURE DEV, VASC";"ein";"751912147";;"institutional";1159.8700;0.0000;"1023013448";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"L4387";"2022 CMS,AHA";"L4387 - NON-PNEUM WALK BOOT PRE OTS";"ein";"465702822";;"institutional";230.0000;45.5300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"751912147";;"institutional";160.6100;0.0000;"1023013448";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"823659997";;"institutional";5329.5000;748.7600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90471";"2022 CMS,AHA";"90471 - IMMUNIZATION ADMIN";"ein";"473231590";;"institutional";263.4200;39.6900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90471";"2022 CMS,AHA";"90471 - IMMUNIZATION ADMIN";"ein";"860719852";;"institutional";65.8800;46.1200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90632";"2022 CMS,AHA";"90632 - HEPA VACCINE ADULT IM";"ein";"850416296";;"institutional";220.9500;61.2700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90651";"2022 CMS,AHA";"90651 - 9VHPV VACCINE 3 DOSE IM";"ein";"860719852";;"institutional";130.0000;91.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"473231590";;"institutional";353.5800;56.9600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"852007987";;"institutional";963.2800;44.0400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96367";"2022 CMS,AHA";"96367 - TX/PROPH/DG ADDL SEQ IV INF";"ein";"474187773";;"institutional";344.4000;77.6900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96368";"2022 CMS,AHA";"96368 - THER/DIAG CONCURRENT INF";"ein";"474187773";;"institutional";329.1000;96.2100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"473248194";;"institutional";220.0000;31.2200;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"474187773";;"institutional";217.2900;49.0200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"472616215";;"institutional";400.0000;85.3300;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"473231590";;"institutional";454.3500;62.0300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"820756286";;"institutional";393.3800;67.4600;"1821501875";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"473231590";;"institutional";615.2200;64.7700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"A4246";"2022 CMS,AHA";"A4246 - BETADINE/PHISOHEX SOLUTION";"ein";"473248194";;"institutional";40.0000;6.7400;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1100";"2022 CMS,AHA";"J1100 - DEXAMETHASONE SODIUM PHOS";"ein";"273908339";;"institutional";511.8000;67.3000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1100";"2022 CMS,AHA";"J1100 - DEXAMETHASONE SODIUM PHOS";"ein";"472616215";;"institutional";159.8000;159.8000;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1100";"2022 CMS,AHA";"J1100 - DEXAMETHASONE SODIUM PHOS";"ein";"473231590";;"institutional";325.3000;44.4100;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"87340";"2022 CMS,AHA";"87340 - HEPATITIS B SURFACE AG IA";"ein";"710772737";;"institutional";176.0000;112.6400;"1568406536";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"87633";"2022 CMS,AHA";"87633 - RESP VIRUS 12-25 TARGETS";"ein";"920037099";;"institutional";875.0000;831.2500;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"320499956";;"institutional";502.5500;91.5460;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"920037099";;"institutional";84.2700;84.2700;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"88312";"2022 CMS,AHA";"88312 - SPECIAL STAINS GROUP 1";"ein";"320499956";;"institutional";215.5000;0.0000;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"88313";"2022 CMS,AHA";"88313 - SPECIAL STAINS GROUP 2";"ein";"320499956";;"institutional";93.3700;0.0000;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"97110";"2022 CMS,AHA";"97110 - THERAPEUTIC EXERCISES";"ein";"920139171";;"institutional";540.0000;81.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"97112";"2022 CMS,AHA";"97112 - NEUROMUSCULAR REEDUCATION";"ein";"952226406";;"institutional";116.0000;116.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"97129";"2022 CMS,AHA";"97129 - THER IVNTJ 1ST 15 MIN";"ein";"208212094";;"institutional";210.0000;23.7100;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"97130";"2022 CMS,AHA";"97130 - THER IVNTJ EA ADDL 15 MIN";"ein";"208212094";;"institutional";210.0000;10.5000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"97163";"2022 CMS,AHA";"97163 - PT EVAL HIGH COMPLEX 45 MIN";"ein";"911784793";;"institutional";435.0000;435.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"97166";"2022 CMS,AHA";"97166 - OT EVAL MOD COMPLEX 45 MIN";"ein";"311679605";;"institutional";125.5800;23.6900;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"REVENUE CODE";"942";"2022 AHA";"EDUC/TRAINING";"ein";"910908129";;"institutional";42.8300;29.9810;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"70450";"2022 CMS,AHA";"70450 - CT HEAD/BRAIN W/O DYE";"ein";"320499956";;"institutional";1128.8700;205.6382;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"70450";"2022 CMS,AHA";"70450 - CT HEAD/BRAIN W/O DYE";"ein";"453576100";;"institutional";2519.0000;1763.3000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"70450";"2022 CMS,AHA";"70450 - CT HEAD/BRAIN W/O DYE";"ein";"940562680";;"institutional";3746.0000;155.2700;"1659439834";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"71046";"2022 CMS,AHA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"270036499";;"institutional";56.0000;42.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"73030";"2022 CMS,AHA";"73030 - X-RAY EXAM OF SHOULDER";"ein";"920016429";;"institutional";714.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"73502";"2022 CMS,AHA";"73502 - X-RAY EXAM HIP UNI 2-3 VIEWS";"ein";"920016490";;"institutional";491.0000;491.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"74177";"2022 CMS,AHA";"74177 - CT ABD & PELV W/CONTRAST";"ein";"920016490";;"institutional";4182.0000;3972.9000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"920037099";;"institutional";370.0000;351.5000;"1679566269";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"96413";"2022 CMS,AHA";"96413 - CHEMO IV INFUSION 1 HR";"ein";"931176109";;"institutional";858.0000;635.2600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"96413";"2022 CMS,AHA";"96413 - CHEMO IV INFUSION 1 HR";"ein";"931176109";;"institutional";858.0000;858.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"HCPCS";"11042";"2022 CMS,AHA";"11042 - DEB SUBQ TISSUE 20 SQ CM/<";"ein";"426005883";;"institutional";1688.2200;1603.8100;"1255328621";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87591";"2022 CMS,AHA";"87591 - N.GONORRHOEAE DNA AMP PROB";"ein";"473923087";;"institutional";237.0100;17.3600;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"811862049";;"institutional";400.0000;65.9700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87798";"2022 CMS,AHA";"87798 - DETECT AGENT NOS DNA AMP";"ein";"472616215";;"institutional";170.0000;144.5000;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"473231590";;"institutional";263.4200;45.6800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"473248194";;"institutional";230.0000;32.6300;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"812098192";;"institutional";206.1300;34.0800;"1649722463";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"842951019";;"institutional";478.8000;29.4200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"843073061";;"institutional";206.1300;27.4600;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87807";"2022 CMS,AHA";"87807 - RSV ASSAY W/OPTIC";"ein";"815038663";;"institutional";63.6500;8.7900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87880";"2022 CMS,AHA";"87880 - STREP A ASSAY W/OPTIC";"ein";"472616215";;"institutional";190.0000;190.0000;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87880";"2022 CMS,AHA";"87880 - STREP A ASSAY W/OPTIC";"ein";"473231590";;"institutional";216.5800;33.0600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87880";"2022 CMS,AHA";"87880 - STREP A ASSAY W/OPTIC";"ein";"474187773";;"institutional";187.5100;35.0100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"99000";"2022 CMS,AHA";"99000 - SPECIMEN HANDLING OFFICE-LAB";"ein";"851984103";;"institutional";338.8500;13.0700;"1376151365";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"99000";"2022 CMS,AHA";"99000 - SPECIMEN HANDLING OFFICE-LAB";"ein";"852007987";;"institutional";338.8500;15.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"REVENUE CODE";"300";"2022 AHA";"LABORATORY";"ein";"383813467";;"institutional";151.9200;136.7300;"1497053912";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Physical Therapy";"HCPCS";"G0153";"2022 CMS,AHA";"G0153 - HHCP-SVS OF S/L PATH,EA 15MN";"ein";"273579603";;"institutional";300.0000;120.0000;"1790085934";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"70450";"2022 CMS,AHA";"70450 - CT HEAD/BRAIN W/O DYE";"ein";"473248194";;"institutional";2760.0000;299.5000;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"70498";"2022 CMS,AHA";"70498 - CT ANGIOGRAPHY NECK";"ein";"821703810";;"institutional";2719.9300;190.3000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"71046";"2022 CMS,AHA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"474187773";;"institutional";547.4800;128.3400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"71046";"2022 CMS,AHA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"820984034";;"institutional";196.8800;20.8300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"74022";"2022 CMS,AHA";"74022 - X-RAY EXAM SERIES ABDOMEN";"ein";"473231590";;"institutional";863.4700;139.1100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"74176";"2022 CMS,AHA";"74176 - CT ABD & PELVIS W/O CONTRAST";"ein";"842951019";;"institutional";6804.0000;350.0200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"74177";"2022 CMS,AHA";"74177 - CT ABD & PELV W/CONTRAST";"ein";"472616215";;"institutional";3470.0000;378.2415;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"74177";"2022 CMS,AHA";"74177 - CT ABD & PELV W/CONTRAST";"ein";"473231590";;"institutional";3889.3800;583.9600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"74177";"2022 CMS,AHA";"74177 - CT ABD & PELV W/CONTRAST";"ein";"811862049";;"institutional";3106.0000;512.2300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";2602.0000;1301.8300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"REVENUE CODE";"450";"2022 AHA";"EMERG ROOM";"ein";"920162721";;"institutional";4650.0000;3022.5000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medical and Surgical Supplies";"HCPCS";"A4565";"2022 CMS,AHA";"A4565 - SLINGS";"ein";"920162721";;"institutional";28.0000;17.1400;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medical and Surgical Supplies";"HCPCS";"C1713";"2022 CMS,AHA";"C1713 - ANCHOR/SCREW BN/BN,TIS/BN";"ein";"920162721";;"institutional";2453.0000;1594.4500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medical and Surgical Supplies";"HCPCS";"L1834";"2022 CMS,AHA";"L1834 - KO W/0 JOINT RIGID MOLDED TO";"ein";"920162721";;"institutional";1400.0000;910.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medical and Surgical Supplies";"REVENUE CODE";"270";"2022 AHA";"MED-SUR SUPPLIES";"ein";"920041488";;"institutional";16.0000;0.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medical and Surgical Supplies";"REVENUE CODE";"272";"2022 AHA";"STERILE SUPPLY";"ein";"920162721";;"institutional";100.0000;65.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920162721";;"institutional";17.4500;10.4100;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"0001A";"2022 CMS,AHA";"0001A - ADM SARSCOV2 30MCG/0.3ML 1ST";"ein";"920162721";;"institutional";29.0000;18.8500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90471";"2022 CMS,AHA";"90471 - IMMUNIZATION ADMIN";"ein";"920041488";;"institutional";215.0000;66.8160;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90651";"2022 CMS,AHA";"90651 - 9VHPV VACCINE 3 DOSE IM";"ein";"920162721";;"institutional";0.0100;0.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90707";"2022 CMS,AHA";"90707 - MMR VACCINE SC";"ein";"920041488";;"institutional";0.0100;0.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"91305";"2022 CMS,AHA";"91305 - SARSCOV2 VAC 30 MCG TRS-SUCR";"ein";"920162721";;"institutional";0.0100;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"91307";"2022 CMS,AHA";"91307 - SARSCOV2 VAC 10 MCG TRS-SUCR";"ein";"920162721";;"institutional";0.0100;0.0100;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96367";"2022 CMS,AHA";"96367 - TX/PROPH/DG ADDL SEQ IV INF";"ein";"320197974";;"institutional";434.0000;195.3000;"1508029422";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"920162721";;"institutional";398.0000;258.7000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"920162721";;"institutional";111.6000;72.5400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2250";"2022 CMS,AHA";"J2250 - INJ MIDAZOLAM HYDROCHLORIDE";"ein";"920041488";;"institutional";80.4000;72.3600;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2250";"2022 CMS,AHA";"J2250 - INJ MIDAZOLAM HYDROCHLORIDE";"ein";"920162721";;"institutional";148.5000;96.5300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7040";"2022 CMS,AHA";"J7040 - NORMAL SALINE SOLUTION INFUS";"ein";"320197974";;"institutional";288.2700;129.7200;"1508029422";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q0162";"2022 CMS,AHA";"Q0162 - ONDANSETRON ORAL";"ein";"920041488";;"institutional";111.5000;100.3500;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"920041488";;"institutional";2856.3500;2292.6500;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"0241U";"2022 CMS,AHA";"0241U - NFCT DS VIR RESP RNA 4 TRGT";"ein";"920041461";;"institutional";257.0000;192.7500;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80051";"2022 CMS,AHA";"80051 - ELECTROLYTE PANEL";"ein";"843073061";;"institutional";120.5000;16.0500;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"464499268";;"institutional";850.0000;91.2700;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"473923087";;"institutional";180.0000;14.5400;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"474187773";;"institutional";180.0000;52.6200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"752756307";;"institutional";250.0000;46.1200;"1669480323";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"756004585";;"institutional";133.0200;93.1100;"1790777696";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"850416296";;"institutional";147.7700;26.7400;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80076";"2022 CMS,AHA";"80076 - HEPATIC FUNCTION PANEL";"ein";"832010142";;"institutional";1458.0000;50.0500;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80076";"2022 CMS,AHA";"80076 - HEPATIC FUNCTION PANEL";"ein";"850416296";;"institutional";196.4900;24.7200;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81001";"2022 CMS,AHA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"472177648";;"institutional";236.9200;42.6900;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"473231590";;"institutional";194.4700;35.8200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"473248194";;"institutional";180.0000;19.0200;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"815038663";;"institutional";194.4700;22.4200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82040";"2022 CMS,AHA";"82040 - ASSAY OF SERUM ALBUMIN";"ein";"465735510";;"institutional";18.0000;3.0300;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82040";"2022 CMS,AHA";"82040 - ASSAY OF SERUM ALBUMIN";"ein";"473248194";;"institutional";18.0000;2.8400;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82040";"2022 CMS,AHA";"82040 - ASSAY OF SERUM ALBUMIN";"ein";"473923087";;"institutional";42.8800;3.1400;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82040";"2022 CMS,AHA";"82040 - ASSAY OF SERUM ALBUMIN";"ein";"474187773";;"institutional";42.8800;6.7200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82043";"2022 CMS,AHA";"82043 - MICROALBUMIN QUANTITATIVE";"ein";"850416296";;"institutional";74.9800;13.6500;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82150";"2022 CMS,AHA";"82150 - ASSAY OF AMYLASE";"ein";"811862049";;"institutional";254.0000;41.8800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82247";"2022 CMS,AHA";"82247 - BILIRUBIN TOTAL";"ein";"474187773";;"institutional";102.1700;16.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82550";"2022 CMS,AHA";"82550 - ASSAY OF CK (CPK)";"ein";"463151282";;"institutional";265.1900;13.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82550";"2022 CMS,AHA";"82550 - ASSAY OF CK (CPK)";"ein";"473923087";;"institutional";229.6000;18.5400;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82553";"2022 CMS,AHA";"82553 - CREATINE MB FRACTION";"ein";"811862049";;"institutional";317.0000;52.2800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82553";"2022 CMS,AHA";"82553 - CREATINE MB FRACTION";"ein";"832010142";;"institutional";780.0000;26.7700;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"HCPCS";"11042";"2022 CMS,AHA";"11042 - DEB SUBQ TISSUE 20 SQ CM/<";"ein";"910564491";;"institutional";1520.5900;391.6700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"HCPCS";"27339";"2022 CMS,AHA";"27339 - EXC THIGH/KNEE TUM DEP 5CM/>";"ein";"920016429";;"institutional";9705.0000;3882.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"REVENUE CODE";"120";"2022 AHA";"ROOM-BOARD/SIM";"ein";"752918774";;"institutional";199872.6300;21043.0900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Emergency Department Services";"HCPCS";"96360";"2022 CMS,AHA";"96360 - HYDRATION IV INFUSION INIT";"ein";"920162721";;"institutional";752.0000;202.5100;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"91305";"2022 CMS,AHA";"91305 - SARSCOV2 VAC 30 MCG TRS-SUCR";"ein";"920162721";;"institutional";0.0100;0.0100;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920162721";;"institutional";52.0000;15.6000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"920162721";;"institutional";204.0000;35.9200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Pathology and Laboratory";"HCPCS";"Q0114";"2022 CMS,AHA";"Q0114 - FERN TEST";"ein";"920162721";;"institutional";72.0000;33.8600;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"64615";"2022 CMS,AHA";"64615 - CHEMODENERV MUSC MIGRAINE";"ein";"920162721";;"institutional";1128.0000;733.2000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"93971";"2022 CMS,AHA";"93971 - EXTREMITY STUDY";"ein";"920041488";;"institutional";1242.0000;602.7930;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"99211";"2022 CMS,AHA";"99211 - OFFICE/OUTPATIENT VISIT EST";"ein";"920041488";;"institutional";217.0000;195.3000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"99211";"2022 CMS,AHA";"99211 - OFFICE/OUTPATIENT VISIT EST";"ein";"920041488";;"institutional";228.0000;205.2000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"99212";"2022 CMS,AHA";"99212 - OFFICE/OUTPATIENT VISIT EST";"ein";"910873623";;"institutional";297.6000;119.5000;"1306933643";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"99212";"2022 CMS,AHA";"99212 - OFFICE/OUTPATIENT VISIT EST";"ein";"910873623";;"institutional";297.6000;183.9900;"1306933643";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";229.0000;131.8200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";229.0000;133.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";229.0000;148.8500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Ambulatory Surgical Care";"HCPCS";"62321";"2022 CMS,AHA";"62321 - NJX INTERLAMINAR CRV/THRC";"ein";"271378179";;"institutional";4266.0000;2587.3300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Ambulatory Surgical Care";"HCPCS";"63047";"2022 CMS,AHA";"63047 - REMOVE SPINE LAMINA 1 LMBR";"ein";"592280782";;"institutional";40750.0000;0.0000;"1306995063";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Ambulatory Surgical Care";"HCPCS";"63047";"2022 CMS,AHA";"63047 - REMOVE SPINE LAMINA 1 LMBR";"ein";"592280782";;"institutional";40750.0000;12632.5000;"1306995063";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Ambulatory Surgical Care";"HCPCS";"64483";"2022 CMS,AHA";"64483 - INJ FORAMEN EPIDURAL L/S";"ein";"271378179";;"institutional";3364.0000;2859.4000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Ambulatory Surgical Care";"HCPCS";"64484";"2022 CMS,AHA";"64484 - INJ FORAMEN EPIDURAL ADD-ON";"ein";"271378179";;"institutional";1297.0000;1297.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Ambulatory Surgical Care";"HCPCS";"99152";"2022 CMS,AHA";"99152 - NEWBORN RESUSCITATION";"ein";"271378179";;"institutional";600.0000;300.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920162721";;"institutional";54.0000;18.5200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80048";"2022 CMS,AHA";"80048 - METABOLIC PANEL TOTAL CA";"ein";"920041488";;"institutional";311.0000;51.3720;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920162721";;"institutional";226.0000;67.8000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920162721";;"institutional";233.0000;116.9900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"81001";"2022 CMS,AHA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"920162721";;"institutional";158.0000;90.3900;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"81025";"2022 CMS,AHA";"81025 - URINE PREGNANCY TEST";"ein";"920162721";;"institutional";161.0000;104.6500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82306";"2022 CMS,AHA";"82306 - VITAMIN D 25 HYDROXY";"ein";"920162721";;"institutional";258.0000;77.4000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82306";"2022 CMS,AHA";"82306 - VITAMIN D 25 HYDROXY";"ein";"920162721";;"institutional";266.0000;166.2200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82330";"2022 CMS,AHA";"82330 - ASSAY OF CALCIUM";"ein";"920162721";;"institutional";314.0000;156.7400;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82533";"2022 CMS,AHA";"82533 - TOTAL CORTISOL";"ein";"920041461";;"institutional";191.0000;122.5350;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82785";"2022 CMS,AHA";"82785 - ASSAY OF IGE";"ein";"920162721";;"institutional";173.0000;112.4500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"920162721";;"institutional";63.0000;0.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"920162721";;"institutional";220.0000;0.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"920162721";;"institutional";220.0000;67.3500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83550";"2022 CMS,AHA";"83550 - IRON BINDING TEST";"ein";"920162721";;"institutional";163.0000;48.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83690";"2022 CMS,AHA";"83690 - ASSAY OF LIPASE";"ein";"920162721";;"institutional";205.0000;102.5600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83880";"2022 CMS,AHA";"83880 - ASSAY OF NATRIURETIC PEPTIDE";"ein";"920162721";;"institutional";670.0000;435.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84402";"2022 CMS,AHA";"84402 - ASSAY OF FREE TESTOSTERONE";"ein";"920041461";;"institutional";258.0000;48.8475;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84450";"2022 CMS,AHA";"84450 - TRANSFERASE (AST) (SGOT)";"ein";"920162721";;"institutional";73.0000;21.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84460";"2022 CMS,AHA";"84460 - ALANINE AMINO (ALT) (SGPT)";"ein";"920162721";;"institutional";152.0000;45.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84484";"2022 CMS,AHA";"84484 - ASSAY OF TROPONIN QUANT";"ein";"920162721";;"institutional";575.0000;287.0200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84702";"2022 CMS,AHA";"84702 - CHORIONIC GONADOTROPIN TEST";"ein";"920041488";;"institutional";264.0000;237.6000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"910873623";;"institutional";154.0700;95.2500;"1306933643";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1100";"2022 CMS,AHA";"J1100 - DEXAMETHASONE SODIUM PHOS";"ein";"473248194";;"institutional";159.8000;23.9500;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1100";"2022 CMS,AHA";"J1100 - DEXAMETHASONE SODIUM PHOS";"ein";"871529394";;"institutional";180.0000;47.6300;"1437720828";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1200";"2022 CMS,AHA";"J1200 - DIPHENHYDRAMINE HCL INJECTIO";"ein";"473231590";;"institutional";32.5300;5.9900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"472616215";;"institutional";160.0000;136.0000;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"473231590";;"institutional";130.1200;24.1100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"473923087";;"institutional";100.0000;7.3300;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"843073061";;"institutional";29.8000;5.0100;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2001";"2022 CMS,AHA";"J2001 - LIDOCAINE INJECTION";"ein";"870972215";;"institutional";1506.8000;67.7900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2270";"2022 CMS,AHA";"J2270 - MORPHINE SULFATE INJECTION";"ein";"464499268";;"institutional";30.0000;2.7200;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"464499268";;"institutional";84.0000;9.4200;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"473231590";;"institutional";260.2400;39.0700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"870972215";;"institutional";3162.5200;142.2800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2550";"2022 CMS,AHA";"J2550 - PROMETHAZINE HCL INJECTION";"ein";"473231590";;"institutional";32.5300;32.5300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2765";"2022 CMS,AHA";"J2765 - METOCLOPRAMIDE HCL INJECTION";"ein";"473231590";;"institutional";45.5200;7.3300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2765";"2022 CMS,AHA";"J2765 - METOCLOPRAMIDE HCL INJECTION";"ein";"474187773";;"institutional";3.4500;1.0100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3010";"2022 CMS,AHA";"J3010 - FENTANYL CITRATE INJECITON";"ein";"473923087";;"institutional";3.4500;0.2500;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3490";"2022 CMS,AHA";"J3490 - DRUGS UNCLASSIFIED INJECTION";"ein";"474187773";;"institutional";8.3800;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"473231590";;"institutional";80.6300;12.7600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"474187773";;"institutional";69.8000;20.4000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"852007987";;"institutional";211.6800;9.6800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"273908339";;"institutional";28.2500;4.5900;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"273908339";;"institutional";100.0000;13.1500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"815038663";;"institutional";6.0400;0.8300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8540";"2022 CMS,AHA";"J8540 - ORAL DEXAMETHASONE";"ein";"871528012";;"institutional";17.6000;1.4900;"1912677295";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82565";"2022 CMS,AHA";"82565 - ASSAY OF CREATININE";"ein";"473923087";;"institutional";191.3400;14.0200;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82570";"2022 CMS,AHA";"82570 - ASSAY OF URINE CREATININE";"ein";"850416296";;"institutional";63.6200;8.0000;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"473923087";;"institutional";144.2300;21.7500;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"842951019";;"institutional";230.0000;13.8700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82977";"2022 CMS,AHA";"82977 - ASSAY OF GGT";"ein";"465735510";;"institutional";32.0000;5.3900;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82977";"2022 CMS,AHA";"82977 - ASSAY OF GGT";"ein";"473231590";;"institutional";116.9700;17.5600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82977";"2022 CMS,AHA";"82977 - ASSAY OF GGT";"ein";"473248194";;"institutional";32.0000;5.0500;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82977";"2022 CMS,AHA";"82977 - ASSAY OF GGT";"ein";"820984034";;"institutional";116.9700;12.3800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82977";"2022 CMS,AHA";"82977 - ASSAY OF GGT";"ein";"850416296";;"institutional";88.2600;8.9100;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"850416296";;"institutional";99.2300;18.0700;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"850416296";;"institutional";99.2300;20.8000;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"850416296";;"institutional";109.3400;11.0300;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"83605";"2022 CMS,AHA";"83605 - ASSAY OF LACTIC ACID";"ein";"851820772";;"institutional";422.5500;54.3200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"83690";"2022 CMS,AHA";"83690 - ASSAY OF LIPASE";"ein";"752756307";;"institutional";132.0000;32.9400;"1669480323";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"83690";"2022 CMS,AHA";"83690 - ASSAY OF LIPASE";"ein";"821703810";;"institutional";221.0000;15.4600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84155";"2022 CMS,AHA";"84155 - ASSAY OF PROTEIN SERUM";"ein";"843073061";;"institutional";63.0000;6.4600;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84156";"2022 CMS,AHA";"84156 - ASSAY OF PROTEIN URINE";"ein";"850416296";;"institutional";71.2300;12.9000;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84443";"2022 CMS,AHA";"84443 - ASSAY THYROID STIM HORMONE";"ein";"850416296";;"institutional";156.3100;19.6600;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84450";"2022 CMS,AHA";"84450 - TRANSFERASE (AST) (SGOT)";"ein";"473248194";;"institutional";21.0000;3.3100;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84450";"2022 CMS,AHA";"84450 - TRANSFERASE (AST) (SGOT)";"ein";"473923087";;"institutional";195.8200;14.3400;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84450";"2022 CMS,AHA";"84450 - TRANSFERASE (AST) (SGOT)";"ein";"474187773";;"institutional";195.8200;30.6700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84450";"2022 CMS,AHA";"84450 - TRANSFERASE (AST) (SGOT)";"ein";"843073061";;"institutional";88.8800;9.1200;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84460";"2022 CMS,AHA";"84460 - ALANINE AMINO (ALT) (SGPT)";"ein";"474187773";;"institutional";195.8200;30.6700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84484";"2022 CMS,AHA";"84484 - ASSAY OF TROPONIN QUANT";"ein";"815038663";;"institutional";397.7900;45.8700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"12013";"2022 CMS,AHA";"12013 - RPR F/E/E/N/L/M 2.6-5.0 CM";"ein";"920041488";;"institutional";460.0000;414.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"920162721";;"institutional";286.0000;143.0900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"99282";"2022 CMS,AHA";"99282 - EMERGENCY DEPT VISIT";"ein";"910873623";;"institutional";761.6100;761.6100;"1306933643";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"920041488";;"institutional";1705.0000;1362.9600;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";2602.0000;1198.7200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";4650.0000;3022.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920162721";;"institutional";0.6500;0.3200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920162721";;"institutional";254.2000;165.2300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920162721";;"institutional";662.3500;430.5275;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"0002A";"2022 CMS,AHA";"0002A - ADM SARSCOV2 30MCG/0.3ML 2ND";"ein";"920162721";;"institutional";29.0000;18.8500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"0004A";"2022 CMS,AHA";"0004A - ADM SARSCOV2 30MCG/0.3ML BST";"ein";"920162721";;"institutional";30.0000;19.5000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90471";"2022 CMS,AHA";"90471 - IMMUNIZATION ADMIN";"ein";"920162721";;"institutional";29.0000;18.8500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90472";"2022 CMS,AHA";"90472 - IMMUNIZATION ADMIN EACH ADD";"ein";"920041461";;"institutional";189.0000;141.7500;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90620";"2022 CMS,AHA";"90620 - MENB RP W/OMV VACCINE IM";"ein";"920041488";;"institutional";0.0100;0.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90649";"2022 CMS,AHA";"90649 - 4VHPV VACCINE 3 DOSE IM";"ein";"920162721";;"institutional";571.0000;371.1500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90696";"2022 CMS,AHA";"90696 - DTAP-IPV VACCINE 4-6 YRS IM";"ein";"920041488";;"institutional";0.0100;0.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96368";"2022 CMS,AHA";"96368 - THER/DIAG CONCURRENT INF";"ein";"320197974";;"institutional";608.0000;273.6000;"1508029422";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"920041488";;"institutional";215.0000;193.5000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1100";"2022 CMS,AHA";"J1100 - DEXAMETHASONE SODIUM PHOS";"ein";"320197974";;"institutional";339.1200;152.6000;"1508029422";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1453";"2022 CMS,AHA";"J1453 - FOSAPREPITANT INJECTION";"ein";"320197974";;"institutional";1269.0000;571.0500;"1508029422";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"920162721";;"institutional";69.9000;45.4350;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"920162721";;"institutional";83.2500;54.1100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2469";"2022 CMS,AHA";"J2469 - PALONOSETRON HCL";"ein";"320197974";;"institutional";3014.3000;1356.4400;"1508029422";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920162721";;"institutional";235.0000;138.5900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920162721";;"institutional";235.0000;145.7400;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"85027";"2022 CMS,AHA";"85027 - COMPLETE CBC AUTOMATED";"ein";"920162721";;"institutional";171.0000;51.3000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"85027";"2022 CMS,AHA";"85027 - COMPLETE CBC AUTOMATED";"ein";"920162721";;"institutional";171.0000;52.3500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"86141";"2022 CMS,AHA";"86141 - C-REACTIVE PROTEIN HS";"ein";"920041488";;"institutional";222.0000;199.8000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"86147";"2022 CMS,AHA";"86147 - CARDIOLIPIN ANTIBODY EA IG";"ein";"920041488";;"institutional";711.0000;639.9000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"86850";"2022 CMS,AHA";"86850 - RBC ANTIBODY SCREEN";"ein";"910873623";;"institutional";254.5000;163.2400;"1306933643";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87015";"2022 CMS,AHA";"87015 - SPECIMEN INFECT AGNT CONCNTJ";"ein";"920162721";;"institutional";163.0000;49.9000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87081";"2022 CMS,AHA";"87081 - CULTURE SCREEN ONLY";"ein";"920162721";;"institutional";159.0000;103.3500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87328";"2022 CMS,AHA";"87328 - CRYPTOSPORIDIUM AG IA";"ein";"920162721";;"institutional";196.0000;60.0100;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87529";"2022 CMS,AHA";"87529 - HSV DNA AMP PROBE";"ein";"920162721";;"institutional";462.0000;0.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87591";"2022 CMS,AHA";"87591 - N.GONORRHOEAE DNA AMP PROB";"ein";"920162721";;"institutional";232.0000;144.9300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87591";"2022 CMS,AHA";"87591 - N.GONORRHOEAE DNA AMP PROB";"ein";"920162721";;"institutional";464.0000;301.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87624";"2022 CMS,AHA";"87624 - HPV HIGH-RISK TYPES";"ein";"920162721";;"institutional";194.0000;61.2500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87624";"2022 CMS,AHA";"87624 - HPV HIGH-RISK TYPES";"ein";"920162721";;"institutional";194.0000;118.7800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87624";"2022 CMS,AHA";"87624 - HPV HIGH-RISK TYPES";"ein";"920162721";;"institutional";194.0000;121.1900;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"920162721";;"institutional";204.0000;102.6120;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87880";"2022 CMS,AHA";"87880 - STREP A ASSAY W/OPTIC";"ein";"920041488";;"institutional";217.0000;87.4620;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"88142";"2022 CMS,AHA";"88142 - CYTOPATH C/V THIN LAYER";"ein";"920162721";;"institutional";146.0000;89.3900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"89051";"2022 CMS,AHA";"89051 - BODY FLUID CELL COUNT";"ein";"920162721";;"institutional";501.0000;288.4000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"REVENUE CODE";"306";"2022 AHA";"LAB/BACT-MICRO";"ein";"920041488";;"institutional";461.0000;414.9000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"REVENUE CODE";"310";"2022 AHA";"PATHOLOGY LAB";"ein";"920041488";;"institutional";834.0000;750.6000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Physical Therapy";"HCPCS";"97165";"2022 CMS,AHA";"97165 - OT EVAL LOW COMPLEX 30 MIN";"ein";"920041488";;"institutional";245.0000;220.5000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82803";"2022 CMS,AHA";"82803 - BLOOD GASES ANY COMBINATION";"ein";"474187773";;"institutional";501.6800;93.6500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"473923087";;"institutional";144.2300;10.5700;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82948";"2022 CMS,AHA";"82948 - REAGENT STRIP/BLOOD GLUCOSE";"ein";"473248194";;"institutional";110.0000;15.0700;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82977";"2022 CMS,AHA";"82977 - ASSAY OF GGT";"ein";"474187773";;"institutional";101.2700;15.8600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82977";"2022 CMS,AHA";"82977 - ASSAY OF GGT";"ein";"474187773";;"institutional";101.2700;18.9100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82977";"2022 CMS,AHA";"82977 - ASSAY OF GGT";"ein";"843073061";;"institutional";123.7500;12.7000;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"850416296";;"institutional";99.2300;17.9600;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84075";"2022 CMS,AHA";"84075 - ASSAY ALKALINE PHOSPHATASE";"ein";"474187773";;"institutional";44.6000;8.3200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84075";"2022 CMS,AHA";"84075 - ASSAY ALKALINE PHOSPHATASE";"ein";"843073061";;"institutional";88.8800;9.1200;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84155";"2022 CMS,AHA";"84155 - ASSAY OF PROTEIN SERUM";"ein";"473923087";;"institutional";38.2500;5.7600;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84439";"2022 CMS,AHA";"84439 - ASSAY OF FREE THYROXINE";"ein";"756004585";;"institutional";120.0500;84.0400;"1790777696";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84439";"2022 CMS,AHA";"84439 - ASSAY OF FREE THYROXINE";"ein";"850416296";;"institutional";114.7500;14.4400;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84450";"2022 CMS,AHA";"84450 - TRANSFERASE (AST) (SGOT)";"ein";"465735510";;"institutional";21.0000;3.5400;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84484";"2022 CMS,AHA";"84484 - ASSAY OF TROPONIN QUANT";"ein";"820984034";;"institutional";397.7900;42.1000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84484";"2022 CMS,AHA";"84484 - ASSAY OF TROPONIN QUANT";"ein";"821703810";;"institutional";397.7900;27.8400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84520";"2022 CMS,AHA";"84520 - ASSAY OF UREA NITROGEN";"ein";"843073061";;"institutional";67.8800;9.0400;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"273908339";;"institutional";400.4600;52.6600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"464499268";;"institutional";1010.0000;108.4400;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"464499268";;"institutional";1010.0000;113.2100;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"465735510";;"institutional";280.0000;47.1600;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"473248194";;"institutional";280.0000;29.5800;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"474187773";;"institutional";267.8700;62.8000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"474187773";;"institutional";267.8700;78.3100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"756004585";;"institutional";103.8200;72.6700;"1790777696";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84520";"2022 CMS,AHA";"84520 - ASSAY OF UREA NITROGEN";"ein";"842951019";;"institutional";359.0000;30.4100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84703";"2022 CMS,AHA";"84703 - CHORIONIC GONADOTROPIN ASSAY";"ein";"854042853";;"institutional";455.6500;49.4200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"463151282";;"institutional";1010.0000;50.2700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"473923087";;"institutional";267.8700;19.6300;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"473923087";;"institutional";267.8700;21.6300;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"752756307";;"institutional";142.0000;26.1900;"1669480323";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"815038663";;"institutional";309.3800;35.6700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"820756286";;"institutional";267.8700;45.9400;"1821501875";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"820984034";;"institutional";309.3800;32.7400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"821883948";;"institutional";56.5000;13.9300;"1649794157";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"832010142";;"institutional";1512.0000;51.9000;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"842951019";;"institutional";1260.0000;76.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"843073061";;"institutional";242.0000;24.8400;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85652";"2022 CMS,AHA";"85652 - RBC SED RATE AUTOMATED";"ein";"473923087";;"institutional";16.5000;1.3300;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"86592";"2022 CMS,AHA";"86592 - SYPHILIS TEST NON-TREP QUAL";"ein";"473231590";;"institutional";53.1400;8.0200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"86695";"2022 CMS,AHA";"86695 - HERPES SIMPLEX TYPE 1 TEST";"ein";"473231590";;"institutional";216.9800;32.7500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87070";"2022 CMS,AHA";"87070 - CULTURE OTHR SPECIMN AEROBIC";"ein";"473923087";;"institutional";250.1000;20.1900;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87081";"2022 CMS,AHA";"87081 - CULTURE SCREEN ONLY";"ein";"474187773";;"institutional";265.2500;56.9900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87081";"2022 CMS,AHA";"87081 - CULTURE SCREEN ONLY";"ein";"474187773";;"institutional";265.2500;62.1800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87086";"2022 CMS,AHA";"87086 - URINE CULTURE/COLONY COUNT";"ein";"815038663";;"institutional";292.1100;33.6800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87086";"2022 CMS,AHA";"87086 - URINE CULTURE/COLONY COUNT";"ein";"850416296";;"institutional";125.8500;21.9600;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"472166397";;"institutional";210.0000;28.1200;"1093191397";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"473231590";;"institutional";450.0000;59.1100;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"474187773";;"institutional";120.0000;27.0700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"473231590";;"institutional";132.0000;18.8600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"473231590";;"institutional";391.0000;72.0100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"751912147";;"institutional";1100.8000;0.0000;"1023013448";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"S0020";"2022 CMS,AHA";"S0020 - INJECTION, BUPIVICAINE HYDRO";"ein";"860719852";;"institutional";15.0000;10.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"S0119";"2022 CMS,AHA";"S0119 - ONDANSETRON 4 MG";"ein";"473231590";;"institutional";11.2500;1.9500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"S0119";"2022 CMS,AHA";"S0119 - ONDANSETRON 4 MG";"ein";"474187773";;"institutional";3.4500;0.7400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"383813467";;"institutional";676.5100;608.8600;"1497053912";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"260";"2022 AHA";"IV THERAPY";"ein";"383813467";;"institutional";347.4200;312.6800;"1497053912";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"260";"2022 AHA";"IV THERAPY";"ein";"383813467";;"institutional";1127.6000;1014.8400;"1497053912";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"636";"2022 AHA";"DRUGS/DETAIL CODE";"ein";"821703810";;"institutional";30.8200;25.3600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"465735510";;"institutional";60.0000;51.0000;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"752756307";;"institutional";17.5000;14.7500;"1669480323";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"756004585";;"institutional";15.1400;10.6000;"1790777696";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"832010142";;"institutional";456.0000;15.6500;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"36416";"2022 CMS,AHA";"36416 - CAPILLARY BLOOD DRAW";"ein";"473248194";;"institutional";60.0000;8.2200;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80048";"2022 CMS,AHA";"80048 - METABOLIC PANEL TOTAL CA";"ein";"820984034";;"institutional";408.3900;43.2200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80048";"2022 CMS,AHA";"80048 - METABOLIC PANEL TOTAL CA";"ein";"850416296";;"institutional";220.4200;22.2600;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80048";"2022 CMS,AHA";"80048 - METABOLIC PANEL TOTAL CA";"ein";"850416296";;"institutional";220.4200;39.1400;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80051";"2022 CMS,AHA";"80051 - ELECTROLYTE PANEL";"ein";"820756286";;"institutional";364.7500;62.5500;"1821501875";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"464499268";;"institutional";850.0000;95.2800;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"465735510";;"institutional";740.0000;124.6500;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"465735510";;"institutional";740.0000;629.0000;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"753175630";;"institutional";129.0000;14.7100;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"850416296";;"institutional";147.7700;30.9700;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80076";"2022 CMS,AHA";"80076 - HEPATIC FUNCTION PANEL";"ein";"842951019";;"institutional";1215.0000;73.2700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"73610";"2022 CMS,AHA";"73610 - X-RAY EXAM OF ANKLE";"ein";"920162721";;"institutional";822.0000;490.2700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"74022";"2022 CMS,AHA";"74022 - X-RAY EXAM SERIES ABDOMEN";"ein";"920041461";;"institutional";298.2000;223.6500;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"77067";"2022 CMS,AHA";"77067 - SCR MAMMO BI INCL CAD";"ein";"920041488";;"institutional";315.0000;283.5000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"91200";"2022 CMS,AHA";"91200 - LIVER ELASTOGRAPHY";"ein";"920162721";;"institutional";785.0000;753.1000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"920162721";;"institutional";704.0000;353.4700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"93226";"2022 CMS,AHA";"93226 - ECG MONIT/REPRT UP TO 48 HRS";"ein";"920162721";;"institutional";688.0000;349.4200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"G1004";"2022 CMS,AHA";"G1004 - CDSM NDSC";"ein";"920162721";;"institutional";0.0100;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Room and Board";"REVENUE CODE";"124";"2022 AHA";"PSTAY/2BED";"ein";"825372831";;"institutional";4500.0000;2475.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Bakery Workers H&W Local 24";"group";"Emergency Department Services";"HCPCS";"99282";"2022 CMS,AHA";"99282 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";1248.0000;210.8500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Bakery Workers H&W Local 24";"group";"Pathology and Laboratory";"HCPCS";"84520";"2022 CMS,AHA";"84520 - ASSAY OF UREA NITROGEN";"ein";"941105628";;"institutional";29.0000;4.9000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Bakery Workers H&W Local 24";"group";"Respiratory";"HCPCS";"36600";"2022 CMS,AHA";"36600 - WITHDRAWAL OF ARTERIAL BLOOD";"ein";"941105628";;"institutional";291.0000;49.1600;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Administration";"HCPCS";"93976";"2022 CMS,AHA";"93976 - VASCULAR STUDY";"ein";"831287043";;"institutional";2208.2800;0.0000;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"831287043";;"institutional";65.0600;0.0000;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"80305";"2022 CMS,AHA";"80305 - DRUG TEST PRSMV DIR OPT OBS";"ein";"474607572";;"institutional";1323.0000;18.8900;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"831287043";;"institutional";194.4700;0.0000;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Psychological";"HCPCS";"90832";"2022 CMS,AHA";"90832 - PSYTX PT&/FAMILY 30 MINUTES";"ein";"474607572";;"institutional";383.0000;135.4700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Psychological";"HCPCS";"H0002";"2022 CMS,AHA";"H0002 - ALCOHOL AND/OR DRUG SCREENIN";"ein";"474607572";;"institutional";814.0000;76.2800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Room and Board";"REVENUE CODE";"126";"2022 AHA";"DETOX/2BED";"ein";"320532792";;"institutional";4100.0000;3280.0000;"1598272098";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Pathology and Laboratory";"HCPCS";"85652";"2022 CMS,AHA";"85652 - RBC SED RATE AUTOMATED";"ein";"941105628";;"institutional";83.0000;7.2600;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Pathology and Laboratory";"HCPCS";"86141";"2022 CMS,AHA";"86141 - C-REACTIVE PROTEIN HS";"ein";"941105628";;"institutional";118.0000;10.3100;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"202898771";;"institutional";167.7000;22.2200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Radiology";"HCPCS";"70498";"2022 CMS,AHA";"70498 - CT ANGIOGRAPHY NECK";"ein";"202898771";;"institutional";3365.3900;445.9800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Emergency Department Services";"REVENUE CODE";"450";"2022 AHA";"EMERG ROOM";"ein";"550383321";;"institutional";818.0000;736.2000;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Pathology and Laboratory";"REVENUE CODE";"301";"2022 AHA";"LAB/CHEMISTRY";"ein";"550383321";;"institutional";1094.0000;984.6000;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7050";"2022 CMS,AHA";"J7050 - NORMAL SALINE SOLUTION INFUS";"ein";"320197974";;"institutional";288.2700;129.7200;"1508029422";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7050";"2022 CMS,AHA";"J7050 - NORMAL SALINE SOLUTION INFUS";"ein";"320197974";;"institutional";864.8100;389.1600;"1508029422";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7307";"2022 CMS,AHA";"J7307 - ETONOGESTREL IMPLANT SYSTEM";"ein";"920041488";;"institutional";4271.7000;3844.5300;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"0241U";"2022 CMS,AHA";"0241U - NFCT DS VIR RESP RNA 4 TRGT";"ein";"920162721";;"institutional";335.0000;194.1900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"910873623";;"institutional";86.0500;53.2000;"1306933643";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920162721";;"institutional";54.0000;26.9500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920162721";;"institutional";54.0000;32.3300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920162721";;"institutional";54.0000;35.1000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80048";"2022 CMS,AHA";"80048 - METABOLIC PANEL TOTAL CA";"ein";"920041461";;"institutional";155.0000;42.8100;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80048";"2022 CMS,AHA";"80048 - METABOLIC PANEL TOTAL CA";"ein";"920162721";;"institutional";193.0000;57.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920041488";;"institutional";329.0000;296.1000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920162721";;"institutional";233.0000;69.9000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920162721";;"institutional";233.0000;99.9100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920162721";;"institutional";233.0000;116.3100;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920162721";;"institutional";233.0000;138.4600;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920162721";;"institutional";233.0000;151.4500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"920041488";;"institutional";213.0000;191.7000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"920162721";;"institutional";184.0000;56.3300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"920162721";;"institutional";184.0000;114.1200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82043";"2022 CMS,AHA";"82043 - MICROALBUMIN QUANTITATIVE";"ein";"920162721";;"institutional";166.0000;49.8000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82043";"2022 CMS,AHA";"82043 - MICROALBUMIN QUANTITATIVE";"ein";"920162721";;"institutional";166.0000;76.7400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82043";"2022 CMS,AHA";"82043 - MICROALBUMIN QUANTITATIVE";"ein";"920162721";;"institutional";166.0000;107.9000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82570";"2022 CMS,AHA";"82570 - ASSAY OF URINE CREATININE";"ein";"910873623";;"institutional";149.8900;92.6600;"1306933643";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"815038663";;"institutional";309.3800;33.8100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"821703810";;"institutional";309.3800;21.6500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"843073061";;"institutional";242.0000;32.2300;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85379";"2022 CMS,AHA";"85379 - FIBRIN DEGRADATION QUANT";"ein";"474187773";;"institutional";413.7200;96.9900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"86039";"2022 CMS,AHA";"86039 - ANTINUCLEAR ANTIBODIES (ANA)";"ein";"473231590";;"institutional";183.5400;27.7100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"86308";"2022 CMS,AHA";"86308 - HETEROPHILE ANTIBODY SCREEN";"ein";"273908339";;"institutional";207.9000;27.3400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"86308";"2022 CMS,AHA";"86308 - HETEROPHILE ANTIBODY SCREEN";"ein";"474187773";;"institutional";139.0600;40.6500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"86318";"2022 CMS,AHA";"86318 - IMMUNOASSAY INFECTIOUS AGENT";"ein";"463049741";;"institutional";800.0000;74.9700;"1700214863";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"86701";"2022 CMS,AHA";"86701 - HIV-1ANTIBODY";"ein";"843073061";;"institutional";152.6300;24.3200;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"86803";"2022 CMS,AHA";"86803 - HEPATITIS C AB TEST";"ein";"850416296";;"institutional";138.7500;25.1100;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87040";"2022 CMS,AHA";"87040 - BLOOD CULTURE FOR BACTERIA";"ein";"473231590";;"institutional";397.7900;41.8800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87040";"2022 CMS,AHA";"87040 - BLOOD CULTURE FOR BACTERIA";"ein";"832010142";;"institutional";463.0000;15.8900;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87081";"2022 CMS,AHA";"87081 - CULTURE SCREEN ONLY";"ein";"474187773";;"institutional";265.2500;49.5200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87081";"2022 CMS,AHA";"87081 - CULTURE SCREEN ONLY";"ein";"474187773";;"institutional";265.2500;59.8300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"472971495";;"institutional";245.7000;9.4200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"473248194";;"institutional";210.0000;27.4600;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"473248194";;"institutional";210.0000;28.1200;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"474187773";;"institutional";120.0000;25.7900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"815038663";;"institutional";450.0000;60.5700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"815038663";;"institutional";450.0000;62.1400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"832010142";;"institutional";300.0000;28.8900;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"852007987";;"institutional";245.7000;11.2400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87480";"2022 CMS,AHA";"87480 - CANDIDA DNA DIR PROBE";"ein";"473923087";;"institutional";49.0500;3.5900;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"843073061";;"institutional";200.0000;28.0900;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87428";"2022 CMS,AHA";"87428 - SarsCov & Inf Vir A&B AG IA";"ein";"852007987";;"institutional";2011.2300;93.1000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87486";"2022 CMS,AHA";"87486 - CHYLMD PNEUM DNA AMP PROBE";"ein";"473248194";;"institutional";170.0000;30.5600;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87486";"2022 CMS,AHA";"87486 - CHYLMD PNEUM DNA AMP PROBE";"ein";"473248194";;"institutional";170.0000;30.8100;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87491";"2022 CMS,AHA";"87491 - CHYLMD TRACH DNA AMP PROBE";"ein";"473231590";;"institutional";317.1800;47.8800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87633";"2022 CMS,AHA";"87633 - RESP VIRUS 12-25 TARGETS";"ein";"474187773";;"institutional";2083.9000;389.0500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87633";"2022 CMS,AHA";"87633 - RESP VIRUS 12-25 TARGETS";"ein";"820756286";;"institutional";2083.9000;530.2200;"1821501875";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87637";"2022 CMS,AHA";"87637 - SarsCov2 & Inf A&B&RSV Amp Prb";"ein";"473231590";;"institutional";750.0000;116.7900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"473231590";;"institutional";131.7100;17.3000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"842951019";;"institutional";478.8000;40.5600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87807";"2022 CMS,AHA";"87807 - RSV ASSAY W/OPTIC";"ein";"832010142";;"institutional";630.0000;46.5100;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87880";"2022 CMS,AHA";"87880 - STREP A ASSAY W/OPTIC";"ein";"273908339";;"institutional";280.3200;36.8600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87880";"2022 CMS,AHA";"87880 - STREP A ASSAY W/OPTIC";"ein";"843073061";;"institutional";206.1300;32.7800;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87880";"2022 CMS,AHA";"87880 - STREP A ASSAY W/OPTIC";"ein";"843073061";;"institutional";206.1300;34.6400;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"REVENUE CODE";"300";"2022 AHA";"LABORATORY";"ein";"821703810";;"institutional";1273.8500;1048.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Physical Therapy";"HCPCS";"97012";"2022 CMS,AHA";"97012 - MECHANICAL TRACTION THERAPY";"ein";"850416296";;"institutional";32.6800;21.5000;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"71045";"2022 CMS,AHA";"71045 - X-RAY EXAM CHEST 1 VIEW";"ein";"474187773";;"institutional";491.7100;120.2600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"71046";"2022 CMS,AHA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"473231590";;"institutional";196.8800;34.1400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"71046";"2022 CMS,AHA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"843073061";;"institutional";839.3000;101.2400;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"72131";"2022 CMS,AHA";"72131 - CT LUMBAR SPINE W/O DYE";"ein";"473923087";;"institutional";3831.6000;280.7000;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"72275";"2022 CMS,AHA";"72275 - EPIDUROGRAPHY";"ein";"870972215";;"institutional";10980.0400;493.9900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"74176";"2022 CMS,AHA";"74176 - CT ABD & PELVIS W/O CONTRAST";"ein";"473231590";;"institutional";2651.8500;419.8100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"76536";"2022 CMS,AHA";"76536 - US EXAM OF HEAD AND NECK";"ein";"850416296";;"institutional";477.2800;152.0900;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"93000";"2022 CMS,AHA";"93000 - ELECTROCARDIOGRAM COMPLETE";"ein";"852489965";;"institutional";245.4100;24.8300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Respiratory";"HCPCS";"94760";"2022 CMS,AHA";"94760 - MEASURE BLOOD OXYGEN LEVEL";"ein";"473248194";;"institutional";150.0000;23.9500;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80076";"2022 CMS,AHA";"80076 - HEPATIC FUNCTION PANEL";"ein";"843073061";;"institutional";374.0000;49.8100;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80307";"2022 CMS,AHA";"80307 - DRUG TEST PRSMV CHEM ANLYZR";"ein";"472177648";;"institutional";281.5000;37.3400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81002";"2022 CMS,AHA";"81002 - URINALYSIS NONAUTO W/O SCOPE";"ein";"851820772";;"institutional";122.0400;15.6900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"464499268";;"institutional";375.0000;40.2600;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"472616215";;"institutional";180.0000;19.6180;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"474187773";;"institutional";168.3700;26.3700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"821703810";;"institutional";194.4700;13.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"854042853";;"institutional";241.2200;26.1600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"871528012";;"institutional";163.6600;15.0700;"1912677295";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81025";"2022 CMS,AHA";"81025 - URINE PREGNANCY TEST";"ein";"842951019";;"institutional";570.0000;48.2900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82040";"2022 CMS,AHA";"82040 - ASSAY OF SERUM ALBUMIN";"ein";"474187773";;"institutional";42.8800;8.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82150";"2022 CMS,AHA";"82150 - ASSAY OF AMYLASE";"ein";"473231590";;"institutional";318.2300;47.7800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82150";"2022 CMS,AHA";"82150 - ASSAY OF AMYLASE";"ein";"752756307";;"institutional";124.0000;30.9500;"1669480323";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82247";"2022 CMS,AHA";"82247 - BILIRUBIN TOTAL";"ein";"473248194";;"institutional";23.0000;3.6300;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82247";"2022 CMS,AHA";"82247 - BILIRUBIN TOTAL";"ein";"474187773";;"institutional";102.1700;19.0700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82247";"2022 CMS,AHA";"82247 - BILIRUBIN TOTAL";"ein";"820756286";;"institutional";102.1700;17.5200;"1821501875";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82274";"2022 CMS,AHA";"82274 - ASSAY TEST FOR BLOOD FECAL";"ein";"850416296";;"institutional";82.2500;26.2000;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82550";"2022 CMS,AHA";"82550 - ASSAY OF CK (CPK)";"ein";"820756286";;"institutional";229.6000;39.3800;"1821501875";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82553";"2022 CMS,AHA";"82553 - CREATINE MB FRACTION";"ein";"820984034";;"institutional";397.7900;42.1000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82607";"2022 CMS,AHA";"82607 - VITAMIN B-12";"ein";"850416296";;"institutional";147.4400;18.5500;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82607";"2022 CMS,AHA";"82607 - VITAMIN B-12";"ein";"850416296";;"institutional";147.4400;25.7200;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82607";"2022 CMS,AHA";"82607 - VITAMIN B-12";"ein";"850416296";;"institutional";147.4400;26.8500;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"463151282";;"institutional";195.0000;9.7000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"473248194";;"institutional";100.0000;15.7700;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"753175630";;"institutional";115.0000;15.9000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Pathology and Laboratory";"REVENUE CODE";"307";"2022 AHA";"LAB/UROLOGY";"ein";"550383321";;"institutional";29.0000;26.1000;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Radiology";"REVENUE CODE";"730";"2022 AHA";"EKG/ECG";"ein";"550383321";;"institutional";639.0000;575.1000;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Room and Board";"REVENUE CODE";"110";"2022 AHA";"ROOM-BOARD/PVT";"ein";"550383321";;"institutional";1634.0000;1470.6000;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Room and Board";"REVENUE CODE";"200";"2022 AHA";"INTENSIVE CARE or (ICU)";"ein";"550383321";;"institutional";3812.0000;3430.8000;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Administration";"HCPCS";"93976";"2022 CMS,AHA";"93976 - VASCULAR STUDY";"ein";"850416296";;"institutional";477.2800;185.5900;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Administration";"HCPCS";"99213";"2022 CMS,AHA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"850416296";;"institutional";145.5700;112.4100;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Anesthesia";"HCPCS";;"2022 CMS,AHA";;"ein";"752756307";;"institutional";1391.0000;1172.7500;"1669480323";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Cardiovascular";"HCPCS";"36223";"2022 CMS,AHA";"36223 - PLACE CATH CAROTID/INOM ART";"ein";"751912147";;"institutional";10378.3300;4929.6800;"1023013448";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Dialysis";"HCPCS";"A4928";"2022 CMS,AHA";"A4928 - SURGICAL MASK";"ein";"852007987";;"institutional";35.6400;1.6300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"29550";"2022 CMS,AHA";"29550 - STRAPPING OF TOES";"ein";"821703810";;"institutional";265.1900;42.0200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"36410";"2022 CMS,AHA";"36410 - NON-ROUTINE BL DRAW 3/> YRS";"ein";"852007987";;"institutional";471.4200;21.5500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"94761";"2022 CMS,AHA";"94761 - MEASURE BLOOD OXYGEN LEVEL";"ein";"852007987";;"institutional";675.0200;30.8700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99000";"2022 CMS,AHA";"99000 - SPECIMEN HANDLING OFFICE-LAB";"ein";"843073061";;"institutional";152.3600;24.2300;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"473231590";;"institutional";2265.3200;297.5600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"750800628";;"institutional";1345.0000;265.1300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"814084541";;"institutional";2265.3200;300.8100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"814084541";;"institutional";2265.3200;310.4800;"1649789819";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"815038663";;"institutional";2265.3200;310.6400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"820756286";;"institutional";1336.0400;299.8300;"1821501875";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"821703810";;"institutional";2265.3200;302.7100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"842951019";;"institutional";4200.0000;314.9500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"843073061";;"institutional";1603.5000;285.2000;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"852007987";;"institutional";6766.0000;313.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"273908339";;"institutional";2496.3500;406.0500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"473248194";;"institutional";3100.0000;327.4600;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87582";"2022 CMS,AHA";"87582 - M.PNEUMON DNA QUANT";"ein";"474187773";;"institutional";322.2200;60.1600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87633";"2022 CMS,AHA";"87633 - RESP VIRUS 12-25 TARGETS";"ein";"473248194";;"institutional";1980.0000;358.8800;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87633";"2022 CMS,AHA";"87633 - RESP VIRUS 12-25 TARGETS";"ein";"474187773";;"institutional";2083.9000;509.7000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87637";"2022 CMS,AHA";"87637 - SarsCov2 & Inf A&B&RSV Amp Prb";"ein";"473231590";;"institutional";750.0000;117.3200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87637";"2022 CMS,AHA";"87637 - SarsCov2 & Inf A&B&RSV Amp Prb";"ein";"871528012";;"institutional";3500.0000;322.1400;"1912677295";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"473231590";;"institutional";131.7100;17.7000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"474187773";;"institutional";221.9500;47.6800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"474187773";;"institutional";221.9500;52.0400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"815038663";;"institutional";131.7100;17.7300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"843073061";;"institutional";206.1300;24.8700;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87880";"2022 CMS,AHA";"87880 - STREP A ASSAY W/OPTIC";"ein";"463151282";;"institutional";820.0000;90.0500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87880";"2022 CMS,AHA";"87880 - STREP A ASSAY W/OPTIC";"ein";"473248194";;"institutional";190.0000;24.8400;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87880";"2022 CMS,AHA";"87880 - STREP A ASSAY W/OPTIC";"ein";"474187773";;"institutional";187.5100;43.9500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"REVENUE CODE";"305";"2022 AHA";"LAB/HEMATOLOGY";"ein";"821703810";;"institutional";309.3800;254.6500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Physical Therapy";"HCPCS";"97012";"2022 CMS,AHA";"97012 - MECHANICAL TRACTION THERAPY";"ein";"850416296";;"institutional";32.7300;21.4200;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Physical Therapy";"HCPCS";"97116";"2022 CMS,AHA";"97116 - GAIT TRAINING THERAPY";"ein";"752756307";;"institutional";159.0000;51.4500;"1669480323";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Physical Therapy";"HCPCS";"G0153";"2022 CMS,AHA";"G0153 - HHCP-SVS OF S/L PATH,EA 15MN";"ein";"273579603";;"institutional";250.0000;100.0000;"1790085934";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Psychological";"HCPCS";"S0201";"2022 CMS,AHA";"S0201 - PARTIAL HOSPITALIZATION SERV";"ein";"472672076";;"institutional";3080.0000;853.7500;"1316310857";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"70450";"2022 CMS,AHA";"70450 - CT HEAD/BRAIN W/O DYE";"ein";"850416296";;"institutional";477.2800;137.3300;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"71275";"2022 CMS,AHA";"71275 - CT ANGIOGRAPHY CHEST";"ein";"473231590";;"institutional";2250.5400;391.7800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"71275";"2022 CMS,AHA";"71275 - CT ANGIOGRAPHY CHEST";"ein";"473231590";;"institutional";4501.0800;643.0800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"73110";"2022 CMS,AHA";"73110 - X-RAY EXAM OF WRIST";"ein";"473231590";;"institutional";555.5900;83.7100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"73564";"2022 CMS,AHA";"73564 - X-RAY EXAM KNEE 4 OR MORE";"ein";"465702822";;"institutional";520.0000;80.5700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"74177";"2022 CMS,AHA";"74177 - CT ABD & PELV W/CONTRAST";"ein";"860719852";;"institutional";1206.4500;844.5100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Respiratory";"HCPCS";"94760";"2022 CMS,AHA";"94760 - MEASURE BLOOD OXYGEN LEVEL";"ein";"472616215";;"institutional";150.0000;0.0000;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82607";"2022 CMS,AHA";"82607 - VITAMIN B-12";"ein";"920162721";;"institutional";171.0000;106.8200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82805";"2022 CMS,AHA";"82805 - BLOOD GASES W/O2 SATURATION";"ein";"920162721";;"institutional";210.0000;104.8200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"920162721";;"institutional";220.0000;143.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83721";"2022 CMS,AHA";"83721 - ASSAY OF BLOOD LIPOPROTEIN";"ein";"920162721";;"institutional";133.0000;39.9000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83721";"2022 CMS,AHA";"83721 - ASSAY OF BLOOD LIPOPROTEIN";"ein";"920162721";;"institutional";133.0000;40.7200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84132";"2022 CMS,AHA";"84132 - ASSAY OF SERUM POTASSIUM";"ein";"920162721";;"institutional";75.0000;22.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84146";"2022 CMS,AHA";"84146 - ASSAY OF PROLACTIN";"ein";"920162721";;"institutional";274.0000;82.2000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84154";"2022 CMS,AHA";"84154 - ASSAY OF PSA FREE";"ein";"920162721";;"institutional";177.0000;93.8600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84439";"2022 CMS,AHA";"84439 - ASSAY OF FREE THYROXINE";"ein";"920162721";;"institutional";290.0000;133.3500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84443";"2022 CMS,AHA";"84443 - ASSAY THYROID STIM HORMONE";"ein";"910873623";;"institutional";312.8000;193.3800;"1306933643";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84443";"2022 CMS,AHA";"84443 - ASSAY THYROID STIM HORMONE";"ein";"920041488";;"institutional";254.0000;228.6000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84443";"2022 CMS,AHA";"84443 - ASSAY THYROID STIM HORMONE";"ein";"920162721";;"institutional";215.0000;64.5000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84443";"2022 CMS,AHA";"84443 - ASSAY THYROID STIM HORMONE";"ein";"920162721";;"institutional";215.0000;112.1000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84443";"2022 CMS,AHA";"84443 - ASSAY THYROID STIM HORMONE";"ein";"920162721";;"institutional";215.0000;126.8000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84443";"2022 CMS,AHA";"84443 - ASSAY THYROID STIM HORMONE";"ein";"920162721";;"institutional";215.0000;139.7500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84484";"2022 CMS,AHA";"84484 - ASSAY OF TROPONIN QUANT";"ein";"920162721";;"institutional";575.0000;242.5100;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84484";"2022 CMS,AHA";"84484 - ASSAY OF TROPONIN QUANT";"ein";"920162721";;"institutional";575.0000;288.7000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84484";"2022 CMS,AHA";"84484 - ASSAY OF TROPONIN QUANT";"ein";"920162721";;"institutional";575.0000;373.7500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84703";"2022 CMS,AHA";"84703 - CHORIONIC GONADOTROPIN ASSAY";"ein";"920162721";;"institutional";174.0000;86.8500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84703";"2022 CMS,AHA";"84703 - CHORIONIC GONADOTROPIN ASSAY";"ein";"920162721";;"institutional";174.0000;87.3700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920041488";;"institutional";179.0000;161.1000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920162721";;"institutional";235.0000;80.6300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920162721";;"institutional";235.0000;117.3100;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"473248194";;"institutional";3100.0000;488.8300;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"843073061";;"institutional";2938.5300;354.4700;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"473248194";;"institutional";4237.5000;459.8400;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"815038663";;"institutional";3622.8600;417.6900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"823659997";;"institutional";3960.7500;556.4900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"94761";"2022 CMS,AHA";"94761 - MEASURE BLOOD OXYGEN LEVEL";"ein";"472616215";;"institutional";180.0000;38.4000;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"94761";"2022 CMS,AHA";"94761 - MEASURE BLOOD OXYGEN LEVEL";"ein";"473248194";;"institutional";180.0000;28.3900;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4208";"2022 CMS,AHA";"A4208 - 3 CC STERILE SYRINGE&NEEDLE";"ein";"465735510";;"institutional";50.0000;7.0000;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4209";"2022 CMS,AHA";"A4209 - 5+ CC STERILE SYRINGE&NEEDLE";"ein";"473248194";;"institutional";50.0000;8.4300;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4216";"2022 CMS,AHA";"A4216 - STERILE WATER/SALINE, 10 ML";"ein";"273908339";;"institutional";6.8700;1.1200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4216";"2022 CMS,AHA";"A4216 - STERILE WATER/SALINE, 10 ML";"ein";"832010142";;"institutional";138.0000;4.7300;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4216";"2022 CMS,AHA";"A4216 - STERILE WATER/SALINE, 10 ML";"ein";"852007987";;"institutional";36.4500;1.6700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4244";"2022 CMS,AHA";"A4244 - ALCOHOL OR PEROXIDE PER PINT";"ein";"842951019";;"institutional";138.0000;7.6600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4245";"2022 CMS,AHA";"A4245 - ALCOHOL WIPES PER BOX";"ein";"464499268";;"institutional";5.0000;0.5400;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4245";"2022 CMS,AHA";"A4245 - ALCOHOL WIPES PER BOX";"ein";"870972215";;"institutional";172.5000;7.7600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4248";"2022 CMS,AHA";"A4248 - CHLORHEXIDINE ANTISEPT";"ein";"832010142";;"institutional";138.0000;4.7300;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4258";"2022 CMS,AHA";"A4258 - LANCET DEVICE EACH";"ein";"473248194";;"institutional";10.0000;1.3700;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4467";"2022 CMS,AHA";"A4467 - BELT STRAP SLEEV GRMNT COVER";"ein";"851820772";;"institutional";2370.6000;304.7300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4606";"2022 CMS,AHA";"A4606 - OXYGEN PROBE USED W OXIMETER";"ein";"472166397";;"institutional";170.0000;26.4600;"1093191397";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4606";"2022 CMS,AHA";"A4606 - OXYGEN PROBE USED W OXIMETER";"ein";"472616215";;"institutional";170.0000;144.5000;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"465735510";;"institutional";4.0000;0.0000;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"465735510";;"institutional";175.0000;0.0000;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"472616215";;"institutional";4.0000;0.0000;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"473248194";;"institutional";12.0000;0.0000;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"83605";"2022 CMS,AHA";"83605 - ASSAY OF LACTIC ACID";"ein";"820984034";;"institutional";101.3400;10.7200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"83690";"2022 CMS,AHA";"83690 - ASSAY OF LIPASE";"ein";"752756307";;"institutional";132.0000;24.3500;"1669480323";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"83874";"2022 CMS,AHA";"83874 - ASSAY OF MYOGLOBIN";"ein";"832010142";;"institutional";780.0000;26.7700;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84153";"2022 CMS,AHA";"84153 - ASSAY OF PSA TOTAL";"ein";"850416296";;"institutional";147.1900;18.5200;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84155";"2022 CMS,AHA";"84155 - ASSAY OF PROTEIN SERUM";"ein";"473248194";;"institutional";40.0000;6.3100;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84439";"2022 CMS,AHA";"84439 - ASSAY OF FREE THYROXINE";"ein";"473231590";;"institutional";242.2100;44.6100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84450";"2022 CMS,AHA";"84450 - TRANSFERASE (AST) (SGOT)";"ein";"474187773";;"institutional";195.8200;36.5600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84460";"2022 CMS,AHA";"84460 - ALANINE AMINO (ALT) (SGPT)";"ein";"473248194";;"institutional";20.0000;3.1500;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84460";"2022 CMS,AHA";"84460 - ALANINE AMINO (ALT) (SGPT)";"ein";"473923087";;"institutional";195.8200;29.5200;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84484";"2022 CMS,AHA";"84484 - ASSAY OF TROPONIN QUANT";"ein";"852489965";;"institutional";255.1100;25.8100;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84520";"2022 CMS,AHA";"84520 - ASSAY OF UREA NITROGEN";"ein";"473923087";;"institutional";166.8600;13.4800;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84520";"2022 CMS,AHA";"84520 - ASSAY OF UREA NITROGEN";"ein";"474187773";;"institutional";166.8600;31.1500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84520";"2022 CMS,AHA";"84520 - ASSAY OF UREA NITROGEN";"ein";"850416296";;"institutional";83.1000;28.7800;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"464499268";;"institutional";1010.0000;91.4200;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"473231590";;"institutional";309.3800;42.2400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"473248194";;"institutional";280.0000;44.1600;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"474187773";;"institutional";267.8700;41.9500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"850416296";;"institutional";114.2300;36.6300;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"851820772";;"institutional";285.9300;36.7500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"851984103";;"institutional";285.9300;11.0200;"1376151365";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"852489965";;"institutional";258.2100;26.1300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"86308";"2022 CMS,AHA";"86308 - HETEROPHILE ANTIBODY SCREEN";"ein";"474187773";;"institutional";139.0600;31.3700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"86308";"2022 CMS,AHA";"86308 - HETEROPHILE ANTIBODY SCREEN";"ein";"474187773";;"institutional";139.0600;32.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87086";"2022 CMS,AHA";"87086 - URINE CULTURE/COLONY COUNT";"ein";"750800628";;"institutional";347.0000;68.4000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Respiratory";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"843073061";;"institutional";281.2500;37.4500;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Respiratory";"HCPCS";"99000";"2022 CMS,AHA";"99000 - SPECIMEN HANDLING OFFICE-LAB";"ein";"843073061";;"institutional";152.3600;25.6100;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Room and Board";"HCPCS";"24120";"2022 CMS,AHA";"24120 - REMOVE ELBOW LESION";"ein";"752756307";;"institutional";2900.0000;2444.9800;"1669480323";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Room and Board";"REVENUE CODE";"110";"2022 AHA";"ROOM-BOARD/PVT";"ein";"821703810";;"institutional";4025.0000;3312.9700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Room and Board";"REVENUE CODE";"126";"2022 AHA";"DETOX/2BED";"ein";"830812034";;"institutional";4500.0000;815.2200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Radiology";"HCPCS";"93041";"2022 CMS,AHA";"93041 - RHYTHM ECG TRACING";"ein";"831287043";;"institutional";221.0000;36.7800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Radiology";"HCPCS";"93041";"2022 CMS,AHA";"93041 - RHYTHM ECG TRACING";"ein";"831287043";;"institutional";221.0000;53.0500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Administration";"HCPCS";"93320";"2022 CMS,AHA";"93320 - DOPPLER ECHO EXAM HEART";"ein";"461892306";;"institutional";625.0000;29.9500;"1114361185";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Ambulatory Surgical Care";"HCPCS";"64488";"2022 CMS,AHA";"64488 - TAP BLOCK BI INJECTION";"ein";"461892306";;"institutional";9795.0000;0.0000;"1114361185";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"NECA IBEW Local 176 H&W Fund";"group";"Room and Board";"HCPCS";"62323";"2022 CMS,AHA";"62323 - NJX INTERLAMINAR LMBR/SAC";"ein";"362276984";;"institutional";2192.0000;762.6200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"850105601";;"institutional";14.0000;7.3000;"1215913470";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"860719852";;"institutional";66.6100;46.6300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90686";"2022 CMS,AHA";"90686 - IIV4 VACC NO PRSV 3 YRS+ IM";"ein";"860719852";;"institutional";66.6100;46.6200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"472078805";;"institutional";52.1300;8.2300;"1245690940";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Outpatient Services";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"860719852";;"institutional";266.4000;186.4700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"80050";"2022 CMS,AHA";"80050 - GENERAL HEALTH PANEL";"ein";"850416296";;"institutional";411.2100;73.2000;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"860719852";;"institutional";46.0500;32.2400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"81001";"2022 CMS,AHA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"850416296";;"institutional";90.9200;10.7400;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"82306";"2022 CMS,AHA";"82306 - VITAMIN D 25 HYDROXY";"ein";"850416296";;"institutional";194.3400;22.9400;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"82570";"2022 CMS,AHA";"82570 - ASSAY OF URINE CREATININE";"ein";"850416296";;"institutional";63.6200;7.5100;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"84153";"2022 CMS,AHA";"84153 - ASSAY OF PSA TOTAL";"ein";"850416296";;"institutional";147.1900;26.2100;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"84403";"2022 CMS,AHA";"84403 - ASSAY OF TOTAL TESTOSTERONE";"ein";"850416296";;"institutional";179.0500;31.8800;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"860719852";;"institutional";26.7300;18.7100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"85027";"2022 CMS,AHA";"85027 - COMPLETE CBC AUTOMATED";"ein";"860719852";;"institutional";22.2300;15.5600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"87591";"2022 CMS,AHA";"87591 - N.GONORRHOEAE DNA AMP PROB";"ein";"860719852";;"institutional";120.6000;84.4200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Respiratory";"HCPCS";"94760";"2022 CMS,AHA";"94760 - MEASURE BLOOD OXYGEN LEVEL";"ein";"473248194";;"institutional";150.0000;21.2800;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Respiratory";"HCPCS";"94760";"2022 CMS,AHA";"94760 - MEASURE BLOOD OXYGEN LEVEL";"ein";"473248194";;"institutional";150.0000;22.4800;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Respiratory";"HCPCS";"94760";"2022 CMS,AHA";"94760 - MEASURE BLOOD OXYGEN LEVEL";"ein";"473248194";;"institutional";150.0000;25.3000;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Respiratory";"HCPCS";"94760";"2022 CMS,AHA";"94760 - MEASURE BLOOD OXYGEN LEVEL";"ein";"473248194";;"institutional";150.0000;26.9700;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Room and Board";"HCPCS";"20610";"2022 CMS,AHA";"20610 - DRAIN/INJ JOINT/BURSA W/O US";"ein";"850416296";;"institutional";797.2900;288.2500;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Room and Board";"HCPCS";"59025";"2022 CMS,AHA";"59025 - FETAL NON-STRESS TEST";"ein";"472177648";;"institutional";1405.9000;253.3300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Room and Board";"HCPCS";"G0378";"2022 CMS,AHA";"G0378 - HOSPITAL OBSERVATION PER HR";"ein";"473923087";;"institutional";9600.0000;703.3200;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"831287043";;"institutional";454.3500;75.6200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1200";"2022 CMS,AHA";"J1200 - DIPHENHYDRAMINE HCL INJECTIO";"ein";"831287043";;"institutional";65.0600;10.8300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"831287043";;"institutional";322.5200;53.6900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"831287043";;"institutional";3.2500;0.5400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Pathology and Laboratory";"HCPCS";"85610";"2022 CMS,AHA";"85610 - PROTHROMBIN TIME";"ein";"831287043";;"institutional";259.8900;43.2600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"831287043";;"institutional";263.4200;43.8400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Ambulatory Surgical Care";"HCPCS";;"2022 CMS,AHA";;"ein";"461892306";;"institutional";6720.0000;2120.1600;"1114361185";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Ambulatory Surgical Care";"HCPCS";"26055";"2022 CMS,AHA";"26055 - INCISE FINGER TENDON SHEATH";"ein";"463505336";;"institutional";6548.6700;1636.3800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Ambulatory Surgical Care";"HCPCS";"64488";"2022 CMS,AHA";"64488 - TAP BLOCK BI INJECTION";"ein";"204221282";;"institutional";8000.0000;912.9500;"1922332774";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Medical and Surgical Supplies";"HCPCS";"C1781";"2022 CMS,AHA";"C1781 - MESH (IMPLANTABLE)";"ein";"204221282";;"institutional";9000.0000;1027.1800;"1922332774";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Pathology and Laboratory";"HCPCS";"88307";"2022 CMS,AHA";"88307 - TISSUE EXAM BY PATHOLOGIST";"ein";"461892306";;"institutional";8300.0000;299.1800;"1114361185";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"82607";"2022 CMS,AHA";"82607 - VITAMIN B-12";"ein";"850416296";;"institutional";147.4400;26.2500;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"83735";"2022 CMS,AHA";"83735 - ASSAY OF MAGNESIUM";"ein";"860719852";;"institutional";23.0300;16.1200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"850416296";;"institutional";114.2300;20.3400;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"850416296";;"institutional";120.9700;36.5200;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Radiology";"HCPCS";"73620";"2022 CMS,AHA";"73620 - X-RAY EXAM OF FOOT";"ein";"850105601";;"institutional";315.0000;0.0000;"1215913470";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Radiology";"HCPCS";"74018";"2022 CMS,AHA";"74018 - X-RAY EXAM ABDOMEN 1 VIEW";"ein";"850416296";;"institutional";367.1100;160.3100;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Psychological";"HCPCS";"H0015";"2022 CMS,AHA";"H0015 - ALCOHOL AND/OR DRUG SERVICES";"ein";"825375531";;"institutional";1600.0000;100.6500;"1396223640";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"473248194";;"institutional";20.0000;0.0000;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4670";"2022 CMS,AHA";"A4670 - AUTOMATIC BP MONITOR, DIAL";"ein";"465735510";;"institutional";50.0000;11.1200;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4670";"2022 CMS,AHA";"A4670 - AUTOMATIC BP MONITOR, DIAL";"ein";"473248194";;"institutional";50.0000;7.8900;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4670";"2022 CMS,AHA";"A4670 - AUTOMATIC BP MONITOR, DIAL";"ein";"473248194";;"institutional";50.0000;7.9800;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4670";"2022 CMS,AHA";"A4670 - AUTOMATIC BP MONITOR, DIAL";"ein";"851820772";;"institutional";78.3200;5.2000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4673";"2022 CMS,AHA";"A4673 - EXT LINE W EASY LOCK CONNECT";"ein";"465735510";;"institutional";20.0000;3.3700;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4930";"2022 CMS,AHA";"A4930 - STERILE, GLOVES PER PAIR";"ein";"273908339";;"institutional";6.8700;1.1200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4930";"2022 CMS,AHA";"A4930 - STERILE, GLOVES PER PAIR";"ein";"851984103";;"institutional";216.0000;8.3300;"1376151365";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4930";"2022 CMS,AHA";"A4930 - STERILE, GLOVES PER PAIR";"ein";"852007987";;"institutional";216.0000;10.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6203";"2022 CMS,AHA";"A6203 - COMPOSITE DRSG <= 16 SQ IN";"ein";"464499268";;"institutional";15.0000;1.6800;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6257";"2022 CMS,AHA";"A6257 - TRANSPARENT FILM <= 16 SQ IN";"ein";"273908339";;"institutional";17.1800;2.7900;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6413";"2022 CMS,AHA";"A6413 - ADHESIVE BANDAGE, FIRST-AID";"ein";"473248194";;"institutional";10.0000;1.0600;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"C1894";"2022 CMS,AHA";"C1894 - INTRO/SHEATH, NON-LASER";"ein";"751912147";;"institutional";183.1400;0.0000;"1023013448";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"L3260";"2022 CMS,AHA";"L3260 - AMBULATORY SURGICAL BOOT EAC";"ein";"821703810";;"institutional";132.6000;21.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"L3650";"2022 CMS,AHA";"L3650 - SO 8 ABD RESTRAINT PRE OTS";"ein";"472166397";;"institutional";330.0000;51.3700;"1093191397";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"472177648";;"institutional";0.2000;0.0300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"860719857";;"institutional";19.5800;13.7100;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"273908339";;"institutional";915.3400;120.3700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"464499268";;"institutional";449.0000;50.3300;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"473231590";;"institutional";353.5800;55.9700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"473231590";;"institutional";707.1600;130.2500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"820756286";;"institutional";306.1300;52.5000;"1821501875";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96365";"2022 CMS,AHA";"96365 - THER/PROPH/DIAG IV INF INIT";"ein";"473231590";;"institutional";802.8000;120.5300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96365";"2022 CMS,AHA";"96365 - THER/PROPH/DIAG IV INF INIT";"ein";"474187773";;"institutional";476.0300;88.8700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"85027";"2022 CMS,AHA";"85027 - COMPLETE CBC AUTOMATED";"ein";"920162721";;"institutional";166.0000;49.8000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"86003";"2022 CMS,AHA";"86003 - ALLERGEN SPECIFIC IGE";"ein";"920162721";;"institutional";1800.0000;1170.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"86141";"2022 CMS,AHA";"86141 - C-REACTIVE PROTEIN HS";"ein";"920162721";;"institutional";202.0000;60.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"86431";"2022 CMS,AHA";"86431 - RHEUMATOID FACTOR QUANT";"ein";"920162721";;"institutional";209.0000;62.7000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"86900";"2022 CMS,AHA";"86900 - BLOOD TYPING SEROLOGIC ABO";"ein";"910873623";;"institutional";133.3100;74.2400;"1306933643";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87210";"2022 CMS,AHA";"87210 - SMEAR WET MOUNT SALINE/INK";"ein";"920162721";;"institutional";191.0000;108.6000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87491";"2022 CMS,AHA";"87491 - CHYLMD TRACH DNA AMP PROBE";"ein";"920162721";;"institutional";232.0000;143.0800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87491";"2022 CMS,AHA";"87491 - CHYLMD TRACH DNA AMP PROBE";"ein";"920162721";;"institutional";232.0000;150.8000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87491";"2022 CMS,AHA";"87491 - CHYLMD TRACH DNA AMP PROBE";"ein";"920162721";;"institutional";464.0000;301.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87591";"2022 CMS,AHA";"87591 - N.GONORRHOEAE DNA AMP PROB";"ein";"920162721";;"institutional";232.0000;73.2400;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87631";"2022 CMS,AHA";"87631 - RESP VIRUS 3-5 TARGETS";"ein";"920162721";;"institutional";324.0000;197.7700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87633";"2022 CMS,AHA";"87633 - RESP VIRUS 12-25 TARGETS";"ein";"920041488";;"institutional";2174.0000;0.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"920162721";;"institutional";204.0000;102.6120;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"920162721";;"institutional";204.0000;102.6200;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"920162721";;"institutional";204.0000;118.4700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87661";"2022 CMS,AHA";"87661 - TRICHOMONAS VAGINALIS AMPLIF";"ein";"920162721";;"institutional";217.0000;123.3800;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87661";"2022 CMS,AHA";"87661 - TRICHOMONAS VAGINALIS AMPLIF";"ein";"920162721";;"institutional";224.0000;134.0800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87661";"2022 CMS,AHA";"87661 - TRICHOMONAS VAGINALIS AMPLIF";"ein";"920162721";;"institutional";224.0000;138.1500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"88142";"2022 CMS,AHA";"88142 - CYTOPATH C/V THIN LAYER";"ein";"920162721";;"institutional";146.0000;46.0900;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"88342";"2022 CMS,AHA";"88342 - IMMUNOHISTO ANTB 1ST STAIN";"ein";"920162721";;"institutional";402.0000;261.3000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"REVENUE CODE";"307";"2022 AHA";"LAB/UROLOGY";"ein";"920041488";;"institutional";125.0000;125.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Physical Therapy";"HCPCS";"97110";"2022 CMS,AHA";"97110 - THERAPEUTIC EXERCISES";"ein";"920041488";;"institutional";145.0000;130.5000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"71046";"2022 CMS,AHA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"920162721";;"institutional";758.0000;380.5900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87088";"2022 CMS,AHA";"87088 - URINE BACTERIA CULTURE";"ein";"473231590";;"institutional";60.4600;11.1300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"472616215";;"institutional";210.0000;33.9100;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"474187773";;"institutional";120.0000;28.1300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"814084541";;"institutional";450.0000;61.6700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"832010142";;"institutional";300.0000;24.0400;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"842951019";;"institutional";360.0000;24.0400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"843073061";;"institutional";200.0000;26.6400;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87486";"2022 CMS,AHA";"87486 - CHYLMD PNEUM DNA AMP PROBE";"ein";"472616215";;"institutional";170.0000;36.2700;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87581";"2022 CMS,AHA";"87581 - M.PNEUMON DNA AMP PROBE";"ein";"473248194";;"institutional";170.0000;30.5600;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87581";"2022 CMS,AHA";"87581 - M.PNEUMON DNA AMP PROBE";"ein";"473248194";;"institutional";170.0000;30.8100;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87591";"2022 CMS,AHA";"87591 - N.GONORRHOEAE DNA AMP PROB";"ein";"473231590";;"institutional";313.9400;47.3900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87631";"2022 CMS,AHA";"87631 - RESP VIRUS 3-5 TARGETS";"ein";"465735510";;"institutional";450.0000;73.4500;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"461895231";;"institutional";600.0000;42.7000;"1871937144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"463151282";;"institutional";450.0000;57.4700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87636";"2022 CMS,AHA";"87636 - SarsCov2 & Inf A&B Amp Prb";"ein";"750800628";;"institutional";600.0000;118.2700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87798";"2022 CMS,AHA";"87798 - DETECT AGENT NOS DNA AMP";"ein";"472616215";;"institutional";170.0000;170.0000;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"472616215";;"institutional";230.0000;37.1400;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"473248194";;"institutional";230.0000;30.8000;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"814084541";;"institutional";131.7100;17.7300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87880";"2022 CMS,AHA";"87880 - STREP A ASSAY W/OPTIC";"ein";"472616215";;"institutional";190.0000;30.6900;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87880";"2022 CMS,AHA";"87880 - STREP A ASSAY W/OPTIC";"ein";"473248194";;"institutional";190.0000;34.4400;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87880";"2022 CMS,AHA";"87880 - STREP A ASSAY W/OPTIC";"ein";"811862049";;"institutional";173.0000;28.5300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87880";"2022 CMS,AHA";"87880 - STREP A ASSAY W/OPTIC";"ein";"843073061";;"institutional";206.1300;27.4600;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Physical Therapy";"HCPCS";"99195";"2022 CMS,AHA";"99195 - PHLEBOTOMY";"ein";"850105601";;"institutional";313.0000;138.4400;"1215913470";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Radiology";"HCPCS";"70551";"2022 CMS,AHA";"70551 - MRI BRAIN STEM W/O DYE";"ein";"850416296";;"institutional";1117.7800;426.5600;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Dialysis";"HCPCS";"90999";"2022 CMS,AHA";"90999 - DIALYSIS PROCEDURE";"ein";"264194741";;"institutional";5128.0000;875.3500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"204577473";;"institutional";2774.2900;441.5400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1270";"2022 CMS,AHA";"J1270 - INJECTION, DOXERCALCIFEROL";"ein";"264194741";;"institutional";1604.7000;283.1100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1756";"2022 CMS,AHA";"J1756 - IRON SUCROSE INJECTION";"ein";"264194741";;"institutional";822.5000;140.4000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Administration";"HCPCS";"97810";"2022 CMS,AHA";"97810 - ACUPUNCT W/O STIMUL 15 MIN";"ein";"946000509";;"institutional";133.0000;53.3600;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Administration";"HCPCS";"99212";"2022 CMS,AHA";"99212 - OFFICE/OUTPATIENT VISIT EST";"ein";"941747220";;"institutional";0.0000;0.0000;"1295752384";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Administration";"HCPCS";"99213";"2022 CMS,AHA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"941747220";;"institutional";0.0000;0.0000;"1295752384";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Administration";"HCPCS";"99214";"2022 CMS,AHA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"946000509";;"institutional";200.4000;133.4400;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Administration";"HCPCS";"G0299";"2022 CMS,AHA";"G0299 - HHS/HOSPICE OF RN EA 15 MIN";"ein";"462040675";;"institutional";400.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"96360";"2022 CMS,AHA";"96360 - HYDRATION IV INFUSION INIT";"ein";"946000531";;"institutional";598.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"263487583";;"institutional";654.0000;73.5700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"96365";"2022 CMS,AHA";"96365 - THER/PROPH/DIAG IV INF INIT";"ein";"263487583";;"institutional";918.7000;196.2300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"96365";"2022 CMS,AHA";"96365 - THER/PROPH/DIAG IV INF INIT";"ein";"941105628";;"institutional";1135.0000;132.7400;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"941105628";;"institutional";614.0000;76.1100;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"941105628";;"institutional";887.0000;191.0100;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"941105628";;"institutional";416.0000;89.5800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"946000417";;"institutional";193.0000;29.1400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99281";"2022 CMS,AHA";"99281 - EMERGENCY DEPT VISIT";"ein";"263487583";;"institutional";348.6500;128.8000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99282";"2022 CMS,AHA";"99282 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";1248.0000;82.4100;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99282";"2022 CMS,AHA";"99282 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";1248.0000;224.5400;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"263487583";;"institutional";1114.9500;152.8100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Administration";"HCPCS";"36416";"2022 CMS,AHA";"36416 - CAPILLARY BLOOD DRAW";"ein";"941747220";;"institutional";0.0000;0.0000;"1295752384";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Administration";"HCPCS";"99213";"2022 CMS,AHA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"946000509";;"institutional";167.0000;162.8900;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Administration";"HCPCS";"T1015";"2022 CMS,AHA";"T1015 - CLINIC SERVICE";"ein";"941747220";;"institutional";519.0000;181.6500;"1295752384";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Administration";"HCPCS";"T1015";"2022 CMS,AHA";"T1015 - CLINIC SERVICE";"ein";"942583156";;"institutional";371.4900;134.4800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"941105628";;"institutional";887.0000;109.9600;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99281";"2022 CMS,AHA";"99281 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";525.0000;126.3400;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99281";"2022 CMS,AHA";"99281 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";525.0000;128.9100;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99281";"2022 CMS,AHA";"99281 - EMERGENCY DEPT VISIT";"ein";"946000531";;"institutional";691.0000;113.0300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99282";"2022 CMS,AHA";"99282 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";1248.0000;115.3700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99282";"2022 CMS,AHA";"99282 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";1248.0000;234.2100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";2496.0000;233.6200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";2496.0000;421.4400;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";2496.0000;460.5800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"861464604";;"institutional";2062.8500;461.5900;"1003493784";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"REVENUE CODE";"450";"2022 AHA";"EMERG ROOM";"ein";"946000531";;"institutional";6729.0000;2355.1500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medical and Surgical Supplies";"REVENUE CODE";"270";"2022 AHA";"MED-SUR SUPPLIES";"ein";"946000531";;"institutional";384.0000;156.6500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medical and Surgical Supplies";"REVENUE CODE";"271";"2022 AHA";"NON-STER SUPPLY";"ein";"263487583";;"institutional";302.3500;112.4600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";3.2500;0.5600;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";4.5000;0.5600;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";11.6500;2.1500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";18.6000;3.2500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";25.5000;1.9000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96367";"2022 CMS,AHA";"96367 - TX/PROPH/DG ADDL SEQ IV INF";"ein";"473923087";;"institutional";688.8000;55.6200;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96368";"2022 CMS,AHA";"96368 - THER/DIAG CONCURRENT INF";"ein";"474187773";;"institutional";329.1000;74.2400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"473231590";;"institutional";328.1000;44.8000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"473231590";;"institutional";1312.4000;215.8500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"820756286";;"institutional";217.2900;48.7600;"1821501875";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"464499268";;"institutional";357.0000;32.3100;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"473231590";;"institutional";454.3500;71.9200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"474187773";;"institutional";266.3300;41.7100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"474187773";;"institutional";532.6600;99.4400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"474187773";;"institutional";532.6600;120.1600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"A4248";"2022 CMS,AHA";"A4248 - CHLORHEXIDINE ANTISEPT";"ein";"465735510";;"institutional";80.0000;11.2000;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"A4248";"2022 CMS,AHA";"A4248 - CHLORHEXIDINE ANTISEPT";"ein";"473248194";;"institutional";80.0000;13.5000;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0131";"2022 CMS,AHA";"J0131 - ACETAMINOPHEN INJECTION";"ein";"473923087";;"institutional";420.0000;30.7700;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0131";"2022 CMS,AHA";"J0131 - ACETAMINOPHEN INJECTION";"ein";"473923087";;"institutional";840.0000;67.8200;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0360";"2022 CMS,AHA";"J0360 - HYDRALAZINE HCL INJECTION";"ein";"751912147";;"institutional";188.9800;0.0000;"1023013448";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0696";"2022 CMS,AHA";"J0696 - CEFTRIAXONE SODIUM INJECTION";"ein";"473231590";;"institutional";268.5600;40.5400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0696";"2022 CMS,AHA";"J0696 - CEFTRIAXONE SODIUM INJECTION";"ein";"474187773";;"institutional";697.0800;130.1400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0696";"2022 CMS,AHA";"J0696 - CEFTRIAXONE SODIUM INJECTION";"ein";"842951019";;"institutional";380.0000;22.6200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1170";"2022 CMS,AHA";"J1170 - HYDROMORPHONE INJECTION";"ein";"473923087";;"institutional";53.5800;4.3200;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"473231590";;"institutional";65.0600;11.9900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"473923087";;"institutional";337.9200;24.7600;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"852007987";;"institutional";2126.5200;97.2300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2550";"2022 CMS,AHA";"J2550 - PROMETHAZINE HCL INJECTION";"ein";"473231590";;"institutional";32.5300;5.3500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3010";"2022 CMS,AHA";"J3010 - FENTANYL CITRATE INJECITON";"ein";"821703810";;"institutional";31.3300;2.1900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"99000";"2022 CMS,AHA";"99000 - SPECIMEN HANDLING OFFICE-LAB";"ein";"472971495";;"institutional";567.0000;21.7400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"99000";"2022 CMS,AHA";"99000 - SPECIMEN HANDLING OFFICE-LAB";"ein";"852007987";;"institutional";338.8500;15.6800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"C9803";"2022 CMS,AHA";"C9803 - Specimen collection any source";"ein";"800810304";;"institutional";25.0000;5.3100;"1295213601";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"REVENUE CODE";"302";"2022 AHA";"LAB/IMMUNOLOGY";"ein";"201547519";;"institutional";836.8100;268.1131;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Physical Therapy";"HCPCS";"95117";"2022 CMS,AHA";"95117 - IMMUNOTHERAPY INJECTIONS";"ein";"850416296";;"institutional";187.8800;54.8500;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Physical Therapy";"HCPCS";"97162";"2022 CMS,AHA";"97162 - PT EVAL MOD COMPLEX 30 MIN";"ein";"850416296";;"institutional";308.6100;177.3700;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Psychological";"HCPCS";"H0015";"2022 CMS,AHA";"H0015 - ALCOHOL AND/OR DRUG SERVICES";"ein";"471005761";;"institutional";3000.0000;95.1800;"1558765420";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"71045";"2022 CMS,AHA";"71045 - X-RAY EXAM CHEST 1 VIEW";"ein";"472177648";;"institutional";719.0000;95.3600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"71045";"2022 CMS,AHA";"71045 - X-RAY EXAM CHEST 1 VIEW";"ein";"843073061";;"institutional";619.7700;87.0500;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"71046";"2022 CMS,AHA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"463151282";;"institutional";2550.0000;126.9300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"71046";"2022 CMS,AHA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"474187773";;"institutional";547.4800;117.6300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"71046";"2022 CMS,AHA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"474187773";;"institutional";547.4800;123.5100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"71046";"2022 CMS,AHA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"474187773";;"institutional";547.4800;160.0500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"71275";"2022 CMS,AHA";"71275 - CT ANGIOGRAPHY CHEST";"ein";"821703810";;"institutional";4501.0800;314.9400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"73030";"2022 CMS,AHA";"73030 - X-RAY EXAM OF SHOULDER";"ein";"472166397";;"institutional";520.0000;80.9300;"1093191397";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"73130";"2022 CMS,AHA";"73130 - X-RAY EXAM OF HAND";"ein";"473923087";;"institutional";545.2600;114.2000;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"73610";"2022 CMS,AHA";"73610 - X-RAY EXAM OF ANKLE";"ein";"472616215";;"institutional";660.0000;561.0000;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"74019";"2022 CMS,AHA";"74019 - X-RAY EXAM ABDOMEN 2 VIEWS";"ein";"750800628";;"institutional";567.0000;111.7700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"74176";"2022 CMS,AHA";"74176 - CT ABD & PELVIS W/O CONTRAST";"ein";"852489965";;"institutional";8208.9100;830.5300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"74183";"2022 CMS,AHA";"74183 - MRI ABDOMEN W/O & W/DYE";"ein";"850416296";;"institutional";1822.6700;631.2900;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"76700";"2022 CMS,AHA";"76700 - US EXAM ABDOM COMPLETE";"ein";"850416296";;"institutional";477.2800;185.5900;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"832010142";;"institutional";960.0000;32.9600;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"851984103";;"institutional";757.3800;29.1900;"1376151365";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"93041";"2022 CMS,AHA";"93041 - RHYTHM ECG TRACING";"ein";"821703810";;"institutional";221.0000;15.4600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Respiratory";"HCPCS";"94760";"2022 CMS,AHA";"94760 - MEASURE BLOOD OXYGEN LEVEL";"ein";"465735510";;"institutional";150.0000;24.4800;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"946000531";;"institutional";1860.0000;478.7700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"263487583";;"institutional";1632.0000;300.3400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"263487583";;"institutional";1632.0000;406.4800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";4160.0000;311.0200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";4160.0000;515.6900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"263487583";;"institutional";3345.0000;462.0200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"943302014";;"institutional";5875.9500;884.8400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"943302014";;"institutional";5875.9500;1122.3300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"263487583";;"institutional";283.0000;43.1700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medical and Surgical Supplies";"REVENUE CODE";"270";"2022 AHA";"MED-SUR SUPPLIES";"ein";"263487583";;"institutional";25.0000;6.8000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medical and Surgical Supplies";"REVENUE CODE";"278";"2022 AHA";"SUPPLY/IMPLANTS";"ein";"263487583";;"institutional";7583.1700;2820.6300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";5.8000;1.4200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";5.9500;1.2700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";18.6000;4.0000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"943302014";;"institutional";22.5400;4.3100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"946000531";;"institutional";30.3500;7.2600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"946000531";;"institutional";30.7600;7.3500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"0071A";"2022 CMS,AHA";"0071A - ADM SARSCV2 10MCG TRS-SUCR 1";"ein";"946000509";;"institutional";40.0000;9.7300;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90749";"2022 CMS,AHA";"90749 - VACCINE TOXOID";"ein";"941105628";;"institutional";170.2500;0.0000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96365";"2022 CMS,AHA";"96365 - THER/PROPH/DIAG IV INF INIT";"ein";"861464604";;"institutional";539.6500;120.7500;"1003493784";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96376";"2022 CMS,AHA";"96376 - TX/PRO/DX INJ SAME DRUG ADON";"ein";"941105628";;"institutional";1815.0000;211.6100;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0131";"2022 CMS,AHA";"J0131 - ACETAMINOPHEN INJECTION";"ein";"941105628";;"institutional";149.8500;36.5300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2270";"2022 CMS,AHA";"J2270 - MORPHINE SULFATE INJECTION";"ein";"941105628";;"institutional";12.9500;1.6000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3010";"2022 CMS,AHA";"J3010 - FENTANYL CITRATE INJECITON";"ein";"870972215";;"institutional";1540.9400;69.3300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3490";"2022 CMS,AHA";"J3490 - DRUGS UNCLASSIFIED INJECTION";"ein";"473248194";;"institutional";9.8000;0.0000;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3490";"2022 CMS,AHA";"J3490 - DRUGS UNCLASSIFIED INJECTION";"ein";"870972215";;"institutional";8415.0400;378.5900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"474187773";;"institutional";69.8000;16.3600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"472971495";;"institutional";636.6600;24.4000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"473248194";;"institutional";40.0000;4.3400;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"851820772";;"institutional";636.6600;81.8400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9966";"2022 CMS,AHA";"Q9966 - LOCM 200-299MG/ML IODINE,1ML";"ein";"871529394";;"institutional";102.0000;26.9900;"1437720828";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"821703810";;"institutional";548.2500;38.3600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"S0119";"2022 CMS,AHA";"S0119 - ONDANSETRON 4 MG";"ein";"473248194";;"institutional";45.0000;8.0900;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"201547519";;"institutional";102.1000;32.7127;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"383813467";;"institutional";22.9500;20.6500;"1497053912";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"383813467";;"institutional";92.4500;83.2000;"1497053912";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"383813467";;"institutional";104.6700;94.2000;"1497053912";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"383813467";;"institutional";253.4800;228.1300;"1497053912";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"383813467";;"institutional";1033.5600;930.2000;"1497053912";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"257";"2022 AHA";"DRGS/NONSCRPT";"ein";"821703810";;"institutional";30.7000;25.2700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"260";"2022 AHA";"IV THERAPY";"ein";"383813467";;"institutional";1113.6800;1002.3100;"1497053912";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"260";"2022 AHA";"IV THERAPY";"ein";"383813467";;"institutional";1267.8300;1141.0500;"1497053912";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"260";"2022 AHA";"IV THERAPY";"ein";"821703810";;"institutional";80.6300;66.3700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Outpatient Services";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"860719852";;"institutional";266.4000;186.4800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";;"2022 CMS,AHA";;"ein";"860719857";;"institutional";66.0000;46.2000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"752756307";;"institutional";17.5000;3.2300;"1669480323";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"842951019";;"institutional";380.0000;22.9100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80050";"2022 CMS,AHA";"80050 - GENERAL HEALTH PANEL";"ein";"473231590";;"institutional";414.0200;76.2500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"943302014";;"institutional";6.0600;1.1600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90471";"2022 CMS,AHA";"90471 - IMMUNIZATION ADMIN";"ein";"813562144";;"institutional";160.0000;14.9500;"1639663370";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"943302014";;"institutional";273.4200;52.2200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"462218636";;"institutional";298.0000;85.7700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"941105628";;"institutional";887.0000;103.4200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0295";"2022 CMS,AHA";"J0295 - AMPICILLIN SODIUM PER 1.5 GM";"ein";"941105628";;"institutional";70.1000;8.1900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0330";"2022 CMS,AHA";"J0330 - SUCCINYCHOLINE CHLORIDE INJ";"ein";"946000531";;"institutional";67.5500;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1100";"2022 CMS,AHA";"J1100 - DEXAMETHASONE SODIUM PHOS";"ein";"263487583";;"institutional";379.0000;80.9600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"941105628";;"institutional";45.8000;9.2300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"941105628";;"institutional";7.4500;0.8700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2440";"2022 CMS,AHA";"J2440 - PAPAVERIN HCL INJECTION";"ein";"941105628";;"institutional";178.6500;32.1400;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2704";"2022 CMS,AHA";"J2704 - INJ, PROPOFOL, 10 MG";"ein";"263487583";;"institutional";249.0000;53.1800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7120";"2022 CMS,AHA";"J7120 - RINGERS LACTATE INFUSION";"ein";"941105628";;"institutional";35.4000;8.6300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7120";"2022 CMS,AHA";"J7120 - RINGERS LACTATE INFUSION";"ein";"941105628";;"institutional";50.4000;5.8700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7512";"2022 CMS,AHA";"J7512 - PREDNISONE IR OR DR ORAL 1MG";"ein";"941105628";;"institutional";4.4500;0.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"263487583";;"institutional";130.0000;17.9500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"S0020";"2022 CMS,AHA";"S0020 - INJECTION, BUPIVICAINE HYDRO";"ein";"263487583";;"institutional";379.0000;80.9600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"462218636";;"institutional";19.0000;5.4700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"941105628";;"institutional";68.0000;8.4300;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"941105628";;"institutional";68.0000;11.4800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"941105628";;"institutional";68.0000;11.8900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"80051";"2022 CMS,AHA";"80051 - ELECTROLYTE PANEL";"ein";"941105628";;"institutional";78.0000;5.8400;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"73100";"2022 CMS,AHA";"73100 - X-RAY EXAM OF WRIST";"ein";"920041488";;"institutional";582.0000;152.3340;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"73110";"2022 CMS,AHA";"73110 - X-RAY EXAM OF WRIST";"ein";"920162721";;"institutional";596.0000;364.7500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"76000";"2022 CMS,AHA";"76000 - FLUOROSCOPE EXAMINATION";"ein";"920162721";;"institutional";1218.0000;770.3600;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"76770";"2022 CMS,AHA";"76770 - US EXAM ABDO BACK WALL COMP";"ein";"320197974";;"institutional";1146.0000;515.7000;"1508029422";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"77067";"2022 CMS,AHA";"77067 - SCR MAMMO BI INCL CAD";"ein";"920162721";;"institutional";453.0000;294.4500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"920162721";;"institutional";704.0000;415.1900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"REVENUE CODE";"320";"2022 AHA";"DX X-RAY";"ein";"920041488";;"institutional";1042.0000;1042.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Room and Board";"HCPCS";;"2022 CMS,AHA";;"ein";"920162721";;"institutional";244.0000;154.3300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Room and Board";"HCPCS";"36000";"2022 CMS,AHA";"36000 - PLACE NEEDLE IN VEIN";"ein";"910873623";;"institutional";223.1300;0.0000;"1306933643";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Room and Board";"HCPCS";"58300";"2022 CMS,AHA";"58300 - INSERT INTRAUTERINE DEVICE";"ein";"920041461";;"institutional";448.0000;336.0000;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Room and Board";"HCPCS";"99463";"2022 CMS,AHA";"99463 - SAME DAY NB DISCHARGE";"ein";"272924775";;"institutional";1500.0000;560.9300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Room and Board";"REVENUE CODE";"129";"2022 AHA";"OTHER/2BED";"ein";"920162721";;"institutional";7188.0000;4672.2000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Room and Board";"REVENUE CODE";"134";"2022 AHA";"PSYCH/3&4BED";"ein";"920038588";;"institutional";800.0000;800.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Emergency Department Services";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"941105628";;"institutional";307.0000;60.2900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";2496.0000;490.2400;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"0071A";"2022 CMS,AHA";"0071A - ADM SARSCV2 10MCG TRS-SUCR 1";"ein";"946000509";;"institutional";40.0000;9.7300;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7120";"2022 CMS,AHA";"J7120 - RINGERS LACTATE INFUSION";"ein";"941105628";;"institutional";25.2000;4.5200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Pathology and Laboratory";"HCPCS";"82565";"2022 CMS,AHA";"82565 - ASSAY OF CREATININE";"ein";"941105628";;"institutional";80.0000;14.3500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Pathology and Laboratory";"HCPCS";"84520";"2022 CMS,AHA";"84520 - ASSAY OF UREA NITROGEN";"ein";"941105628";;"institutional";29.0000;5.2000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Pathology and Laboratory";"HCPCS";"84520";"2022 CMS,AHA";"84520 - ASSAY OF UREA NITROGEN";"ein";"941105628";;"institutional";29.0000;5.7000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Pathology and Laboratory";"HCPCS";"84550";"2022 CMS,AHA";"84550 - ASSAY OF BLOOD/URIC ACID";"ein";"941105628";;"institutional";102.0000;20.0300;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Pathology and Laboratory";"HCPCS";"89060";"2022 CMS,AHA";"89060 - EXAM SYNOVIAL FLUID CRYSTALS";"ein";"941105628";;"institutional";148.0000;29.0700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Psychological";"HCPCS";"H0015";"2022 CMS,AHA";"H0015 - ALCOHOL AND/OR DRUG SERVICES";"ein";"823334211";;"institutional";2500.0000;104.6200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Respiratory";"HCPCS";"94760";"2022 CMS,AHA";"94760 - MEASURE BLOOD OXYGEN LEVEL";"ein";"473248194";;"institutional";150.0000;19.6200;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Respiratory";"HCPCS";"94760";"2022 CMS,AHA";"94760 - MEASURE BLOOD OXYGEN LEVEL";"ein";"473248194";;"institutional";150.0000;19.9300;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Respiratory";"REVENUE CODE";"419";"2022 AHA";"OTHER RESPIR SVS";"ein";"201547519";;"institutional";120.6800;38.6658;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Room and Board";"HCPCS";"12002";"2022 CMS,AHA";"12002 - RPR S/N/AX/GEN/TRNK2.6-7.5CM";"ein";"473248194";;"institutional";570.0000;96.1500;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Room and Board";"HCPCS";"12011";"2022 CMS,AHA";"12011 - RPR F/E/E/N/L/M 2.5 CM/<";"ein";"465735510";;"institutional";1005.0000;140.6900;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Room and Board";"HCPCS";"41899";"2022 CMS,AHA";"41899 - DENTAL SURGERY PROCEDURE";"ein";"742638006";;"institutional";16960.1500;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Room and Board";"HCPCS";"G0378";"2022 CMS,AHA";"G0378 - HOSPITAL OBSERVATION PER HR";"ein";"472177648";;"institutional";320.0000;57.6600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Room and Board";"REVENUE CODE";"110";"2022 AHA";"ROOM-BOARD/PVT";"ein";"383813467";;"institutional";33282.8600;29954.5700;"1497053912";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Room and Board";"REVENUE CODE";"126";"2022 AHA";"DETOX/2BED";"ein";"844107432";;"institutional";6000.0000;3361.5000;"1538796156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"831287043";;"institutional";158.5800;38.0700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Medical and Surgical Supplies";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"831287043";;"institutional";117.1500;28.1300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2270";"2022 CMS,AHA";"J2270 - MORPHINE SULFATE INJECTION";"ein";"831287043";;"institutional";32.5300;5.4100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"831287043";;"institutional";130.1200;21.6600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Pathology and Laboratory";"HCPCS";"80048";"2022 CMS,AHA";"80048 - METABOLIC PANEL TOTAL CA";"ein";"831287043";;"institutional";408.3900;67.9800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"NECA IBEW Local 176 H&W Fund";"group";"Administration";"HCPCS";"99203";"2022 CMS,AHA";"99203 - OFFICE/OUTPATIENT VISIT NEW";"ein";"376000511";;"institutional";298.0000;163.5600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"NECA IBEW Local 176 H&W Fund";"group";"Psychological";"HCPCS";"S0201";"2022 CMS,AHA";"S0201 - PARTIAL HOSPITALIZATION SERV";"ein";"455443190";;"institutional";2800.0000;853.7500;"1508390881";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"850105601";;"institutional";3.0000;1.3300;"1215913470";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"860719852";;"institutional";10.0000;7.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"850416296";;"institutional";147.7700;17.4500;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"81001";"2022 CMS,AHA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"850416296";;"institutional";100.5800;19.5500;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"83735";"2022 CMS,AHA";"83735 - ASSAY OF MAGNESIUM";"ein";"850416296";;"institutional";109.0900;19.4300;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"84132";"2022 CMS,AHA";"84132 - ASSAY OF SERUM POTASSIUM";"ein";"850416296";;"institutional";92.8100;16.5300;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"84443";"2022 CMS,AHA";"84443 - ASSAY THYROID STIM HORMONE";"ein";"850416296";;"institutional";156.3100;18.4500;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"850416296";;"institutional";114.2300;13.4900;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Dialysis";"HCPCS";"90945";"2022 CMS,AHA";"90945 - DIALYSIS ONE EVALUATION";"ein";"953372911";;"institutional";3153.0000;601.5800;"1922062066";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80051";"2022 CMS,AHA";"80051 - ELECTROLYTE PANEL";"ein";"474187773";;"institutional";364.7500;57.1200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"756004585";;"institutional";168.7100;118.1000;"1790777696";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"850416296";;"institutional";264.2500;84.7500;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"850416296";;"institutional";147.7700;27.5700;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81001";"2022 CMS,AHA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"850416296";;"institutional";90.9200;11.4400;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"473248194";;"institutional";180.0000;28.3900;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81007";"2022 CMS,AHA";"81007 - URINE SCREEN FOR BACTERIA";"ein";"472616215";;"institutional";110.0000;0.0000;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82043";"2022 CMS,AHA";"82043 - MICROALBUMIN QUANTITATIVE";"ein";"850416296";;"institutional";74.9800;9.4300;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82043";"2022 CMS,AHA";"82043 - MICROALBUMIN QUANTITATIVE";"ein";"850416296";;"institutional";74.9800;13.0900;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82043";"2022 CMS,AHA";"82043 - MICROALBUMIN QUANTITATIVE";"ein";"850416296";;"institutional";74.9800;13.9800;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82150";"2022 CMS,AHA";"82150 - ASSAY OF AMYLASE";"ein";"465735510";;"institutional";47.0000;7.9100;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82150";"2022 CMS,AHA";"82150 - ASSAY OF AMYLASE";"ein";"474187773";;"institutional";275.5200;43.1500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82150";"2022 CMS,AHA";"82150 - ASSAY OF AMYLASE";"ein";"843073061";;"institutional";292.0000;29.9700;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82247";"2022 CMS,AHA";"82247 - BILIRUBIN TOTAL";"ein";"843073061";;"institutional";86.2500;8.8500;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82248";"2022 CMS,AHA";"82248 - BILIRUBIN DIRECT";"ein";"850416296";;"institutional";67.5100;12.5900;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82248";"2022 CMS,AHA";"82248 - BILIRUBIN DIRECT";"ein";"850416296";;"institutional";67.5100;14.1500;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82550";"2022 CMS,AHA";"82550 - ASSAY OF CK (CPK)";"ein";"842951019";;"institutional";390.0000;23.5200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82553";"2022 CMS,AHA";"82553 - CREATINE MB FRACTION";"ein";"463151282";;"institutional";425.0000;21.1500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82565";"2022 CMS,AHA";"82565 - ASSAY OF CREATININE";"ein";"473248194";;"institutional";18.0000;2.8400;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82565";"2022 CMS,AHA";"82565 - ASSAY OF CREATININE";"ein";"473923087";;"institutional";191.3400;15.4500;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82565";"2022 CMS,AHA";"82565 - ASSAY OF CREATININE";"ein";"474187773";;"institutional";191.3400;29.9600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82565";"2022 CMS,AHA";"82565 - ASSAY OF CREATININE";"ein";"832010142";;"institutional";468.0000;16.0600;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82565";"2022 CMS,AHA";"82565 - ASSAY OF CREATININE";"ein";"842951019";;"institutional";390.0000;33.0400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82565";"2022 CMS,AHA";"82565 - ASSAY OF CREATININE";"ein";"850416296";;"institutional";94.6900;32.8000;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"80051";"2022 CMS,AHA";"80051 - ELECTROLYTE PANEL";"ein";"941105628";;"institutional";78.0000;19.0200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"263487583";;"institutional";1392.0000;297.3300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"946000531";;"institutional";235.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"80307";"2022 CMS,AHA";"80307 - DRUG TEST PRSMV CHEM ANLYZR";"ein";"946000531";;"institutional";379.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"81001";"2022 CMS,AHA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"263487583";;"institutional";160.0000;34.1800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"941105628";;"institutional";108.0000;1.2700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"943302014";;"institutional";119.0000;17.9200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82010";"2022 CMS,AHA";"82010 - ACETONE ASSAY";"ein";"946000417";;"institutional";109.0000;16.4600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82247";"2022 CMS,AHA";"82247 - BILIRUBIN TOTAL";"ein";"941105628";;"institutional";77.0000;5.7500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82247";"2022 CMS,AHA";"82247 - BILIRUBIN TOTAL";"ein";"941105628";;"institutional";77.0000;8.9800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82565";"2022 CMS,AHA";"82565 - ASSAY OF CREATININE";"ein";"941105628";;"institutional";80.0000;2.9000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82962";"2022 CMS,AHA";"82962 - GLUCOSE BLOOD TEST";"ein";"941105628";;"institutional";375.0000;43.7200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"83605";"2022 CMS,AHA";"83605 - ASSAY OF LACTIC ACID";"ein";"946000417";;"institutional";109.0000;16.4600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"83690";"2022 CMS,AHA";"83690 - ASSAY OF LIPASE";"ein";"946000531";;"institutional";158.0000;40.6700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"83690";"2022 CMS,AHA";"83690 - ASSAY OF LIPASE";"ein";"946000531";;"institutional";158.0000;134.3000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"83735";"2022 CMS,AHA";"83735 - ASSAY OF MAGNESIUM";"ein";"263487583";;"institutional";177.0000;37.8100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84075";"2022 CMS,AHA";"84075 - ASSAY ALKALINE PHOSPHATASE";"ein";"941105628";;"institutional";64.0000;4.7800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84075";"2022 CMS,AHA";"84075 - ASSAY ALKALINE PHOSPHATASE";"ein";"941105628";;"institutional";64.0000;16.1500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84100";"2022 CMS,AHA";"84100 - ASSAY OF PHOSPHORUS";"ein";"263487583";;"institutional";105.0000;22.4300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84450";"2022 CMS,AHA";"84450 - TRANSFERASE (AST) (SGOT)";"ein";"941105628";;"institutional";64.0000;7.4700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84484";"2022 CMS,AHA";"84484 - ASSAY OF TROPONIN QUANT";"ein";"941105628";;"institutional";441.0000;5.5800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84520";"2022 CMS,AHA";"84520 - ASSAY OF UREA NITROGEN";"ein";"941105628";;"institutional";29.0000;3.5900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90716";"2022 CMS,AHA";"90716 - VAR VACCINE LIVE SUBQ";"ein";"920041488";;"institutional";163.0000;146.7000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"91300";"2022 CMS,AHA";"91300 - SARSCOV2 VAC 30MCG/0.3ML IM";"ein";"920162721";;"institutional";0.0100;0.0100;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"320197974";;"institutional";918.0000;413.1000;"1508029422";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"A9585";"2022 CMS,AHA";"A9585 - GADOBUTROL INJECTION";"ein";"920162721";;"institutional";252.0000;79.0700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0131";"2022 CMS,AHA";"J0131 - ACETAMINOPHEN INJECTION";"ein";"920162721";;"institutional";481.6500;313.0700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0171";"2022 CMS,AHA";"J0171 - ADRENALIN EPINEPHRINE INJECT";"ein";"920162721";;"institutional";100.6000;65.3900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2250";"2022 CMS,AHA";"J2250 - INJ MIDAZOLAM HYDROCHLORIDE";"ein";"920041488";;"institutional";33.3800;30.0420;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2704";"2022 CMS,AHA";"J2704 - INJ, PROPOFOL, 10 MG";"ein";"920162721";;"institutional";81.7500;53.1400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3475";"2022 CMS,AHA";"J3475 - INJ MAGNESIUM SULFATE";"ein";"320197974";;"institutional";40.9000;18.4100;"1508029422";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"320197974";;"institutional";288.2500;129.7100;"1508029422";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7298";"2022 CMS,AHA";"J7298 - LEVONORGESTREL IU 52MG 5 YR";"ein";"920041461";;"institutional";1334.0000;1000.5000;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"920041488";;"institutional";2856.3500;2063.3900;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"258";"2022 AHA";"IV SOLUTIONS";"ein";"920041488";;"institutional";664.1500;57.8700;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"258";"2022 AHA";"IV SOLUTIONS";"ein";"920162721";;"institutional";56.1500;36.5000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Musculoskeletal";"HCPCS";"L1810";"2022 CMS,AHA";"L1810 - KO ELASTIC WITH JOINTS";"ein";"920162721";;"institutional";255.0000;165.7500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920041488";;"institutional";60.0000;48.6990;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920162721";;"institutional";54.0000;30.0300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920162721";;"institutional";54.0000;33.5000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"320197974";;"institutional";842.0000;378.9000;"1508029422";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"910873623";;"institutional";249.9100;154.5000;"1306933643";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920162721";;"institutional";233.0000;137.4100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"920162721";;"institutional";184.0000;63.1300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"920162721";;"institutional";184.0000;113.4700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2270";"2022 CMS,AHA";"J2270 - MORPHINE SULFATE INJECTION";"ein";"941105628";;"institutional";14.3000;2.5000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"941105628";;"institutional";6.9000;1.2100;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2543";"2022 CMS,AHA";"J2543 - PIPERACILLIN/TAZOBACTAM";"ein";"263487583";;"institutional";498.0000;106.3700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2550";"2022 CMS,AHA";"J2550 - PROMETHAZINE HCL INJECTION";"ein";"462218636";;"institutional";7.7700;2.2400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3490";"2022 CMS,AHA";"J3490 - DRUGS UNCLASSIFIED INJECTION";"ein";"946000531";;"institutional";37.7100;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7120";"2022 CMS,AHA";"J7120 - RINGERS LACTATE INFUSION";"ein";"941105628";;"institutional";35.4000;4.3900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"946000531";;"institutional";297.0000;36.5700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"S5001";"2022 CMS,AHA";"S5001 - PRESCRIPTION DRUG,BRAND NAME";"ein";"813562144";;"institutional";4.0800;0.3800;"1639663370";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"None/Unknown";"HCPCS";;"2022 CMS,AHA";;"ein";"946000531";;"institutional";12674.0000;12674.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"None/Unknown";"REVENUE CODE";"682";"2022 AHA";"NOT ASSIGNED";"ein";"946000531";;"institutional";4328.0000;1765.6500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"941105628";;"institutional";68.0000;5.0800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"946000417";;"institutional";43.0000;6.4900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"80051";"2022 CMS,AHA";"80051 - ELECTROLYTE PANEL";"ein";"941105628";;"institutional";78.0000;9.1000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"80051";"2022 CMS,AHA";"80051 - ELECTROLYTE PANEL";"ein";"941105628";;"institutional";78.0000;13.1700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"80051";"2022 CMS,AHA";"80051 - ELECTROLYTE PANEL";"ein";"941105628";;"institutional";78.0000;13.6400;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"80051";"2022 CMS,AHA";"80051 - ELECTROLYTE PANEL";"ein";"941105628";;"institutional";78.0000;19.6900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"946000531";;"institutional";247.0000;63.5800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"946034863";;"institutional";99.5000;9.2600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"81001";"2022 CMS,AHA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"941105628";;"institutional";125.0000;20.2200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"81001";"2022 CMS,AHA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"943302014";;"institutional";177.0000;26.6600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"81001";"2022 CMS,AHA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"946000417";;"institutional";132.0000;19.9300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"81025";"2022 CMS,AHA";"81025 - URINE PREGNANCY TEST";"ein";"946000531";;"institutional";80.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"943302014";;"institutional";611.1000;133.3500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Room and Board";"HCPCS";"20604";"2022 CMS,AHA";"20604 - DRAIN/INJ JOINT/BURSA W/US";"ein";"941105628";;"institutional";1555.0000;305.4200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Psychological";"HCPCS";"T1007";"2022 CMS,AHA";"T1007 - TREATMENT PLAN DEVELOPMENT";"ein";"474607572";;"institutional";1024.0000;308.7700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Radiology";"HCPCS";"76856";"2022 CMS,AHA";"76856 - US EXAM PELVIC COMPLETE";"ein";"831287043";;"institutional";1271.1200;0.0000;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"202898771";;"institutional";1170.0000;155.0500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"951816017";;"institutional";11.4700;1.2600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2270";"2022 CMS,AHA";"J2270 - MORPHINE SULFATE INJECTION";"ein";"951816017";;"institutional";34.8300;3.8300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"202898771";;"institutional";171.0000;22.6600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Cardiovascular";"HCPCS";"93017";"2022 CMS,AHA";"93017 - CARDIOVASCULAR STRESS TEST";"ein";"230465970";;"institutional";1236.0000;376.4300;"1902804552";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Emergency Department Services";"REVENUE CODE";"450";"2022 AHA";"EMERG ROOM";"ein";"550383321";;"institutional";857.0000;771.3000;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Pathology and Laboratory";"HCPCS";"G0480";"2022 CMS,AHA";"G0480 - Drug test def 1-7 classes";"ein";"530359755";;"institutional";210.0000;87.7200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Pathology and Laboratory";"REVENUE CODE";"305";"2022 AHA";"LAB/HEMATOLOGY";"ein";"550383321";;"institutional";368.0000;331.2000;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Administration";"HCPCS";"36000";"2022 CMS,AHA";"36000 - PLACE NEEDLE IN VEIN";"ein";"472616215";;"institutional";330.0000;0.0000;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Administration";"HCPCS";"81025";"2022 CMS,AHA";"81025 - URINE PREGNANCY TEST";"ein";"474187773";;"institutional";124.1200;19.4400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Administration";"HCPCS";"93971";"2022 CMS,AHA";"93971 - EXTREMITY STUDY";"ein";"473231590";;"institutional";1553.8800;163.5900;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Administration";"HCPCS";"99443";"2022 CMS,AHA";"99443 - PHONE E/M PHYS/QHP 21-30 MIN";"ein";"850416296";;"institutional";109.0100;51.1700;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Administration";"HCPCS";"V2020";"2022 CMS,AHA";"V2020 - VISION SVCS FRAMES PURCHASES";"ein";"850416296";;"institutional";139.7800;124.5300;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Ambulatory Surgical Care";"HCPCS";"64483";"2022 CMS,AHA";"64483 - INJ FORAMEN EPIDURAL L/S";"ein";"870972215";;"institutional";9794.1800;440.6400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"12001";"2022 CMS,AHA";"12001 - RPR S/N/AX/GEN/TRNK 2.5CM/<";"ein";"474187773";;"institutional";480.4800;146.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"87636";"2022 CMS,AHA";"87636 - SarsCov2 & Inf A&B Amp Prb";"ein";"851931245";;"institutional";3878.0100;202.0500;"1750909974";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99281";"2022 CMS,AHA";"99281 - EMERGENCY DEPT VISIT";"ein";"860719855";;"institutional";196.0000;117.6000;"1225002322";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99282";"2022 CMS,AHA";"99282 - EMERGENCY DEPT VISIT";"ein";"463151282";;"institutional";1250.0000;159.6400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99282";"2022 CMS,AHA";"99282 - EMERGENCY DEPT VISIT";"ein";"473231590";;"institutional";1246.9800;1246.9800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99282";"2022 CMS,AHA";"99282 - EMERGENCY DEPT VISIT";"ein";"832010142";;"institutional";2000.0000;192.6100;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"473923087";;"institutional";144.2300;11.6500;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82962";"2022 CMS,AHA";"82962 - GLUCOSE BLOOD TEST";"ein";"751912147";;"institutional";56.0500;0.0000;"1023013448";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82977";"2022 CMS,AHA";"82977 - ASSAY OF GGT";"ein";"473923087";;"institutional";101.2700;15.2600;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82977";"2022 CMS,AHA";"82977 - ASSAY OF GGT";"ein";"820756286";;"institutional";101.2700;17.3700;"1821501875";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"83605";"2022 CMS,AHA";"83605 - ASSAY OF LACTIC ACID";"ein";"843073061";;"institutional";248.2500;33.0600;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"83880";"2022 CMS,AHA";"83880 - ASSAY OF NATRIURETIC PEPTIDE";"ein";"820984034";;"institutional";486.1700;51.4500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84075";"2022 CMS,AHA";"84075 - ASSAY ALKALINE PHOSPHATASE";"ein";"473923087";;"institutional";44.6000;3.2600;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84155";"2022 CMS,AHA";"84155 - ASSAY OF PROTEIN SERUM";"ein";"474187773";;"institutional";38.2500;5.9900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84155";"2022 CMS,AHA";"84155 - ASSAY OF PROTEIN SERUM";"ein";"474187773";;"institutional";38.2500;7.1400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84484";"2022 CMS,AHA";"84484 - ASSAY OF TROPONIN QUANT";"ein";"811862049";;"institutional";317.0000;52.2800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84550";"2022 CMS,AHA";"84550 - ASSAY OF BLOOD/URIC ACID";"ein";"850416296";;"institutional";65.3800;8.2200;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"465735510";;"institutional";280.0000;238.0000;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"473231590";;"institutional";309.3800;49.8400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"842951019";;"institutional";1260.0000;106.7400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"86308";"2022 CMS,AHA";"86308 - HETEROPHILE ANTIBODY SCREEN";"ein";"474187773";;"institutional";139.0600;25.9600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"86677";"2022 CMS,AHA";"86677 - HELICOBACTER PYLORI ANTIBODY";"ein";"820756286";;"institutional";126.1900;21.6400;"1821501875";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87070";"2022 CMS,AHA";"87070 - CULTURE OTHR SPECIMN AEROBIC";"ein";"472177648";;"institutional";641.5700;111.5700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"464499268";;"institutional";250.0000;28.0200;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"474187773";;"institutional";120.0000;18.7900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"831973983";;"institutional";360.0000;21.7000;"1669020277";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"843073061";;"institutional";200.0000;33.6100;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87428";"2022 CMS,AHA";"87428 - SarsCov & Inf Vir A&B AG IA";"ein";"851820772";;"institutional";2011.2300;258.5300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87633";"2022 CMS,AHA";"87633 - RESP VIRUS 12-25 TARGETS";"ein";"473248194";;"institutional";1980.0000;355.8900;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87637";"2022 CMS,AHA";"87637 - SarsCov2 & Inf A&B&RSV Amp Prb";"ein";"473231590";;"institutional";750.0000;114.4900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"920162721";;"institutional";102.0000;51.2100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82306";"2022 CMS,AHA";"82306 - VITAMIN D 25 HYDROXY";"ein";"920041488";;"institutional";280.0000;198.1170;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82570";"2022 CMS,AHA";"82570 - ASSAY OF URINE CREATININE";"ein";"920162721";;"institutional";99.0000;45.7600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82728";"2022 CMS,AHA";"82728 - ASSAY OF FERRITIN";"ein";"920162721";;"institutional";252.0000;125.7900;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82951";"2022 CMS,AHA";"82951 - GLUCOSE TOLERANCE TEST (GTT)";"ein";"920041461";;"institutional";131.0000;98.2500;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83001";"2022 CMS,AHA";"83001 - ASSAY OF GONADOTROPIN (FSH)";"ein";"910873623";;"institutional";467.2200;288.8500;"1306933643";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83001";"2022 CMS,AHA";"83001 - ASSAY OF GONADOTROPIN (FSH)";"ein";"920162721";;"institutional";265.0000;164.3600;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"920041461";;"institutional";112.0000;84.0000;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"920162721";;"institutional";213.0000;63.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"920162721";;"institutional";220.0000;66.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"920162721";;"institutional";220.0000;137.4300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83735";"2022 CMS,AHA";"83735 - ASSAY OF MAGNESIUM";"ein";"920162721";;"institutional";145.0000;85.5200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83880";"2022 CMS,AHA";"83880 - ASSAY OF NATRIURETIC PEPTIDE";"ein";"920162721";;"institutional";670.0000;334.4500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84075";"2022 CMS,AHA";"84075 - ASSAY ALKALINE PHOSPHATASE";"ein";"920162721";;"institutional";63.0000;40.9500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84153";"2022 CMS,AHA";"84153 - ASSAY OF PSA TOTAL";"ein";"920162721";;"institutional";264.0000;139.9900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84155";"2022 CMS,AHA";"84155 - ASSAY OF PROTEIN SERUM";"ein";"920162721";;"institutional";80.0000;52.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84403";"2022 CMS,AHA";"84403 - ASSAY OF TOTAL TESTOSTERONE";"ein";"920041461";;"institutional";296.0000;49.5300;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84403";"2022 CMS,AHA";"84403 - ASSAY OF TOTAL TESTOSTERONE";"ein";"920162721";;"institutional";243.0000;150.7000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84443";"2022 CMS,AHA";"84443 - ASSAY THYROID STIM HORMONE";"ein";"920162721";;"institutional";215.0000;73.7700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84450";"2022 CMS,AHA";"84450 - TRANSFERASE (AST) (SGOT)";"ein";"920162721";;"institutional";73.0000;21.9000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920162721";;"institutional";235.0000;70.5000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920162721";;"institutional";235.0000;142.3900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"85610";"2022 CMS,AHA";"85610 - PROTHROMBIN TIME";"ein";"920162721";;"institutional";118.0000;76.7000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82565";"2022 CMS,AHA";"82565 - ASSAY OF CREATININE";"ein";"941105628";;"institutional";80.0000;7.4900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82565";"2022 CMS,AHA";"82565 - ASSAY OF CREATININE";"ein";"941105628";;"institutional";80.0000;19.5100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"941105628";;"institutional";48.0000;4.4900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82962";"2022 CMS,AHA";"82962 - GLUCOSE BLOOD TEST";"ein";"941105628";;"institutional";500.0000;37.3800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"83605";"2022 CMS,AHA";"83605 - ASSAY OF LACTIC ACID";"ein";"941105628";;"institutional";270.0000;65.8200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84075";"2022 CMS,AHA";"84075 - ASSAY ALKALINE PHOSPHATASE";"ein";"941105628";;"institutional";64.0000;7.4700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84450";"2022 CMS,AHA";"84450 - TRANSFERASE (AST) (SGOT)";"ein";"941105628";;"institutional";128.0000;0.0000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84484";"2022 CMS,AHA";"84484 - ASSAY OF TROPONIN QUANT";"ein";"941105628";;"institutional";479.0000;44.8400;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84520";"2022 CMS,AHA";"84520 - ASSAY OF UREA NITROGEN";"ein";"941105628";;"institutional";29.0000;2.7100;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84520";"2022 CMS,AHA";"84520 - ASSAY OF UREA NITROGEN";"ein";"941105628";;"institutional";29.0000;3.3900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84520";"2022 CMS,AHA";"84520 - ASSAY OF UREA NITROGEN";"ein";"941105628";;"institutional";29.0000;4.3700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"263487583";;"institutional";327.0000;69.8400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"941105628";;"institutional";183.0000;12.6100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85610";"2022 CMS,AHA";"85610 - PROTHROMBIN TIME";"ein";"941105628";;"institutional";132.0000;19.9100;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"87088";"2022 CMS,AHA";"87088 - URINE BACTERIA CULTURE";"ein";"941105628";;"institutional";45.0000;7.2800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"87088";"2022 CMS,AHA";"87088 - URINE BACTERIA CULTURE";"ein";"946000417";;"institutional";252.0000;38.0500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"87491";"2022 CMS,AHA";"87491 - CHYLMD TRACH DNA AMP PROBE";"ein";"946034863";;"institutional";76.0000;19.8800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"946000509";;"institutional";69.8400;35.9200;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"REVENUE CODE";"305";"2022 AHA";"LAB/HEMATOLOGY";"ein";"263487583";;"institutional";654.0000;177.7800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"REVENUE CODE";"305";"2022 AHA";"LAB/HEMATOLOGY";"ein";"941105628";;"institutional";732.0000;346.8700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"REVENUE CODE";"305";"2022 AHA";"LAB/HEMATOLOGY";"ein";"946000531";;"institutional";1158.0000;472.4200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"REVENUE CODE";"305";"2022 AHA";"LAB/HEMATOLOGY";"ein";"946000531";;"institutional";12383.0000;4334.0500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84520";"2022 CMS,AHA";"84520 - ASSAY OF UREA NITROGEN";"ein";"941105628";;"institutional";29.0000;5.0700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"263487583";;"institutional";327.0000;36.7800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"941105628";;"institutional";183.0000;21.3400;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"946000531";;"institutional";178.0000;21.9100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"946000531";;"institutional";178.0000;45.8200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"946034863";;"institutional";57.7500;4.4100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85652";"2022 CMS,AHA";"85652 - RBC SED RATE AUTOMATED";"ein";"941105628";;"institutional";72.0000;10.3900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"86140";"2022 CMS,AHA";"86140 - C-REACTIVE PROTEIN";"ein";"941105628";;"institutional";156.0000;16.5700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"86141";"2022 CMS,AHA";"86141 - C-REACTIVE PROTEIN HS";"ein";"946000531";;"institutional";254.0000;31.2800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"86900";"2022 CMS,AHA";"86900 - BLOOD TYPING SEROLOGIC ABO";"ein";"263487583";;"institutional";144.0000;30.7500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"87070";"2022 CMS,AHA";"87070 - CULTURE OTHR SPECIMN AEROBIC";"ein";"946000417";;"institutional";356.0000;34.2800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"87070";"2022 CMS,AHA";"87070 - CULTURE OTHR SPECIMN AEROBIC";"ein";"946000531";;"institutional";189.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"263487583";;"institutional";100.0000;21.3600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"87651";"2022 CMS,AHA";"87651 - STREP A DNA AMP PROBE";"ein";"941105628";;"institutional";197.0000;31.8600;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"87651";"2022 CMS,AHA";"87651 - STREP A DNA AMP PROBE";"ein";"941105628";;"institutional";197.0000;33.7700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"G0480";"2022 CMS,AHA";"G0480 - Drug test def 1-7 classes";"ein";"946000531";;"institutional";239.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"U0003";"2022 CMS,AHA";"U0003 - Inf agent detection SARS-CoV-2; high throughput";"ein";"941105628";;"institutional";181.0000;33.4000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"U0003";"2022 CMS,AHA";"U0003 - Inf agent detection SARS-CoV-2; high throughput";"ein";"941105628";;"institutional";181.0000;40.6400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"REVENUE CODE";"301";"2022 AHA";"LAB/CHEMISTRY";"ein";"946000531";;"institutional";31815.0000;11135.2500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"REVENUE CODE";"306";"2022 AHA";"LAB/BACT-MICRO";"ein";"941105628";;"institutional";277.4000;131.4500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"REVENUE CODE";"312";"2022 AHA";"PATHOL/HYSTOL";"ein";"946000531";;"institutional";877.0000;306.9500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Physical Therapy";"REVENUE CODE";"424";"2022 AHA";"PHYS THERP/EVAL";"ein";"946000531";;"institutional";468.0000;190.9300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87637";"2022 CMS,AHA";"87637 - SarsCov2 & Inf A&B&RSV Amp Prb";"ein";"871528012";;"institutional";3500.0000;296.4800;"1912677295";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"473231590";;"institutional";131.7100;17.3000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"473231590";;"institutional";131.7100;22.8400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"843073061";;"institutional";206.1300;28.9500;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"843073061";;"institutional";206.1300;32.7800;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"843073061";;"institutional";206.1300;34.6400;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87807";"2022 CMS,AHA";"87807 - RSV ASSAY W/OPTIC";"ein";"273908339";;"institutional";82.3900;13.4000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87880";"2022 CMS,AHA";"87880 - STREP A ASSAY W/OPTIC";"ein";"472616215";;"institutional";190.0000;33.5000;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87880";"2022 CMS,AHA";"87880 - STREP A ASSAY W/OPTIC";"ein";"474187773";;"institutional";187.5100;45.8700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87880";"2022 CMS,AHA";"87880 - STREP A ASSAY W/OPTIC";"ein";"843073061";;"institutional";206.1300;28.9500;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87880";"2022 CMS,AHA";"87880 - STREP A ASSAY W/OPTIC";"ein";"871528012";;"institutional";202.3500;18.6300;"1912677295";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"88175";"2022 CMS,AHA";"88175 - CYTOPATH C/V AUTO FLUID REDO";"ein";"860719852";;"institutional";91.0300;63.7200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"C9803";"2022 CMS,AHA";"C9803 - Specimen collection any source";"ein";"474624853";;"institutional";648.6400;35.0200;"1649781915";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"REVENUE CODE";"300";"2022 AHA";"LABORATORY";"ein";"383813467";;"institutional";401.8500;361.6600;"1497053912";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"REVENUE CODE";"300";"2022 AHA";"LABORATORY";"ein";"383813467";;"institutional";1069.9200;962.9300;"1497053912";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Physical Therapy";"HCPCS";"97530";"2022 CMS,AHA";"97530 - THERAPEUTIC ACTIVITIES";"ein";"850416296";;"institutional";338.8800;221.7400;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Psychological";"HCPCS";"90847";"2022 CMS,AHA";"90847 - FAMILY PSYTX W/PATIENT";"ein";"471005761";;"institutional";700.0000;343.0000;"1558765420";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"70450";"2022 CMS,AHA";"70450 - CT HEAD/BRAIN W/O DYE";"ein";"473231590";;"institutional";3093.8300;466.1800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"71046";"2022 CMS,AHA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"815038663";;"institutional";196.8800;22.7000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"71275";"2022 CMS,AHA";"71275 - CT ANGIOGRAPHY CHEST";"ein";"820984034";;"institutional";4501.0800;476.2900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"72100";"2022 CMS,AHA";"72100 - X-RAY EXAM L-S SPINE 2/3 VWS";"ein";"756004585";;"institutional";216.3000;151.4100;"1790777696";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"73130";"2022 CMS,AHA";"73130 - X-RAY EXAM OF HAND";"ein";"465735510";;"institutional";100.0000;22.2300;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"73130";"2022 CMS,AHA";"73130 - X-RAY EXAM OF HAND";"ein";"473248194";;"institutional";100.0000;15.9600;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"73610";"2022 CMS,AHA";"73610 - X-RAY EXAM OF ANKLE";"ein";"473923087";;"institutional";635.6400;51.3200;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"74022";"2022 CMS,AHA";"74022 - X-RAY EXAM SERIES ABDOMEN";"ein";"752756307";;"institutional";419.0000;77.2900;"1669480323";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"461895231";;"institutional";4000.0000;284.7000;"1871937144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"472971495";;"institutional";7316.0000;280.4400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"473231590";;"institutional";2265.3200;352.7600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"800810304";;"institutional";1256.6800;266.7200;"1295213601";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"831973983";;"institutional";5040.0000;303.8700;"1669020277";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"832010142";;"institutional";4200.0000;304.4800;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"273908339";;"institutional";2496.3500;328.2400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"465702822";;"institutional";3100.0000;613.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"472166397";;"institutional";3100.0000;482.5000;"1093191397";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"473231590";;"institutional";2774.2900;439.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"473231590";;"institutional";2774.2900;456.3000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"473248194";;"institutional";3100.0000;561.8700;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"843073061";;"institutional";2938.5300;391.8700;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"851820772";;"institutional";9106.0000;1170.5300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"464499268";;"institutional";5400.0000;488.7300;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"473231590";;"institutional";3622.8600;543.9300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"94761";"2022 CMS,AHA";"94761 - MEASURE BLOOD OXYGEN LEVEL";"ein";"465702822";;"institutional";180.0000;25.1700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4206";"2022 CMS,AHA";"A4206 - 1 CC STERILE SYRINGE&NEEDLE";"ein";"473248194";;"institutional";50.0000;7.8900;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4208";"2022 CMS,AHA";"A4208 - 3 CC STERILE SYRINGE&NEEDLE";"ein";"842951019";;"institutional";250.0000;14.8900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4209";"2022 CMS,AHA";"A4209 - 5+ CC STERILE SYRINGE&NEEDLE";"ein";"832010142";;"institutional";138.0000;4.7300;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4213";"2022 CMS,AHA";"A4213 - 20+ CC SYRINGE ONLY";"ein";"472616215";;"institutional";10.0000;2.1300;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4215";"2022 CMS,AHA";"A4215 - STERILE NEEDLE";"ein";"472616215";;"institutional";20.0000;2.1760;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4246";"2022 CMS,AHA";"A4246 - BETADINE/PHISOHEX SOLUTION";"ein";"870972215";;"institutional";394.3500;17.7400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4247";"2022 CMS,AHA";"A4247 - BETADINE/IODINE SWABS/WIPES";"ein";"870972215";;"institutional";586.5000;26.3900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Physical Therapy";"HCPCS";"97116";"2022 CMS,AHA";"97116 - GAIT TRAINING THERAPY";"ein";"813562144";;"institutional";580.0000;54.2000;"1639663370";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Physical Therapy";"HCPCS";"97799";"2022 CMS,AHA";"97799 - PHYSICAL MEDICINE PROCEDURE";"ein";"611251391";;"institutional";1260.0000;132.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Physical Therapy";"REVENUE CODE";"420";"2022 AHA";"PHYSICAL THERP";"ein";"946000531";;"institutional";995.0000;405.9200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"72100";"2022 CMS,AHA";"72100 - X-RAY EXAM L-S SPINE 2/3 VWS";"ein";"941105628";;"institutional";836.0000;179.0000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"76705";"2022 CMS,AHA";"76705 - ECHO EXAM OF ABDOMEN";"ein";"941105628";;"institutional";1195.0000;60.4700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"76705";"2022 CMS,AHA";"76705 - ECHO EXAM OF ABDOMEN";"ein";"941105628";;"institutional";1255.0000;0.0000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"263487583";;"institutional";994.0000;151.6100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"REVENUE CODE";"324";"2022 AHA";"DX X-RAY/CHEST";"ein";"263487583";;"institutional";560.7000;208.5500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"REVENUE CODE";"324";"2022 AHA";"DX X-RAY/CHEST";"ein";"946000531";;"institutional";1091.0000;445.0900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"REVENUE CODE";"352";"2022 AHA";"CT SCAN/BODY";"ein";"946000531";;"institutional";92856.0000;32499.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"REVENUE CODE";"402";"2022 AHA";"ULTRASOUND";"ein";"263487583";;"institutional";2780.9500;1034.4100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"REVENUE CODE";"730";"2022 AHA";"EKG/ECG";"ein";"263487583";;"institutional";497.0000;184.8600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Respiratory";"HCPCS";"36600";"2022 CMS,AHA";"36600 - WITHDRAWAL OF ARTERIAL BLOOD";"ein";"946000531";;"institutional";798.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Room and Board";"HCPCS";"G0378";"2022 CMS,AHA";"G0378 - HOSPITAL OBSERVATION PER HR";"ein";"941105628";;"institutional";10368.0000;1208.7800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Room and Board";"REVENUE CODE";"710";"2022 AHA";"RECOVERY ROOM";"ein";"263487583";;"institutional";11250.0000;4184.5500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medical and Surgical Supplies";"HCPCS";"L3908";"2022 CMS,AHA";"L3908 - WHO COCK-UP NONMOLDE PRE OTS";"ein";"811407290";;"institutional";100.0000;15.2800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"811407290";;"institutional";360.0000;55.0100;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7620";"2022 CMS,AHA";"J7620 - ALBUTEROL IPRATROP NON-COMP";"ein";"811690806";;"institutional";37.2000;8.4600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"M0220";"2022 CMS,AHA";"M0220 - TIXAGEV AND CILGAV, INJ";"ein";"942854057";;"institutional";246.0200;0.0000;"1124661384";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"833547294";;"institutional";3.5600;0.3400;"1609496397";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"HCPCS";"82948";"2022 CMS,AHA";"82948 - REAGENT STRIP/BLOOD GLUCOSE";"ein";"263487583";;"institutional";85.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"HCPCS";"G2023";"2022 CMS,AHA";"G2023 - Spec Coll for SARS-CoV-2; any spec source;";"ein";"811690806";;"institutional";115.0000;26.1700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"HCPCS";"U0003";"2022 CMS,AHA";"U0003 - Inf agent detection SARS-CoV-2; high throughput";"ein";"946000509";;"institutional";84.0000;76.3700;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"71045";"2022 CMS,AHA";"71045 - X-RAY EXAM CHEST 1 VIEW";"ein";"263487583";;"institutional";560.7000;85.5200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"71045";"2022 CMS,AHA";"71045 - X-RAY EXAM CHEST 1 VIEW";"ein";"263487583";;"institutional";560.7000;103.1800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"71045";"2022 CMS,AHA";"71045 - X-RAY EXAM CHEST 1 VIEW";"ein";"941105628";;"institutional";636.0000;47.5500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"71045";"2022 CMS,AHA";"71045 - X-RAY EXAM CHEST 1 VIEW";"ein";"941105628";;"institutional";636.0000;142.8300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"72125";"2022 CMS,AHA";"72125 - CT NECK SPINE W/O DYE";"ein";"941105628";;"institutional";4665.0000;321.4500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"72125";"2022 CMS,AHA";"72125 - CT NECK SPINE W/O DYE";"ein";"946000531";;"institutional";4765.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"73610";"2022 CMS,AHA";"73610 - X-RAY EXAM OF ANKLE";"ein";"941105628";;"institutional";798.0000;73.7700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"74176";"2022 CMS,AHA";"74176 - CT ABD & PELVIS W/O CONTRAST";"ein";"941105628";;"institutional";6415.0000;479.6200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"74176";"2022 CMS,AHA";"74176 - CT ABD & PELVIS W/O CONTRAST";"ein";"941105628";;"institutional";6415.0000;750.3100;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"76705";"2022 CMS,AHA";"76705 - ECHO EXAM OF ABDOMEN";"ein";"941105628";;"institutional";1255.0000;93.8300;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"941105628";;"institutional";571.0000;53.4500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"REVENUE CODE";"320";"2022 AHA";"DX X-RAY";"ein";"941105628";;"institutional";636.0000;301.3800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"REVENUE CODE";"352";"2022 AHA";"CT SCAN/BODY";"ein";"946000531";;"institutional";55428.0000;22612.4300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Room and Board";"HCPCS";"99236";"2022 CMS,AHA";"99236 - OBSERV/HOSP SAME DATE";"ein";"473197062";;"institutional";1510.0000;369.9500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Room and Board";"REVENUE CODE";"360";"2022 AHA";"OR SERVICES";"ein";"263487583";;"institutional";89059.6500;33126.6400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Anesthesia";"REVENUE CODE";"370";"2022 AHA";"ANESTHESIA";"ein";"263487583";;"institutional";9486.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Dialysis";"HCPCS";"90999";"2022 CMS,AHA";"90999 - DIALYSIS PROCEDURE";"ein";"061602517";;"institutional";7448.6000;388.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"941196203";;"institutional";5611.0000;560.1400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"833547294";;"institutional";767.9700;73.7700;"1609496397";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"811407290";;"institutional";192.0000;29.3400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"811690806";;"institutional";25.0000;5.6900;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"HCPCS";"81000";"2022 CMS,AHA";"81000 - URINALYSIS NONAUTO W/SCOPE";"ein";"833547294";;"institutional";58.0200;5.5700;"1609496397";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"HCPCS";"82550";"2022 CMS,AHA";"82550 - ASSAY OF CK (CPK)";"ein";"833547294";;"institutional";50.0000;4.8000;"1609496397";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"86038";"2022 CMS,AHA";"86038 - ANTINUCLEAR ANTIBODIES";"ein";"920041488";;"institutional";225.0000;202.5000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"86695";"2022 CMS,AHA";"86695 - HERPES SIMPLEX TYPE 1 TEST";"ein";"920162721";;"institutional";121.0000;36.3000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"86780";"2022 CMS,AHA";"86780 - TREPONEMA PALLIDUM";"ein";"920162721";;"institutional";148.0000;90.6200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87045";"2022 CMS,AHA";"87045 - FECES CULTURE AEROBIC BACT";"ein";"920162721";;"institutional";357.0000;109.3000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87086";"2022 CMS,AHA";"87086 - URINE CULTURE/COLONY COUNT";"ein";"320197974";;"institutional";54.0000;24.3000;"1508029422";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87086";"2022 CMS,AHA";"87086 - URINE CULTURE/COLONY COUNT";"ein";"920162721";;"institutional";222.0000;130.0900;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87205";"2022 CMS,AHA";"87205 - SMEAR GRAM STAIN";"ein";"920162721";;"institutional";134.0000;77.1400;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87210";"2022 CMS,AHA";"87210 - SMEAR WET MOUNT SALINE/INK";"ein";"920162721";;"institutional";197.0000;128.0500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87329";"2022 CMS,AHA";"87329 - GIARDIA AG IA";"ein";"920162721";;"institutional";266.0000;81.4400;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87491";"2022 CMS,AHA";"87491 - CHYLMD TRACH DNA AMP PROBE";"ein";"920041461";;"institutional";274.0000;205.5000;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87491";"2022 CMS,AHA";"87491 - CHYLMD TRACH DNA AMP PROBE";"ein";"920162721";;"institutional";225.0000;127.9300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87591";"2022 CMS,AHA";"87591 - N.GONORRHOEAE DNA AMP PROB";"ein";"920162721";;"institutional";232.0000;150.8000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"920162721";;"institutional";204.0000;124.5200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"88305";"2022 CMS,AHA";"88305 - TISSUE EXAM BY PATHOLOGIST";"ein";"920041488";;"institutional";183.0000;0.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"REVENUE CODE";"301";"2022 AHA";"LAB/CHEMISTRY";"ein";"920041488";;"institutional";2624.0000;2361.6000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"REVENUE CODE";"306";"2022 AHA";"LAB/BACT-MICRO";"ein";"920162721";;"institutional";2178.0000;1415.7000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"REVENUE CODE";"307";"2022 AHA";"LAB/UROLOGY";"ein";"920041488";;"institutional";125.0000;112.5000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"REVENUE CODE";"310";"2022 AHA";"PATHOLOGY LAB";"ein";"920041488";;"institutional";834.0000;834.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Physical Therapy";"HCPCS";"97161";"2022 CMS,AHA";"97161 - PT EVAL LOW COMPLEX 20 MIN";"ein";"920162721";;"institutional";322.0000;209.3000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Psychological";"HCPCS";"S9480";"2022 CMS,AHA";"S9480 - INTENSIVE OUTPATIENT PSYCHIA";"ein";"825372831";;"institutional";3000.0000;1650.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"70553";"2022 CMS,AHA";"70553 - MRI BRAIN STEM W/O & W/DYE";"ein";"920162721";;"institutional";6149.0000;1929.4300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"71046";"2022 CMS,AHA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"920041488";;"institutional";610.0000;151.0290;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"72100";"2022 CMS,AHA";"72100 - X-RAY EXAM L-S SPINE 2/3 VWS";"ein";"920041488";;"institutional";532.0000;315.9810;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4252";"2022 CMS,AHA";"A4252 - BLOOD KETONE TEST OR STRIP";"ein";"473248194";;"institutional";5.0000;0.6900;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4301";"2022 CMS,AHA";"A4301 - IMPLANTABLE ACCESS SYST PERC";"ein";"870972215";;"institutional";155.2500;6.9800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4557";"2022 CMS,AHA";"A4557 - LEAD WIRES, PAIR";"ein";"870972215";;"institutional";1344.1200;60.4700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4606";"2022 CMS,AHA";"A4606 - OXYGEN PROBE USED W OXIMETER";"ein";"465702822";;"institutional";170.0000;23.7800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4606";"2022 CMS,AHA";"A4606 - OXYGEN PROBE USED W OXIMETER";"ein";"465735510";;"institutional";170.0000;37.7900;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4606";"2022 CMS,AHA";"A4606 - OXYGEN PROBE USED W OXIMETER";"ein";"473248194";;"institutional";170.0000;26.8100;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4615";"2022 CMS,AHA";"A4615 - CANNULA NASAL";"ein";"870972215";;"institutional";1709.8200;76.9200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"465735510";;"institutional";10.0000;0.0000;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"472616215";;"institutional";20.0000;0.0000;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"473248194";;"institutional";160.0000;0.0000;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4670";"2022 CMS,AHA";"A4670 - AUTOMATIC BP MONITOR, DIAL";"ein";"465702822";;"institutional";50.0000;7.7500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4670";"2022 CMS,AHA";"A4670 - AUTOMATIC BP MONITOR, DIAL";"ein";"465735510";;"institutional";50.0000;7.0000;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4670";"2022 CMS,AHA";"A4670 - AUTOMATIC BP MONITOR, DIAL";"ein";"472971495";;"institutional";78.3200;3.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4673";"2022 CMS,AHA";"A4673 - EXT LINE W EASY LOCK CONNECT";"ein";"473248194";;"institutional";20.0000;3.1500;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4930";"2022 CMS,AHA";"A4930 - STERILE, GLOVES PER PAIR";"ein";"273908339";;"institutional";6.8700;0.9000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4930";"2022 CMS,AHA";"A4930 - STERILE, GLOVES PER PAIR";"ein";"465735510";;"institutional";10.0000;1.4000;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4930";"2022 CMS,AHA";"A4930 - STERILE, GLOVES PER PAIR";"ein";"832010142";;"institutional";45.0000;3.2600;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6203";"2022 CMS,AHA";"A6203 - COMPOSITE DRSG <= 16 SQ IN";"ein";"472616215";;"institutional";20.0000;2.1760;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6257";"2022 CMS,AHA";"A6257 - TRANSPARENT FILM <= 16 SQ IN";"ein";"472616215";;"institutional";20.0000;4.2700;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6257";"2022 CMS,AHA";"A6257 - TRANSPARENT FILM <= 16 SQ IN";"ein";"842951019";;"institutional";125.0000;10.5900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6413";"2022 CMS,AHA";"A6413 - ADHESIVE BANDAGE, FIRST-AID";"ein";"851820772";;"institutional";48.6000;6.2500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6453";"2022 CMS,AHA";"A6453 - SELF-ADHER BAND W <3""/YD";"ein";"465735510";;"institutional";10.0000;8.5000;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"C1887";"2022 CMS,AHA";"C1887 - CATHETER, GUIDING";"ein";"751912147";;"institutional";116.6400;0.0000;"1023013448";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"E0776";"2022 CMS,AHA";"E0776 - IV POLE";"ein";"465735510";;"institutional";120.0000;20.2100;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"74176";"2022 CMS,AHA";"74176 - CT ABD & PELVIS W/O CONTRAST";"ein";"852007987";;"institutional";12950.6000;592.1500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"74176";"2022 CMS,AHA";"74176 - CT ABD & PELVIS W/O CONTRAST";"ein";"854042853";;"institutional";7170.2500;777.6900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"76010";"2022 CMS,AHA";"76010 - X-RAY NOSE TO RECTUM";"ein";"472177648";;"institutional";959.8500;197.9500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Room and Board";"HCPCS";"27340";"2022 CMS,AHA";"27340 - REMOVAL OF KNEECAP BURSA";"ein";"752756307";;"institutional";94.0000;79.2500;"1669480323";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Room and Board";"HCPCS";"62323";"2022 CMS,AHA";"62323 - NJX INTERLAMINAR LMBR/SAC";"ein";"823659997";;"institutional";29500.0000;4144.7500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Room and Board";"HCPCS";"G0378";"2022 CMS,AHA";"G0378 - HOSPITAL OBSERVATION PER HR";"ein";"821703810";;"institutional";29325.0000;2051.8200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Room and Board";"HCPCS";"G0378";"2022 CMS,AHA";"G0378 - HOSPITAL OBSERVATION PER HR";"ein";"842951019";;"institutional";7560.0000;455.9800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Room and Board";"REVENUE CODE";"126";"2022 AHA";"DETOX/2BED";"ein";"472672076";;"institutional";4235.0000;2964.5000;"1316310857";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"831287043";;"institutional";2774.2900;666.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Medical and Surgical Supplies";"HCPCS";"A7003";"2022 CMS,AHA";"A7003 - NEBULIZER ADMINISTRATION SET";"ein";"831287043";;"institutional";85.3900;20.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"831287043";;"institutional";1060.7400;176.5700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Pathology and Laboratory";"HCPCS";"82803";"2022 CMS,AHA";"82803 - BLOOD GASES ANY COMBINATION";"ein";"831287043";;"institutional";579.4300;96.4500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Pathology and Laboratory";"HCPCS";"87040";"2022 CMS,AHA";"87040 - BLOOD CULTURE FOR BACTERIA";"ein";"831287043";;"institutional";397.7900;66.2100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"831287043";;"institutional";450.0000;74.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"831287043";;"institutional";131.7100;21.9300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Pathology and Laboratory";"HCPCS";"87806";"2022 CMS,AHA";"87806 - HIV ANTIGEN W/HIV ANTIBODIES";"ein";"831287043";;"institutional";396.0600;65.9200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Pathology and Laboratory";"HCPCS";"89051";"2022 CMS,AHA";"89051 - BODY FLUID CELL COUNT";"ein";"831287043";;"institutional";55.3000;9.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Radiology";"HCPCS";"71046";"2022 CMS,AHA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"831287043";;"institutional";196.8800;32.7700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Respiratory";"HCPCS";"94640";"2022 CMS,AHA";"94640 - AIRWAY INHALATION TREATMENT";"ein";"831287043";;"institutional";241.2400;57.9200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Administration";"HCPCS";"93015";"2022 CMS,AHA";"93015 - CARDIOVASCULAR STRESS TEST";"ein";"461892306";;"institutional";6800.0000;325.8100;"1114361185";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"NECA IBEW Local 176 H&W Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9966";"2022 CMS,AHA";"Q9966 - LOCM 200-299MG/ML IODINE,1ML";"ein";"362276984";;"institutional";277.5000;96.5400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90715";"2022 CMS,AHA";"90715 - TDAP VACCINE 7 YRS/> IM";"ein";"860719852";;"institutional";114.9600;80.4700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Outpatient Services";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"860719852";;"institutional";266.4000;186.4800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"850416296";;"institutional";147.7700;26.3100;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"80076";"2022 CMS,AHA";"80076 - HEPATIC FUNCTION PANEL";"ein";"850416296";;"institutional";196.4900;23.2000;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"HCPCS";"83880";"2022 CMS,AHA";"83880 - ASSAY OF NATRIURETIC PEPTIDE";"ein";"811690806";;"institutional";422.7600;96.2100;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"HCPCS";"87486";"2022 CMS,AHA";"87486 - CHYLMD PNEUM DNA AMP PROBE";"ein";"811690806";;"institutional";108.3200;24.6500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"HCPCS";"U0003";"2022 CMS,AHA";"U0003 - Inf agent detection SARS-CoV-2; high throughput";"ein";"946000509";;"institutional";80.0000;76.1900;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"REVENUE CODE";"300";"2022 AHA";"LABORATORY";"ein";"263487583";;"institutional";17080.9300;17080.9300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"REVENUE CODE";"300";"2022 AHA";"LABORATORY";"ein";"941105628";;"institutional";1461.0000;582.3500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"REVENUE CODE";"305";"2022 AHA";"LAB/HEMATOLOGY";"ein";"263487583";;"institutional";1635.0000;1635.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Physical Therapy";"REVENUE CODE";"434";"2022 AHA";"OCCUP THERP/EVAL";"ein";"941105628";;"institutional";658.0000;262.2700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Radiology";"REVENUE CODE";"730";"2022 AHA";"EKG/ECG";"ein";"263487583";;"institutional";497.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Room and Board";"HCPCS";"11046";"2022 CMS,AHA";"11046 - DEB MUSC/FASCIA ADD-ON";"ein";"263487583";;"institutional";2109.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Room and Board";"HCPCS";"97605";"2022 CMS,AHA";"97605 - NEG PRESS WOUND TX =50 CM";"ein";"263487583";;"institutional";172.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Room and Board";"REVENUE CODE";"120";"2022 AHA";"ROOM-BOARD/SIM";"ein";"263487583";;"institutional";40000.0000;40000.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Room and Board";"REVENUE CODE";"710";"2022 AHA";"RECOVERY ROOM";"ein";"263487583";;"institutional";11250.0000;11250.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Room and Board";"REVENUE CODE";"710";"2022 AHA";"RECOVERY ROOM";"ein";"263487583";;"institutional";13750.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Utah)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"E0676";"2022 CMS,AHA";"E0676 - INTER LIMB COMPRESS DEV NOS";"ein";"461892306";;"institutional";10595.0000;198.8100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Local 3 (Public)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90715";"2022 CMS,AHA";"90715 - TDAP VACCINE 7 YRS/> IM";"ein";"941450151";;"institutional";1414.0400;273.5400;"1972503142";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Local 3 (Public)";"group";"Pathology and Laboratory";"HCPCS";"83735";"2022 CMS,AHA";"83735 - ASSAY OF MAGNESIUM";"ein";"941105628";;"institutional";193.0000;33.9300;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Local 3 (Public)";"group";"Pathology and Laboratory";"HCPCS";"84450";"2022 CMS,AHA";"84450 - TRANSFERASE (AST) (SGOT)";"ein";"941105628";;"institutional";64.0000;11.2500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Local 3 (Public)";"group";"Pathology and Laboratory";"HCPCS";"87591";"2022 CMS,AHA";"87591 - N.GONORRHOEAE DNA AMP PROB";"ein";"941105628";;"institutional";182.0000;32.0000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Local 3 (Public)";"group";"Psychological";"HCPCS";"";"2022 CMS,AHA";;"ein";"852063344";;"institutional";4000.0000;1018.8000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Local 3 (Public)";"group";"Radiology";"HCPCS";"76815";"2022 CMS,AHA";"76815 - OB US LIMITED FETUS(S)";"ein";"941105628";;"institutional";871.0000;0.0000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"941105628";;"institutional";571.0000;123.9800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"67145";"2022 CMS,AHA";"67145 - TREATMENT OF RETINA";"ein";"920162721";;"institutional";1612.0000;1047.8000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"92015";"2022 CMS,AHA";"92015 - DETERMINE REFRACTIVE STATE";"ein";"920162721";;"institutional";132.0000;75.0700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"72220";"2022 CMS,AHA";"72220 - X-RAY EXAM SACRUM TAILBONE";"ein";"920041488";;"institutional";502.0000;196.1640;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"73090";"2022 CMS,AHA";"73090 - X-RAY EXAM OF FOREARM";"ein";"920162721";;"institutional";689.0000;421.6700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"73610";"2022 CMS,AHA";"73610 - X-RAY EXAM OF ANKLE";"ein";"920162721";;"institutional";822.0000;485.3900;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"74177";"2022 CMS,AHA";"74177 - CT ABD & PELV W/CONTRAST";"ein";"910873623";;"institutional";7646.1600;2389.4800;"1306933643";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"76641";"2022 CMS,AHA";"76641 - ULTRASOUND BREAST COMPLETE";"ein";"910873623";;"institutional";1576.8400;278.5100;"1306933643";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"76870";"2022 CMS,AHA";"76870 - US EXAM SCROTUM";"ein";"920041488";;"institutional";1002.0000;526.4010;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"96413";"2022 CMS,AHA";"96413 - CHEMO IV INFUSION 1 HR";"ein";"320197974";;"institutional";584.0000;262.8000;"1508029422";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"96417";"2022 CMS,AHA";"96417 - CHEMO IV INFUS EACH ADDL SEQ";"ein";"320197974";;"institutional";300.0000;135.0000;"1508029422";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"G0279";"2022 CMS,AHA";"G0279 - TOMOSYNTHESIS, MAMMO";"ein";"910873623";;"institutional";405.1700;160.2700;"1306933643";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Respiratory";"REVENUE CODE";"410";"2022 AHA";"RESPIRATORY SVC";"ein";"920041488";;"institutional";2880.0000;0.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Room and Board";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"320197974";;"institutional";230.0000;103.5000;"1508029422";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Room and Board";"REVENUE CODE";"120";"2022 AHA";"ROOM-BOARD/SIM";"ein";"920041488";;"institutional";32844.0000;29559.5900;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Room and Board";"REVENUE CODE";"128";"2022 AHA";"REHAB/2BED";"ein";"582670224";;"institutional";3400.0000;2550.0000;"1649500182";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Room and Board";"REVENUE CODE";"128";"2022 AHA";"REHAB/2BED";"ein";"824196380";;"institutional";2700.0000;1620.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Room and Board";"REVENUE CODE";"710";"2022 AHA";"RECOVERY ROOM";"ein";"920162721";;"institutional";770.0000;500.5000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Bakery Workers H&W Local 24";"group";"Pathology and Laboratory";"HCPCS";"82375";"2022 CMS,AHA";"82375 - ASSAY CARBOXYHB QUANT";"ein";"941105628";;"institutional";204.0000;34.4700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0131";"2022 CMS,AHA";"J0131 - ACETAMINOPHEN INJECTION";"ein";"941105628";;"institutional";156.0000;28.0000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"941105628";;"institutional";45.8000;9.9300;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Pathology and Laboratory";"HCPCS";"80051";"2022 CMS,AHA";"80051 - ELECTROLYTE PANEL";"ein";"941105628";;"institutional";78.0000;15.3200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Pathology and Laboratory";"HCPCS";"82565";"2022 CMS,AHA";"82565 - ASSAY OF CREATININE";"ein";"941105628";;"institutional";80.0000;15.7100;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Pathology and Laboratory";"HCPCS";"84702";"2022 CMS,AHA";"84702 - CHORIONIC GONADOTROPIN TEST";"ein";"941105628";;"institutional";479.0000;85.9500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"941105628";;"institutional";183.0000;32.8400;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Pathology and Laboratory";"HCPCS";"85610";"2022 CMS,AHA";"85610 - PROTHROMBIN TIME";"ein";"941105628";;"institutional";132.0000;23.6900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Dialysis";"HCPCS";"90945";"2022 CMS,AHA";"90945 - DIALYSIS ONE EVALUATION";"ein";"953372911";;"institutional";3153.0000;609.3200;"1922062066";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Dialysis";"HCPCS";"90999";"2022 CMS,AHA";"90999 - DIALYSIS PROCEDURE";"ein";"953372911";;"institutional";2744.5500;525.2600;"1922062066";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Medical and Surgical Supplies";"HCPCS";"A4657";"2022 CMS,AHA";"A4657 - SYRINGE W/WO NEEDLE";"ein";"264194741";;"institutional";242.1000;42.7200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q4081";"2022 CMS,AHA";"Q4081 - EPOETIN ALFA, 100 UNITS ESRD";"ein";"264194741";;"institutional";264.8000;46.7200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"204577473";;"institutional";450.0000;71.6300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"204577473";;"institutional";263.4200;41.9300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Psychological";"HCPCS";"90834";"2022 CMS,AHA";"90834 - PSYTX PT&/FAMILY 45 MINUTES";"ein";"820867945";;"institutional";625.0000;179.1900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Psychological";"HCPCS";"S0201";"2022 CMS,AHA";"S0201 - PARTIAL HOSPITALIZATION SERV";"ein";"823727468";;"institutional";3395.0000;690.5300;"1306443650";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Administration";"HCPCS";"99214";"2022 CMS,AHA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"946000509";;"institutional";267.2000;133.4400;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Ambulatory Surgical Care";"HCPCS";"64635";"2022 CMS,AHA";"64635 - DESTROY LUMB/SAC FACET JNT";"ein";"954810282";;"institutional";7000.0000;198.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Anesthesia";"REVENUE CODE";"370";"2022 AHA";"ANESTHESIA";"ein";"946000531";;"institutional";1149.0000;468.7500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"96365";"2022 CMS,AHA";"96365 - THER/PROPH/DIAG IV INF INIT";"ein";"946000531";;"institutional";754.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"946000417";;"institutional";371.0000;56.0200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"941105628";;"institutional";416.0000;51.5700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"96376";"2022 CMS,AHA";"96376 - TX/PRO/DX INJ SAME DRUG ADON";"ein";"946000417";;"institutional";159.0000;24.0100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99282";"2022 CMS,AHA";"99282 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";1248.0000;188.2300;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99282";"2022 CMS,AHA";"99282 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";1248.0000;320.0800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";2496.0000;403.7400;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"462218636";;"institutional";1656.0000;476.6600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";4160.0000;727.4700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"263487583";;"institutional";3345.0000;376.2700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";5880.0000;1433.4100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";5880.0000;1484.1400;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"752756307";;"institutional";100.0000;84.3100;"1669480323";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"752756307";;"institutional";105.7600;19.5100;"1669480323";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"752756307";;"institutional";373.0100;314.4800;"1669480323";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90471";"2022 CMS,AHA";"90471 - IMMUNIZATION ADMIN";"ein";"473248194";;"institutional";50.0000;8.4300;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90471";"2022 CMS,AHA";"90471 - IMMUNIZATION ADMIN";"ein";"860719852";;"institutional";65.8800;46.1200;"1780639971";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90686";"2022 CMS,AHA";"90686 - IIV4 VACC NO PRSV 3 YRS+ IM";"ein";"860719852";;"institutional";66.6100;46.6300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96360";"2022 CMS,AHA";"96360 - HYDRATION IV INFUSION INIT";"ein";"273908339";;"institutional";492.0000;80.0200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96360";"2022 CMS,AHA";"96360 - HYDRATION IV INFUSION INIT";"ein";"815038663";;"institutional";380.1100;43.8300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"472177648";;"institutional";472.7800;62.7000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"473923087";;"institutional";306.1300;22.4300;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96365";"2022 CMS,AHA";"96365 - THER/PROPH/DIAG IV INF INIT";"ein";"464499268";;"institutional";711.0000;76.3400;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96365";"2022 CMS,AHA";"96365 - THER/PROPH/DIAG IV INF INIT";"ein";"473923087";;"institutional";476.0300;34.8800;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96365";"2022 CMS,AHA";"96365 - THER/PROPH/DIAG IV INF INIT";"ein";"473923087";;"institutional";476.0300;38.4400;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"473248194";;"institutional";220.0000;30.1400;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"464499268";;"institutional";357.0000;40.0100;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"473231590";;"institutional";454.3500;73.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"473231590";;"institutional";454.3500;83.6900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"473923087";;"institutional";393.3800;59.2900;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"821703810";;"institutional";454.3500;31.7900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"832010142";;"institutional";1236.0000;42.4300;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"473231590";;"institutional";307.6100;43.9500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"473923087";;"institutional";798.9900;120.4400;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"821703810";;"institutional";615.2200;43.0400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"842951019";;"institutional";2116.8000;127.6700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"92083";"2022 CMS,AHA";"92083 - VISUAL FIELD EXAMINATION(S)";"ein";"920162721";;"institutional";349.0000;226.8500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"92134";"2022 CMS,AHA";"92134 - CPTR OPHTH DX IMG POST SEGMT";"ein";"920162721";;"institutional";180.0000;102.3600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";229.0000;97.3000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";229.0000;137.0700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";229.0000;139.5300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";229.0000;139.5500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Emergency Department Services";"HCPCS";"94640";"2022 CMS,AHA";"94640 - AIRWAY INHALATION TREATMENT";"ein";"920041488";;"institutional";726.0000;653.4000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";1307.0000;387.8100;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";1307.0000;722.8600;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";2602.0000;449.1400;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medical and Surgical Supplies";"HCPCS";"E0114";"2022 CMS,AHA";"E0114 - CRUTCH UNDERARM PAIR NO WOOD";"ein";"920162721";;"institutional";127.0000;34.0700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920041488";;"institutional";5.8500;5.2600;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90471";"2022 CMS,AHA";"90471 - IMMUNIZATION ADMIN";"ein";"920162721";;"institutional";29.0000;18.8500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90688";"2022 CMS,AHA";"90688 - IIV4 VACCINE 3 YRS PLUS IM";"ein";"920162721";;"institutional";0.0100;0.0065;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"920162721";;"institutional";111.6000;18.6200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2704";"2022 CMS,AHA";"J2704 - INJ, PROPOFOL, 10 MG";"ein";"920162721";;"institutional";81.7500;18.2600;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"920041488";;"institutional";42.5500;38.2950;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"920162721";;"institutional";35035.1000;31774.3000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920162721";;"institutional";54.0000;35.1000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"920041488";;"institutional";213.0000;97.6230;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"920162721";;"institutional";184.0000;16.4600;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"920162721";;"institutional";184.0000;106.7200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80306";"2022 CMS,AHA";"80306 - DRUG TEST PRSMV INSTRMNT";"ein";"920041461";;"institutional";192.0000;43.5100;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"81001";"2022 CMS,AHA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"860212139";;"institutional";42.0000;8.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"850416296";;"institutional";69.0000;13.4100;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"84439";"2022 CMS,AHA";"84439 - ASSAY OF FREE THYROXINE";"ein";"860719852";;"institutional";31.0000;21.7000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"87086";"2022 CMS,AHA";"87086 - URINE CULTURE/COLONY COUNT";"ein";"850105601";;"institutional";15.0000;8.1200;"1215913470";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Dialysis";"HCPCS";"90945";"2022 CMS,AHA";"90945 - DIALYSIS ONE EVALUATION";"ein";"953372911";;"institutional";3153.0000;603.4100;"1922062066";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"204577473";;"institutional";328.1000;52.2200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0696";"2022 CMS,AHA";"J0696 - CEFTRIAXONE SODIUM INJECTION";"ein";"204577473";;"institutional";134.2800;21.3700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Psychological";"HCPCS";"H0015";"2022 CMS,AHA";"H0015 - ALCOHOL AND/OR DRUG SERVICES";"ein";"820867945";;"institutional";1500.0000;100.6500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Administration";"HCPCS";"99000";"2022 CMS,AHA";"99000 - SPECIMEN HANDLING OFFICE-LAB";"ein";"941747220";;"institutional";0.0000;0.0000;"1295752384";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Administration";"HCPCS";"99214";"2022 CMS,AHA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"946034863";;"institutional";485.0000;169.7500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Administration";"HCPCS";"Q5001";"2022 CMS,AHA";"Q5001 - HOSPICE OR HOME HLTH IN HOME";"ein";"462040675";;"institutional";1121.5200;147.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Ambulatory Surgical Care";"HCPCS";"64636";"2022 CMS,AHA";"64636 - DESTROY L/S FACET JNT ADDL";"ein";"954810282";;"institutional";3500.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"12002";"2022 CMS,AHA";"12002 - RPR S/N/AX/GEN/TRNK2.6-7.5CM";"ein";"946000531";;"institutional";551.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"96360";"2022 CMS,AHA";"96360 - HYDRATION IV INFUSION INIT";"ein";"946000531";;"institutional";628.0000;161.6400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"263487583";;"institutional";381.1000;81.4000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99282";"2022 CMS,AHA";"99282 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";1248.0000;179.9500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99282";"2022 CMS,AHA";"99282 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";1248.0000;280.2900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99282";"2022 CMS,AHA";"99282 - EMERGENCY DEPT VISIT";"ein";"946000532";;"institutional";450.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";2400.0000;0.0000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";2496.0000;427.7600;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";2496.0000;534.4300;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";4160.0000;441.8800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"263487583";;"institutional";3345.0000;510.1900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"REVENUE CODE";"450";"2022 AHA";"EMERG ROOM";"ein";"946000531";;"institutional";5400.0000;2202.9900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Pathology and Laboratory";"HCPCS";"86901";"2022 CMS,AHA";"86901 - BLOOD TYPING SEROLOGIC RH(D)";"ein";"941105628";;"institutional";150.0000;26.9200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Psychological";"HCPCS";"S0201";"2022 CMS,AHA";"S0201 - PARTIAL HOSPITALIZATION SERV";"ein";"823334211";;"institutional";2900.0000;570.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Radiology";"HCPCS";"76815";"2022 CMS,AHA";"76815 - OB US LIMITED FETUS(S)";"ein";"941105628";;"institutional";915.0000;164.1900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Radiology";"HCPCS";"76817";"2022 CMS,AHA";"76817 - TRANSVAGINAL US OBSTETRIC";"ein";"941105628";;"institutional";1134.0000;203.5000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Psychological";"HCPCS";"T1023";"2022 CMS,AHA";"T1023 - PROGRAM INTAKE ASSESSMENT";"ein";"474607572";;"institutional";4095.0000;73.6200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"941105628";;"institutional";201.0000;17.5600;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Radiology";"HCPCS";"73080";"2022 CMS,AHA";"73080 - X-RAY EXAM OF ELBOW";"ein";"956000930";;"institutional";757.5000;163.0200;"1821159195";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"202898771";;"institutional";2999.0000;397.4300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"951816017";;"institutional";20.5000;2.2600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"202898771";;"institutional";75.6000;10.0200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Pathology and Laboratory";"HCPCS";"83690";"2022 CMS,AHA";"83690 - ASSAY OF LIPASE";"ein";"951816017";;"institutional";469.0000;51.6900;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Radiology";"HCPCS";"70496";"2022 CMS,AHA";"70496 - CT ANGIOGRAPHY HEAD";"ein";"202898771";;"institutional";3365.3900;445.9800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Administration";"HCPCS";"20553";"2022 CMS,AHA";"20553 - INJECT TRIGGER POINTS 3/>";"ein";"550643304";;"institutional";585.0000;305.1600;"1841271459";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Pathology and Laboratory";"HCPCS";"80307";"2022 CMS,AHA";"80307 - DRUG TEST PRSMV CHEM ANLYZR";"ein";"530359755";;"institutional";349.0000;145.7800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Pathology and Laboratory";"REVENUE CODE";"300";"2022 AHA";"LABORATORY";"ein";"550383321";;"institutional";16.0000;14.4000;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Pathology and Laboratory";"REVENUE CODE";"307";"2022 AHA";"LAB/UROLOGY";"ein";"550383321";;"institutional";27.0000;24.3000;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Respiratory";"REVENUE CODE";"410";"2022 AHA";"RESPIRATORY SVC";"ein";"550383321";;"institutional";208.0000;187.2000;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Room and Board";"HCPCS";"64490";"2022 CMS,AHA";"64490 - INJ PARAVERT F JNT C/T 1 LEV";"ein";"550383321";;"institutional";1178.0000;696.9300;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Room and Board";"REVENUE CODE";"110";"2022 AHA";"ROOM-BOARD/PVT";"ein";"550383321";;"institutional";1482.0000;1333.8000;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Administration";"HCPCS";"71046";"2022 CMS,AHA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"850416296";;"institutional";339.3700;108.8600;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Administration";"HCPCS";"99215";"2022 CMS,AHA";"99215 - OFFICE/OUTPATIENT VISIT EST";"ein";"850416296";;"institutional";300.3800;96.3400;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Ambulatory Surgical Care";"HCPCS";"64483";"2022 CMS,AHA";"64483 - INJ FORAMEN EPIDURAL L/S";"ein";"871529394";;"institutional";30000.0000;7938.9000;"1437720828";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Dialysis";"HCPCS";"A4928";"2022 CMS,AHA";"A4928 - SURGICAL MASK";"ein";"851984103";;"institutional";35.6400;1.3700;"1376151365";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"36410";"2022 CMS,AHA";"36410 - NON-ROUTINE BL DRAW 3/> YRS";"ein";"851820772";;"institutional";471.4200;60.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"REVENUE CODE";"450";"2022 AHA";"EMERG ROOM";"ein";"263487583";;"institutional";3345.0000;909.2700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"263487583";;"institutional";20.0000;3.0500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"263487583";;"institutional";306.8000;65.5300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"263487583";;"institutional";893.0000;100.4500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"263487583";;"institutional";8994.8700;1921.3000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medical and Surgical Supplies";"HCPCS";"A4248";"2022 CMS,AHA";"A4248 - CHLORHEXIDINE ANTISEPT";"ein";"861464604";;"institutional";86.7700;25.8200;"1003493784";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medical and Surgical Supplies";"REVENUE CODE";"270";"2022 AHA";"MED-SUR SUPPLIES";"ein";"946000531";;"institutional";2524.0000;883.4000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medical and Surgical Supplies";"REVENUE CODE";"272";"2022 AHA";"STERILE SUPPLY";"ein";"263487583";;"institutional";9607.8200;3573.7200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medical and Surgical Supplies";"REVENUE CODE";"272";"2022 AHA";"STERILE SUPPLY";"ein";"946000531";;"institutional";4352.0000;1775.4400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";14.5500;3.1300;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";20.5500;2.1800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";31.8500;2.3800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";49.4000;49.4000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"946000531";;"institutional";30.3800;7.2600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"946000531";;"institutional";32.5900;8.3900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"946000531";;"institutional";40.7800;9.7500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90715";"2022 CMS,AHA";"90715 - TDAP VACCINE 7 YRS/> IM";"ein";"813562144";;"institutional";540.0000;50.4700;"1639663370";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"462218636";;"institutional";176.0000;50.6600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0131";"2022 CMS,AHA";"J0131 - ACETAMINOPHEN INJECTION";"ein";"941105628";;"institutional";116.7500;29.4700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"946000532";;"institutional";12.7000;10.5700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1953";"2022 CMS,AHA";"J1953 - LEVETIRACETAM INJECTION";"ein";"941105628";;"institutional";127.4000;8.7800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2543";"2022 CMS,AHA";"J2543 - PIPERACILLIN/TAZOBACTAM";"ein";"941105628";;"institutional";79.0000;19.9400;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"341";"2022 AHA";"NUC MED/DX";"ein";"263487583";;"institutional";5425.6300;1474.8600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"HCPCS";"U0005";"2022 CMS,AHA";"U0005 - INFEC AGEN DETEC AMPLI PROBE";"ein";"946000509";;"institutional";26.0000;23.6300;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"REVENUE CODE";"300";"2022 AHA";"LABORATORY";"ein";"000027050";;"institutional";1015.4800;387.1600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"REVENUE CODE";"300";"2022 AHA";"LABORATORY";"ein";"263487583";;"institutional";7524.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"REVENUE CODE";"301";"2022 AHA";"LAB/CHEMISTRY";"ein";"263487583";;"institutional";3023.0000;3023.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"REVENUE CODE";"301";"2022 AHA";"LAB/CHEMISTRY";"ein";"263487583";;"institutional";3390.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"REVENUE CODE";"306";"2022 AHA";"LAB/BACT-MICRO";"ein";"941105628";;"institutional";269.0000;107.2300;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"REVENUE CODE";"309";"2022 AHA";"LAB/OTHER";"ein";"941105628";;"institutional";1503.0000;599.0900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Radiology";"HCPCS";"71045";"2022 CMS,AHA";"71045 - X-RAY EXAM CHEST 1 VIEW";"ein";"941196203";;"institutional";674.0000;67.2900;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Local 3 (Public)";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"680316535";;"institutional";15.6600;9.2600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Local 3 (Public)";"group";"Pathology and Laboratory";"HCPCS";"80306";"2022 CMS,AHA";"80306 - DRUG TEST PRSMV INSTRMNT";"ein";"941105628";;"institutional";507.0000;89.1400;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Local 3 (Public)";"group";"Pathology and Laboratory";"HCPCS";"83880";"2022 CMS,AHA";"83880 - ASSAY OF NATRIURETIC PEPTIDE";"ein";"680316535";;"institutional";45.9100;19.2300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"31237";"2022 CMS,AHA";"31237 - NASAL/SINUS ENDOSCOPY SURG";"ein";"920162721";;"institutional";2231.0000;1450.1500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920162721";;"institutional";54.0000;0.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"92136";"2022 CMS,AHA";"92136 - OPHTHALMIC BIOMETRY";"ein";"920162721";;"institutional";527.0000;315.0200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"C9803";"2022 CMS,AHA";"C9803 - Specimen collection any source";"ein";"920041488";;"institutional";72.0000;72.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";229.0000;148.8500;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Anesthesia";"REVENUE CODE";"370";"2022 AHA";"ANESTHESIA";"ein";"920162721";;"institutional";4648.0000;4648.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Digestive";"HCPCS";"45385";"2022 CMS,AHA";"45385 - COLONOSCOPY W/LESION REMOVAL";"ein";"920162721";;"institutional";5915.0000;1320.7400;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Emergency Department Services";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"920041488";;"institutional";415.0000;154.1160;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";1307.0000;728.5500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";2602.0000;335.3400;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";2602.0000;522.6500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"920041488";;"institutional";20.0000;18.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920041461";;"institutional";1.0000;0.2300;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"81025";"2022 CMS,AHA";"81025 - URINE PREGNANCY TEST";"ein";"920162721";;"institutional";161.0000;20.7500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"82306";"2022 CMS,AHA";"82306 - VITAMIN D 25 HYDROXY";"ein";"920162721";;"institutional";266.0000;79.8000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"82565";"2022 CMS,AHA";"82565 - ASSAY OF CREATININE";"ein";"920162721";;"institutional";81.0000;24.3000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"82728";"2022 CMS,AHA";"82728 - ASSAY OF FERRITIN";"ein";"920162721";;"institutional";252.0000;75.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"82746";"2022 CMS,AHA";"82746 - ASSAY OF FOLIC ACID SERUM";"ein";"920041488";;"institutional";225.0000;92.7360;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"860212139";;"institutional";41.0000;7.8100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"82951";"2022 CMS,AHA";"82951 - GLUCOSE TOLERANCE TEST (GTT)";"ein";"860212139";;"institutional";130.0000;24.7500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"920162721";;"institutional";220.0000;143.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"83540";"2022 CMS,AHA";"83540 - ASSAY OF IRON";"ein";"920162721";;"institutional";155.0000;14.5600;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"83735";"2022 CMS,AHA";"83735 - ASSAY OF MAGNESIUM";"ein";"920041488";;"institutional";126.0000;98.0460;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"83880";"2022 CMS,AHA";"83880 - ASSAY OF NATRIURETIC PEPTIDE";"ein";"920162721";;"institutional";670.0000;29.0800;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"83993";"2022 CMS,AHA";"83993 - ASSAY FOR CALPROTECTIN FECAL";"ein";"920162721";;"institutional";474.0000;142.2000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"84153";"2022 CMS,AHA";"84153 - ASSAY OF PSA TOTAL";"ein";"920041488";;"institutional";238.0000;238.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"84484";"2022 CMS,AHA";"84484 - ASSAY OF TROPONIN QUANT";"ein";"920041461";;"institutional";129.0000;29.2300;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920162721";;"institutional";235.0000;38.3700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920162721";;"institutional";235.0000;39.2100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920162721";;"institutional";235.0000;45.2900;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920162721";;"institutional";235.0000;143.1800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"85610";"2022 CMS,AHA";"85610 - PROTHROMBIN TIME";"ein";"920041461";;"institutional";36.0000;8.1500;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"85610";"2022 CMS,AHA";"85610 - PROTHROMBIN TIME";"ein";"920162721";;"institutional";118.0000;76.7000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"85730";"2022 CMS,AHA";"85730 - THROMBOPLASTIN TIME PARTIAL";"ein";"920162721";;"institutional";220.0000;41.1500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"86038";"2022 CMS,AHA";"86038 - ANTINUCLEAR ANTIBODIES";"ein";"920041488";;"institutional";225.0000;70.3980;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"86140";"2022 CMS,AHA";"86140 - C-REACTIVE PROTEIN";"ein";"920041461";;"institutional";83.0000;18.8100;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"86255";"2022 CMS,AHA";"86255 - FLUORESCENT ANTIBODY SCREEN";"ein";"920041488";;"institutional";244.0000;166.0950;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"852007987";;"institutional";3167.3700;144.8300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0561";"2022 CMS,AHA";"J0561 - PENICILLIN G BENZATHINE INJ";"ein";"473231590";;"institutional";136.9000;25.3600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0690";"2022 CMS,AHA";"J0690 - CEFAZOLIN SODIUM INJECTION";"ein";"820756286";;"institutional";55.9000;12.5400;"1821501875";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0696";"2022 CMS,AHA";"J0696 - CEFTRIAXONE SODIUM INJECTION";"ein";"473231590";;"institutional";268.5600;40.3200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1100";"2022 CMS,AHA";"J1100 - DEXAMETHASONE SODIUM PHOS";"ein";"473248194";;"institutional";79.9000;10.4400;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1170";"2022 CMS,AHA";"J1170 - HYDROMORPHONE INJECTION";"ein";"473231590";;"institutional";61.8800;9.2900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1170";"2022 CMS,AHA";"J1170 - HYDROMORPHONE INJECTION";"ein";"473923087";;"institutional";53.5800;8.0700;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"473231590";;"institutional";65.0600;9.2900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"473231590";;"institutional";65.0600;9.7700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"842951019";;"institutional";300.0000;15.4300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"843073061";;"institutional";14.9000;1.9800;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2360";"2022 CMS,AHA";"J2360 - ORPHENADRINE INJECTION";"ein";"473923087";;"institutional";161.1100;11.8000;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2360";"2022 CMS,AHA";"J2360 - ORPHENADRINE INJECTION";"ein";"473923087";;"institutional";161.1100;24.2900;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2360";"2022 CMS,AHA";"J2360 - ORPHENADRINE INJECTION";"ein";"474187773";;"institutional";161.1100;36.3400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"473923087";;"institutional";112.6400;16.9700;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"842951019";;"institutional";80.0000;4.8200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2704";"2022 CMS,AHA";"J2704 - INJ, PROPOFOL, 10 MG";"ein";"870972215";;"institutional";2656.5600;119.5200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2920";"2022 CMS,AHA";"J2920 - METHYLPREDNISOLONE INJECTION";"ein";"843073061";;"institutional";63.2800;10.6400;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3370";"2022 CMS,AHA";"J3370 - VANCOMYCIN HCL INJECTION";"ein";"473923087";;"institutional";600.0200;48.4400;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3490";"2022 CMS,AHA";"J3490 - DRUGS UNCLASSIFIED INJECTION";"ein";"474187773";;"institutional";16.7600;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"472616215";;"institutional";80.0000;17.0600;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"815038663";;"institutional";80.6300;9.3000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7040";"2022 CMS,AHA";"J7040 - NORMAL SALINE SOLUTION INFUS";"ein";"473923087";;"institutional";69.8000;5.1100;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7050";"2022 CMS,AHA";"J7050 - NORMAL SALINE SOLUTION INFUS";"ein";"870972215";;"institutional";110.6900;4.9800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"263487583";;"institutional";5656.4600;1208.2100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medical and Surgical Supplies";"REVENUE CODE";"272";"2022 AHA";"STERILE SUPPLY";"ein";"946000531";;"institutional";11285.0000;3949.7500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";4.0500;0.9100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";4.5000;0.7300;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";5.8000;0.4300;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";7.4500;0.5600;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";15.2000;3.2500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";16.3500;2.0300;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";157.9500;35.4700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"946000417";;"institutional";0.0200;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"0064A";"2022 CMS,AHA";"0064A - ADM SARSCOV2 50MCG/0.25MLBST";"ein";"946000509";;"institutional";40.0000;9.7300;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1170";"2022 CMS,AHA";"J1170 - HYDROMORPHONE INJECTION";"ein";"941105628";;"institutional";26.0000;6.3400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1630";"2022 CMS,AHA";"J1630 - HALOPERIDOL INJECTION";"ein";"946000509";;"institutional";34.8400;4.9300;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1815";"2022 CMS,AHA";"J1815 - INSULIN INJECTION";"ein";"941105628";;"institutional";17.3000;1.2900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"941105628";;"institutional";20.3000;4.3700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"941105628";;"institutional";7.4500;1.8800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2710";"2022 CMS,AHA";"J2710 - NEOSTIGMINE METHYLSLFTE INJ";"ein";"263487583";;"institutional";130.0000;27.7700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3490";"2022 CMS,AHA";"J3490 - DRUGS UNCLASSIFIED INJECTION";"ein";"941105628";;"institutional";11.8500;0.0000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"263487583";;"institutional";498.0000;56.0200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7120";"2022 CMS,AHA";"J7120 - RINGERS LACTATE INFUSION";"ein";"941105628";;"institutional";25.2000;2.3600;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"941105628";;"institutional";400.0000;29.9100;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"S5001";"2022 CMS,AHA";"S5001 - PRESCRIPTION DRUG,BRAND NAME";"ein";"813562144";;"institutional";2.0400;0.1900;"1639663370";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"263487583";;"institutional";10833.4000;4029.5900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920162721";;"institutional";61.4000;34.2200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"0054A";"2022 CMS,AHA";"0054A - ADM SARSCV2 30MCG TRS-SUCR B";"ein";"920162721";;"institutional";30.0000;17.3500;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1200";"2022 CMS,AHA";"J1200 - DIPHENHYDRAMINE HCL INJECTIO";"ein";"920162721";;"institutional";87.3000;14.5700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2765";"2022 CMS,AHA";"J2765 - METOCLOPRAMIDE HCL INJECTION";"ein";"920162721";;"institutional";74.4000;18.9600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"920162721";;"institutional";35035.1000;9532.2900;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"260";"2022 AHA";"IV THERAPY";"ein";"920162721";;"institutional";1136.0000;0.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920162721";;"institutional";52.0000;0.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920162721";;"institutional";54.0000;0.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80305";"2022 CMS,AHA";"80305 - DRUG TEST PRSMV DIR OPT OBS";"ein";"920162721";;"institutional";62.0000;22.6100;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80305";"2022 CMS,AHA";"80305 - DRUG TEST PRSMV DIR OPT OBS";"ein";"920162721";;"institutional";62.0000;25.2000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"81001";"2022 CMS,AHA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"920041488";;"institutional";125.0000;110.3940;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"81001";"2022 CMS,AHA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"920162721";;"institutional";158.0000;31.7400;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"81001";"2022 CMS,AHA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"920162721";;"institutional";158.0000;40.2800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"81002";"2022 CMS,AHA";"81002 - URINALYSIS NONAUTO W/O SCOPE";"ein";"920162721";;"institutional";48.0000;29.2500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"81015";"2022 CMS,AHA";"81015 - MICROSCOPIC EXAM OF URINE";"ein";"920162721";;"institutional";59.0000;38.3500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"81025";"2022 CMS,AHA";"81025 - URINE PREGNANCY TEST";"ein";"920162721";;"institutional";161.0000;32.3400;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"82306";"2022 CMS,AHA";"82306 - VITAMIN D 25 HYDROXY";"ein";"920162721";;"institutional";266.0000;79.8000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"82570";"2022 CMS,AHA";"82570 - ASSAY OF URINE CREATININE";"ein";"920162721";;"institutional";96.0000;28.8000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"82570";"2022 CMS,AHA";"82570 - ASSAY OF URINE CREATININE";"ein";"920162721";;"institutional";99.0000;29.7000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"82728";"2022 CMS,AHA";"82728 - ASSAY OF FERRITIN";"ein";"920162721";;"institutional";252.0000;75.6000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"920162721";;"institutional";220.0000;131.6800;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"83540";"2022 CMS,AHA";"83540 - ASSAY OF IRON";"ein";"920162721";;"institutional";155.0000;46.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"83550";"2022 CMS,AHA";"83550 - IRON BINDING TEST";"ein";"920162721";;"institutional";163.0000;48.9000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"83605";"2022 CMS,AHA";"83605 - ASSAY OF LACTIC ACID";"ein";"920041488";;"institutional";247.0000;196.4700;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"86780";"2022 CMS,AHA";"86780 - TREPONEMA PALLIDUM";"ein";"860212139";;"institutional";104.0000;19.8000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"86901";"2022 CMS,AHA";"86901 - BLOOD TYPING SEROLOGIC RH(D)";"ein";"920162721";;"institutional";94.0000;27.8000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"87389";"2022 CMS,AHA";"87389 - HIV-1 AG W/HIV-1 & HIV-2 AB";"ein";"920041488";;"institutional";110.0000;99.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"87493";"2022 CMS,AHA";"87493 - C DIFF AMPLIFIED PROBE";"ein";"920162721";;"institutional";302.0000;90.6000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"920162721";;"institutional";204.0000;38.1600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"920162721";;"institutional";204.0000;86.6800;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"U0002";"2022 CMS,AHA";"U0002 - Independent lab test";"ein";"920162721";;"institutional";55.0000;35.7500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"REVENUE CODE";"312";"2022 AHA";"PATHOL/HYSTOL";"ein";"920162721";;"institutional";1530.0000;459.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"HCPCS";"70551";"2022 CMS,AHA";"70551 - MRI BRAIN STEM W/O DYE";"ein";"920162721";;"institutional";4755.0000;793.4200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"HCPCS";"71046";"2022 CMS,AHA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"920162721";;"institutional";758.0000;252.5000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"920162721";;"institutional";704.0000;117.4700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"HCPCS";"G1004";"2022 CMS,AHA";"G1004 - CDSM NDSC";"ein";"920162721";;"institutional";0.0100;0.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"REVENUE CODE";"320";"2022 AHA";"DX X-RAY";"ein";"920162721";;"institutional";67.0000;20.1000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Room and Board";"HCPCS";;"2022 CMS,AHA";;"ein";"920162721";;"institutional";244.0000;54.4800;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Room and Board";"REVENUE CODE";"121";"2022 AHA";"MED-SUR-GY/2BED";"ein";"920162721";;"institutional";34890.0000;10467.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Room and Board";"REVENUE CODE";"710";"2022 AHA";"RECOVERY ROOM";"ein";"920162721";;"institutional";1866.0000;1866.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Physical Therapy";"HCPCS";"45380";"2022 CMS,AHA";"45380 - COLONOSCOPY AND BIOPSY";"ein";"911123468";;"institutional";1343.0000;1326.6700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Administration";"HCPCS";"99212";"2022 CMS,AHA";"99212 - OFFICE/OUTPATIENT VISIT EST";"ein";"470376487";;"institutional";195.6100;96.1700;"1629022108";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Cardiovascular";"HCPCS";"96373";"2022 CMS,AHA";"96373 - THER/PROPH/DIAG INJ IA";"ein";"465023240";;"institutional";10000.0000;1600.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3010";"2022 CMS,AHA";"J3010 - FENTANYL CITRATE INJECITON";"ein";"465023240";;"institutional";70.0000;11.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"465023240";;"institutional";2000.0000;320.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"831287043";;"institutional";2774.2900;516.0900;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"831287043";;"institutional";225.8000;20.5000;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"831287043";;"institutional";194.4700;34.3900;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"343";"2022 AHA";"DIAGNOSTIC RADIOPHARMACEUTICALS";"ein";"263487583";;"institutional";2474.0000;672.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"None/Unknown";"REVENUE CODE";"682";"2022 AHA";"NOT ASSIGNED";"ein";"946000531";;"institutional";12252.0000;4288.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"263487583";;"institutional";20.0000;3.0500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"263487583";;"institutional";20.0000;4.2700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"852390012";;"institutional";20.0000;1.2200;"1235162645";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"941105628";;"institutional";68.0000;7.9300;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"941105628";;"institutional";68.0000;9.8100;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"946034863";;"institutional";25.0000;1.2200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"80048";"2022 CMS,AHA";"80048 - METABOLIC PANEL TOTAL CA";"ein";"941105628";;"institutional";314.0000;23.4800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"263487583";;"institutional";1392.0000;212.3100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"263487583";;"institutional";1392.0000;256.1600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"852390012";;"institutional";101.0000;5.9900;"1235162645";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"946000531";;"institutional";247.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"80076";"2022 CMS,AHA";"80076 - HEPATIC FUNCTION PANEL";"ein";"946000417";;"institutional";356.0000;53.7600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"80306";"2022 CMS,AHA";"80306 - DRUG TEST PRSMV INSTRMNT";"ein";"941105628";;"institutional";659.0000;45.4100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"80353";"2022 CMS,AHA";"80353 - DRUG SCREENING COCAINE";"ein";"941105628";;"institutional";114.0000;7.8500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"81001";"2022 CMS,AHA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"263487583";;"institutional";160.0000;21.9300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"941105628";;"institutional";108.0000;12.6400;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82150";"2022 CMS,AHA";"82150 - ASSAY OF AMYLASE";"ein";"462218636";;"institutional";137.0000;39.4400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82565";"2022 CMS,AHA";"82565 - ASSAY OF CREATININE";"ein";"941105628";;"institutional";80.0000;9.3500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82565";"2022 CMS,AHA";"82565 - ASSAY OF CREATININE";"ein";"941105628";;"institutional";80.0000;13.9900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"941105628";;"institutional";48.0000;8.3900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"83690";"2022 CMS,AHA";"83690 - ASSAY OF LIPASE";"ein";"920041488";;"institutional";138.0000;124.2000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"84484";"2022 CMS,AHA";"84484 - ASSAY OF TROPONIN QUANT";"ein";"920041488";;"institutional";249.0000;224.1000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"84702";"2022 CMS,AHA";"84702 - CHORIONIC GONADOTROPIN TEST";"ein";"920162721";;"institutional";205.0000;61.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920041488";;"institutional";179.0000;95.4450;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920041488";;"institutional";179.0000;106.0500;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"85027";"2022 CMS,AHA";"85027 - COMPLETE CBC AUTOMATED";"ein";"920162721";;"institutional";166.0000;14.3000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"85027";"2022 CMS,AHA";"85027 - COMPLETE CBC AUTOMATED";"ein";"920162721";;"institutional";171.0000;111.1500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"86038";"2022 CMS,AHA";"86038 - ANTINUCLEAR ANTIBODIES";"ein";"920162721";;"institutional";191.0000;17.0900;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"86162";"2022 CMS,AHA";"86162 - COMPLEMENT TOTAL (CH50)";"ein";"920162721";;"institutional";260.0000;45.4300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"86235";"2022 CMS,AHA";"86235 - NUCLEAR ANTIGEN ANTIBODY";"ein";"920162721";;"institutional";724.0000;126.4700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"86480";"2022 CMS,AHA";"86480 - TB TEST CELL IMMUN MEASURE";"ein";"920162721";;"institutional";330.0000;214.5000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"86481";"2022 CMS,AHA";"86481 - TB AG RESPONSE T-CELL SUSP";"ein";"920041488";;"institutional";383.0000;197.7700;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"87086";"2022 CMS,AHA";"87086 - URINE CULTURE/COLONY COUNT";"ein";"920162721";;"institutional";222.0000;144.3000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"87210";"2022 CMS,AHA";"87210 - SMEAR WET MOUNT SALINE/INK";"ein";"920162721";;"institutional";197.0000;83.7100;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"87389";"2022 CMS,AHA";"87389 - HIV-1 AG W/HIV-1 & HIV-2 AB";"ein";"860212139";;"institutional";172.0000;32.7600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"920041488";;"institutional";210.0000;156.8200;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"REVENUE CODE";"301";"2022 AHA";"LAB/CHEMISTRY";"ein";"920162721";;"institutional";6833.0000;2049.9000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"REVENUE CODE";"305";"2022 AHA";"LAB/HEMATOLOGY";"ein";"920162721";;"institutional";2416.0000;2416.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"REVENUE CODE";"310";"2022 AHA";"PATHOLOGY LAB";"ein";"920162721";;"institutional";1980.0000;1980.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"HCPCS";"98940";"2022 CMS,AHA";"98940 - CHIROPRACT MANJ 1-2 REGIONS";"ein";"920162721";;"institutional";157.0000;102.0500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"HCPCS";"71046";"2022 CMS,AHA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"920041488";;"institutional";610.0000;160.0290;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"HCPCS";"71046";"2022 CMS,AHA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"920162721";;"institutional";758.0000;252.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"HCPCS";"71260";"2022 CMS,AHA";"71260 - CT THORAX W/DYE";"ein";"920041461";;"institutional";1801.0000;408.0700;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"HCPCS";"73560";"2022 CMS,AHA";"73560 - X-RAY EXAM OF KNEE 1 OR 2";"ein";"920041488";;"institutional";478.0000;173.1870;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7060";"2022 CMS,AHA";"J7060 - 5% DEXTROSE/WATER";"ein";"472177648";;"institutional";28.0000;3.7100;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"473248194";;"institutional";30.0000;3.1700;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"473248194";;"institutional";85.0000;11.1500;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"472616215";;"institutional";290.0000;31.6115;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"473231590";;"institutional";66.0000;11.4900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"820984034";;"institutional";132.0000;13.9700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"842951019";;"institutional";1500.0000;90.4700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"S5001";"2022 CMS,AHA";"S5001 - PRESCRIPTION DRUG,BRAND NAME";"ein";"473923087";;"institutional";9.7300;0.7100;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"262";"2022 AHA";"IV THER/PHARM/SVC";"ein";"821703810";;"institutional";1069.5700;880.3600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"636";"2022 AHA";"DRUGS/DETAIL CODE";"ein";"201547519";;"institutional";179.2300;57.4251;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Outpatient Services";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"860719852";;"institutional";266.4000;186.4800;"1780639971";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"472616215";;"institutional";60.0000;6.5365;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"811862049";;"institutional";52.0000;8.5700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"821883948";;"institutional";14.5000;3.5700;"1649794157";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"464499268";;"institutional";850.0000;76.9300;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"473231590";;"institutional";823.8500;86.7300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"473231590";;"institutional";823.8500;123.6900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"752756307";;"institutional";250.0000;62.4000;"1669480323";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"850416296";;"institutional";147.7700;26.9100;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81000";"2022 CMS,AHA";"81000 - URINALYSIS NONAUTO W/SCOPE";"ein";"852489965";;"institutional";58.0200;5.8700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81002";"2022 CMS,AHA";"81002 - URINALYSIS NONAUTO W/O SCOPE";"ein";"464499268";;"institutional";210.0000;19.0100;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"473923087";;"institutional";168.3700;12.3300;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"750800628";;"institutional";110.0000;21.6800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"811862049";;"institutional";54.3200;8.9600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"HCPCS";"82565";"2022 CMS,AHA";"82565 - ASSAY OF CREATININE";"ein";"831287043";;"institutional";221.0000;20.0700;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Radiology";"HCPCS";"74176";"2022 CMS,AHA";"74176 - CT ABD & PELVIS W/O CONTRAST";"ein";"831287043";;"institutional";2651.8500;2651.8500;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UNITE HERE HEALTH - Alaska";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"920162721";;"institutional";204.0000;35.9200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"946000509";;"institutional";30.4000;12.2000;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"83690";"2022 CMS,AHA";"83690 - ASSAY OF LIPASE";"ein";"263487583";;"institutional";105.0000;14.4000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"83690";"2022 CMS,AHA";"83690 - ASSAY OF LIPASE";"ein";"941105628";;"institutional";243.0000;18.1700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"83735";"2022 CMS,AHA";"83735 - ASSAY OF MAGNESIUM";"ein";"941105628";;"institutional";193.0000;14.4300;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"83880";"2022 CMS,AHA";"83880 - ASSAY OF NATRIURETIC PEPTIDE";"ein";"941105628";;"institutional";461.0000;34.4700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84075";"2022 CMS,AHA";"84075 - ASSAY ALKALINE PHOSPHATASE";"ein";"941105628";;"institutional";64.0000;7.4800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84132";"2022 CMS,AHA";"84132 - ASSAY OF SERUM POTASSIUM";"ein";"946000417";;"institutional";127.0000;19.1800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84460";"2022 CMS,AHA";"84460 - ALANINE AMINO (ALT) (SGPT)";"ein";"941105628";;"institutional";61.0000;7.1200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84484";"2022 CMS,AHA";"84484 - ASSAY OF TROPONIN QUANT";"ein";"263487583";;"institutional";679.0000;76.3800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84703";"2022 CMS,AHA";"84703 - CHORIONIC GONADOTROPIN ASSAY";"ein";"941105628";;"institutional";250.0000;23.4000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"861464604";;"institutional";303.6700;67.9500;"1003493784";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"941105628";;"institutional";183.0000;26.3900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"943302014";;"institutional";253.0000;38.1000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"946000531";;"institutional";169.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85379";"2022 CMS,AHA";"85379 - FIBRIN DEGRADATION QUANT";"ein";"941105628";;"institutional";282.0000;29.9600;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85610";"2022 CMS,AHA";"85610 - PROTHROMBIN TIME";"ein";"941105628";;"institutional";132.0000;15.4400;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85652";"2022 CMS,AHA";"85652 - RBC SED RATE AUTOMATED";"ein";"941105628";;"institutional";72.0000;7.6500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"86780";"2022 CMS,AHA";"86780 - TREPONEMA PALLIDUM";"ein";"946000417";;"institutional";156.0000;15.0200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"86850";"2022 CMS,AHA";"86850 - RBC ANTIBODY SCREEN";"ein";"941105628";;"institutional";257.0000;64.8700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"86900";"2022 CMS,AHA";"86900 - BLOOD TYPING SEROLOGIC ABO";"ein";"946000531";;"institutional";63.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"87088";"2022 CMS,AHA";"87088 - URINE BACTERIA CULTURE";"ein";"946000417";;"institutional";260.0900;42.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"87340";"2022 CMS,AHA";"87340 - HEPATITIS B SURFACE AG IA";"ein";"941105628";;"institutional";58.0000;4.3300;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"HCPCS";"74177";"2022 CMS,AHA";"74177 - CT ABD & PELV W/CONTRAST";"ein";"920041488";;"institutional";5024.0000;2159.5320;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"920041461";;"institutional";146.0000;109.5000;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Room and Board";"REVENUE CODE";"360";"2022 AHA";"OR SERVICES";"ein";"920162721";;"institutional";25614.0000;25614.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Room and Board";"REVENUE CODE";"710";"2022 AHA";"RECOVERY ROOM";"ein";"920162721";;"institutional";1866.0000;559.8000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"910655392";;"institutional";165.0000;132.0000;"1972507580";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Pathology and Laboratory";"HCPCS";"80305";"2022 CMS,AHA";"80305 - DRUG TEST PRSMV DIR OPT OBS";"ein";"843236495";;"institutional";1323.0000;1058.4000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Administration";"HCPCS";"C9803";"2022 CMS,AHA";"C9803 - Specimen collection any source";"ein";"371119538";;"institutional";63.0000;24.6600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Cardiovascular";"HCPCS";"93458";"2022 CMS,AHA";"93458 - L HRT ARTERY/VENTRICLE ANGIO";"ein";"465023240";;"institutional";48500.0000;7760.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2250";"2022 CMS,AHA";"J2250 - INJ MIDAZOLAM HYDROCHLORIDE";"ein";"465023240";;"institutional";25.0000;4.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Security Fund For Southern NV -Local 14";"group";"Pathology and Laboratory";"HCPCS";"81025";"2022 CMS,AHA";"81025 - URINE PREGNANCY TEST";"ein";"942854057";;"institutional";92.7500;0.0000;"1114025491";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Security Fund For Southern NV -Local 14";"group";"Pathology and Laboratory";"HCPCS";"88307";"2022 CMS,AHA";"88307 - TISSUE EXAM BY PATHOLOGIST";"ein";"942854057";;"institutional";214.7500;0.0000;"1114025491";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Security Fund For Southern NV -Local 14";"group";"Room and Board";"HCPCS";"19120";"2022 CMS,AHA";"19120 - REMOVAL OF BREAST LESION";"ein";"942854057";;"institutional";4006.0500;4006.0500;"1114025491";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"HCPCS";"80048";"2022 CMS,AHA";"80048 - METABOLIC PANEL TOTAL CA";"ein";"831287043";;"institutional";408.3900;37.0800;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"831287043";;"institutional";194.4700;194.4700;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"HCPCS";"87086";"2022 CMS,AHA";"87086 - URINE CULTURE/COLONY COUNT";"ein";"831287043";;"institutional";292.1100;292.1100;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"None/Unknown";"REVENUE CODE";"683";"2022 AHA";"NOT ASSIGNED";"ein";"946000531";;"institutional";27542.0000;9639.7000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"80051";"2022 CMS,AHA";"80051 - ELECTROLYTE PANEL";"ein";"941105628";;"institutional";78.0000;5.3700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"80051";"2022 CMS,AHA";"80051 - ELECTROLYTE PANEL";"ein";"941105628";;"institutional";78.0000;11.7600;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"462218636";;"institutional";78.0000;22.4500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"943302014";;"institutional";564.0000;84.9300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"81001";"2022 CMS,AHA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"946000531";;"institutional";83.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"81002";"2022 CMS,AHA";"81002 - URINALYSIS NONAUTO W/O SCOPE";"ein";"946000417";;"institutional";43.0000;4.1400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"941105628";;"institutional";108.0000;7.4400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82247";"2022 CMS,AHA";"82247 - BILIRUBIN TOTAL";"ein";"941105628";;"institutional";154.0000;11.5100;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82803";"2022 CMS,AHA";"82803 - BLOOD GASES ANY COMBINATION";"ein";"946000417";;"institutional";1014.0000;153.1200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82805";"2022 CMS,AHA";"82805 - BLOOD GASES W/O2 SATURATION";"ein";"946000531";;"institutional";399.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"941105628";;"institutional";48.0000;3.5900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"941105628";;"institutional";48.0000;8.1000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"263487583";;"institutional";208.0000;44.4300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"852390012";;"institutional";103.2000;5.5000;"1235162645";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"83605";"2022 CMS,AHA";"83605 - ASSAY OF LACTIC ACID";"ein";"462218636";;"institutional";70.0000;20.1500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"83690";"2022 CMS,AHA";"83690 - ASSAY OF LIPASE";"ein";"946000417";;"institutional";214.0000;32.3100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84100";"2022 CMS,AHA";"84100 - ASSAY OF PHOSPHORUS";"ein";"941105628";;"institutional";129.0000;13.7000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84439";"2022 CMS,AHA";"84439 - ASSAY OF FREE THYROXINE";"ein";"946034863";;"institutional";67.0000;5.1100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84450";"2022 CMS,AHA";"84450 - TRANSFERASE (AST) (SGOT)";"ein";"941105628";;"institutional";64.0000;4.7800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84450";"2022 CMS,AHA";"84450 - TRANSFERASE (AST) (SGOT)";"ein";"941105628";;"institutional";64.0000;7.4800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84460";"2022 CMS,AHA";"84460 - ALANINE AMINO (ALT) (SGPT)";"ein";"941105628";;"institutional";122.0000;0.0000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"815038663";;"institutional";396.8200;45.7500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"870972215";;"institutional";264.3800;11.8900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Respiratory";"HCPCS";"94060";"2022 CMS,AHA";"94060 - EVALUATION OF WHEEZING";"ein";"850416296";;"institutional";1118.7500;466.9000;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Respiratory";"HCPCS";"94760";"2022 CMS,AHA";"94760 - MEASURE BLOOD OXYGEN LEVEL";"ein";"465735510";;"institutional";150.0000;33.3500;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Respiratory";"HCPCS";"94760";"2022 CMS,AHA";"94760 - MEASURE BLOOD OXYGEN LEVEL";"ein";"472166397";;"institutional";150.0000;20.0900;"1093191397";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Room and Board";"HCPCS";"64483";"2022 CMS,AHA";"64483 - INJ FORAMEN EPIDURAL L/S";"ein";"823659997";;"institutional";17982.3500;3503.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Room and Board";"HCPCS";"G0378";"2022 CMS,AHA";"G0378 - HOSPITAL OBSERVATION PER HR";"ein";"473923087";;"institutional";17600.0000;1421.0000;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Room and Board";"HCPCS";"G0378";"2022 CMS,AHA";"G0378 - HOSPITAL OBSERVATION PER HR";"ein";"832010142";;"institutional";24192.0000;830.5200;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Room and Board";"HCPCS";"G0378";"2022 CMS,AHA";"G0378 - HOSPITAL OBSERVATION PER HR";"ein";"852489965";;"institutional";9250.0000;935.8800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96376";"2022 CMS,AHA";"96376 - TX/PRO/DX INJ SAME DRUG ADON";"ein";"831287043";;"institutional";334.1400;55.6200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"831287043";;"institutional";450.0000;108.0300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Psychological";"HCPCS";"S0201";"2022 CMS,AHA";"S0201 - PARTIAL HOSPITALIZATION SERV";"ein";"824567685";;"institutional";2790.0000;850.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Psychological";"HCPCS";"S0201";"2022 CMS,AHA";"S0201 - PARTIAL HOSPITALIZATION SERV";"ein";"824567685";;"institutional";2790.0000;2790.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Radiology";"HCPCS";"71046";"2022 CMS,AHA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"831287043";;"institutional";196.8800;47.2600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Administration";"HCPCS";"93306";"2022 CMS,AHA";"93306 - TTE W/DOPPLER COMPLETE";"ein";"461892306";;"institutional";18775.0000;899.5600;"1114361185";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Ambulatory Surgical Care";"HCPCS";"43239";"2022 CMS,AHA";"43239 - EGD BIOPSY SINGLE/MULTIPLE";"ein";"461892306";;"institutional";10897.0000;971.4800;"1114361185";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"E0676";"2022 CMS,AHA";"E0676 - INTER LIMB COMPRESS DEV NOS";"ein";"461892306";;"institutional";10595.0000;198.8100;"1114361185";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Radiology";"HCPCS";"73560";"2022 CMS,AHA";"73560 - X-RAY EXAM OF KNEE 1 OR 2";"ein";"956002748";;"institutional";322.0000;82.7900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"NECA IBEW Local 176 H&W Fund";"group";"Psychological";"HCPCS";"H0015";"2022 CMS,AHA";"H0015 - ALCOHOL AND/OR DRUG SERVICES";"ein";"455443190";;"institutional";2100.0000;113.4000;"1508390881";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"NECA IBEW Local 176 H&W Fund";"group";"Room and Board";"REVENUE CODE";"126";"2022 AHA";"DETOX/2BED";"ein";"862335407";;"institutional";6437.5000;2575.0000;"1891464467";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Administration";"HCPCS";"99213";"2022 CMS,AHA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"850416296";;"institutional";168.3000;73.4900;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"860719852";;"institutional";65.8800;46.1200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"81001";"2022 CMS,AHA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"850416296";;"institutional";90.9200;16.1900;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"850416296";;"institutional";69.0000;30.1400;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"82043";"2022 CMS,AHA";"82043 - MICROALBUMIN QUANTITATIVE";"ein";"850416296";;"institutional";74.9800;8.8500;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"842951019";;"institutional";454.0000;38.4600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"860719852";;"institutional";7.7300;5.4100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81025";"2022 CMS,AHA";"81025 - URINE PREGNANCY TEST";"ein";"472177648";;"institutional";189.6000;25.1500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81025";"2022 CMS,AHA";"81025 - URINE PREGNANCY TEST";"ein";"473248194";;"institutional";30.0000;4.7300;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82040";"2022 CMS,AHA";"82040 - ASSAY OF SERUM ALBUMIN";"ein";"473923087";;"institutional";42.8800;6.4600;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82040";"2022 CMS,AHA";"82040 - ASSAY OF SERUM ALBUMIN";"ein";"843073061";;"institutional";85.0000;8.7200;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82043";"2022 CMS,AHA";"82043 - MICROALBUMIN QUANTITATIVE";"ein";"753175630";;"institutional";157.0000;17.9000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82043";"2022 CMS,AHA";"82043 - MICROALBUMIN QUANTITATIVE";"ein";"850416296";;"institutional";74.9800;13.5700;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82150";"2022 CMS,AHA";"82150 - ASSAY OF AMYLASE";"ein";"473231590";;"institutional";318.2300;50.3800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82248";"2022 CMS,AHA";"82248 - BILIRUBIN DIRECT";"ein";"850416296";;"institutional";67.5100;11.7800;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82306";"2022 CMS,AHA";"82306 - VITAMIN D 25 HYDROXY";"ein";"756004585";;"institutional";324.4500;227.1200;"1790777696";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82306";"2022 CMS,AHA";"82306 - VITAMIN D 25 HYDROXY";"ein";"850416296";;"institutional";194.3400;35.3900;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82550";"2022 CMS,AHA";"82550 - ASSAY OF CK (CPK)";"ein";"473923087";;"institutional";229.6000;16.8200;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82550";"2022 CMS,AHA";"82550 - ASSAY OF CK (CPK)";"ein";"842951019";;"institutional";390.0000;33.0400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82550";"2022 CMS,AHA";"82550 - ASSAY OF CK (CPK)";"ein";"843073061";;"institutional";193.0000;19.8100;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82550";"2022 CMS,AHA";"82550 - ASSAY OF CK (CPK)";"ein";"843073061";;"institutional";193.0000;25.7100;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82553";"2022 CMS,AHA";"82553 - CREATINE MB FRACTION";"ein";"852489965";;"institutional";255.1100;25.8100;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"843073061";;"institutional";67.3800;6.9100;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"850416296";;"institutional";109.3400;19.4200;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"83605";"2022 CMS,AHA";"83605 - ASSAY OF LACTIC ACID";"ein";"832010142";;"institutional";570.0000;19.5700;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"83690";"2022 CMS,AHA";"83690 - ASSAY OF LIPASE";"ein";"852489965";;"institutional";963.5000;97.4800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"83880";"2022 CMS,AHA";"83880 - ASSAY OF NATRIURETIC PEPTIDE";"ein";"832010142";;"institutional";1056.0000;36.2500;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"83915";"2022 CMS,AHA";"83915 - ASSAY OF NUCLEOTIDASE";"ein";"850416296";;"institutional";116.8100;11.7900;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84100";"2022 CMS,AHA";"84100 - ASSAY OF PHOSPHORUS";"ein";"851820772";;"institutional";184.9500;23.7800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"94760";"2022 CMS,AHA";"94760 - MEASURE BLOOD OXYGEN LEVEL";"ein";"851931245";;"institutional";175.6000;9.1500;"1750909974";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"94760";"2022 CMS,AHA";"94760 - MEASURE BLOOD OXYGEN LEVEL";"ein";"851984103";;"institutional";644.2800;24.8300;"1376151365";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"94760";"2022 CMS,AHA";"94760 - MEASURE BLOOD OXYGEN LEVEL";"ein";"852007987";;"institutional";175.6000;8.1300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"842951019";;"institutional";1512.0000;77.7800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99000";"2022 CMS,AHA";"99000 - SPECIMEN HANDLING OFFICE-LAB";"ein";"843073061";;"institutional";152.3600;18.3700;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"472177648";;"institutional";1179.4600;243.2400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"473152225";;"institutional";2100.0000;259.8100;"1942676838";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"474187773";;"institutional";1336.0400;287.0500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"474187773";;"institutional";1336.0400;301.4000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"474187773";;"institutional";1336.0400;313.2100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"474187773";;"institutional";1336.0400;406.5200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"815038663";;"institutional";2265.3200;247.5600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"821703810";;"institutional";2265.3200;358.8700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"832010142";;"institutional";4200.0000;336.6300;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"842951019";;"institutional";5040.0000;279.7400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"843073061";;"institutional";1603.5000;254.9900;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"843073061";;"institutional";1603.5000;283.2200;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"851984103";;"institutional";7316.0000;282.0000;"1376151365";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"465735510";;"institutional";3100.0000;433.9600;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"472177648";;"institutional";1835.0000;243.3800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"472616215";;"institutional";2480.0000;270.3255;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"472616215";;"institutional";3100.0000;661.3200;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"473231590";;"institutional";2774.2900;372.8400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"473248194";;"institutional";3100.0000;411.9700;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"946000509";;"institutional";50.0000;45.2300;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"941105628";;"institutional";144.0000;24.6800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"U0003";"2022 CMS,AHA";"U0003 - Inf agent detection SARS-CoV-2; high throughput";"ein";"946000509";;"institutional";80.0000;76.1900;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"REVENUE CODE";"300";"2022 AHA";"LABORATORY";"ein";"263487583";;"institutional";9395.9300;3494.9100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"REVENUE CODE";"300";"2022 AHA";"LABORATORY";"ein";"941105628";;"institutional";144.0000;68.2400;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"REVENUE CODE";"300";"2022 AHA";"LABORATORY";"ein";"946000531";;"institutional";43343.0000;15170.0500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"REVENUE CODE";"309";"2022 AHA";"LAB/OTHER";"ein";"946000531";;"institutional";30.0000;12.2400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"REVENUE CODE";"381";"2022 AHA";"BLOOD/PKD RED";"ein";"946000531";;"institutional";11335.0000;3967.2500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"REVENUE CODE";"387";"2022 AHA";"BLOOD/DERIVATIVES";"ein";"946000531";;"institutional";416.0000;145.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Physical Therapy";"REVENUE CODE";"940";"2022 AHA";"OTHER RX SVS";"ein";"946000531";;"institutional";2265.0000;792.7500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"70450";"2022 CMS,AHA";"70450 - CT HEAD/BRAIN W/O DYE";"ein";"941105628";;"institutional";3532.0000;243.3700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"71275";"2022 CMS,AHA";"71275 - CT ANGIOGRAPHY CHEST";"ein";"941105628";;"institutional";6998.0000;523.2600;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"73030";"2022 CMS,AHA";"73030 - X-RAY EXAM OF SHOULDER";"ein";"263487583";;"institutional";632.0000;96.3900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"73130";"2022 CMS,AHA";"73130 - X-RAY EXAM OF HAND";"ein";"861464604";;"institutional";618.1400;138.3200;"1003493784";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"73130";"2022 CMS,AHA";"73130 - X-RAY EXAM OF HAND";"ein";"941105628";;"institutional";798.0000;179.9000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"73130";"2022 CMS,AHA";"73130 - X-RAY EXAM OF HAND";"ein";"946000532";;"institutional";93.0000;77.3900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"76705";"2022 CMS,AHA";"76705 - ECHO EXAM OF ABDOMEN";"ein";"941105628";;"institutional";1255.0000;316.7700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"263487583";;"institutional";497.0000;68.6500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"941105628";;"institutional";571.0000;60.6500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Respiratory";"REVENUE CODE";"410";"2022 AHA";"RESPIRATORY SVC";"ein";"946000531";;"institutional";61959.0000;21685.6500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Room and Board";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";2195.0000;554.0300;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Room and Board";"HCPCS";"36000";"2022 CMS,AHA";"36000 - PLACE NEEDLE IN VEIN";"ein";"946000531";;"institutional";54.0000;13.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Room and Board";"REVENUE CODE";"762";"2022 AHA";"OBSERVATION RM";"ein";"941105628";;"institutional";13824.0000;6550.7600;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84484";"2022 CMS,AHA";"84484 - ASSAY OF TROPONIN QUANT";"ein";"263487583";;"institutional";1358.0000;152.7600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"263487583";;"institutional";327.0000;49.8800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"941105628";;"institutional";183.0000;22.6800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"946000417";;"institutional";238.0000;35.9400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"946000531";;"institutional";178.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85379";"2022 CMS,AHA";"85379 - FIBRIN DEGRADATION QUANT";"ein";"941105628";;"institutional";282.0000;26.4000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85610";"2022 CMS,AHA";"85610 - PROTHROMBIN TIME";"ein";"941105628";;"institutional";132.0000;9.8700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85610";"2022 CMS,AHA";"85610 - PROTHROMBIN TIME";"ein";"941105628";;"institutional";132.0000;14.0200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"86706";"2022 CMS,AHA";"86706 - HEP B SURFACE ANTIBODY";"ein";"941105628";;"institutional";60.0000;4.4800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"86803";"2022 CMS,AHA";"86803 - HEPATITIS C AB TEST";"ein";"852390012";;"institutional";159.3000;8.0900;"1235162645";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"87081";"2022 CMS,AHA";"87081 - CULTURE SCREEN ONLY";"ein";"263487583";;"institutional";200.0000;42.7200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"87086";"2022 CMS,AHA";"87086 - URINE CULTURE/COLONY COUNT";"ein";"946034863";;"institutional";74.7500;4.5700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"87205";"2022 CMS,AHA";"87205 - SMEAR GRAM STAIN";"ein";"946000531";;"institutional";86.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"87252";"2022 CMS,AHA";"87252 - VIRUS INOCULATION TISSUE";"ein";"946000417";;"institutional";487.0000;46.8900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"87253";"2022 CMS,AHA";"87253 - VIRUS INOCULATE TISSUE ADDL";"ein";"946000417";;"institutional";574.0000;55.2700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"87389";"2022 CMS,AHA";"87389 - HIV-1 AG W/HIV-1 & HIV-2 AB";"ein";"852390012";;"institutional";199.7000;0.0000;"1235162645";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"87591";"2022 CMS,AHA";"87591 - N.GONORRHOEAE DNA AMP PROB";"ein";"946034863";;"institutional";76.0000;19.8800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"U0005";"2022 CMS,AHA";"U0005 - INFEC AGEN DETEC AMPLI PROBE";"ein";"946000509";;"institutional";25.0000;23.8100;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"U0005";"2022 CMS,AHA";"U0005 - INFEC AGEN DETEC AMPLI PROBE";"ein";"946000509";;"institutional";26.0000;23.6300;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"REVENUE CODE";"305";"2022 AHA";"LAB/HEMATOLOGY";"ein";"263487583";;"institutional";2487.0000;925.0700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"REVENUE CODE";"306";"2022 AHA";"LAB/BACT-MICRO";"ein";"263487583";;"institutional";1400.0000;520.7400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Physical Therapy";"HCPCS";"97799";"2022 CMS,AHA";"97799 - PHYSICAL MEDICINE PROCEDURE";"ein";"611251391";;"institutional";210.0000;73.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84153";"2022 CMS,AHA";"84153 - ASSAY OF PSA TOTAL";"ein";"850416296";;"institutional";147.1900;27.6400;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84155";"2022 CMS,AHA";"84155 - ASSAY OF PROTEIN SERUM";"ein";"820756286";;"institutional";38.2500;6.5600;"1821501875";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84460";"2022 CMS,AHA";"84460 - ALANINE AMINO (ALT) (SGPT)";"ein";"465735510";;"institutional";20.0000;3.3700;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84460";"2022 CMS,AHA";"84460 - ALANINE AMINO (ALT) (SGPT)";"ein";"820756286";;"institutional";195.8200;33.5800;"1821501875";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84460";"2022 CMS,AHA";"84460 - ALANINE AMINO (ALT) (SGPT)";"ein";"843073061";;"institutional";90.8800;9.3200;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84480";"2022 CMS,AHA";"84480 - ASSAY TRIIODOTHYRONINE (T3)";"ein";"473231590";;"institutional";240.4400;44.2900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84484";"2022 CMS,AHA";"84484 - ASSAY OF TROPONIN QUANT";"ein";"832010142";;"institutional";1055.0000;36.2200;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84484";"2022 CMS,AHA";"84484 - ASSAY OF TROPONIN QUANT";"ein";"842951019";;"institutional";879.0000;53.0100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84520";"2022 CMS,AHA";"84520 - ASSAY OF UREA NITROGEN";"ein";"473923087";;"institutional";166.8600;25.1600;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84520";"2022 CMS,AHA";"84520 - ASSAY OF UREA NITROGEN";"ein";"842951019";;"institutional";359.0000;21.6500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84520";"2022 CMS,AHA";"84520 - ASSAY OF UREA NITROGEN";"ein";"843073061";;"institutional";67.8800;6.9600;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84703";"2022 CMS,AHA";"84703 - CHORIONIC GONADOTROPIN ASSAY";"ein";"464499268";;"institutional";341.0000;30.8600;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"473231590";;"institutional";309.3800;44.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"474187773";;"institutional";267.8700;60.4200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"752756307";;"institutional";142.0000;35.4400;"1669480323";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"753175630";;"institutional";93.0000;10.6000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"850416296";;"institutional";125.9400;12.7100;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"850416296";;"institutional";125.9400;22.3600;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85379";"2022 CMS,AHA";"85379 - FIBRIN DEGRADATION QUANT";"ein";"463151282";;"institutional";805.0000;40.0700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85379";"2022 CMS,AHA";"85379 - FIBRIN DEGRADATION QUANT";"ein";"474187773";;"institutional";413.7200;93.3300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85379";"2022 CMS,AHA";"85379 - FIBRIN DEGRADATION QUANT";"ein";"815038663";;"institutional";477.8600;55.0900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85379";"2022 CMS,AHA";"85379 - FIBRIN DEGRADATION QUANT";"ein";"832010142";;"institutional";1050.0000;36.0500;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85610";"2022 CMS,AHA";"85610 - PROTHROMBIN TIME";"ein";"820984034";;"institutional";259.8900;27.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"86140";"2022 CMS,AHA";"86140 - C-REACTIVE PROTEIN";"ein";"473923087";;"institutional";28.9800;2.3400;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"82306";"2022 CMS,AHA";"82306 - VITAMIN D 25 HYDROXY";"ein";"850416296";;"institutional";194.3400;34.6000;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"82607";"2022 CMS,AHA";"82607 - VITAMIN B-12";"ein";"850416296";;"institutional";147.4400;17.4100;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"84443";"2022 CMS,AHA";"84443 - ASSAY THYROID STIM HORMONE";"ein";"860719852";;"institutional";57.7500;40.4200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"850416296";;"institutional";125.9400;24.4800;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"85027";"2022 CMS,AHA";"85027 - COMPLETE CBC AUTOMATED";"ein";"850105601";;"institutional";73.0000;32.2900;"1215913470";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"87186";"2022 CMS,AHA";"87186 - MICROBE SUSCEPTIBLE MIC";"ein";"850105601";;"institutional";26.0000;14.0800;"1215913470";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Radiology";"HCPCS";"76770";"2022 CMS,AHA";"76770 - US EXAM ABDO BACK WALL COMP";"ein";"850416296";;"institutional";540.0900;163.0600;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Room and Board";"REVENUE CODE";"156";"2022 AHA";"DETOX/WARD";"ein";"811056354";;"institutional";6250.0000;947.5000;"1770081937";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Dialysis";"HCPCS";"90945";"2022 CMS,AHA";"90945 - DIALYSIS ONE EVALUATION";"ein";"953372911";;"institutional";3153.0000;603.4300;"1922062066";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Dialysis";"HCPCS";"90945";"2022 CMS,AHA";"90945 - DIALYSIS ONE EVALUATION";"ein";"953372911";;"institutional";3153.0000;609.4100;"1922062066";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Dialysis";"HCPCS";"90999";"2022 CMS,AHA";"90999 - DIALYSIS PROCEDURE";"ein";"264194741";;"institutional";5128.0000;904.6400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90747";"2022 CMS,AHA";"90747 - HEPB VACC 4 DOSE IMMUNSUP IM";"ein";"953372911";;"institutional";2525.6000;483.3600;"1922062066";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Pathology and Laboratory";"HCPCS";"87807";"2022 CMS,AHA";"87807 - RSV ASSAY W/OPTIC";"ein";"204577473";;"institutional";63.6500;10.1300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Psychological";"HCPCS";"90853";"2022 CMS,AHA";"90853 - GROUP PSYCHOTHERAPY";"ein";"820867945";;"institutional";650.0000;142.7700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Room and Board";"REVENUE CODE";"126";"2022 AHA";"DETOX/2BED";"ein";"850957390";;"institutional";4995.0000;1756.0700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Administration";"HCPCS";"85018";"2022 CMS,AHA";"85018 - HEMOGLOBIN";"ein";"941747220";;"institutional";0.0000;0.0000;"1295752384";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"12013";"2022 CMS,AHA";"12013 - RPR F/E/E/N/L/M 2.6-5.0 CM";"ein";"941105628";;"institutional";560.0000;143.6200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"96360";"2022 CMS,AHA";"96360 - HYDRATION IV INFUSION INIT";"ein";"263487583";;"institutional";821.4900;92.4100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"941105628";;"institutional";492.0000;105.9500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"946000531";;"institutional";134.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99282";"2022 CMS,AHA";"99282 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";1248.0000;215.6400;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"263487583";;"institutional";3345.0000;714.4900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";754.0000;183.8100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";2130.6000;519.3900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"833547294";;"institutional";3700.0000;355.4100;"1609496397";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"811690806";;"institutional";2625.2600;597.3900;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Emergency Department Services";"REVENUE CODE";"450";"2022 AHA";"EMERG ROOM";"ein";"263487583";;"institutional";6713.0900;6713.0900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Emergency Department Services";"REVENUE CODE";"450";"2022 AHA";"EMERG ROOM";"ein";"941105628";;"institutional";25548.0000;10183.3300;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medical and Surgical Supplies";"REVENUE CODE";"270";"2022 AHA";"MED-SUR SUPPLIES";"ein";"000027050";;"institutional";844.3000;321.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medical and Surgical Supplies";"REVENUE CODE";"271";"2022 AHA";"NON-STER SUPPLY";"ein";"263487583";;"institutional";681.2700;681.2700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"942854057";;"institutional";0.0100;0.0000;"1124661384";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96365";"2022 CMS,AHA";"96365 - THER/PROPH/DIAG IV INF INIT";"ein";"811690806";;"institutional";478.1000;108.8000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2785";"2022 CMS,AHA";"J2785 - REGADENOSON INJECTION";"ein";"942854057";;"institutional";780.7000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"263487583";;"institutional";33639.6400;33639.6400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"260";"2022 AHA";"IV THERAPY";"ein";"000027050";;"institutional";177.0800;67.5100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"941196203";;"institutional";1039.0000;103.7200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"833547294";;"institutional";50.0000;4.8000;"1609496397";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"941196203";;"institutional";638.0000;63.6900;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"HCPCS";"85379";"2022 CMS,AHA";"85379 - FIBRIN DEGRADATION QUANT";"ein";"941196203";;"institutional";416.0000;41.5300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"HCPCS";"87070";"2022 CMS,AHA";"87070 - CULTURE OTHR SPECIMN AEROBIC";"ein";"263487583";;"institutional";550.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"HCPCS";"87077";"2022 CMS,AHA";"87077 - CULTURE AEROBIC IDENTIFY";"ein";"263487583";;"institutional";144.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"REVENUE CODE";"301";"2022 AHA";"LAB/CHEMISTRY";"ein";"941105628";;"institutional";10417.0800;4152.2100;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Radiology";"REVENUE CODE";"320";"2022 AHA";"DX X-RAY";"ein";"000027050";;"institutional";1184.5100;451.6100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Radiology";"REVENUE CODE";"730";"2022 AHA";"EKG/ECG";"ein";"263487583";;"institutional";497.0000;497.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Room and Board";"HCPCS";"97598";"2022 CMS,AHA";"97598 - RMVL DEVITAL TIS ADDL 20CM/<";"ein";"263487583";;"institutional";585.2500;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Room and Board";"HCPCS";"97598";"2022 CMS,AHA";"97598 - RMVL DEVITAL TIS ADDL 20CM/<";"ein";"263487583";;"institutional";1170.5000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"473248194";;"institutional";3100.0000;439.8700;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"473248194";;"institutional";3100.0000;464.6400;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"473248194";;"institutional";3100.0000;557.1900;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"752756307";;"institutional";945.0000;235.8500;"1669480323";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"473231590";;"institutional";3622.8600;667.2500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"811862049";;"institutional";4915.0000;810.5800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"852489965";;"institutional";4245.1200;429.4900;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"472177648";;"institutional";131.1000;17.3800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"94761";"2022 CMS,AHA";"94761 - MEASURE BLOOD OXYGEN LEVEL";"ein";"472166397";;"institutional";180.0000;28.0200;"1093191397";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4207";"2022 CMS,AHA";"A4207 - 2 CC STERILE SYRINGE&NEEDLE";"ein";"473248194";;"institutional";50.0000;7.0900;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4209";"2022 CMS,AHA";"A4209 - 5+ CC STERILE SYRINGE&NEEDLE";"ein";"465735510";;"institutional";100.0000;16.8400;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4209";"2022 CMS,AHA";"A4209 - 5+ CC STERILE SYRINGE&NEEDLE";"ein";"472616215";;"institutional";50.0000;10.6700;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4215";"2022 CMS,AHA";"A4215 - STERILE NEEDLE";"ein";"273908339";;"institutional";24.6100;3.2300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4216";"2022 CMS,AHA";"A4216 - STERILE WATER/SALINE, 10 ML";"ein";"464499268";;"institutional";3.0000;0.3400;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4223";"2022 CMS,AHA";"A4223 - INFUSION SUPPLIES W/O PUMP";"ein";"852007987";;"institutional";24.6000;1.1200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4248";"2022 CMS,AHA";"A4248 - CHLORHEXIDINE ANTISEPT";"ein";"842951019";;"institutional";125.0000;7.5400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4248";"2022 CMS,AHA";"A4248 - CHLORHEXIDINE ANTISEPT";"ein";"870972215";;"institutional";1121.2500;50.4500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4327";"2022 CMS,AHA";"A4327 - FEM URINARY COLLECT DEV CUP";"ein";"832010142";;"institutional";138.0000;4.7300;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4467";"2022 CMS,AHA";"A4467 - BELT STRAP SLEEV GRMNT COVER";"ein";"851984103";;"institutional";2370.6000;91.3800;"1376151365";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4550";"2022 CMS,AHA";"A4550 - SURGICAL TRAYS";"ein";"473248194";;"institutional";540.0000;91.0900;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4606";"2022 CMS,AHA";"A4606 - OXYGEN PROBE USED W OXIMETER";"ein";"472616215";;"institutional";170.0000;27.4600;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4606";"2022 CMS,AHA";"A4606 - OXYGEN PROBE USED W OXIMETER";"ein";"473248194";;"institutional";170.0000;24.1300;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"472616215";;"institutional";6.0000;0.0000;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"472616215";;"institutional";10.0000;0.0000;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"70450";"2022 CMS,AHA";"70450 - CT HEAD/BRAIN W/O DYE";"ein";"941105628";;"institutional";3532.0000;326.4900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"71045";"2022 CMS,AHA";"71045 - X-RAY EXAM CHEST 1 VIEW";"ein";"946000531";;"institutional";721.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"71046";"2022 CMS,AHA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"941105628";;"institutional";675.0000;113.9700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"73030";"2022 CMS,AHA";"73030 - X-RAY EXAM OF SHOULDER";"ein";"941105628";;"institutional";859.0000;148.8500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"73110";"2022 CMS,AHA";"73110 - X-RAY EXAM OF WRIST";"ein";"946000531";;"institutional";527.0000;19.1590;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"73630";"2022 CMS,AHA";"73630 - X-RAY EXAM OF FOOT";"ein";"943302014";;"institutional";538.6500;102.8800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"74177";"2022 CMS,AHA";"74177 - CT ABD & PELV W/CONTRAST";"ein";"946000531";;"institutional";13618.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"263487583";;"institutional";497.0000;55.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"941105628";;"institutional";571.0000;122.8400;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"REVENUE CODE";"351";"2022 AHA";"CT SCAN/HEAD";"ein";"946000531";;"institutional";9805.0000;3431.7500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Room and Board";"HCPCS";"44970";"2022 CMS,AHA";"44970 - LAPAROSCOPY APPENDECTOMY";"ein";"941105628";;"institutional";24286.0000;6129.9300;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Room and Board";"REVENUE CODE";"121";"2022 AHA";"MED-SUR-GY/2BED";"ein";"941105628";;"institutional";6627.0000;3140.3200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medical and Surgical Supplies";"REVENUE CODE";"270";"2022 AHA";"MED-SUR SUPPLIES";"ein";"263487583";;"institutional";292.6500;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"0052A";"2022 CMS,AHA";"0052A - ADM SARSCV2 30MCG TRS-SUCR 2";"ein";"946000509";;"institutional";67.0000;16.3000;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"78434";"2022 CMS,AHA";"78434 - AQMBF PET REST & RX STRESS";"ein";"942854057";;"institutional";115.4000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0696";"2022 CMS,AHA";"J0696 - CEFTRIAXONE SODIUM INJECTION";"ein";"811690806";;"institutional";233.5200;53.1400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"833547294";;"institutional";307.1100;29.5000;"1609496397";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"HCPCS";"87186";"2022 CMS,AHA";"87186 - MICROBE SUSCEPTIBLE MIC";"ein";"263487583";;"institutional";467.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"HCPCS";"U0005";"2022 CMS,AHA";"U0005 - INFEC AGEN DETEC AMPLI PROBE";"ein";"946000509";;"institutional";25.0000;23.8100;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"REVENUE CODE";"306";"2022 AHA";"LAB/BACT-MICRO";"ein";"263487583";;"institutional";5168.0000;5168.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Radiology";"HCPCS";"74177";"2022 CMS,AHA";"74177 - CT ABD & PELV W/CONTRAST";"ein";"833547294";;"institutional";8090.4400;777.1600;"1609496397";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"811690806";;"institutional";345.0600;78.5200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Room and Board";"HCPCS";"97597";"2022 CMS,AHA";"97597 - RMVL DEVITAL TIS 20 CM/<";"ein";"263487583";;"institutional";873.6000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medical and Surgical Supplies";"REVENUE CODE";"270";"2022 AHA";"MED-SUR SUPPLIES";"ein";"263487583";;"institutional";4255.6200;1582.9200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medical and Surgical Supplies";"REVENUE CODE";"278";"2022 AHA";"SUPPLY/IMPLANTS";"ein";"946000531";;"institutional";64299.0000;22504.6500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";8.9000;1.3400;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";44.8000;3.3500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"946000531";;"institutional";30.2100;7.7700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1200";"2022 CMS,AHA";"J1200 - DIPHENHYDRAMINE HCL INJECTIO";"ein";"941105628";;"institutional";9.8000;0.7300;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1815";"2022 CMS,AHA";"J1815 - INSULIN INJECTION";"ein";"941105628";;"institutional";38.6500;2.8900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"941105628";;"institutional";12.1500;2.0500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"941105628";;"institutional";20.3000;4.3500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"941105628";;"institutional";25.4000;3.1500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2175";"2022 CMS,AHA";"J2175 - MEPERIDINE HYDROCHL /100 MG";"ein";"263487583";;"institutional";130.0000;27.7700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2270";"2022 CMS,AHA";"J2270 - MORPHINE SULFATE INJECTION";"ein";"263487583";;"institutional";260.0000;55.5400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"946000531";;"institutional";31.2700;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7120";"2022 CMS,AHA";"J7120 - RINGERS LACTATE INFUSION";"ein";"941105628";;"institutional";25.2000;6.3600;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"946000531";;"institutional";3063.0600;1249.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"263487583";;"institutional";40.0000;8.5400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"941105628";;"institutional";68.0000;6.3700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"941105628";;"institutional";68.0000;7.2200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"941105628";;"institutional";68.0000;7.9500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"946000531";;"institutional";399.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"263487583";;"institutional";1392.0000;156.5800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"263487583";;"institutional";1392.0000;190.7800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Room and Board";"HCPCS";"97598";"2022 CMS,AHA";"97598 - RMVL DEVITAL TIS ADDL 20CM/<";"ein";"263487583";;"institutional";1755.7500;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Room and Board";"REVENUE CODE";"360";"2022 AHA";"OR SERVICES";"ein";"263487583";;"institutional";53775.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Utah)";"group";"Administration";"HCPCS";"93306";"2022 CMS,AHA";"93306 - TTE W/DOPPLER COMPLETE";"ein";"461892306";;"institutional";18775.0000;899.5600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Utah)";"group";"Psychological";"HCPCS";;"2022 CMS,AHA";;"ein";"330888966";;"institutional";650.0000;650.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Local 3 (Public)";"group";"Pathology and Laboratory";"HCPCS";"80048";"2022 CMS,AHA";"80048 - METABOLIC PANEL TOTAL CA";"ein";"941105628";;"institutional";294.0000;51.7000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Local 3 (Public)";"group";"Pathology and Laboratory";"HCPCS";"87088";"2022 CMS,AHA";"87088 - URINE BACTERIA CULTURE";"ein";"941105628";;"institutional";42.0000;7.3800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"11721";"2022 CMS,AHA";"11721 - DEBRIDE NAIL 6 OR MORE";"ein";"920162721";;"institutional";223.0000;144.9500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"97597";"2022 CMS,AHA";"97597 - RMVL DEVITAL TIS 20 CM/<";"ein";"920162721";;"institutional";598.0000;388.7000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"99211";"2022 CMS,AHA";"99211 - OFFICE/OUTPATIENT VISIT EST";"ein";"920041488";;"institutional";228.0000;0.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"C9803";"2022 CMS,AHA";"C9803 - Specimen collection any source";"ein";"920041488";;"institutional";76.0000;68.4000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";229.0000;87.0300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";229.0000;148.8500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Cardiovascular";"HCPCS";"93306";"2022 CMS,AHA";"93306 - TTE W/DOPPLER COMPLETE";"ein";"920162721";;"institutional";5686.0000;850.2000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Emergency Department Services";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"920041488";;"institutional";151.0000;135.9000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Emergency Department Services";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"920162721";;"institutional";371.0000;94.5900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";4650.0000;412.4200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"920041461";;"institutional";1324.0000;299.9900;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920162721";;"institutional";18.9500;3.8100;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"91300";"2022 CMS,AHA";"91300 - SARSCOV2 VAC 30MCG/0.3ML IM";"ein";"920162721";;"institutional";0.0100;0.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"91305";"2022 CMS,AHA";"91305 - SARSCOV2 VAC 30 MCG TRS-SUCR";"ein";"920162721";;"institutional";0.0100;0.0065;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"91305";"2022 CMS,AHA";"91305 - SARSCOV2 VAC 30 MCG TRS-SUCR";"ein";"920162721";;"institutional";0.0100;0.0100;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2250";"2022 CMS,AHA";"J2250 - INJ MIDAZOLAM HYDROCHLORIDE";"ein";"920162721";;"institutional";74.2500;16.5800;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2270";"2022 CMS,AHA";"J2270 - MORPHINE SULFATE INJECTION";"ein";"920162721";;"institutional";12.4500;2.1500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2270";"2022 CMS,AHA";"J2270 - MORPHINE SULFATE INJECTION";"ein";"920162721";;"institutional";12.4500;3.1700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"86696";"2022 CMS,AHA";"86696 - HERPES SIMPLEX TYPE 2 TEST";"ein";"473231590";;"institutional";318.4100;48.0700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"86703";"2022 CMS,AHA";"86703 - HIV-1/HIV-2 1 RESULT ANTBDY";"ein";"273908339";;"institutional";112.4800;14.7900;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87070";"2022 CMS,AHA";"87070 - CULTURE OTHR SPECIMN AEROBIC";"ein";"820756286";;"institutional";250.1000;56.1200;"1821501875";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87086";"2022 CMS,AHA";"87086 - URINE CULTURE/COLONY COUNT";"ein";"473923087";;"institutional";40.2500;2.9500;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87086";"2022 CMS,AHA";"87086 - URINE CULTURE/COLONY COUNT";"ein";"832010142";;"institutional";465.0000;15.9600;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"473248194";;"institutional";210.0000;27.9100;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"815038663";;"institutional";200.0000;45.2300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"832010142";;"institutional";300.0000;22.1500;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"843073061";;"institutional";200.0000;24.1300;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"843073061";;"institutional";200.0000;31.8100;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87428";"2022 CMS,AHA";"87428 - SarsCov & Inf Vir A&B AG IA";"ein";"815038663";;"institutional";375.0000;73.4900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87491";"2022 CMS,AHA";"87491 - CHYLMD TRACH DNA AMP PROBE";"ein";"473923087";;"institutional";258.6800;18.9600;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87510";"2022 CMS,AHA";"87510 - GARDNER VAG DNA DIR PROBE";"ein";"473923087";;"institutional";45.3300;3.3200;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87581";"2022 CMS,AHA";"87581 - M.PNEUMON DNA AMP PROBE";"ein";"472616215";;"institutional";170.0000;36.2700;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87582";"2022 CMS,AHA";"87582 - M.PNEUMON DNA QUANT";"ein";"474187773";;"institutional";322.2200;94.1900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"273908339";;"institutional";228.8500;37.2200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"821703810";;"institutional";450.0000;60.1300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"850416296";;"institutional";138.1200;44.3100;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87798";"2022 CMS,AHA";"87798 - DETECT AGENT NOS DNA AMP";"ein";"472616215";;"institutional";170.0000;36.2700;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"473231590";;"institutional";263.4200;34.6000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"473248194";;"institutional";230.0000;30.0700;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"814084541";;"institutional";263.4200;35.4600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"815038663";;"institutional";263.4200;30.3700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"815038663";;"institutional";263.4200;35.4600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"831973983";;"institutional";575.0000;34.6700;"1669020277";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87880";"2022 CMS,AHA";"87880 - STREP A ASSAY W/OPTIC";"ein";"472616215";;"institutional";190.0000;161.5000;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87880";"2022 CMS,AHA";"87880 - STREP A ASSAY W/OPTIC";"ein";"474187773";;"institutional";187.5100;42.3000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"REVENUE CODE";"300";"2022 AHA";"LABORATORY";"ein";"383813467";;"institutional";413.2800;371.9500;"1497053912";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Physical Therapy";"HCPCS";"G0151";"2022 CMS,AHA";"G0151 - HHCP-SERV OF PT,EA 15 MIN";"ein";"273579603";;"institutional";250.0000;100.0000;"1790085934";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"70496";"2022 CMS,AHA";"70496 - CT ANGIOGRAPHY HEAD";"ein";"821703810";;"institutional";3002.2500;210.0600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"71046";"2022 CMS,AHA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"474187773";;"institutional";547.4800;102.2100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"72110";"2022 CMS,AHA";"72110 - X-RAY EXAM L-2 SPINE 4/>VWS";"ein";"465702822";;"institutional";1050.0000;146.8300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"73610";"2022 CMS,AHA";"73610 - X-RAY EXAM OF ANKLE";"ein";"465702822";;"institutional";660.0000;130.6300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"73721";"2022 CMS,AHA";"73721 - MRI JNT OF LWR EXTRE W/O DYE";"ein";"473231590";;"institutional";4199.4000;620.9600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"74019";"2022 CMS,AHA";"74019 - X-RAY EXAM ABDOMEN 2 VIEWS";"ein";"843073061";;"institutional";729.9500;97.2200;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"74177";"2022 CMS,AHA";"74177 - CT ABD & PELV W/CONTRAST";"ein";"473231590";;"institutional";3889.3800;716.3200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"74177";"2022 CMS,AHA";"74177 - CT ABD & PELV W/CONTRAST";"ein";"842951019";;"institutional";5670.0000;341.9700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"74177";"2022 CMS,AHA";"74177 - CT ABD & PELV W/CONTRAST";"ein";"842951019";;"institutional";5670.0000;480.3100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"76705";"2022 CMS,AHA";"76705 - ECHO EXAM OF ABDOMEN";"ein";"750800628";;"institutional";1014.0000;199.8800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"93000";"2022 CMS,AHA";"93000 - ELECTROCARDIOGRAM COMPLETE";"ein";"811862049";;"institutional";300.0000;49.4700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"751912147";;"institutional";258.4000;0.0000;"1023013448";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"814084541";;"institutional";396.8200;60.8300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"821703810";;"institutional";396.8200;27.7700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"821703810";;"institutional";793.6400;55.5300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"REVENUE CODE";"324";"2022 AHA";"DX X-RAY/CHEST";"ein";"821703810";;"institutional";196.8800;162.0500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Respiratory";"HCPCS";"94640";"2022 CMS,AHA";"94640 - AIRWAY INHALATION TREATMENT";"ein";"474187773";;"institutional";765.6000;172.7100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Respiratory";"HCPCS";"94640";"2022 CMS,AHA";"94640 - AIRWAY INHALATION TREATMENT";"ein";"474187773";;"institutional";765.6000;179.4800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Respiratory";"HCPCS";"94760";"2022 CMS,AHA";"94760 - MEASURE BLOOD OXYGEN LEVEL";"ein";"465735510";;"institutional";150.0000;127.5000;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Respiratory";"HCPCS";"94760";"2022 CMS,AHA";"94760 - MEASURE BLOOD OXYGEN LEVEL";"ein";"472616215";;"institutional";150.0000;24.2200;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Room and Board";"REVENUE CODE";"120";"2022 AHA";"ROOM-BOARD/SIM";"ein";"263487583";;"institutional";10000.0000;10000.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Utah)";"group";"Administration";"HCPCS";"93325";"2022 CMS,AHA";"93325 - DOPPLER COLOR FLOW ADD-ON";"ein";"461892306";;"institutional";477.0000;22.8600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Local 3 (Public)";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"941105628";;"institutional";101.0000;17.7600;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"11721";"2022 CMS,AHA";"11721 - DEBRIDE NAIL 6 OR MORE";"ein";"920162721";;"institutional";223.0000;144.9500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";229.0000;130.2200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";229.0000;136.8800;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Emergency Department Services";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"920162721";;"institutional";286.0000;72.9200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Emergency Department Services";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"920041488";;"institutional";232.0000;147.1410;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";2602.0000;434.1700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"920041488";;"institutional";80.0000;72.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920041461";;"institutional";5.0500;1.1400;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920162721";;"institutional";5.4000;1.0800;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90688";"2022 CMS,AHA";"90688 - IIV4 VACCINE 3 YRS PLUS IM";"ein";"920162721";;"institutional";0.0100;0.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"91305";"2022 CMS,AHA";"91305 - SARSCOV2 VAC 30 MCG TRS-SUCR";"ein";"920162721";;"institutional";0.0100;0.0100;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"920041461";;"institutional";75.0000;17.0000;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"920162721";;"institutional";330.0000;55.0600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"920162721";;"institutional";371.0000;64.0300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"920162721";;"institutional";111.6000;19.2600;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"258";"2022 AHA";"IV SOLUTIONS";"ein";"920162721";;"institutional";4178.9500;1127.3400;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920162721";;"institutional";54.0000;6.9600;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920162721";;"institutional";54.0000;16.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80048";"2022 CMS,AHA";"80048 - METABOLIC PANEL TOTAL CA";"ein";"920041461";;"institutional";155.0000;116.2500;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920162721";;"institutional";233.0000;38.8700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920162721";;"institutional";233.0000;46.8100;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"472616215";;"institutional";120.0000;0.0000;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"473231590";;"institutional";273.6100;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"473248194";;"institutional";60.0000;0.0000;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"473248194";;"institutional";280.0000;0.0000;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"851984103";;"institutional";2750.6000;0.0000;"1376151365";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4657";"2022 CMS,AHA";"A4657 - SYRINGE W/WO NEEDLE";"ein";"851820772";;"institutional";65.0000;8.3500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4657";"2022 CMS,AHA";"A4657 - SYRINGE W/WO NEEDLE";"ein";"851984103";;"institutional";65.0000;2.5000;"1376151365";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4670";"2022 CMS,AHA";"A4670 - AUTOMATIC BP MONITOR, DIAL";"ein";"465735510";;"institutional";50.0000;8.1600;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4670";"2022 CMS,AHA";"A4670 - AUTOMATIC BP MONITOR, DIAL";"ein";"472166397";;"institutional";50.0000;6.7000;"1093191397";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4670";"2022 CMS,AHA";"A4670 - AUTOMATIC BP MONITOR, DIAL";"ein";"472616215";;"institutional";50.0000;8.8100;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4670";"2022 CMS,AHA";"A4670 - AUTOMATIC BP MONITOR, DIAL";"ein";"473248194";;"institutional";50.0000;6.5400;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4670";"2022 CMS,AHA";"A4670 - AUTOMATIC BP MONITOR, DIAL";"ein";"852007987";;"institutional";78.3200;3.5800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4928";"2022 CMS,AHA";"A4928 - SURGICAL MASK";"ein";"870972215";;"institutional";134.0900;6.0300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4930";"2022 CMS,AHA";"A4930 - STERILE, GLOVES PER PAIR";"ein";"832010142";;"institutional";50.0000;2.7300;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4930";"2022 CMS,AHA";"A4930 - STERILE, GLOVES PER PAIR";"ein";"851820772";;"institutional";216.0000;27.7700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6257";"2022 CMS,AHA";"A6257 - TRANSPARENT FILM <= 16 SQ IN";"ein";"473248194";;"institutional";20.0000;2.1700;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6257";"2022 CMS,AHA";"A6257 - TRANSPARENT FILM <= 16 SQ IN";"ein";"473248194";;"institutional";20.0000;3.1500;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6257";"2022 CMS,AHA";"A6257 - TRANSPARENT FILM <= 16 SQ IN";"ein";"832010142";;"institutional";138.0000;4.7300;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6402";"2022 CMS,AHA";"A6402 - STERILE GAUZE <= 16 SQ IN";"ein";"473248194";;"institutional";20.0000;3.3700;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6413";"2022 CMS,AHA";"A6413 - ADHESIVE BANDAGE, FIRST-AID";"ein";"273908339";;"institutional";0.7500;0.1000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A9273";"2022 CMS,AHA";"A9273 - HOT/COLD H2OBOT/CAP/COL/WRAP";"ein";"465702822";;"institutional";20.0000;3.9600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"C1769";"2022 CMS,AHA";"C1769 - GUIDE WIRE";"ein";"751912147";;"institutional";330.2800;0.0000;"1023013448";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"E0325";"2022 CMS,AHA";"E0325 - URINAL MALE JUG-TYPE";"ein";"464499268";;"institutional";50.0000;5.3700;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"L3809";"2022 CMS,AHA";"L3809 - WHFO W/O JOINTS PRE OTS";"ein";"465735510";;"institutional";130.0000;28.9000;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"263487583";;"institutional";525.0000;112.1400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"81001";"2022 CMS,AHA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"263487583";;"institutional";160.0000;17.9900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"81001";"2022 CMS,AHA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"941105628";;"institutional";125.0000;31.5500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"941105628";;"institutional";108.0000;1.2700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"81025";"2022 CMS,AHA";"81025 - URINE PREGNANCY TEST";"ein";"263487583";;"institutional";208.0000;28.5100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82565";"2022 CMS,AHA";"82565 - ASSAY OF CREATININE";"ein";"941105628";;"institutional";80.0000;5.5100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82565";"2022 CMS,AHA";"82565 - ASSAY OF CREATININE";"ein";"941105628";;"institutional";80.0000;9.3300;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82565";"2022 CMS,AHA";"82565 - ASSAY OF CREATININE";"ein";"941105628";;"institutional";80.0000;12.0600;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82565";"2022 CMS,AHA";"82565 - ASSAY OF CREATININE";"ein";"941105628";;"institutional";80.0000;13.5000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"83690";"2022 CMS,AHA";"83690 - ASSAY OF LIPASE";"ein";"263487583";;"institutional";105.0000;22.4300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84156";"2022 CMS,AHA";"84156 - ASSAY OF PROTEIN URINE";"ein";"263487583";;"institutional";416.0000;2.0800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84443";"2022 CMS,AHA";"84443 - ASSAY THYROID STIM HORMONE";"ein";"946034863";;"institutional";124.7500;9.5200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84450";"2022 CMS,AHA";"84450 - TRANSFERASE (AST) (SGOT)";"ein";"941105628";;"institutional";64.0000;6.8000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84460";"2022 CMS,AHA";"84460 - ALANINE AMINO (ALT) (SGPT)";"ein";"941105628";;"institutional";61.0000;6.4800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84460";"2022 CMS,AHA";"84460 - ALANINE AMINO (ALT) (SGPT)";"ein";"941105628";;"institutional";61.0000;15.4000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84484";"2022 CMS,AHA";"84484 - ASSAY OF TROPONIN QUANT";"ein";"941105628";;"institutional";479.0000;33.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84520";"2022 CMS,AHA";"84520 - ASSAY OF UREA NITROGEN";"ein";"941105628";;"institutional";29.0000;2.1700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84520";"2022 CMS,AHA";"84520 - ASSAY OF UREA NITROGEN";"ein";"941105628";;"institutional";29.0000;4.9000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"941105628";;"institutional";183.0000;32.0000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"941105628";;"institutional";183.0000;44.6100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"946000509";;"institutional";138.0000;19.5300;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85651";"2022 CMS,AHA";"85651 - RBC SED RATE NONAUTOMATED";"ein";"946000531";;"institutional";81.0000;9.9700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"920041488";;"institutional";83.2500;74.9250;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2765";"2022 CMS,AHA";"J2765 - METOCLOPRAMIDE HCL INJECTION";"ein";"920162721";;"institutional";74.4000;12.4100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3490";"2022 CMS,AHA";"J3490 - DRUGS UNCLASSIFIED INJECTION";"ein";"920162721";;"institutional";81.1000;0.0000;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"0241U";"2022 CMS,AHA";"0241U - NFCT DS VIR RESP RNA 4 TRGT";"ein";"920041461";;"institutional";257.0000;58.2300;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920041488";;"institutional";60.0000;0.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920162721";;"institutional";54.0000;9.4400;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920162721";;"institutional";54.0000;15.9700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920162721";;"institutional";233.0000;20.8400;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920162721";;"institutional";233.0000;44.9100;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920162721";;"institutional";233.0000;139.4800;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"920162721";;"institutional";184.0000;112.1300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80074";"2022 CMS,AHA";"80074 - ACUTE HEPATITIS PANEL";"ein";"920162721";;"institutional";590.0000;76.0300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80074";"2022 CMS,AHA";"80074 - ACUTE HEPATITIS PANEL";"ein";"920162721";;"institutional";590.0000;201.3900;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80076";"2022 CMS,AHA";"80076 - HEPATIC FUNCTION PANEL";"ein";"920162721";;"institutional";179.0000;53.7000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80177";"2022 CMS,AHA";"80177 - DRUG SCRN QUAN LEVETIRACETAM";"ein";"920162721";;"institutional";315.0000;94.5000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80305";"2022 CMS,AHA";"80305 - DRUG TEST PRSMV DIR OPT OBS";"ein";"920162721";;"institutional";64.0000;41.6000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"81001";"2022 CMS,AHA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"920162721";;"institutional";158.0000;20.3600;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"81256";"2022 CMS,AHA";"81256 - HFE GENE";"ein";"920162721";;"institutional";592.0000;77.9900;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"82274";"2022 CMS,AHA";"82274 - ASSAY TEST FOR BLOOD FECAL";"ein";"920162721";;"institutional";210.0000;23.8700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"82728";"2022 CMS,AHA";"82728 - ASSAY OF FERRITIN";"ein";"920041488";;"institutional";276.0000;96.2300;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"82746";"2022 CMS,AHA";"82746 - ASSAY OF FOLIC ACID SERUM";"ein";"920162721";;"institutional";190.0000;17.8600;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"82948";"2022 CMS,AHA";"82948 - REAGENT STRIP/BLOOD GLUCOSE";"ein";"920041488";;"institutional";100.0000;90.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"82962";"2022 CMS,AHA";"82962 - GLUCOSE BLOOD TEST";"ein";"860212139";;"institutional";17.0000;3.2400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"82977";"2022 CMS,AHA";"82977 - ASSAY OF GGT";"ein";"920162721";;"institutional";114.0000;21.9700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Respiratory";"HCPCS";"94760";"2022 CMS,AHA";"94760 - MEASURE BLOOD OXYGEN LEVEL";"ein";"473248194";;"institutional";150.0000;15.8400;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Respiratory";"HCPCS";"94760";"2022 CMS,AHA";"94760 - MEASURE BLOOD OXYGEN LEVEL";"ein";"473248194";;"institutional";150.0000;20.0900;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Respiratory";"HCPCS";"99000";"2022 CMS,AHA";"99000 - SPECIMEN HANDLING OFFICE-LAB";"ein";"843073061";;"institutional";152.3600;24.2300;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Room and Board";"HCPCS";;"2022 CMS,AHA";;"ein";"752756307";;"institutional";1076.0000;907.1600;"1669480323";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Room and Board";"HCPCS";"87086";"2022 CMS,AHA";"87086 - URINE CULTURE/COLONY COUNT";"ein";"472177648";;"institutional";553.8500;99.8000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Room and Board";"REVENUE CODE";"723";"2022 AHA";"CIRCUMCISION";"ein";"201547519";;"institutional";7470.7400;2393.6181;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Emergency Department Services";"HCPCS";"62270";"2022 CMS,AHA";"62270 - SPINAL FLUID TAP DIAGNOSTIC";"ein";"831287043";;"institutional";839.7500;139.7700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"831287043";;"institutional";65.0600;10.8300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2765";"2022 CMS,AHA";"J2765 - METOCLOPRAMIDE HCL INJECTION";"ein";"831287043";;"institutional";91.0400;15.1500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Pathology and Laboratory";"HCPCS";"84157";"2022 CMS,AHA";"84157 - ASSAY OF PROTEIN OTHER";"ein";"831287043";;"institutional";28.2900;4.7100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"831287043";;"institutional";309.3800;51.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Administration";"HCPCS";"93325";"2022 CMS,AHA";"93325 - DOPPLER COLOR FLOW ADD-ON";"ein";"461892306";;"institutional";477.0000;22.8600;"1114361185";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Ambulatory Surgical Care";"HCPCS";"36573";"2022 CMS,AHA";"36573 - INSJ PICC RS&I 5 YR+";"ein";"461892306";;"institutional";7139.0000;2052.9200;"1114361185";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Ambulatory Surgical Care";"HCPCS";"49651";"2022 CMS,AHA";"49651 - LAP ING HERNIA REPAIR RECUR";"ein";"204221282";;"institutional";34350.0000;3920.4000;"1922332774";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"956002748";;"institutional";2055.0000;528.3400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"NECA IBEW Local 176 H&W Fund";"group";"Anesthesia";"HCPCS";;"2022 CMS,AHA";;"ein";"362276984";;"institutional";1162.0000;404.2700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"NECA IBEW Local 176 H&W Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7120";"2022 CMS,AHA";"J7120 - RINGERS LACTATE INFUSION";"ein";"362276984";;"institutional";108.9400;37.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"472078805";;"institutional";1997.3800;315.3100;"1245690940";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"860719852";;"institutional";131.7600;92.2300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90472";"2022 CMS,AHA";"90472 - IMMUNIZATION ADMIN EACH ADD";"ein";"860719852";;"institutional";197.6400;138.3400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"81025";"2022 CMS,AHA";"81025 - URINE PREGNANCY TEST";"ein";"860719852";;"institutional";21.7500;15.2300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"860719852";;"institutional";33.3500;23.3500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Dialysis";"HCPCS";"90999";"2022 CMS,AHA";"90999 - DIALYSIS PROCEDURE";"ein";"264194741";;"institutional";5128.0000;875.4300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90747";"2022 CMS,AHA";"90747 - HEPB VACC 4 DOSE IMMUNSUP IM";"ein";"953372911";;"institutional";2525.6000;481.8700;"1922062066";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1270";"2022 CMS,AHA";"J1270 - INJECTION, DOXERCALCIFEROL";"ein";"264194741";;"institutional";1337.2500;228.2600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920162721";;"institutional";233.0000;69.9000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920162721";;"institutional";233.0000;79.5200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"920162721";;"institutional";184.0000;27.5100;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"920162721";;"institutional";184.0000;30.0500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"920162721";;"institutional";184.0000;55.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"82570";"2022 CMS,AHA";"82570 - ASSAY OF URINE CREATININE";"ein";"920041488";;"institutional";145.0000;98.0460;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"920041488";;"institutional";200.0000;140.8400;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"83516";"2022 CMS,AHA";"83516 - IMMUNOASSAY NONANTIBODY";"ein";"920041488";;"institutional";248.0000;69.5970;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"83690";"2022 CMS,AHA";"83690 - ASSAY OF LIPASE";"ein";"920162721";;"institutional";205.0000;39.5100;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"83880";"2022 CMS,AHA";"83880 - ASSAY OF NATRIURETIC PEPTIDE";"ein";"920041461";;"institutional";224.0000;50.7600;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"84153";"2022 CMS,AHA";"84153 - ASSAY OF PSA TOTAL";"ein";"920162721";;"institutional";264.0000;79.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"84702";"2022 CMS,AHA";"84702 - CHORIONIC GONADOTROPIN TEST";"ein";"920162721";;"institutional";205.0000;52.2600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920162721";;"institutional";235.0000;69.5000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"85652";"2022 CMS,AHA";"85652 - RBC SED RATE AUTOMATED";"ein";"920162721";;"institutional";100.0000;17.2600;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"86141";"2022 CMS,AHA";"86141 - C-REACTIVE PROTEIN HS";"ein";"920162721";;"institutional";202.0000;18.0700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"86141";"2022 CMS,AHA";"86141 - C-REACTIVE PROTEIN HS";"ein";"920162721";;"institutional";202.0000;34.8700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"86850";"2022 CMS,AHA";"86850 - RBC ANTIBODY SCREEN";"ein";"920162721";;"institutional";279.0000;82.5100;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"920041488";;"institutional";221.0000;141.1380;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"920162721";;"institutional";204.0000;35.9200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"920162721";;"institutional";204.0000;60.5300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"88305";"2022 CMS,AHA";"88305 - TISSUE EXAM BY PATHOLOGIST";"ein";"920162721";;"institutional";776.0000;173.2700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"REVENUE CODE";"300";"2022 AHA";"LABORATORY";"ein";"920162721";;"institutional";249.0000;249.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"REVENUE CODE";"305";"2022 AHA";"LAB/HEMATOLOGY";"ein";"920162721";;"institutional";2416.0000;724.8000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"REVENUE CODE";"307";"2022 AHA";"LAB/UROLOGY";"ein";"920162721";;"institutional";99.0000;0.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"86140";"2022 CMS,AHA";"86140 - C-REACTIVE PROTEIN";"ein";"941105628";;"institutional";156.0000;11.6600;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"86140";"2022 CMS,AHA";"86140 - C-REACTIVE PROTEIN";"ein";"941105628";;"institutional";156.0000;22.4900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"86850";"2022 CMS,AHA";"86850 - RBC ANTIBODY SCREEN";"ein";"946000531";;"institutional";141.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"87040";"2022 CMS,AHA";"87040 - BLOOD CULTURE FOR BACTERIA";"ein";"941105628";;"institutional";116.0000;13.5700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"87086";"2022 CMS,AHA";"87086 - URINE CULTURE/COLONY COUNT";"ein";"946000417";;"institutional";112.0000;16.9100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"87502";"2022 CMS,AHA";"87502 - INFLUENZA DNA AMP PROBE";"ein";"941105628";;"institutional";536.0000;115.3000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"87637";"2022 CMS,AHA";"87637 - SarsCov2 & Inf A&B&RSV Amp Prb";"ein";"941105628";;"institutional";189.0000;40.7000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"REVENUE CODE";"301";"2022 AHA";"LAB/CHEMISTRY";"ein";"263487583";;"institutional";1386.0000;515.5300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"REVENUE CODE";"302";"2022 AHA";"LAB/IMMUNOLOGY";"ein";"946000531";;"institutional";14049.0000;4917.1500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Physical Therapy";"HCPCS";"97799";"2022 CMS,AHA";"97799 - PHYSICAL MEDICINE PROCEDURE";"ein";"611251391";;"institutional";630.0000;132.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Physical Therapy";"HCPCS";"97799";"2022 CMS,AHA";"97799 - PHYSICAL MEDICINE PROCEDURE";"ein";"611251391";;"institutional";3780.0000;132.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"71045";"2022 CMS,AHA";"71045 - X-RAY EXAM CHEST 1 VIEW";"ein";"941105628";;"institutional";636.0000;74.3900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"71045";"2022 CMS,AHA";"71045 - X-RAY EXAM CHEST 1 VIEW";"ein";"946000531";;"institutional";1372.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"71046";"2022 CMS,AHA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"941105628";;"institutional";675.0000;71.7100;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"72125";"2022 CMS,AHA";"72125 - CT NECK SPINE W/O DYE";"ein";"941105628";;"institutional";4665.0000;308.0300;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"73080";"2022 CMS,AHA";"73080 - X-RAY EXAM OF ELBOW";"ein";"941105628";;"institutional";800.0000;115.3500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"73630";"2022 CMS,AHA";"73630 - X-RAY EXAM OF FOOT";"ein";"941105628";;"institutional";783.0000;118.0900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"74177";"2022 CMS,AHA";"74177 - CT ABD & PELV W/CONTRAST";"ein";"263487583";;"institutional";6059.0000;836.9100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"76830";"2022 CMS,AHA";"76830 - TRANSVAGINAL US NON-OB";"ein";"943302014";;"institutional";1065.7500;160.4900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"941105628";;"institutional";571.0000;39.3400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"941105628";;"institutional";571.0000;96.4000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"REVENUE CODE";"320";"2022 AHA";"DX X-RAY";"ein";"946000531";;"institutional";10170.0000;4148.9500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Room and Board";"HCPCS";"G0378";"2022 CMS,AHA";"G0378 - HOSPITAL OBSERVATION PER HR";"ein";"941105628";;"institutional";6528.0000;488.0600;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"920162721";;"institutional";220.0000;19.6800;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"920162721";;"institutional";220.0000;127.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"920162721";;"institutional";220.0000;134.0400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"83540";"2022 CMS,AHA";"83540 - ASSAY OF IRON";"ein";"920162721";;"institutional";155.0000;46.5000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"83690";"2022 CMS,AHA";"83690 - ASSAY OF LIPASE";"ein";"920162721";;"institutional";205.0000;26.4200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"83721";"2022 CMS,AHA";"83721 - ASSAY OF BLOOD LIPOPROTEIN";"ein";"920162721";;"institutional";133.0000;11.9000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"83721";"2022 CMS,AHA";"83721 - ASSAY OF BLOOD LIPOPROTEIN";"ein";"920162721";;"institutional";133.0000;39.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"83735";"2022 CMS,AHA";"83735 - ASSAY OF MAGNESIUM";"ein";"920041488";;"institutional";126.0000;108.9400;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"83880";"2022 CMS,AHA";"83880 - ASSAY OF NATRIURETIC PEPTIDE";"ein";"920162721";;"institutional";670.0000;100.1800;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"84100";"2022 CMS,AHA";"84100 - ASSAY OF PHOSPHORUS";"ein";"920041461";;"institutional";58.0000;13.1400;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"84270";"2022 CMS,AHA";"84270 - ASSAY OF SEX HORMONE GLOBUL";"ein";"920162721";;"institutional";260.0000;91.3600;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"84403";"2022 CMS,AHA";"84403 - ASSAY OF TOTAL TESTOSTERONE";"ein";"920162721";;"institutional";243.0000;72.9000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"84443";"2022 CMS,AHA";"84443 - ASSAY THYROID STIM HORMONE";"ein";"920162721";;"institutional";215.0000;64.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920041461";;"institutional";87.0000;19.7200;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920162721";;"institutional";235.0000;21.0300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920162721";;"institutional";235.0000;80.2100;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"85379";"2022 CMS,AHA";"85379 - FIBRIN DEGRADATION QUANT";"ein";"920041461";;"institutional";109.0000;24.7000;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"85610";"2022 CMS,AHA";"85610 - PROTHROMBIN TIME";"ein";"920162721";;"institutional";118.0000;19.6900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"85652";"2022 CMS,AHA";"85652 - RBC SED RATE AUTOMATED";"ein";"920162721";;"institutional";100.0000;19.2700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"85730";"2022 CMS,AHA";"85730 - THROMBOPLASTIN TIME PARTIAL";"ein";"920162721";;"institutional";220.0000;36.7100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"86141";"2022 CMS,AHA";"86141 - C-REACTIVE PROTEIN HS";"ein";"920162721";;"institutional";202.0000;60.6000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"86256";"2022 CMS,AHA";"86256 - FLUORESCENT ANTIBODY TITER";"ein";"920041488";;"institutional";273.0000;198.7020;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"86900";"2022 CMS,AHA";"86900 - BLOOD TYPING SEROLOGIC ABO";"ein";"920162721";;"institutional";103.0000;30.4600;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"87088";"2022 CMS,AHA";"87088 - URINE BACTERIA CULTURE";"ein";"860212139";;"institutional";36.0000;6.8500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"204577473";;"institutional";39.0500;6.2100;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q4081";"2022 CMS,AHA";"Q4081 - EPOETIN ALFA, 100 UNITS ESRD";"ein";"264194741";;"institutional";331.0000;56.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"204577473";;"institutional";131.7100;20.9700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Psychological";"HCPCS";"90853";"2022 CMS,AHA";"90853 - GROUP PSYCHOTHERAPY";"ein";"820867945";;"institutional";650.0000;95.1800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Administration";"HCPCS";"99213";"2022 CMS,AHA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"946000417";;"institutional";585.2000;94.9500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Administration";"HCPCS";"Q3014";"2022 CMS,AHA";"Q3014 - TELEHEALTH FACILITY FEE";"ein";"946000509";;"institutional";74.0000;72.1800;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Anesthesia";"HCPCS";;"2022 CMS,AHA";;"ein";"263487583";;"institutional";6324.0000;1350.8000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"23931";"2022 CMS,AHA";"23931 - DRAINAGE OF ARM BURSA";"ein";"941105628";;"institutional";4548.0000;1762.5200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"96360";"2022 CMS,AHA";"96360 - HYDRATION IV INFUSION INIT";"ein";"941105628";;"institutional";984.0000;92.0900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"941105628";;"institutional";307.0000;51.8300;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"941105628";;"institutional";887.0000;189.9200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"946000531";;"institutional";812.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"941105628";;"institutional";416.0000;72.7500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"96376";"2022 CMS,AHA";"96376 - TX/PRO/DX INJ SAME DRUG ADON";"ein";"263487583";;"institutional";561.3000;119.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99281";"2022 CMS,AHA";"99281 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";500.0000;112.7200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99282";"2022 CMS,AHA";"99282 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";1248.0000;233.3800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"861464604";;"institutional";1684.4800;501.2800;"1003493784";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";4160.0000;286.6400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"946000531";;"institutional";2886.0000;355.3300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99291";"2022 CMS,AHA";"99291 - CRITICAL CARE FIRST HOUR";"ein";"946000531";;"institutional";5101.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"REVENUE CODE";"450";"2022 AHA";"EMERG ROOM";"ein";"941105628";;"institutional";4160.0000;1971.3000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"263487583";;"institutional";354.0000;39.8200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Room and Board";"REVENUE CODE";"131";"2022 AHA";"MED-SUR-GY/3&4";"ein";"946000531";;"institutional";39820.0000;16244.9800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Dialysis";"HCPCS";"90999";"2022 CMS,AHA";"90999 - DIALYSIS PROCEDURE";"ein";"061602517";;"institutional";7448.6000;194.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medical and Surgical Supplies";"REVENUE CODE";"272";"2022 AHA";"STERILE SUPPLY";"ein";"263487583";;"institutional";13135.2500;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"A9270";"2022 CMS,AHA";"A9270 - NON-COVERED ITEM OR SERVICE";"ein";"941196203";;"institutional";12.0000;1.2000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1100";"2022 CMS,AHA";"J1100 - DEXAMETHASONE SODIUM PHOS";"ein";"811690806";;"institutional";282.9000;64.3800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"941196203";;"institutional";57.1200;5.7000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"263487583";;"institutional";4331.3200;4331.3200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"HCPCS";"84520";"2022 CMS,AHA";"84520 - ASSAY OF UREA NITROGEN";"ein";"833547294";;"institutional";50.0000;4.8000;"1609496397";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"HCPCS";"87581";"2022 CMS,AHA";"87581 - M.PNEUMON DNA AMP PROBE";"ein";"811690806";;"institutional";108.3200;24.6500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"HCPCS";"87633";"2022 CMS,AHA";"87633 - RESP VIRUS 12-25 TARGETS";"ein";"811690806";;"institutional";2572.7500;585.4600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"946000509";;"institutional";99.0000;35.9200;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"941196203";;"institutional";2536.0000;253.1600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Radiology";"REVENUE CODE";"730";"2022 AHA";"EKG/ECG";"ein";"941105628";;"institutional";571.0000;227.5900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Respiratory";"HCPCS";"94640";"2022 CMS,AHA";"94640 - AIRWAY INHALATION TREATMENT";"ein";"811690806";;"institutional";209.7700;47.7300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Respiratory";"REVENUE CODE";"410";"2022 AHA";"RESPIRATORY SVC";"ein";"263487583";;"institutional";190.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Room and Board";"HCPCS";"11043";"2022 CMS,AHA";"11043 - DEB MUSC/FASCIA 20 SQ CM/<";"ein";"263487583";;"institutional";1800.0000;1050.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Room and Board";"REVENUE CODE";"120";"2022 AHA";"ROOM-BOARD/SIM";"ein";"000027050";;"institutional";2111.1500;804.8800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Utah)";"group";"Psychological";"HCPCS";;"2022 CMS,AHA";;"ein";"330888966";;"institutional";650.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Local 3 (Public)";"group";"Emergency Department Services";"HCPCS";"99282";"2022 CMS,AHA";"99282 - EMERGENCY DEPT VISIT";"ein";"941450151";;"institutional";1204.4400;232.9900;"1972503142";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Local 3 (Public)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90471";"2022 CMS,AHA";"90471 - IMMUNIZATION ADMIN";"ein";"941450151";;"institutional";312.1400;60.3800;"1972503142";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Local 3 (Public)";"group";"Pathology and Laboratory";"HCPCS";"83690";"2022 CMS,AHA";"83690 - ASSAY OF LIPASE";"ein";"941105628";;"institutional";239.0000;42.0200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Local 3 (Public)";"group";"Pathology and Laboratory";"HCPCS";"84460";"2022 CMS,AHA";"84460 - ALANINE AMINO (ALT) (SGPT)";"ein";"941105628";;"institutional";64.0000;11.2500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Psychological";"HCPCS";"S9480";"2022 CMS,AHA";"S9480 - INTENSIVE OUTPATIENT PSYCHIA";"ein";"475173680";;"institutional";2100.0000;140.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"750800628";;"institutional";184.1500;36.3000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"752756307";;"institutional";422.7000;77.9800;"1669480323";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"823659997";;"institutional";3829.5000;745.9800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"860719852";;"institutional";65.8800;46.1200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"860719855";;"institutional";45.0000;27.0000;"1225002322";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"860719857";;"institutional";30.0000;21.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90686";"2022 CMS,AHA";"90686 - IIV4 VACC NO PRSV 3 YRS+ IM";"ein";"860719852";;"institutional";66.6100;46.6200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90715";"2022 CMS,AHA";"90715 - TDAP VACCINE 7 YRS/> IM";"ein";"843073061";;"institutional";422.4900;78.0400;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96365";"2022 CMS,AHA";"96365 - THER/PROPH/DIAG IV INF INIT";"ein";"472177648";;"institutional";1451.0000;192.4400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96365";"2022 CMS,AHA";"96365 - THER/PROPH/DIAG IV INF INIT";"ein";"474187773";;"institutional";476.0300;111.5900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96366";"2022 CMS,AHA";"96366 - THER/PROPH/DIAG IV INF ADDON";"ein";"474187773";;"institutional";304.6000;71.4100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"473231590";;"institutional";984.3000;182.3900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"473248194";;"institutional";400.0000;63.0800;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"852489965";;"institutional";767.9700;77.7000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"473923087";;"institutional";798.9900;64.5100;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"820756286";;"institutional";266.3300;45.6800;"1821501875";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"842951019";;"institutional";705.6000;59.7700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"852489965";;"institutional";1200.3600;121.4500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"A4222";"2022 CMS,AHA";"A4222 - INFUSION SUPPLIES WITH PUMP";"ein";"464499268";;"institutional";156.9000;17.5800;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0131";"2022 CMS,AHA";"J0131 - ACETAMINOPHEN INJECTION";"ein";"474187773";;"institutional";420.0000;65.7700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0131";"2022 CMS,AHA";"J0131 - ACETAMINOPHEN INJECTION";"ein";"474187773";;"institutional";420.0000;78.4100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0131";"2022 CMS,AHA";"J0131 - ACETAMINOPHEN INJECTION";"ein";"474187773";;"institutional";420.0000;98.4600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0131";"2022 CMS,AHA";"J0131 - ACETAMINOPHEN INJECTION";"ein";"474187773";;"institutional";420.0000;122.7800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0696";"2022 CMS,AHA";"J0696 - CEFTRIAXONE SODIUM INJECTION";"ein";"472177648";;"institutional";459.5000;82.8000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1030";"2022 CMS,AHA";"J1030 - METHYLPREDNISOLONE 40 MG INJ";"ein";"746000949";;"institutional";28.9100;12.3000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"87389";"2022 CMS,AHA";"87389 - HIV-1 AG W/HIV-1 & HIV-2 AB";"ein";"920162721";;"institutional";137.0000;46.7600;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"920162721";;"institutional";204.0000;35.9200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"REVENUE CODE";"301";"2022 AHA";"LAB/CHEMISTRY";"ein";"920162721";;"institutional";6833.0000;6833.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"REVENUE CODE";"306";"2022 AHA";"LAB/BACT-MICRO";"ein";"920162721";;"institutional";396.0000;118.8000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"HCPCS";"73562";"2022 CMS,AHA";"73562 - X-RAY EXAM OF KNEE 3";"ein";"920162721";;"institutional";895.0000;240.1200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"HCPCS";"73630";"2022 CMS,AHA";"73630 - X-RAY EXAM OF FOOT";"ein";"920041488";;"institutional";642.0000;174.7530;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"HCPCS";"73721";"2022 CMS,AHA";"73721 - MRI JNT OF LWR EXTRE W/O DYE";"ein";"920041488";;"institutional";3466.0000;1520.8020;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"920041461";;"institutional";146.0000;33.0800;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"REVENUE CODE";"320";"2022 AHA";"DX X-RAY";"ein";"920162721";;"institutional";67.0000;67.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"REVENUE CODE";"402";"2022 AHA";"ULTRASOUND";"ein";"920162721";;"institutional";909.0000;272.7000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"REVENUE CODE";"402";"2022 AHA";"ULTRASOUND";"ein";"920162721";;"institutional";909.0000;909.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Room and Board";"REVENUE CODE";"121";"2022 AHA";"MED-SUR-GY/2BED";"ein";"920162721";;"institutional";34890.0000;34890.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Room and Board";"REVENUE CODE";"128";"2022 AHA";"REHAB/2BED";"ein";"843236495";;"institutional";3185.0000;1562.5600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"831287043";;"institutional";3622.8600;3622.8600;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Emergency Department Services";"HCPCS";"99291";"2022 CMS,AHA";"99291 - CRITICAL CARE FIRST HOUR";"ein";"831287043";;"institutional";3712.6000;337.1100;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"831287043";;"institutional";353.5800;353.5800;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"HCPCS";"82948";"2022 CMS,AHA";"82948 - REAGENT STRIP/BLOOD GLUCOSE";"ein";"831287043";;"institutional";233.9400;21.2400;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"831287043";;"institutional";309.3800;309.3800;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Radiology";"HCPCS";"74176";"2022 CMS,AHA";"74176 - CT ABD & PELVIS W/O CONTRAST";"ein";"831287043";;"institutional";2651.8500;468.9700;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medical and Surgical Supplies";"HCPCS";"A6250";"2022 CMS,AHA";"A6250 - SKIN SEAL PROTECT MOISTURIZR";"ein";"861464604";;"institutional";8.2300;2.4500;"1003493784";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"263487583";;"institutional";16.0000;1.8000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"263487583";;"institutional";18.0000;3.8400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"263487583";;"institutional";34.0000;7.2600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";5.3000;0.9900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";49.4000;12.6700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"946000417";;"institutional";0.0100;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"946000509";;"institutional";1.9200;0.2700;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"0064A";"2022 CMS,AHA";"0064A - ADM SARSCOV2 50MCG/0.25MLBST";"ein";"946000417";;"institutional";26.0000;6.3300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"941105628";;"institutional";416.0000;48.5000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"A9270";"2022 CMS,AHA";"A9270 - NON-COVERED ITEM OR SERVICE";"ein";"946000532";;"institutional";24.3000;20.2200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0696";"2022 CMS,AHA";"J0696 - CEFTRIAXONE SODIUM INJECTION";"ein";"941105628";;"institutional";13.2000;1.6400;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"263487583";;"institutional";130.0000;27.7700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2270";"2022 CMS,AHA";"J2270 - MORPHINE SULFATE INJECTION";"ein";"941105628";;"institutional";14.3000;3.0600;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"263487583";;"institutional";260.0000;55.5400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"941105628";;"institutional";7.4500;0.9200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"946000417";;"institutional";2.8800;0.4300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2765";"2022 CMS,AHA";"J2765 - METOCLOPRAMIDE HCL INJECTION";"ein";"941105628";;"institutional";14.0000;3.0100;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3490";"2022 CMS,AHA";"J3490 - DRUGS UNCLASSIFIED INJECTION";"ein";"263487583";;"institutional";639.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7042";"2022 CMS,AHA";"J7042 - 5% DEXTROSE/NORMAL SALINE";"ein";"941105628";;"institutional";25.2000;2.9400;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"462218636";;"institutional";0.6000;0.1700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"946000531";;"institutional";297.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"11983";"2022 CMS,AHA";"11983 - REMOVE/INSERT DRUG IMPLANT";"ein";"920162721";;"institutional";465.0000;268.9900;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920162721";;"institutional";54.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"92014";"2022 CMS,AHA";"92014 - EYE EXAM&TX ESTAB PT 1/>VST";"ein";"920162721";;"institutional";437.0000;284.0500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"99211";"2022 CMS,AHA";"99211 - OFFICE/OUTPATIENT VISIT EST";"ein";"920041488";;"institutional";228.0000;205.2000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"99211";"2022 CMS,AHA";"99211 - OFFICE/OUTPATIENT VISIT EST";"ein";"920041488";;"institutional";228.0000;217.3800;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";229.0000;148.8500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Emergency Department Services";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"920162721";;"institutional";572.0000;95.4500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Emergency Department Services";"HCPCS";"96376";"2022 CMS,AHA";"96376 - TX/PRO/DX INJ SAME DRUG ADON";"ein";"920162721";;"institutional";428.0000;109.1300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";1307.0000;350.6700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Emergency Department Services";"HCPCS";"J1642";"2022 CMS,AHA";"J1642 - INJ HEPARIN SODIUM PER 10 U";"ein";"920162721";;"institutional";6.0000;0.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Emergency Department Services";"REVENUE CODE";"450";"2022 AHA";"EMERG ROOM";"ein";"920162721";;"institutional";2526.0000;0.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"0054A";"2022 CMS,AHA";"0054A - ADM SARSCV2 30MCG TRS-SUCR B";"ein";"920162721";;"institutional";30.0000;19.5000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"91301";"2022 CMS,AHA";"91301 - SARSCOV2 VAC 100MCG/0.5ML IM";"ein";"920162721";;"institutional";0.0100;0.0100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1650";"2022 CMS,AHA";"J1650 - INJ ENOXAPARIN SODIUM";"ein";"920041461";;"institutional";203.5000;46.1100;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"636";"2022 AHA";"DRUGS/DETAIL CODE";"ein";"920162721";;"institutional";451.6000;451.6000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920162721";;"institutional";54.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80048";"2022 CMS,AHA";"80048 - METABOLIC PANEL TOTAL CA";"ein";"920162721";;"institutional";193.0000;57.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920041488";;"institutional";329.0000;296.1000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920162721";;"institutional";233.0000;30.0300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920162721";;"institutional";233.0000;141.9600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920162721";;"institutional";233.0000;151.4500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"920041461";;"institutional";180.0000;40.7800;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"81002";"2022 CMS,AHA";"81002 - URINALYSIS NONAUTO W/O SCOPE";"ein";"920162721";;"institutional";48.0000;31.2000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"82043";"2022 CMS,AHA";"82043 - MICROALBUMIN QUANTITATIVE";"ein";"920162721";;"institutional";161.0000;48.3000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"HCPCS";"97161";"2022 CMS,AHA";"97161 - PT EVAL LOW COMPLEX 20 MIN";"ein";"920041488";;"institutional";364.0000;303.7860;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"HCPCS";"73130";"2022 CMS,AHA";"73130 - X-RAY EXAM OF HAND";"ein";"920041488";;"institutional";617.0000;194.6070;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"HCPCS";"73220";"2022 CMS,AHA";"73220 - MRI UPPR EXTREMITY W/O&W/DYE";"ein";"920162721";;"institutional";7371.0000;1272.3500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"HCPCS";"76705";"2022 CMS,AHA";"76705 - ECHO EXAM OF ABDOMEN";"ein";"920041488";;"institutional";811.0000;651.6540;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"HCPCS";"G1004";"2022 CMS,AHA";"G1004 - CDSM NDSC";"ein";"920162721";;"institutional";0.0100;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Room and Board";"REVENUE CODE";"128";"2022 AHA";"REHAB/2BED";"ein";"465692740";;"institutional";3995.0000;1099.0900;"1457762809";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Room and Board";"REVENUE CODE";"128";"2022 AHA";"REHAB/2BED";"ein";"465692740";;"institutional";3995.0000;1583.6200;"1457762809";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Psychological";"HCPCS";;"2022 CMS,AHA";;"ein";"843236495";;"institutional";2535.0000;546.0400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Psychological";"HCPCS";"H0015";"2022 CMS,AHA";"H0015 - ALCOHOL AND/OR DRUG SERVICES";"ein";"824550821";;"institutional";2625.0000;105.7000;"1023506714";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Psychological";"REVENUE CODE";"911";"2022 AHA";"PSYCH/REHAB";"ein";"843236495";;"institutional";3185.0000;1169.5300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Room and Board";"REVENUE CODE";"128";"2022 AHA";"REHAB/2BED";"ein";"843236495";;"institutional";3185.0000;2548.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"831287043";;"institutional";353.5800;62.5300;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"831287043";;"institutional";823.8500;0.0000;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"HCPCS";"82010";"2022 CMS,AHA";"82010 - ACETONE ASSAY";"ein";"831287043";;"institutional";54.6300;4.9600;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"HCPCS";"82803";"2022 CMS,AHA";"82803 - BLOOD GASES ANY COMBINATION";"ein";"831287043";;"institutional";579.4300;52.6100;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1100";"2022 CMS,AHA";"J1100 - DEXAMETHASONE SODIUM PHOS";"ein";"474187773";;"institutional";281.6000;63.5300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1335";"2022 CMS,AHA";"J1335 - ERTAPENEM INJECTION";"ein";"473231590";;"institutional";60.1000;6.3200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"473231590";;"institutional";65.0600;8.8800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"473231590";;"institutional";130.1200;19.2400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"850416296";;"institutional";9.7900;2.8200;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2250";"2022 CMS,AHA";"J2250 - INJ MIDAZOLAM HYDROCHLORIDE";"ein";"870972215";;"institutional";221.3800;9.9600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"473231590";;"institutional";260.2400;27.4000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2550";"2022 CMS,AHA";"J2550 - PROMETHAZINE HCL INJECTION";"ein";"852489965";;"institutional";17.4700;1.7700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3010";"2022 CMS,AHA";"J3010 - FENTANYL CITRATE INJECITON";"ein";"474187773";;"institutional";3.4500;0.6400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3475";"2022 CMS,AHA";"J3475 - INJ MAGNESIUM SULFATE";"ein";"474187773";;"institutional";130.0000;29.3300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"474187773";;"institutional";69.8000;10.9300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"811862049";;"institutional";65.0000;10.7200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"842951019";;"institutional";246.4000;14.8600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"851820772";;"institutional";105.8400;13.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7040";"2022 CMS,AHA";"J7040 - NORMAL SALINE SOLUTION INFUS";"ein";"465735510";;"institutional";150.0000;25.2700;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7060";"2022 CMS,AHA";"J7060 - 5% DEXTROSE/WATER";"ein";"472177648";;"institutional";27.0000;4.8600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7120";"2022 CMS,AHA";"J7120 - RINGERS LACTATE INFUSION";"ein";"464499268";;"institutional";50.0000;5.6000;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"473248194";;"institutional";20.0000;2.6100;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"815038663";;"institutional";8.4000;1.1500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"842951019";;"institutional";25.0000;1.8700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8540";"2022 CMS,AHA";"J8540 - ORAL DEXAMETHASONE";"ein";"851984103";;"institutional";1630.8000;62.8600;"1376151365";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"M0245";"2022 CMS,AHA";"M0245 - BAMLAN AND ETESEV INFUSION ";"ein";"474187773";;"institutional";309.6000;90.5100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q0144";"2022 CMS,AHA";"Q0144 - AZITHROMYCIN DIHYDRATE, ORAL";"ein";"474187773";;"institutional";211.2300;47.6500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q0144";"2022 CMS,AHA";"Q0144 - AZITHROMYCIN DIHYDRATE, ORAL";"ein";"474187773";;"institutional";211.2300;61.7500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"941105628";;"institutional";1725.9500;817.8800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"None/Unknown";"HCPCS";"G0390";"2022 CMS,AHA";"G0390 - TRAUMA RESPONS W/HOSP CRITI";"ein";"946000531";;"institutional";10979.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"263487583";;"institutional";20.0000;2.2500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"263487583";;"institutional";20.0000;2.7400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"263487583";;"institutional";20.0000;3.6800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"263487583";;"institutional";60.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"80051";"2022 CMS,AHA";"80051 - ELECTROLYTE PANEL";"ein";"941105628";;"institutional";78.0000;9.6600;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"81001";"2022 CMS,AHA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"941105628";;"institutional";125.0000;21.6000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"81001";"2022 CMS,AHA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"946000531";;"institutional";79.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"81002";"2022 CMS,AHA";"81002 - URINALYSIS NONAUTO W/O SCOPE";"ein";"462218636";;"institutional";85.0000;24.4600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"81002";"2022 CMS,AHA";"81002 - URINALYSIS NONAUTO W/O SCOPE";"ein";"946000417";;"institutional";44.3800;7.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"81025";"2022 CMS,AHA";"81025 - URINE PREGNANCY TEST";"ein";"943302014";;"institutional";232.0000;34.9400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82247";"2022 CMS,AHA";"82247 - BILIRUBIN TOTAL";"ein";"941105628";;"institutional";77.0000;19.4300;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82306";"2022 CMS,AHA";"82306 - VITAMIN D 25 HYDROXY";"ein";"852390012";;"institutional";16.0000;16.0000;"1235162645";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82565";"2022 CMS,AHA";"82565 - ASSAY OF CREATININE";"ein";"941105628";;"institutional";80.0000;5.9900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"941105628";;"institutional";48.0000;3.3100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"941105628";;"institutional";48.0000;5.6100;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"941105628";;"institutional";48.0000;5.9500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82962";"2022 CMS,AHA";"82962 - GLUCOSE BLOOD TEST";"ein";"941105628";;"institutional";125.0000;30.4700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84075";"2022 CMS,AHA";"84075 - ASSAY ALKALINE PHOSPHATASE";"ein";"941105628";;"institutional";64.0000;6.8000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84295";"2022 CMS,AHA";"84295 - ASSAY OF SERUM SODIUM";"ein";"946000417";;"institutional";127.0000;19.1800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84450";"2022 CMS,AHA";"84450 - TRANSFERASE (AST) (SGOT)";"ein";"941105628";;"institutional";64.0000;16.1500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"82306";"2022 CMS,AHA";"82306 - VITAMIN D 25 HYDROXY";"ein";"920162721";;"institutional";266.0000;23.8100;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"82705";"2022 CMS,AHA";"82705 - FATS/LIPIDS FECES QUAL";"ein";"920162721";;"institutional";107.0000;32.1000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"920162721";;"institutional";63.0000;18.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"82948";"2022 CMS,AHA";"82948 - REAGENT STRIP/BLOOD GLUCOSE";"ein";"824314476";;"institutional";40.0000;7.3300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"82977";"2022 CMS,AHA";"82977 - ASSAY OF GGT";"ein";"920041488";;"institutional";108.0000;97.2000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"920162721";;"institutional";220.0000;134.0700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"83550";"2022 CMS,AHA";"83550 - IRON BINDING TEST";"ein";"920162721";;"institutional";163.0000;15.3200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"84466";"2022 CMS,AHA";"84466 - ASSAY OF TRANSFERRIN";"ein";"920041488";;"institutional";179.0000;179.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920041461";;"institutional";87.0000;65.2500;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920162721";;"institutional";235.0000;22.0900;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920162721";;"institutional";235.0000;30.2900;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920162721";;"institutional";235.0000;43.9600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920162721";;"institutional";235.0000;47.2100;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"85027";"2022 CMS,AHA";"85027 - COMPLETE CBC AUTOMATED";"ein";"920162721";;"institutional";171.0000;102.3500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"85027";"2022 CMS,AHA";"85027 - COMPLETE CBC AUTOMATED";"ein";"920162721";;"institutional";171.0000;111.1500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"85045";"2022 CMS,AHA";"85045 - AUTOMATED RETICULOCYTE COUNT";"ein";"920041488";;"institutional";76.0000;76.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"85610";"2022 CMS,AHA";"85610 - PROTHROMBIN TIME";"ein";"920162721";;"institutional";118.0000;34.8900;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"85652";"2022 CMS,AHA";"85652 - RBC SED RATE AUTOMATED";"ein";"920162721";;"institutional";100.0000;8.9500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"85652";"2022 CMS,AHA";"85652 - RBC SED RATE AUTOMATED";"ein";"920162721";;"institutional";100.0000;30.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"86141";"2022 CMS,AHA";"86141 - C-REACTIVE PROTEIN HS";"ein";"920162721";;"institutional";202.0000;38.9400;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"920041488";;"institutional";210.0000;141.1380;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Pathology and Laboratory";"REVENUE CODE";"300";"2022 AHA";"LABORATORY";"ein";"843236495";;"institutional";1323.0000;649.0600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Cardiovascular";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"465023240";;"institutional";3500.0000;560.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Cardiovascular";"HCPCS";"93567";"2022 CMS,AHA";"93567 - INJECT SUPRVLV AORTOGRAPHY";"ein";"465023240";;"institutional";30500.0000;4880.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"811862049";;"institutional";600.0000;98.9500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"815038663";;"institutional";132.0000;15.2200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"S0028";"2022 CMS,AHA";"S0028 - INJECTION, FAMOTIDINE, 20 MG";"ein";"473231590";;"institutional";106.7800;17.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"S5000";"2022 CMS,AHA";"S5000 - PRESCRIPTION DRUG, GENERIC";"ein";"474187773";;"institutional";13.8000;3.1100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"S5001";"2022 CMS,AHA";"S5001 - PRESCRIPTION DRUG,BRAND NAME";"ein";"474187773";;"institutional";9.7300;2.8400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"S5001";"2022 CMS,AHA";"S5001 - PRESCRIPTION DRUG,BRAND NAME";"ein";"871528012";;"institutional";20.0000;1.6900;"1912677295";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"383813467";;"institutional";344.5200;310.0700;"1497053912";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"821703810";;"institutional";107.9200;88.8300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"821703810";;"institutional";224.5300;184.8100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"636";"2022 AHA";"DRUGS/DETAIL CODE";"ein";"821703810";;"institutional";265.1100;218.2200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";;"2022 CMS,AHA";;"ein";"852489965";;"institutional";2490.0000;251.9200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"473248194";;"institutional";60.0000;6.3400;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"753175630";;"institutional";29.0000;4.0100;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"842951019";;"institutional";380.0000;32.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80050";"2022 CMS,AHA";"80050 - GENERAL HEALTH PANEL";"ein";"850416296";;"institutional";411.2100;74.4100;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80051";"2022 CMS,AHA";"80051 - ELECTROLYTE PANEL";"ein";"473248194";;"institutional";24.0000;3.7800;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80051";"2022 CMS,AHA";"80051 - ELECTROLYTE PANEL";"ein";"473923087";;"institutional";364.7500;29.4500;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80051";"2022 CMS,AHA";"80051 - ELECTROLYTE PANEL";"ein";"473923087";;"institutional";364.7500;54.9800;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"473248194";;"institutional";740.0000;80.3000;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"474187773";;"institutional";180.0000;42.1900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"851984103";;"institutional";379.0800;14.6100;"1376151365";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"852007987";;"institutional";379.0800;17.3300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"852489965";;"institutional";690.3500;69.8400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"850416296";;"institutional";164.2400;29.1600;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80076";"2022 CMS,AHA";"80076 - HEPATIC FUNCTION PANEL";"ein";"815038663";;"institutional";430.0500;49.5800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84484";"2022 CMS,AHA";"84484 - ASSAY OF TROPONIN QUANT";"ein";"946000531";;"institutional";228.0000;58.6800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84520";"2022 CMS,AHA";"84520 - ASSAY OF UREA NITROGEN";"ein";"941105628";;"institutional";29.0000;3.3800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84520";"2022 CMS,AHA";"84520 - ASSAY OF UREA NITROGEN";"ein";"941105628";;"institutional";29.0000;7.0700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"263487583";;"institutional";327.0000;44.8200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"263487583";;"institutional";327.0000;60.1800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"941105628";;"institutional";183.0000;21.4000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85379";"2022 CMS,AHA";"85379 - FIBRIN DEGRADATION QUANT";"ein";"941105628";;"institutional";282.0000;21.0900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85610";"2022 CMS,AHA";"85610 - PROTHROMBIN TIME";"ein";"946000531";;"institutional";85.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85730";"2022 CMS,AHA";"85730 - THROMBOPLASTIN TIME PARTIAL";"ein";"941105628";;"institutional";239.0000;36.0400;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"86704";"2022 CMS,AHA";"86704 - HEP B CORE ANTIBODY TOTAL";"ein";"941105628";;"institutional";67.0000;5.0000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"86885";"2022 CMS,AHA";"86885 - COOMBS TEST INDIRECT QUAL";"ein";"263487583";;"institutional";322.0000;68.7800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"87077";"2022 CMS,AHA";"87077 - CULTURE AEROBIC IDENTIFY";"ein";"946000417";;"institutional";277.6300;45.0400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"87086";"2022 CMS,AHA";"87086 - URINE CULTURE/COLONY COUNT";"ein";"946000417";;"institutional";115.6000;18.7600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"87205";"2022 CMS,AHA";"87205 - SMEAR GRAM STAIN";"ein";"946000417";;"institutional";171.0000;16.4600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"87502";"2022 CMS,AHA";"87502 - INFLUENZA DNA AMP PROBE";"ein";"941105628";;"institutional";536.0000;98.9100;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"941105628";;"institutional";144.0000;9.9200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"941105628";;"institutional";144.0000;17.8500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"REVENUE CODE";"301";"2022 AHA";"LAB/CHEMISTRY";"ein";"946000531";;"institutional";1246.0000;508.3200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"REVENUE CODE";"302";"2022 AHA";"LAB/IMMUNOLOGY";"ein";"946000531";;"institutional";549.0000;223.9700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"REVENUE CODE";"306";"2022 AHA";"LAB/BACT-MICRO";"ein";"263487583";;"institutional";200.0000;54.3700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"REVENUE CODE";"307";"2022 AHA";"LAB/UROLOGY";"ein";"941105628";;"institutional";125.0000;59.2400;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"REVENUE CODE";"307";"2022 AHA";"LAB/UROLOGY";"ein";"946000531";;"institutional";106.0000;37.1000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"061649460";;"institutional";29.8500;0.0000;"1821066515";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2250";"2022 CMS,AHA";"J2250 - INJ MIDAZOLAM HYDROCHLORIDE";"ein";"061649460";;"institutional";24.0000;0.0000;"1821066515";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Pathology and Laboratory";"HCPCS";"87636";"2022 CMS,AHA";"87636 - SarsCov2 & Inf A&B Amp Prb";"ein";"371119538";;"institutional";360.0000;140.9600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Psychological";"HCPCS";"H0015";"2022 CMS,AHA";"H0015 - ALCOHOL AND/OR DRUG SERVICES";"ein";"850958497";;"institutional";2250.0000;113.4000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Sec Fund of NV Hotel & Casino Workers Local 986";"group";"Psychological";"REVENUE CODE";"912";"2022 AHA";"PSYCH/DAYCARE";"ein";"850958497";;"institutional";2995.0000;1497.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Security Fund For Southern NV -Local 14";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2250";"2022 CMS,AHA";"J2250 - INJ MIDAZOLAM HYDROCHLORIDE";"ein";"942854057";;"institutional";18.6700;0.0000;"1114025491";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Security Fund For Southern NV -Local 14";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2704";"2022 CMS,AHA";"J2704 - INJ, PROPOFOL, 10 MG";"ein";"942854057";;"institutional";28.7600;0.0000;"1114025491";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"831287043";;"institutional";3622.8600;640.7000;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"831287043";;"institutional";66.9300;11.8300;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"831287043";;"institutional";328.1000;29.7900;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"831287043";;"institutional";454.3500;80.3500;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"831287043";;"institutional";65.0600;65.0600;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"831287043";;"institutional";80.6300;80.6300;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"831287043";;"institutional";823.8500;145.7000;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"HCPCS";"82948";"2022 CMS,AHA";"82948 - REAGENT STRIP/BLOOD GLUCOSE";"ein";"831287043";;"institutional";116.9700;10.6200;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"831287043";;"institutional";450.0000;61.6700;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"71046";"2022 CMS,AHA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"941105628";;"institutional";675.0000;162.4300;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"73130";"2022 CMS,AHA";"73130 - X-RAY EXAM OF HAND";"ein";"941105628";;"institutional";798.0000;0.0000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"946000417";;"institutional";254.0000;38.3500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"946000531";;"institutional";217.0000;55.8500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"REVENUE CODE";"324";"2022 AHA";"DX X-RAY/CHEST";"ein";"263487583";;"institutional";782.0000;212.5700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"REVENUE CODE";"352";"2022 AHA";"CT SCAN/BODY";"ein";"263487583";;"institutional";4542.7300;1689.7100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Respiratory";"HCPCS";"94662";"2022 CMS,AHA";"94662 - NEG PRESS VENTILATION CNP";"ein";"946000531";;"institutional";1852.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Room and Board";"HCPCS";"G0378";"2022 CMS,AHA";"G0378 - HOSPITAL OBSERVATION PER HR";"ein";"263487583";;"institutional";2500.0000;534.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Room and Board";"REVENUE CODE";"120";"2022 AHA";"ROOM-BOARD/SIM";"ein";"263487583";;"institutional";15000.0000;5579.4000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Room and Board";"REVENUE CODE";"208";"2022 AHA";"ICU/TRAMA";"ein";"946000531";;"institutional";698560.0000;244496.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Room and Board";"REVENUE CODE";"360";"2022 AHA";"OR SERVICES";"ein";"946000531";;"institutional";272884.0000;95509.4000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Administration";"HCPCS";"99214";"2022 CMS,AHA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"470533576";;"institutional";160.0000;55.6032;"1740397850";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Digestive";"REVENUE CODE";"750";"2022 AHA";"GASTR-INST SVS";"ein";"941105628";;"institutional";5430.0000;2164.3800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Emergency Department Services";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"941196203";;"institutional";349.0000;34.8400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medical and Surgical Supplies";"REVENUE CODE";"270";"2022 AHA";"MED-SUR SUPPLIES";"ein";"263487583";;"institutional";4903.5000;4903.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"A9555";"2022 CMS,AHA";"A9555 - RB82 RUBIDIUM";"ein";"942854057";;"institutional";810.9400;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"833547294";;"institutional";60.0000;5.7600;"1609496397";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"HCPCS";"81002";"2022 CMS,AHA";"81002 - URINALYSIS NONAUTO W/O SCOPE";"ein";"941049467";;"institutional";17.6400;3.1950;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"HCPCS";"82565";"2022 CMS,AHA";"82565 - ASSAY OF CREATININE";"ein";"833547294";;"institutional";55.0000;5.2800;"1609496397";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"HCPCS";"83735";"2022 CMS,AHA";"83735 - ASSAY OF MAGNESIUM";"ein";"941196203";;"institutional";654.0000;65.2900;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"HCPCS";"84484";"2022 CMS,AHA";"84484 - ASSAY OF TROPONIN QUANT";"ein";"941196203";;"institutional";702.6600;70.1500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"REVENUE CODE";"302";"2022 AHA";"LAB/IMMUNOLOGY";"ein";"263487583";;"institutional";1937.5000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"REVENUE CODE";"302";"2022 AHA";"LAB/IMMUNOLOGY";"ein";"941105628";;"institutional";209.0000;83.3100;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80305";"2022 CMS,AHA";"80305 - DRUG TEST PRSMV DIR OPT OBS";"ein";"472672076";;"institutional";880.0000;242.7670;"1316310857";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81001";"2022 CMS,AHA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"472177648";;"institutional";236.9200;31.4300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81001";"2022 CMS,AHA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"752756307";;"institutional";80.0000;19.9700;"1669480323";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81001";"2022 CMS,AHA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"850416296";;"institutional";90.9200;16.5600;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81001";"2022 CMS,AHA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"850416296";;"institutional";90.9200;16.9700;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"473231590";;"institutional";194.4700;26.5500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"473231590";;"institutional";194.4700;30.7800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"815038663";;"institutional";194.4700;21.2600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82040";"2022 CMS,AHA";"82040 - ASSAY OF SERUM ALBUMIN";"ein";"820756286";;"institutional";42.8800;7.3500;"1821501875";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82150";"2022 CMS,AHA";"82150 - ASSAY OF AMYLASE";"ein";"473923087";;"institutional";275.5200;20.1900;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82150";"2022 CMS,AHA";"82150 - ASSAY OF AMYLASE";"ein";"752756307";;"institutional";124.0000;22.8800;"1669480323";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82150";"2022 CMS,AHA";"82150 - ASSAY OF AMYLASE";"ein";"820756286";;"institutional";275.5200;47.2500;"1821501875";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82150";"2022 CMS,AHA";"82150 - ASSAY OF AMYLASE";"ein";"852489965";;"institutional";30.0000;3.0300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82247";"2022 CMS,AHA";"82247 - BILIRUBIN TOTAL";"ein";"473923087";;"institutional";102.1700;15.4000;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82248";"2022 CMS,AHA";"82248 - BILIRUBIN DIRECT";"ein";"850416296";;"institutional";67.5100;12.2200;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82248";"2022 CMS,AHA";"82248 - BILIRUBIN DIRECT";"ein";"850416296";;"institutional";67.5100;12.2900;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82306";"2022 CMS,AHA";"82306 - VITAMIN D 25 HYDROXY";"ein";"850416296";;"institutional";194.3400;35.1800;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82550";"2022 CMS,AHA";"82550 - ASSAY OF CK (CPK)";"ein";"474187773";;"institutional";229.6000;35.9600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82565";"2022 CMS,AHA";"82565 - ASSAY OF CREATININE";"ein";"474187773";;"institutional";191.3400;35.7200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82607";"2022 CMS,AHA";"82607 - VITAMIN B-12";"ein";"756004585";;"institutional";146.0000;102.2000;"1790777696";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"815038663";;"institutional";166.5900;19.2100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"820756286";;"institutional";144.2300;24.7400;"1821501875";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82948";"2022 CMS,AHA";"82948 - REAGENT STRIP/BLOOD GLUCOSE";"ein";"851984103";;"institutional";163.0800;6.2900;"1376151365";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82977";"2022 CMS,AHA";"82977 - ASSAY OF GGT";"ein";"473231590";;"institutional";116.9700;18.5200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"REVENUE CODE";"307";"2022 AHA";"LAB/UROLOGY";"ein";"263487583";;"institutional";118.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"REVENUE CODE";"307";"2022 AHA";"LAB/UROLOGY";"ein";"263487583";;"institutional";160.0000;160.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"REVENUE CODE";"390";"2022 AHA";"BLOOD/STOR-PROC";"ein";"941105628";;"institutional";1071.0000;426.8900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"REVENUE CODE";"391";"2022 AHA";"BLOOD/ADMIN";"ein";"263487583";;"institutional";1940.2000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Physical Therapy";"REVENUE CODE";"424";"2022 AHA";"PHYS THERP/EVAL";"ein";"941105628";;"institutional";465.0000;185.3400;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Radiology";"REVENUE CODE";"324";"2022 AHA";"DX X-RAY/CHEST";"ein";"263487583";;"institutional";560.7000;560.7000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Radiology";"REVENUE CODE";"352";"2022 AHA";"CT SCAN/BODY";"ein";"263487583";;"institutional";4542.7300;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Room and Board";"REVENUE CODE";"120";"2022 AHA";"ROOM-BOARD/SIM";"ein";"263487583";;"institutional";15000.0000;15000.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Local 3 (Public)";"group";"Administration";"HCPCS";"59025";"2022 CMS,AHA";"59025 - FETAL NON-STRESS TEST";"ein";"941105628";;"institutional";835.0000;146.8200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Local 3 (Public)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"941450151";;"institutional";61.0000;11.8000;"1972503142";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Local 3 (Public)";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"941105628";;"institutional";174.0000;30.5900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Local 3 (Public)";"group";"Pathology and Laboratory";"HCPCS";"87491";"2022 CMS,AHA";"87491 - CHYLMD TRACH DNA AMP PROBE";"ein";"941105628";;"institutional";182.0000;32.0000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Local 3 (Public)";"group";"Radiology";"HCPCS";"76805";"2022 CMS,AHA";"76805 - OB US >/= 14 WKS SNGL FETUS";"ein";"941105628";;"institutional";1263.0000;87.1200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Emergency Department Services";"HCPCS";"99281";"2022 CMS,AHA";"99281 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";525.0000;113.9900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"946000531";;"institutional";1860.0000;478.0100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920162721";;"institutional";54.0000;8.0700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"92015";"2022 CMS,AHA";"92015 - DETERMINE REFRACTIVE STATE";"ein";"920162721";;"institutional";136.0000;81.3000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"99211";"2022 CMS,AHA";"99211 - OFFICE/OUTPATIENT VISIT EST";"ein";"920041488";;"institutional";228.0000;195.6420;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"C9803";"2022 CMS,AHA";"C9803 - Specimen collection any source";"ein";"920041488";;"institutional";144.0000;144.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";1307.0000;386.5100;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medical and Surgical Supplies";"REVENUE CODE";"270";"2022 AHA";"MED-SUR SUPPLIES";"ein";"920162721";;"institutional";2159.0000;45.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"0004A";"2022 CMS,AHA";"0004A - ADM SARSCOV2 30MCG/0.3ML BST";"ein";"920162721";;"institutional";30.0000;11.7200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"0064A";"2022 CMS,AHA";"0064A - ADM SARSCOV2 50MCG/0.25MLBST";"ein";"920162721";;"institutional";30.0000;19.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"920162721";;"institutional";398.0000;68.6900;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"850416296";;"institutional";99.2300;12.4800;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"850416296";;"institutional";99.2300;18.5200;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"83735";"2022 CMS,AHA";"83735 - ASSAY OF MAGNESIUM";"ein";"821703810";;"institutional";238.6700;16.7000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"83874";"2022 CMS,AHA";"83874 - ASSAY OF MYOGLOBIN";"ein";"463151282";;"institutional";495.0000;24.6400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"83874";"2022 CMS,AHA";"83874 - ASSAY OF MYOGLOBIN";"ein";"473231590";;"institutional";259.8900;37.1300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"83874";"2022 CMS,AHA";"83874 - ASSAY OF MYOGLOBIN";"ein";"852489965";;"institutional";166.8400;16.8800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"83880";"2022 CMS,AHA";"83880 - ASSAY OF NATRIURETIC PEPTIDE";"ein";"821703810";;"institutional";486.1700;34.0100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84075";"2022 CMS,AHA";"84075 - ASSAY ALKALINE PHOSPHATASE";"ein";"473923087";;"institutional";44.6000;6.7200;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84100";"2022 CMS,AHA";"84100 - ASSAY OF PHOSPHORUS";"ein";"820984034";;"institutional";78.0000;8.2500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84153";"2022 CMS,AHA";"84153 - ASSAY OF PSA TOTAL";"ein";"850416296";;"institutional";162.9600;16.4500;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84155";"2022 CMS,AHA";"84155 - ASSAY OF PROTEIN SERUM";"ein";"473923087";;"institutional";38.2500;2.8000;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84443";"2022 CMS,AHA";"84443 - ASSAY THYROID STIM HORMONE";"ein";"756004585";;"institutional";162.2300;113.5600;"1790777696";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84460";"2022 CMS,AHA";"84460 - ALANINE AMINO (ALT) (SGPT)";"ein";"473923087";;"institutional";195.8200;14.3400;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84484";"2022 CMS,AHA";"84484 - ASSAY OF TROPONIN QUANT";"ein";"463151282";;"institutional";765.0000;38.0800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84520";"2022 CMS,AHA";"84520 - ASSAY OF UREA NITROGEN";"ein";"463151282";;"institutional";275.0000;13.6900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84520";"2022 CMS,AHA";"84520 - ASSAY OF UREA NITROGEN";"ein";"473248194";;"institutional";14.0000;2.2100;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84520";"2022 CMS,AHA";"84520 - ASSAY OF UREA NITROGEN";"ein";"815038663";;"institutional";192.7300;22.2200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84520";"2022 CMS,AHA";"84520 - ASSAY OF UREA NITROGEN";"ein";"820756286";;"institutional";166.8600;28.6200;"1821501875";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"473231590";;"institutional";309.3800;46.4500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"473231590";;"institutional";309.3800;46.6100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"473231590";;"institutional";309.3800;48.9700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"850416296";;"institutional";114.2300;14.3700;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"852007987";;"institutional";285.9300;13.0800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"86235";"2022 CMS,AHA";"86235 - NUCLEAR ANTIGEN ANTIBODY";"ein";"860719852";;"institutional";61.6300;43.1400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"86703";"2022 CMS,AHA";"86703 - HIV-1/HIV-2 1 RESULT ANTBDY";"ein";"473231590";;"institutional";225.4500;34.0300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87088";"2022 CMS,AHA";"87088 - URINE BACTERIA CULTURE";"ein";"473231590";;"institutional";60.4600;8.1100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87205";"2022 CMS,AHA";"87205 - SMEAR GRAM STAIN";"ein";"843073061";;"institutional";73.3800;12.9600;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"473231590";;"institutional";450.0000;60.4800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"831886165";;"institutional";175.0000;45.2300;"1295200202";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87428";"2022 CMS,AHA";"87428 - SarsCov & Inf Vir A&B AG IA";"ein";"463151282";;"institutional";850.0000;93.3400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87502";"2022 CMS,AHA";"87502 - INFLUENZA DNA AMP PROBE";"ein";"811862049";;"institutional";90.0000;14.8400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87582";"2022 CMS,AHA";"87582 - M.PNEUMON DNA QUANT";"ein";"474187773";;"institutional";322.2200;72.6900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87582";"2022 CMS,AHA";"87582 - M.PNEUMON DNA QUANT";"ein";"474187773";;"institutional";322.2200;75.5400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87633";"2022 CMS,AHA";"87633 - RESP VIRUS 12-25 TARGETS";"ein";"820756286";;"institutional";2083.9000;357.4000;"1821501875";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87637";"2022 CMS,AHA";"87637 - SarsCov2 & Inf A&B&RSV Amp Prb";"ein";"850416296";;"institutional";537.5600;168.4800;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87798";"2022 CMS,AHA";"87798 - DETECT AGENT NOS DNA AMP";"ein";"473248194";;"institutional";170.0000;30.5600;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87798";"2022 CMS,AHA";"87798 - DETECT AGENT NOS DNA AMP";"ein";"473248194";;"institutional";170.0000;30.8100;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"472166397";;"institutional";230.0000;30.8000;"1093191397";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"473231590";;"institutional";263.4200;34.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"800810304";;"institutional";255.7200;54.2700;"1295213601";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87880";"2022 CMS,AHA";"87880 - STREP A ASSAY W/OPTIC";"ein";"273908339";;"institutional";280.3200;45.5900;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87880";"2022 CMS,AHA";"87880 - STREP A ASSAY W/OPTIC";"ein";"472177648";;"institutional";200.0000;34.7800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87880";"2022 CMS,AHA";"87880 - STREP A ASSAY W/OPTIC";"ein";"474187773";;"institutional";187.5100;40.2900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87880";"2022 CMS,AHA";"87880 - STREP A ASSAY W/OPTIC";"ein";"832010142";;"institutional";1038.0000;56.6500;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"REVENUE CODE";"301";"2022 AHA";"LAB/CHEMISTRY";"ein";"821703810";;"institutional";316.6700;260.6500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Physical Therapy";"HCPCS";"97110";"2022 CMS,AHA";"97110 - THERAPEUTIC EXERCISES";"ein";"850416296";;"institutional";263.1600;206.2800;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Psychological";"HCPCS";"90791";"2022 CMS,AHA";"90791 - PSYCH DIAGNOSTIC EVALUATION";"ein";"471005761";;"institutional";700.0000;102.2287;"1558765420";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Psychological";"HCPCS";"90834";"2022 CMS,AHA";"90834 - PSYTX PT&/FAMILY 45 MINUTES";"ein";"471005761";;"institutional";615.0000;301.3500;"1558765420";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7307";"2022 CMS,AHA";"J7307 - ETONOGESTREL IMPLANT SYSTEM";"ein";"920162721";;"institutional";1780.0000;1029.6600;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"920041461";;"institutional";9.8500;2.2300;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"636";"2022 AHA";"DRUGS/DETAIL CODE";"ein";"920162721";;"institutional";451.6000;135.4800;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920041461";;"institutional";27.0000;0.0000;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920041461";;"institutional";193.0000;43.7300;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920162721";;"institutional";233.0000;40.2200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920162721";;"institutional";233.0000;69.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920162721";;"institutional";233.0000;135.1400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"920162721";;"institutional";184.0000;55.2000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80074";"2022 CMS,AHA";"80074 - ACUTE HEPATITIS PANEL";"ein";"920041488";;"institutional";698.0000;624.5100;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"82306";"2022 CMS,AHA";"82306 - VITAMIN D 25 HYDROXY";"ein";"920162721";;"institutional";266.0000;25.0100;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"82378";"2022 CMS,AHA";"82378 - CARCINOEMBRYONIC ANTIGEN";"ein";"920162721";;"institutional";293.0000;87.9000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"82728";"2022 CMS,AHA";"82728 - ASSAY OF FERRITIN";"ein";"920162721";;"institutional";252.0000;86.0100;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"82784";"2022 CMS,AHA";"82784 - ASSAY IGA/IGD/IGG/IGM EACH";"ein";"920041488";;"institutional";250.0000;95.1840;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"920162721";;"institutional";220.0000;20.6800;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"83540";"2022 CMS,AHA";"83540 - ASSAY OF IRON";"ein";"920041488";;"institutional";116.0000;115.8900;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"83605";"2022 CMS,AHA";"83605 - ASSAY OF LACTIC ACID";"ein";"920162721";;"institutional";232.0000;40.0400;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"83735";"2022 CMS,AHA";"83735 - ASSAY OF MAGNESIUM";"ein";"920041461";;"institutional";85.0000;19.2600;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"84410";"2022 CMS,AHA";"84410 - THALLIUM, BLOOD OR URINE";"ein";"920162721";;"institutional";250.0000;87.8400;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"84484";"2022 CMS,AHA";"84484 - ASSAY OF TROPONIN QUANT";"ein";"920041461";;"institutional";129.0000;96.7500;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920162721";;"institutional";235.0000;143.2100;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"85027";"2022 CMS,AHA";"85027 - COMPLETE CBC AUTOMATED";"ein";"920162721";;"institutional";171.0000;51.3000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"85610";"2022 CMS,AHA";"85610 - PROTHROMBIN TIME";"ein";"920162721";;"institutional";118.0000;22.0700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"86003";"2022 CMS,AHA";"86003 - ALLERGEN SPECIFIC IGE";"ein";"920162721";;"institutional";200.0000;130.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"86200";"2022 CMS,AHA";"86200 - CCP ANTIBODY";"ein";"920041488";;"institutional";235.0000;127.8630;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"86225";"2022 CMS,AHA";"86225 - DNA ANTIBODY NATIVE";"ein";"920162721";;"institutional";185.0000;32.3200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"86381";"2022 CMS,AHA";"86381 - MITOCHONDRIAL ANTIBODY EACH";"ein";"920041488";;"institutional";76.0000;0.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"86481";"2022 CMS,AHA";"86481 - TB AG RESPONSE T-CELL SUSP";"ein";"920041488";;"institutional";383.0000;177.9930;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"87070";"2022 CMS,AHA";"87070 - CULTURE OTHR SPECIMN AEROBIC";"ein";"920041488";;"institutional";203.0000;182.7000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"87086";"2022 CMS,AHA";"87086 - URINE CULTURE/COLONY COUNT";"ein";"920162721";;"institutional";222.0000;135.2800;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"87631";"2022 CMS,AHA";"87631 - RESP VIRUS 3-5 TARGETS";"ein";"920162721";;"institutional";324.0000;137.6700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"REVENUE CODE";"306";"2022 AHA";"LAB/BACT-MICRO";"ein";"920162721";;"institutional";396.0000;396.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"REVENUE CODE";"310";"2022 AHA";"PATHOLOGY LAB";"ein";"920162721";;"institutional";1980.0000;594.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"HCPCS";"71045";"2022 CMS,AHA";"71045 - X-RAY EXAM CHEST 1 VIEW";"ein";"920041488";;"institutional";432.0000;160.0290;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"HCPCS";"76801";"2022 CMS,AHA";"76801 - OB US < 14 WKS SINGLE FETUS";"ein";"920162721";;"institutional";976.0000;248.8400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"REVENUE CODE";"324";"2022 AHA";"DX X-RAY/CHEST";"ein";"920162721";;"institutional";645.0000;193.5000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"REVENUE CODE";"730";"2022 AHA";"EKG/ECG";"ein";"920162721";;"institutional";1367.0000;1367.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Respiratory";"REVENUE CODE";"460";"2022 AHA";"PULMONARY FUNC";"ein";"920162721";;"institutional";251.0000;0.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Radiology";"HCPCS";"72072";"2022 CMS,AHA";"72072 - X-RAY EXAM THORAC SPINE 3VWS";"ein";"562392010";;"institutional";516.5000;501.0100;"1023332749";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Ambulatory Surgical Care";"HCPCS";"45380";"2022 CMS,AHA";"45380 - COLONOSCOPY AND BIOPSY";"ein";"061649460";;"institutional";6538.0000;1063.4500;"1821066515";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Security Fund For Southern NV -Local 14";"group";"Anesthesia";"HCPCS";;"2022 CMS,AHA";;"ein";"942854057";;"institutional";310.0600;0.0000;"1114025491";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Security Fund For Southern NV -Local 14";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0690";"2022 CMS,AHA";"J0690 - CEFAZOLIN SODIUM INJECTION";"ein";"942854057";;"institutional";31.3600;0.0000;"1114025491";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Security Fund For Southern NV -Local 14";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1100";"2022 CMS,AHA";"J1100 - DEXAMETHASONE SODIUM PHOS";"ein";"942854057";;"institutional";18.2500;0.0000;"1114025491";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Security Fund For Southern NV -Local 14";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"942854057";;"institutional";18.6100;0.0000;"1114025491";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Security Fund For Southern NV -Local 14";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3010";"2022 CMS,AHA";"J3010 - FENTANYL CITRATE INJECITON";"ein";"942854057";;"institutional";35.6800;0.0000;"1114025491";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Security Fund For Southern NV -Local 14";"group";"Room and Board";"HCPCS";;"2022 CMS,AHA";;"ein";"942854057";;"institutional";1643.9500;0.0000;"1114025491";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"831287043";;"institutional";1414.3200;128.4200;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1815";"2022 CMS,AHA";"J1815 - INSULIN INJECTION";"ein";"831287043";;"institutional";46.7700;4.2500;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Psychological";"HCPCS";"H0006";"2022 CMS,AHA";"H0006 - ALCOHOL AND/OR DRUG SERVICES";"ein";"471005761";;"institutional";500.0000;245.0000;"1558765420";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Psychological";"HCPCS";"H2012";"2022 CMS,AHA";"H2012 - BEHAV HLTH DAY TREAT, PER HR";"ein";"471005761";;"institutional";5000.0000;2450.0000;"1558765420";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"71045";"2022 CMS,AHA";"71045 - X-RAY EXAM CHEST 1 VIEW";"ein";"815038663";;"institutional";256.3400;35.1500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"71046";"2022 CMS,AHA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"473248194";;"institutional";610.0000;96.2000;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"71046";"2022 CMS,AHA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"811862049";;"institutional";197.0000;32.4900;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"71046";"2022 CMS,AHA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"843073061";;"institutional";839.3000;111.7800;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"71046";"2022 CMS,AHA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"850416296";;"institutional";367.1100;65.1900;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"72148";"2022 CMS,AHA";"72148 - MRI LUMBAR SPINE W/O DYE";"ein";"473923087";;"institutional";3635.8400;266.3600;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"73610";"2022 CMS,AHA";"73610 - X-RAY EXAM OF ANKLE";"ein";"465735510";;"institutional";660.0000;561.0000;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"73630";"2022 CMS,AHA";"73630 - X-RAY EXAM OF FOOT";"ein";"821703810";;"institutional";813.2300;128.8400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"74176";"2022 CMS,AHA";"74176 - CT ABD & PELVIS W/O CONTRAST";"ein";"464499268";;"institutional";5400.0000;579.7800;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"74176";"2022 CMS,AHA";"74176 - CT ABD & PELVIS W/O CONTRAST";"ein";"752756307";;"institutional";2541.0000;468.6900;"1669480323";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"76705";"2022 CMS,AHA";"76705 - ECHO EXAM OF ABDOMEN";"ein";"474187773";;"institutional";1347.5100;211.0200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"76942";"2022 CMS,AHA";"76942 - ECHO GUIDE FOR BIOPSY";"ein";"870972215";;"institutional";4559.9200;598.2700;"1538838081";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"463151282";;"institutional";690.0000;34.3400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"472177648";;"institutional";647.9800;85.9400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"REVENUE CODE";"350";"2022 AHA";"CT SCAN";"ein";"383813467";;"institutional";5227.0200;4704.3200;"1497053912";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"REVENUE CODE";"351";"2022 AHA";"CT SCAN/HEAD";"ein";"821703810";;"institutional";3536.8000;2911.1300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Respiratory";"HCPCS";"94664";"2022 CMS,AHA";"94664 - EVALUATE PT USE OF INHALER";"ein";"850416296";;"institutional";324.3400;135.3600;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Respiratory";"HCPCS";"94760";"2022 CMS,AHA";"94760 - MEASURE BLOOD OXYGEN LEVEL";"ein";"472616215";;"institutional";150.0000;26.4400;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Respiratory";"HCPCS";"94761";"2022 CMS,AHA";"94761 - MEASURE BLOOD OXYGEN LEVEL";"ein";"811862049";;"institutional";288.0000;47.4900;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Room and Board";"REVENUE CODE";"101";"2022 AHA";"ALL INCL R&B";"ein";"850416296";;"institutional";10875.2800;5291.0600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"831287043";;"institutional";3622.8600;603.0600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96365";"2022 CMS,AHA";"96365 - THER/PROPH/DIAG IV INF INIT";"ein";"831287043";;"institutional";802.8000;133.6300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0696";"2022 CMS,AHA";"J0696 - CEFTRIAXONE SODIUM INJECTION";"ein";"831287043";;"institutional";537.1200;89.4100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Pathology and Laboratory";"HCPCS";"83615";"2022 CMS,AHA";"83615 - LACTATE (LD) (LDH) ENZYME";"ein";"831287043";;"institutional";179.3100;29.8500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"831287043";;"institutional";194.4700;17.6600;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"831287043";;"institutional";97.4600;8.8500;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"831287043";;"institutional";309.3800;28.0900;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Radiology";"HCPCS";"71046";"2022 CMS,AHA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"831287043";;"institutional";196.8800;36.6200;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Room and Board";"HCPCS";"G0378";"2022 CMS,AHA";"G0378 - HOSPITAL OBSERVATION PER HR";"ein";"831287043";;"institutional";9775.0000;887.6200;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Pathology and Laboratory";"HCPCS";"87070";"2022 CMS,AHA";"87070 - CULTURE OTHR SPECIMN AEROBIC";"ein";"831287043";;"institutional";288.8700;48.0900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Pathology and Laboratory";"HCPCS";"87205";"2022 CMS,AHA";"87205 - SMEAR GRAM STAIN";"ein";"831287043";;"institutional";111.0400;18.4900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"831287043";;"institutional";450.0000;74.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Radiology";"HCPCS";"70450";"2022 CMS,AHA";"70450 - CT HEAD/BRAIN W/O DYE";"ein";"831287043";;"institutional";3093.8300;514.9800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Pathology and Laboratory";"HCPCS";"88305";"2022 CMS,AHA";"88305 - TISSUE EXAM BY PATHOLOGIST";"ein";"461892306";;"institutional";7200.0000;54.8200;"1114361185";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Respiratory";"HCPCS";"94681";"2022 CMS,AHA";"94681 - EXHALED AIR ANALYSIS O2/CO2";"ein";"461892306";;"institutional";9850.0000;309.9200;"1114361185";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90471";"2022 CMS,AHA";"90471 - IMMUNIZATION ADMIN";"ein";"860719852";;"institutional";65.8800;46.1200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"850105601";;"institutional";46.0000;20.3400;"1215913470";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"860719852";;"institutional";36.3300;25.4300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"87077";"2022 CMS,AHA";"87077 - CULTURE AEROBIC IDENTIFY";"ein";"850105601";;"institutional";24.0000;13.0000;"1215913470";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Dialysis";"HCPCS";"90999";"2022 CMS,AHA";"90999 - DIALYSIS PROCEDURE";"ein";"264194741";;"institutional";5128.0000;904.6900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Dialysis";"HCPCS";"90999";"2022 CMS,AHA";"90999 - DIALYSIS PROCEDURE";"ein";"953372911";;"institutional";2744.5500;530.3900;"1922062066";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Medical and Surgical Supplies";"HCPCS";"A4657";"2022 CMS,AHA";"A4657 - SYRINGE W/WO NEEDLE";"ein";"264194741";;"institutional";363.1500;64.0700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"G0010";"2022 CMS,AHA";"G0010 - ADMIN HEPATITIS B VACCINE";"ein";"953372911";;"institutional";159.3000;30.3900;"1922062066";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"G0010";"2022 CMS,AHA";"G0010 - ADMIN HEPATITIS B VACCINE";"ein";"953372911";;"institutional";159.3000;30.4800;"1922062066";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1270";"2022 CMS,AHA";"J1270 - INJECTION, DOXERCALCIFEROL";"ein";"264194741";;"institutional";1337.2500;235.9200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Pathology and Laboratory";"HCPCS";"87880";"2022 CMS,AHA";"87880 - STREP A ASSAY W/OPTIC";"ein";"204577473";;"institutional";216.5800;34.4700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Psychological";"HCPCS";"H0035";"2022 CMS,AHA";"H0035 - MH PARTIAL HOSP TX UNDER 24H";"ein";"861210235";;"institutional";2995.0000;110.0000;"1104582154";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Administration";"HCPCS";"97810";"2022 CMS,AHA";"97810 - ACUPUNCT W/O STIMUL 15 MIN";"ein";"946000509";;"institutional";133.0000;50.9900;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Anesthesia";"REVENUE CODE";"370";"2022 AHA";"ANESTHESIA";"ein";"946000531";;"institutional";6894.0000;2412.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Cardiovascular";"REVENUE CODE";"480";"2022 AHA";"CARDIOLOGY";"ein";"263487583";;"institutional";2156.8500;586.2900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Cardiovascular";"REVENUE CODE";"482";"2022 AHA";"STRESS TEST";"ein";"263487583";;"institutional";2023.0000;549.9100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Cardiovascular";"REVENUE CODE";"483";"2022 AHA";"ECHOCARDIOLOGY";"ein";"946000531";;"institutional";4690.0000;1641.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"31500";"2022 CMS,AHA";"31500 - INSERT EMERGENCY AIRWAY";"ein";"946000531";;"institutional";1148.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"941105628";;"institutional";492.0000;57.5400;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"941105628";;"institutional";887.0000;155.1100;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"941105628";;"institutional";416.0000;89.0800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"946000531";;"institutional";280.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99281";"2022 CMS,AHA";"99281 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";525.0000;112.9400;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99281";"2022 CMS,AHA";"99281 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";525.0000;203.4600;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"946000417";;"institutional";5869.0000;886.3000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"946000509";;"institutional";3028.4000;948.9100;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";754.0000;190.3100;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medical and Surgical Supplies";"HCPCS";"A4208";"2022 CMS,AHA";"A4208 - 3 CC STERILE SYRINGE&NEEDLE";"ein";"813562144";;"institutional";26.9000;2.5100;"1639663370";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medical and Surgical Supplies";"HCPCS";"E0110";"2022 CMS,AHA";"E0110 - CRUTCH FOREARM PAIR";"ein";"813562144";;"institutional";225.0000;21.0300;"1639663370";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medical and Surgical Supplies";"REVENUE CODE";"271";"2022 AHA";"NON-STER SUPPLY";"ein";"263487583";;"institutional";7.8000;2.1200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"263487583";;"institutional";16.0000;2.9400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";4.5000;0.7800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";4.5000;1.1000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";6.9000;1.2900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"946000509";;"institutional";7.0400;1.0000;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"946000531";;"institutional";30.3800;3.7400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"941105628";;"institutional";13776.0000;0.0000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"A9150";"2022 CMS,AHA";"A9150 - MISC/EXPER NON-PRESCRIPT DRU";"ein";"946000531";;"institutional";37.5900;9.6700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0131";"2022 CMS,AHA";"J0131 - ACETAMINOPHEN INJECTION";"ein";"941105628";;"institutional";156.0000;18.2500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J0295";"2022 CMS,AHA";"J0295 - AMPICILLIN SODIUM PER 1.5 GM";"ein";"861464604";;"institutional";91.6000;20.5000;"1003493784";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1630";"2022 CMS,AHA";"J1630 - HALOPERIDOL INJECTION";"ein";"946000417";;"institutional";11.5200;1.7400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1815";"2022 CMS,AHA";"J1815 - INSULIN INJECTION";"ein";"941105628";;"institutional";17.3500;2.0200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"462218636";;"institutional";6.0900;1.7500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2270";"2022 CMS,AHA";"J2270 - MORPHINE SULFATE INJECTION";"ein";"946000531";;"institutional";34.0500;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2704";"2022 CMS,AHA";"J2704 - INJ, PROPOFOL, 10 MG";"ein";"946000531";;"institutional";62.4600;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3010";"2022 CMS,AHA";"J3010 - FENTANYL CITRATE INJECITON";"ein";"263487583";;"institutional";130.0000;27.7700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3490";"2022 CMS,AHA";"J3490 - DRUGS UNCLASSIFIED INJECTION";"ein";"861464604";;"institutional";8.6600;0.0000;"1003493784";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"462218636";;"institutional";15.3300;4.4100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"941105628";;"institutional";25.2000;1.8800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"941105628";;"institutional";25.2000;5.4300;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7120";"2022 CMS,AHA";"J7120 - RINGERS LACTATE INFUSION";"ein";"941105628";;"institutional";50.4000;5.8900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"263487583";;"institutional";844.0000;229.4200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"None/Unknown";"HCPCS";"99291";"2022 CMS,AHA";"99291 - CRITICAL CARE FIRST HOUR";"ein";"946000531";;"institutional";8774.0000;4994.8400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"941105628";;"institutional";68.0000;4.6900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"943302014";;"institutional";52.0000;7.8300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"80048";"2022 CMS,AHA";"80048 - METABOLIC PANEL TOTAL CA";"ein";"946000417";;"institutional";360.0000;54.3600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"946000509";;"institutional";334.0000;47.2600;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"946034863";;"institutional";78.5000;5.9900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"80055";"2022 CMS,AHA";"80055 - OBSTETRIC PANEL";"ein";"946034863";;"institutional";122.2500;23.0100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"80307";"2022 CMS,AHA";"80307 - DRUG TEST PRSMV CHEM ANLYZR";"ein";"946000509";;"institutional";33.3900;31.9200;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"81001";"2022 CMS,AHA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"852390012";;"institutional";30.0000;1.7900;"1235162645";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"263487583";;"institutional";118.0000;21.7100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"81025";"2022 CMS,AHA";"81025 - URINE PREGNANCY TEST";"ein";"263487583";;"institutional";208.0000;23.4000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82077";"2022 CMS,AHA";"82077 - ASSAY SPEC XCP UR&BREATH IA";"ein";"941105628";;"institutional";61.0000;4.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82247";"2022 CMS,AHA";"82247 - BILIRUBIN TOTAL";"ein";"941105628";;"institutional";77.0000;8.1800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82247";"2022 CMS,AHA";"82247 - BILIRUBIN TOTAL";"ein";"941105628";;"institutional";77.0000;9.0000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82803";"2022 CMS,AHA";"82803 - BLOOD GASES ANY COMBINATION";"ein";"941105628";;"institutional";647.0000;48.3700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82962";"2022 CMS,AHA";"82962 - GLUCOSE BLOOD TEST";"ein";"941105628";;"institutional";125.0000;14.6200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"946034863";;"institutional";72.0000;5.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"83690";"2022 CMS,AHA";"83690 - ASSAY OF LIPASE";"ein";"263487583";;"institutional";105.0000;16.0100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"83690";"2022 CMS,AHA";"83690 - ASSAY OF LIPASE";"ein";"941105628";;"institutional";243.0000;25.8200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"83690";"2022 CMS,AHA";"83690 - ASSAY OF LIPASE";"ein";"941105628";;"institutional";243.0000;28.3300;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"83690";"2022 CMS,AHA";"83690 - ASSAY OF LIPASE";"ein";"941105628";;"institutional";243.0000;28.4200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"83690";"2022 CMS,AHA";"83690 - ASSAY OF LIPASE";"ein";"941105628";;"institutional";486.0000;36.3300;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"83735";"2022 CMS,AHA";"83735 - ASSAY OF MAGNESIUM";"ein";"941105628";;"institutional";193.0000;20.5000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"83735";"2022 CMS,AHA";"83735 - ASSAY OF MAGNESIUM";"ein";"946000417";;"institutional";185.0000;27.9400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84075";"2022 CMS,AHA";"84075 - ASSAY ALKALINE PHOSPHATASE";"ein";"941105628";;"institutional";128.0000;9.5700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84100";"2022 CMS,AHA";"84100 - ASSAY OF PHOSPHORUS";"ein";"946000417";;"institutional";130.0000;19.6300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84443";"2022 CMS,AHA";"84443 - ASSAY THYROID STIM HORMONE";"ein";"852390012";;"institutional";178.6000;9.5200;"1235162645";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84460";"2022 CMS,AHA";"84460 - ALANINE AMINO (ALT) (SGPT)";"ein";"941105628";;"institutional";61.0000;4.5600;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84484";"2022 CMS,AHA";"84484 - ASSAY OF TROPONIN QUANT";"ein";"263487583";;"institutional";679.0000;103.5600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84484";"2022 CMS,AHA";"84484 - ASSAY OF TROPONIN QUANT";"ein";"941105628";;"institutional";479.0000;35.8100;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"462218636";;"institutional";47.0000;13.5300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"941105628";;"institutional";183.0000;17.1300;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"941105628";;"institutional";183.0000;19.4300;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"941105628";;"institutional";183.0000;30.9000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85379";"2022 CMS,AHA";"85379 - FIBRIN DEGRADATION QUANT";"ein";"263487583";;"institutional";283.0000;31.8300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"86141";"2022 CMS,AHA";"86141 - C-REACTIVE PROTEIN HS";"ein";"946000531";;"institutional";254.0000;65.3800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"86803";"2022 CMS,AHA";"86803 - HEPATITIS C AB TEST";"ein";"946034863";;"institutional";80.0000;8.0900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"86900";"2022 CMS,AHA";"86900 - BLOOD TYPING SEROLOGIC ABO";"ein";"941105628";;"institutional";380.0000;95.9100;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"87070";"2022 CMS,AHA";"87070 - CULTURE OTHR SPECIMN AEROBIC";"ein";"941105628";;"institutional";48.0000;18.6000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"87389";"2022 CMS,AHA";"87389 - HIV-1 AG W/HIV-1 & HIV-2 AB";"ein";"946000417";;"institutional";406.0000;39.0900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"946000509";;"institutional";50.0000;7.0800;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"87880";"2022 CMS,AHA";"87880 - STREP A ASSAY W/OPTIC";"ein";"941049467";;"institutional";93.7100;16.4000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"99001";"2022 CMS,AHA";"99001 - SPECIMEN HANDLING PT-LAB";"ein";"946034863";;"institutional";60.2500;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"U0003";"2022 CMS,AHA";"U0003 - Inf agent detection SARS-CoV-2; high throughput";"ein";"941105628";;"institutional";181.0000;38.9400;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"REVENUE CODE";"301";"2022 AHA";"LAB/CHEMISTRY";"ein";"263487583";;"institutional";2311.3000;628.2800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Physical Therapy";"HCPCS";"97799";"2022 CMS,AHA";"97799 - PHYSICAL MEDICINE PROCEDURE";"ein";"611251391";;"institutional";840.0000;132.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Physical Therapy";"HCPCS";"97799";"2022 CMS,AHA";"97799 - PHYSICAL MEDICINE PROCEDURE";"ein";"611251391";;"institutional";1680.0000;132.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Psychological";"HCPCS";"90887";"2022 CMS,AHA";"90887 - CONSULTATION WITH FAMILY";"ein";"946000509";;"institutional";272.2500;0.0000;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Psychological";"HCPCS";"99213";"2022 CMS,AHA";"99213 - OFFICE/OUTPATIENT VISIT EST";"ein";"942583156";;"institutional";0.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"70486";"2022 CMS,AHA";"70486 - CT MAXILLOFACIAL W/O DYE";"ein";"941105628";;"institutional";3732.0000;344.9800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"71045";"2022 CMS,AHA";"71045 - X-RAY EXAM CHEST 1 VIEW";"ein";"263487583";;"institutional";560.7000;63.0700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"71275";"2022 CMS,AHA";"71275 - CT ANGIOGRAPHY CHEST";"ein";"263487583";;"institutional";5704.0000;641.6400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"72170";"2022 CMS,AHA";"72170 - X-RAY EXAM OF PELVIS";"ein";"946000531";;"institutional";430.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"73030";"2022 CMS,AHA";"73030 - X-RAY EXAM OF SHOULDER";"ein";"941105628";;"institutional";859.0000;91.2500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"73502";"2022 CMS,AHA";"73502 - X-RAY EXAM HIP UNI 2-3 VIEWS";"ein";"946000532";;"institutional";278.0000;231.3200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"74150";"2022 CMS,AHA";"74150 - CT ABDOMEN W/O DYE";"ein";"941105628";;"institutional";4082.0000;506.0200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"941105628";;"institutional";571.0000;42.6900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"REVENUE CODE";"320";"2022 AHA";"DX X-RAY";"ein";"946000531";;"institutional";45206.0000;15822.1000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"REVENUE CODE";"350";"2022 AHA";"CT SCAN";"ein";"263487583";;"institutional";4643.0000;1727.0100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"REVENUE CODE";"730";"2022 AHA";"EKG/ECG";"ein";"263487583";;"institutional";994.0000;270.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"REVENUE CODE";"730";"2022 AHA";"EKG/ECG";"ein";"946000531";;"institutional";2387.0000;835.4500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Room and Board";"HCPCS";"44970";"2022 CMS,AHA";"44970 - LAPAROSCOPY APPENDECTOMY";"ein";"263487583";;"institutional";31368.7500;6700.3800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Room and Board";"REVENUE CODE";"206";"2022 AHA";"POST ICU";"ein";"263487583";;"institutional";2500.0000;679.5700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Room and Board";"REVENUE CODE";"360";"2022 AHA";"OR SERVICES";"ein";"946000531";;"institutional";52144.0000;21272.6900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Anesthesia";"REVENUE CODE";"370";"2022 AHA";"ANESTHESIA";"ein";"263487583";;"institutional";16527.4600;16527.4600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Cardiovascular";"HCPCS";"93017";"2022 CMS,AHA";"93017 - CARDIOVASCULAR STRESS TEST";"ein";"942854057";;"institutional";480.2900;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Emergency Department Services";"REVENUE CODE";"450";"2022 AHA";"EMERG ROOM";"ein";"263487583";;"institutional";4644.8000;4644.8000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medical and Surgical Supplies";"REVENUE CODE";"272";"2022 AHA";"STERILE SUPPLY";"ein";"263487583";;"institutional";15551.1100;15551.1100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"263487583";;"institutional";130.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"78431";"2022 CMS,AHA";"78431 - MYOCRD IMG PET RST&STRS CT";"ein";"942854057";;"institutional";7898.5900;4979.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"811690806";;"institutional";267.4900;60.8700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"833547294";;"institutional";300.0900;28.8300;"1609496397";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"263487583";;"institutional";15012.3200;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"811690806";;"institutional";35.4200;8.0600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"HCPCS";"80051";"2022 CMS,AHA";"80051 - ELECTROLYTE PANEL";"ein";"833547294";;"institutional";268.6900;25.8100;"1609496397";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"HCPCS";"84484";"2022 CMS,AHA";"84484 - ASSAY OF TROPONIN QUANT";"ein";"941196203";;"institutional";1405.3400;140.2900;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"811690806";;"institutional";269.0300;61.2200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"HCPCS";"87075";"2022 CMS,AHA";"87075 - CULTR BACTERIA EXCEPT BLOOD";"ein";"263487583";;"institutional";550.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"946000509";;"institutional";69.8400;35.9200;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"HCPCS";"U0003";"2022 CMS,AHA";"U0003 - Inf agent detection SARS-CoV-2; high throughput";"ein";"811690806";;"institutional";499.0000;113.5500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"REVENUE CODE";"300";"2022 AHA";"LABORATORY";"ein";"263487583";;"institutional";7157.9300;7157.9300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"REVENUE CODE";"301";"2022 AHA";"LAB/CHEMISTRY";"ein";"263487583";;"institutional";9773.0000;9773.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"REVENUE CODE";"305";"2022 AHA";"LAB/HEMATOLOGY";"ein";"263487583";;"institutional";2756.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"REVENUE CODE";"306";"2022 AHA";"LAB/BACT-MICRO";"ein";"263487583";;"institutional";3422.0000;3422.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"REVENUE CODE";"390";"2022 AHA";"BLOOD/STOR-PROC";"ein";"263487583";;"institutional";220.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Radiology";"REVENUE CODE";"352";"2022 AHA";"CT SCAN/BODY";"ein";"263487583";;"institutional";6059.0000;6059.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Radiology";"REVENUE CODE";"352";"2022 AHA";"CT SCAN/BODY";"ein";"263487583";;"institutional";25746.1900;25746.1900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Respiratory";"HCPCS";"94640";"2022 CMS,AHA";"94640 - AIRWAY INHALATION TREATMENT";"ein";"811690806";;"institutional";209.7700;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Room and Board";"REVENUE CODE";"121";"2022 AHA";"MED-SUR-GY/2BED";"ein";"941105628";;"institutional";13254.0000;5282.9900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Room and Board";"REVENUE CODE";"200";"2022 AHA";"INTENSIVE CARE or (ICU)";"ein";"941105628";;"institutional";33382.0000;13305.9500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Utah)";"group";"Administration";"HCPCS";"93320";"2022 CMS,AHA";"93320 - DOPPLER ECHO EXAM HEART";"ein";"461892306";;"institutional";625.0000;29.9500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Local 3 (Public)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"941450151";;"institutional";1135.5300;219.6600;"1972503142";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"11900";"2022 CMS,AHA";"11900 - INJECT SKIN LESIONS REGIONS";"ein";"952226406";;"institutional";201.0000;201.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Physical Therapy";"HCPCS";"97162";"2022 CMS,AHA";"97162 - PT EVAL MOD COMPLEX 30 MIN";"ein";"311679605";;"institutional";124.7500;23.5400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"70450";"2022 CMS,AHA";"70450 - CT HEAD/BRAIN W/O DYE";"ein";"940562680";;"institutional";3746.0000;2996.8000;"1659439834";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"70486";"2022 CMS,AHA";"70486 - CT MAXILLOFACIAL W/O DYE";"ein";"453576100";;"institutional";2703.0000;1892.1000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"71046";"2022 CMS,AHA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"231365353";;"institutional";316.0000;316.0000;"1104875103";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"71250";"2022 CMS,AHA";"71250 - CT THORAX W/O DYE";"ein";"880502320";;"institutional";373.0000;298.4000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"71250";"2022 CMS,AHA";"71250 - CT THORAX W/O DYE";"ein";"920016490";;"institutional";2468.0000;2344.6000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"71260";"2022 CMS,AHA";"71260 - CT THORAX W/DYE";"ein";"320499956";;"institutional";1602.6700;1602.6700;"1720537178";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"73502";"2022 CMS,AHA";"73502 - X-RAY EXAM HIP UNI 2-3 VIEWS";"ein";"920016490";;"institutional";491.0000;466.4500;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"74177";"2022 CMS,AHA";"74177 - CT ABD & PELV W/CONTRAST";"ein";"630891904";;"institutional";4006.0000;0.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"74177";"2022 CMS,AHA";"74177 - CT ABD & PELV W/CONTRAST";"ein";"880159958";;"institutional";15343.0000;15343.0000;"1548250582";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"74177";"2022 CMS,AHA";"74177 - CT ABD & PELV W/CONTRAST";"ein";"910573108";;"institutional";2328.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"96413";"2022 CMS,AHA";"96413 - CHEMO IV INFUSION 1 HR";"ein";"920077523";;"institutional";962.0000;933.1400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"HCPCS";"96417";"2022 CMS,AHA";"96417 - CHEMO IV INFUS EACH ADDL SEQ";"ein";"931176109";;"institutional";598.0000;442.7600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Radiology";"REVENUE CODE";"320";"2022 AHA";"DX X-RAY";"ein";"752918774";;"institutional";10247.0000;9222.3000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"HCPCS";;"2022 CMS,AHA";;"ein";"920016429";;"institutional";469.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"HCPCS";"11721";"2022 CMS,AHA";"11721 - DEBRIDE NAIL 6 OR MORE";"ein";"920077523";;"institutional";282.0000;69.1200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"HCPCS";"11721";"2022 CMS,AHA";"11721 - DEBRIDE NAIL 6 OR MORE";"ein";"920077523";;"institutional";282.0000;273.5400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"HCPCS";"29880";"2022 CMS,AHA";"29880 - KNEE ARTHROSCOPY/SURGERY";"ein";"920016490";;"institutional";5818.0000;0.0000;"1801965736";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"HCPCS";"99212";"2022 CMS,AHA";"99212 - OFFICE/OUTPATIENT VISIT EST";"ein";"910928081";;"institutional";58.5500;52.6950;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"REVENUE CODE";"120";"2022 AHA";"ROOM-BOARD/SIM";"ein";"910908129";;"institutional";43764.7100;39468.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Electric Health & Welfare Fund";"group";"Room and Board";"REVENUE CODE";"360";"2022 AHA";"OR SERVICES";"ein";"752918774";;"institutional";57943.0000;52148.7000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";229.0000;148.8500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";2526.0000;680.2400;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Alaska Pipe Trades Health & Security";"group";"Pathology and Laboratory";"HCPCS";"83721";"2022 CMS,AHA";"83721 - ASSAY OF BLOOD LIPOPROTEIN";"ein";"920162721";;"institutional";129.0000;38.7000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"11983";"2022 CMS,AHA";"11983 - REMOVE/INSERT DRUG IMPLANT";"ein";"920041488";;"institutional";440.0000;396.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920162721";;"institutional";54.0000;28.6300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";229.0000;105.8500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";229.0000;139.7800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";229.0000;141.2300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Ambulatory Surgical Care";"HCPCS";"19318";"2022 CMS,AHA";"19318 - REDUCTION OF LARGE BREAST";"ein";"263075650";;"institutional";32311.0000;10000.0300;"1134385701";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Ambulatory Surgical Care";"HCPCS";"19318";"2022 CMS,AHA";"19318 - REDUCTION OF LARGE BREAST";"ein";"274172420";;"institutional";10485.9600;5242.9800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Ambulatory Surgical Care";"HCPCS";"52005";"2022 CMS,AHA";"52005 - CYSTOSCOPY & URETER CATHETER";"ein";"844668583";;"institutional";12250.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Anesthesia";"REVENUE CODE";"370";"2022 AHA";"ANESTHESIA";"ein";"920162721";;"institutional";1443.0000;937.9500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"920162721";;"institutional";286.0000;142.7600;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"99282";"2022 CMS,AHA";"99282 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";725.0000;471.2500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";1268.0000;762.1300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";1307.0000;767.2100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";4650.0000;2321.1500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"920162721";;"institutional";2056.0000;1336.4000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medical and Surgical Supplies";"HCPCS";"C1762";"2022 CMS,AHA";"C1762 - CONN TISS, HUMAN(INC FASCIA)";"ein";"920162721";;"institutional";6167.0000;4008.5500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920041461";;"institutional";2.0000;1.5000;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920041488";;"institutional";18.0000;16.2000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920041488";;"institutional";95.0000;85.5000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"0071A";"2022 CMS,AHA";"0071A - ADM SARSCV2 10MCG TRS-SUCR 1";"ein";"920162721";;"institutional";30.0000;0.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"0072A";"2022 CMS,AHA";"0072A - ADM SARSCV2 10MCG TRS-SUCR 2";"ein";"920162721";;"institutional";30.0000;19.5000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90472";"2022 CMS,AHA";"90472 - IMMUNIZATION ADMIN EACH ADD";"ein";"920041488";;"institutional";125.0000;101.8890;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"91305";"2022 CMS,AHA";"91305 - SARSCOV2 VAC 30 MCG TRS-SUCR";"ein";"910873623";;"institutional";0.0100;0.0000;"1306933643";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"91305";"2022 CMS,AHA";"91305 - SARSCOV2 VAC 30 MCG TRS-SUCR";"ein";"920162721";;"institutional";0.0100;0.0100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"91306";"2022 CMS,AHA";"91306 - SARSCOV2 VAC 50MCG/0.25ML IM";"ein";"920162721";;"institutional";0.0100;0.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"91307";"2022 CMS,AHA";"91307 - SARSCOV2 VAC 10 MCG TRS-SUCR";"ein";"920162721";;"institutional";0.0100;0.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"320197974";;"institutional";928.0000;417.6000;"1508029422";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"920162721";;"institutional";330.0000;141.4900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1200";"2022 CMS,AHA";"J1200 - DIPHENHYDRAMINE HCL INJECTIO";"ein";"320197974";;"institutional";83.3900;37.5300;"1508029422";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2250";"2022 CMS,AHA";"J2250 - INJ MIDAZOLAM HYDROCHLORIDE";"ein";"920041488";;"institutional";16.7000;15.0300;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"920162721";;"institutional";69.9000;34.9700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2710";"2022 CMS,AHA";"J2710 - NEOSTIGMINE METHYLSLFTE INJ";"ein";"920162721";;"institutional";213.7500;138.9400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3010";"2022 CMS,AHA";"J3010 - FENTANYL CITRATE INJECITON";"ein";"920041488";;"institutional";30.6800;27.6120;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3490";"2022 CMS,AHA";"J3490 - DRUGS UNCLASSIFIED INJECTION";"ein";"320197974";;"institutional";12.1400;5.4600;"1508029422";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J9201";"2022 CMS,AHA";"J9201 - GEMCITABINE HCL INJECTION";"ein";"320197974";;"institutional";5642.2400;2539.0100;"1508029422";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Musculoskeletal";"HCPCS";"L1810";"2022 CMS,AHA";"L1810 - KO ELASTIC WITH JOINTS";"ein";"920162721";;"institutional";285.0000;143.3500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"0202U";"2022 CMS,AHA";"0202U - NFCT DS 22 TRGT SARS-COV-2";"ein";"920041488";;"institutional";834.0000;0.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"0241U";"2022 CMS,AHA";"0241U - NFCT DS VIR RESP RNA 4 TRGT";"ein";"920041488";;"institutional";449.0000;404.1000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"0241U";"2022 CMS,AHA";"0241U - NFCT DS VIR RESP RNA 4 TRGT";"ein";"920162721";;"institutional";335.0000;200.5300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920162721";;"institutional";52.0000;31.7000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920162721";;"institutional";54.0000;16.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920162721";;"institutional";54.0000;16.9400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920162721";;"institutional";54.0000;32.5700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920041461";;"institutional";193.0000;144.7500;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920162721";;"institutional";233.0000;73.0900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920162721";;"institutional";233.0000;98.2700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920162721";;"institutional";233.0000;116.5700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920162721";;"institutional";233.0000;144.5000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"920162721";;"institutional";178.0000;108.5300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"920162721";;"institutional";184.0000;55.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"920162721";;"institutional";184.0000;102.3500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"920162721";;"institutional";184.0000;110.9500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"81001";"2022 CMS,AHA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"920041488";;"institutional";125.0000;101.3940;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"81002";"2022 CMS,AHA";"81002 - URINALYSIS NONAUTO W/O SCOPE";"ein";"920162721";;"institutional";46.0000;26.1500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"920162721";;"institutional";102.0000;54.0900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82043";"2022 CMS,AHA";"82043 - MICROALBUMIN QUANTITATIVE";"ein";"920162721";;"institutional";166.0000;107.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82570";"2022 CMS,AHA";"82570 - ASSAY OF URINE CREATININE";"ein";"920162721";;"institutional";99.0000;59.7000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"82652";"2022 CMS,AHA";"82652 - VIT D 1 25-DIHYDROXY";"ein";"920162721";;"institutional";810.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83001";"2022 CMS,AHA";"83001 - ASSAY OF GONADOTROPIN (FSH)";"ein";"920162721";;"institutional";265.0000;79.5000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83002";"2022 CMS,AHA";"83002 - ASSAY OF GONADOTROPIN (LH)";"ein";"920162721";;"institutional";232.0000;143.8800;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"83498";"2022 CMS,AHA";"83498 - ASSAY OF PROGESTERONE 17-D";"ein";"920162721";;"institutional";230.0000;141.8500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84145";"2022 CMS,AHA";"84145 - PROCALCITONIN (PCT)";"ein";"920162721";;"institutional";131.0000;65.3900;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84153";"2022 CMS,AHA";"84153 - ASSAY OF PSA TOTAL";"ein";"920162721";;"institutional";264.0000;79.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84154";"2022 CMS,AHA";"84154 - ASSAY OF PSA FREE";"ein";"920162721";;"institutional";177.0000;53.1000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84443";"2022 CMS,AHA";"84443 - ASSAY THYROID STIM HORMONE";"ein";"920041488";;"institutional";267.0000;218.1960;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84443";"2022 CMS,AHA";"84443 - ASSAY THYROID STIM HORMONE";"ein";"920162721";;"institutional";208.0000;126.8200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84443";"2022 CMS,AHA";"84443 - ASSAY THYROID STIM HORMONE";"ein";"920162721";;"institutional";215.0000;134.3100;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"84460";"2022 CMS,AHA";"84460 - ALANINE AMINO (ALT) (SGPT)";"ein";"920162721";;"institutional";152.0000;91.6500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920162721";;"institutional";235.0000;99.1100;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920162721";;"institutional";235.0000;100.7600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"85027";"2022 CMS,AHA";"85027 - COMPLETE CBC AUTOMATED";"ein";"920041461";;"institutional";63.0000;47.2500;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"85027";"2022 CMS,AHA";"85027 - COMPLETE CBC AUTOMATED";"ein";"920162721";;"institutional";166.0000;101.2100;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"85027";"2022 CMS,AHA";"85027 - COMPLETE CBC AUTOMATED";"ein";"920162721";;"institutional";171.0000;106.8200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"85730";"2022 CMS,AHA";"85730 - THROMBOPLASTIN TIME PARTIAL";"ein";"920162721";;"institutional";220.0000;143.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"86141";"2022 CMS,AHA";"86141 - C-REACTIVE PROTEIN HS";"ein";"920162721";;"institutional";202.0000;122.3900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"86780";"2022 CMS,AHA";"86780 - TREPONEMA PALLIDUM";"ein";"920162721";;"institutional";148.0000;96.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87040";"2022 CMS,AHA";"87040 - BLOOD CULTURE FOR BACTERIA";"ein";"920162721";;"institutional";796.0000;397.3400;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87088";"2022 CMS,AHA";"87088 - URINE BACTERIA CULTURE";"ein";"320197974";;"institutional";65.0000;29.2500;"1508029422";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87210";"2022 CMS,AHA";"87210 - SMEAR WET MOUNT SALINE/INK";"ein";"920041488";;"institutional";130.0000;63.6660;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87210";"2022 CMS,AHA";"87210 - SMEAR WET MOUNT SALINE/INK";"ein";"920162721";;"institutional";197.0000;128.0500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87491";"2022 CMS,AHA";"87491 - CHYLMD TRACH DNA AMP PROBE";"ein";"920162721";;"institutional";464.0000;277.7400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87591";"2022 CMS,AHA";"87591 - N.GONORRHOEAE DNA AMP PROB";"ein";"920162721";;"institutional";232.0000;142.0400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87591";"2022 CMS,AHA";"87591 - N.GONORRHOEAE DNA AMP PROB";"ein";"920162721";;"institutional";232.0000;143.0800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87631";"2022 CMS,AHA";"87631 - RESP VIRUS 3-5 TARGETS";"ein";"920162721";;"institutional";324.0000;210.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"920041488";;"institutional";210.0000;132.1380;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"920162721";;"institutional";204.0000;102.6200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"920162721";;"institutional";240.0000;121.9200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87798";"2022 CMS,AHA";"87798 - DETECT AGENT NOS DNA AMP";"ein";"920041488";;"institutional";160.0000;0.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87798";"2022 CMS,AHA";"87798 - DETECT AGENT NOS DNA AMP";"ein";"920041488";;"institutional";183.0000;0.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"87899";"2022 CMS,AHA";"87899 - AGENT NOS ASSAY W/OPTIC";"ein";"920162721";;"institutional";162.0000;49.6000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"88142";"2022 CMS,AHA";"88142 - CYTOPATH C/V THIN LAYER";"ein";"920162721";;"institutional";146.0000;90.0400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"88142";"2022 CMS,AHA";"88142 - CYTOPATH C/V THIN LAYER";"ein";"920162721";;"institutional";146.0000;94.9000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"HCPCS";"C9803";"2022 CMS,AHA";"C9803 - Specimen collection any source";"ein";"920041461";;"institutional";25.0000;18.7500;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Pathology and Laboratory";"REVENUE CODE";"301";"2022 AHA";"LAB/CHEMISTRY";"ein";"920162721";;"institutional";793.0000;515.4500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Psychological";"HCPCS";"S0201";"2022 CMS,AHA";"S0201 - PARTIAL HOSPITALIZATION SERV";"ein";"271701480";;"institutional";1500.0000;570.0000;"1952618357";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"71046";"2022 CMS,AHA";"71046 - X-RAY EXAM CHEST 2 VIEWS";"ein";"920162721";;"institutional";758.0000;492.7000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"73090";"2022 CMS,AHA";"73090 - X-RAY EXAM OF FOREARM";"ein";"920162721";;"institutional";689.0000;422.0700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"73502";"2022 CMS,AHA";"73502 - X-RAY EXAM HIP UNI 2-3 VIEWS";"ein";"320197974";;"institutional";360.0000;162.0000;"1508029422";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"74177";"2022 CMS,AHA";"74177 - CT ABD & PELV W/CONTRAST";"ein";"920041461";;"institutional";2895.0000;2171.2500;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"76705";"2022 CMS,AHA";"76705 - ECHO EXAM OF ABDOMEN";"ein";"920162721";;"institutional";878.0000;465.5900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"77063";"2022 CMS,AHA";"77063 - BREAST TOMOSYNTHESIS BI";"ein";"920041488";;"institutional";189.0000;91.4760;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"77065";"2022 CMS,AHA";"77065 - DX MAMMO INCL CAD UNI";"ein";"910873623";;"institutional";661.5600;261.7000;"1306933643";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"920162721";;"institutional";704.0000;296.9200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"920162721";;"institutional";704.0000;457.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Room and Board";"REVENUE CODE";"126";"2022 AHA";"DETOX/2BED";"ein";"844178336";;"institutional";4200.0000;2100.0000;"1528698321";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"ASEA/AFSCME LOCAL 52 Health Benefits Trust";"group";"Room and Board";"REVENUE CODE";"128";"2022 AHA";"REHAB/2BED";"ein";"472119460";;"institutional";4944.0000;3460.8000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Bakery Workers H&W Local 24";"group";"Pathology and Laboratory";"HCPCS";"82565";"2022 CMS,AHA";"82565 - ASSAY OF CREATININE";"ein";"941105628";;"institutional";80.0000;13.5100;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Bakery Workers H&W Local 24";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"941105628";;"institutional";571.0000;96.4600;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Emergency Department Services";"HCPCS";"99282";"2022 CMS,AHA";"99282 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";1248.0000;223.9500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"0002A";"2022 CMS,AHA";"0002A - ADM SARSCOV2 30MCG/0.3ML 2ND";"ein";"946000509";;"institutional";40.0000;28.3900;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"941105628";;"institutional";68.0000;12.2000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"941105628";;"institutional";68.0000;13.3600;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Pathology and Laboratory";"HCPCS";"81001";"2022 CMS,AHA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"941105628";;"institutional";125.0000;22.4400;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"941105628";;"institutional";183.0000;19.6700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Radiology";"HCPCS";"72195";"2022 CMS,AHA";"72195 - MRI PELVIS W/O DYE";"ein";"941105628";;"institutional";5512.0000;989.1300;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Cement Masons H&W Trust Fund of Northern California";"group";"Radiology";"HCPCS";"73630";"2022 CMS,AHA";"73630 - X-RAY EXAM OF FOOT";"ein";"941105628";;"institutional";783.0000;153.7900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Chicago Painters & Decorators Welfare Fund";"group";"Pathology and Laboratory";"HCPCS";"80305";"2022 CMS,AHA";"80305 - DRUG TEST PRSMV DIR OPT OBS";"ein";"474607572";;"institutional";1323.0000;18.8900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Construction Teamsters of Southern CA";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"956000930";;"institutional";1631.5000;351.1100;"1821159195";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Emergency Department Services";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"951816017";;"institutional";1535.0000;169.1500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Food Employers & Bakery & Confectionary Workers Benefit Fund of SCAL";"group";"Pathology and Laboratory";"HCPCS";"83605";"2022 CMS,AHA";"83605 - ASSAY OF LACTIC ACID";"ein";"951816017";;"institutional";299.0000;32.9500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"550383321";;"institutional";9.2100;5.4500;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Pathology and Laboratory";"REVENUE CODE";"307";"2022 AHA";"LAB/UROLOGY";"ein";"550383321";;"institutional";28.0000;25.2000;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Radiology";"REVENUE CODE";"324";"2022 AHA";"DX X-RAY/CHEST";"ein";"550383321";;"institutional";305.0000;274.5000;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Hagerstown Teamsters H&W";"group";"Room and Board";"HCPCS";;"2022 CMS,AHA";;"ein";"550383321";;"institutional";626.0000;370.3500;"1457389249";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Administration";"HCPCS";;"2022 CMS,AHA";;"ein";"860719855";;"institutional";149.2300;89.5380;"1225002322";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Administration";"HCPCS";"90792";"2022 CMS,AHA";"90792 - PSYCH DIAG EVAL W/MED SRVCS";"ein";"471005761";;"institutional";650.0000;318.5000;"1558765420";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Administration";"HCPCS";"99211";"2022 CMS,AHA";"99211 - OFFICE/OUTPATIENT VISIT EST";"ein";"850416296";;"institutional";136.1300;63.9100;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Administration";"HCPCS";"99211";"2022 CMS,AHA";"99211 - OFFICE/OUTPATIENT VISIT EST";"ein";"850416296";;"institutional";136.1300;79.4000;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Administration";"HCPCS";"V2750";"2022 CMS,AHA";"V2750 - ANTI-REFLECTIVE COATING";"ein";"850416296";;"institutional";94.7600;84.4200;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Auditory";"REVENUE CODE";"471";"2022 AHA";"AUDIOLOGY/DX";"ein";"201547519";;"institutional";386.6900;123.8951;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Dialysis";"HCPCS";"A4928";"2022 CMS,AHA";"A4928 - SURGICAL MASK";"ein";"851820772";;"institutional";35.6400;4.5800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"12002";"2022 CMS,AHA";"12002 - RPR S/N/AX/GEN/TRNK2.6-7.5CM";"ein";"473231590";;"institutional";652.3500;98.2900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"851984103";;"institutional";108.0000;4.1600;"1376151365";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"842951019";;"institutional";1512.0000;83.9200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"843073061";;"institutional";324.0000;43.2100;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"472177648";;"institutional";735.0000;97.4800;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99000";"2022 CMS,AHA";"99000 - SPECIMEN HANDLING OFFICE-LAB";"ein";"851931245";;"institutional";338.8500;17.6500;"1750909974";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99282";"2022 CMS,AHA";"99282 - EMERGENCY DEPT VISIT";"ein";"473231590";;"institutional";1246.9800;185.3300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99282";"2022 CMS,AHA";"99282 - EMERGENCY DEPT VISIT";"ein";"851820772";;"institutional";4780.0000;317.5700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"461895231";;"institutional";4000.0000;292.7900;"1871937144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"472177648";;"institutional";1179.4600;205.1200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"472177648";;"institutional";1179.4600;315.4400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"473231590";;"institutional";2265.3200;304.0800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"473231590";;"institutional";2265.3200;352.7600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"473923087";;"institutional";1336.0400;201.3900;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"474187773";;"institutional";1336.0400;390.5800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"815038663";;"institutional";2265.3200;304.9100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"463151282";;"institutional";4320.0000;215.0200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"464499268";;"institutional";4320.0000;484.2400;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"473231590";;"institutional";2774.2900;378.7300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"473231590";;"institutional";2774.2900;418.0300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"473231590";;"institutional";2774.2900;418.7600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"473231590";;"institutional";2774.2900;514.0800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"473231590";;"institutional";2774.2900;2774.2900;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"473248194";;"institutional";3100.0000;494.8700;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"473248194";;"institutional";3100.0000;522.9900;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"752756307";;"institutional";945.0000;174.3200;"1669480323";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"843073061";;"institutional";2938.5300;412.7500;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"464499268";;"institutional";5400.0000;579.7800;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"473231590";;"institutional";3622.8600;381.4000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"854042853";;"institutional";5136.6000;557.1100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"464499268";;"institutional";5.0000;0.5600;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"94761";"2022 CMS,AHA";"94761 - MEASURE BLOOD OXYGEN LEVEL";"ein";"465735510";;"institutional";180.0000;30.3200;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"94761";"2022 CMS,AHA";"94761 - MEASURE BLOOD OXYGEN LEVEL";"ein";"473248194";;"institutional";180.0000;32.6300;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4206";"2022 CMS,AHA";"A4206 - 1 CC STERILE SYRINGE&NEEDLE";"ein";"472616215";;"institutional";50.0000;10.6700;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4206";"2022 CMS,AHA";"A4206 - 1 CC STERILE SYRINGE&NEEDLE";"ein";"473248194";;"institutional";50.0000;6.8500;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4208";"2022 CMS,AHA";"A4208 - 3 CC STERILE SYRINGE&NEEDLE";"ein";"842951019";;"institutional";138.0000;7.6600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4213";"2022 CMS,AHA";"A4213 - 20+ CC SYRINGE ONLY";"ein";"273908339";;"institutional";27.3600;4.4500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4213";"2022 CMS,AHA";"A4213 - 20+ CC SYRINGE ONLY";"ein";"472616215";;"institutional";10.0000;1.0880;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4215";"2022 CMS,AHA";"A4215 - STERILE NEEDLE";"ein";"473248194";;"institutional";20.0000;3.3700;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4217";"2022 CMS,AHA";"A4217 - STERILE WATER/SALINE, 500 ML";"ein";"472616215";;"institutional";40.0000;4.3605;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4248";"2022 CMS,AHA";"A4248 - CHLORHEXIDINE ANTISEPT";"ein";"851820772";;"institutional";230.5800;29.6400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4301";"2022 CMS,AHA";"A4301 - IMPLANTABLE ACCESS SYST PERC";"ein";"851820772";;"institutional";107.2000;13.7800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4550";"2022 CMS,AHA";"A4550 - SURGICAL TRAYS";"ein";"465735510";;"institutional";540.0000;75.6000;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4550";"2022 CMS,AHA";"A4550 - SURGICAL TRAYS";"ein";"870972215";;"institutional";9012.2700;405.4600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4606";"2022 CMS,AHA";"A4606 - OXYGEN PROBE USED W OXIMETER";"ein";"465735510";;"institutional";170.0000;27.7400;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4606";"2022 CMS,AHA";"A4606 - OXYGEN PROBE USED W OXIMETER";"ein";"472616215";;"institutional";170.0000;0.0000;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4606";"2022 CMS,AHA";"A4606 - OXYGEN PROBE USED W OXIMETER";"ein";"473248194";;"institutional";170.0000;17.9500;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4606";"2022 CMS,AHA";"A4606 - OXYGEN PROBE USED W OXIMETER";"ein";"473248194";;"institutional";170.0000;18.4500;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4606";"2022 CMS,AHA";"A4606 - OXYGEN PROBE USED W OXIMETER";"ein";"473248194";;"institutional";170.0000;25.4800;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"842951019";;"institutional";138.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4649";"2022 CMS,AHA";"A4649 - SURGICAL SUPPLIES";"ein";"852007987";;"institutional";2750.6000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4670";"2022 CMS,AHA";"A4670 - AUTOMATIC BP MONITOR, DIAL";"ein";"465702822";;"institutional";50.0000;6.9900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4670";"2022 CMS,AHA";"A4670 - AUTOMATIC BP MONITOR, DIAL";"ein";"465735510";;"institutional";227.0000;38.2400;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4670";"2022 CMS,AHA";"A4670 - AUTOMATIC BP MONITOR, DIAL";"ein";"473248194";;"institutional";50.0000;5.2800;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4670";"2022 CMS,AHA";"A4670 - AUTOMATIC BP MONITOR, DIAL";"ein";"473248194";;"institutional";50.0000;7.4900;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4670";"2022 CMS,AHA";"A4670 - AUTOMATIC BP MONITOR, DIAL";"ein";"851931245";;"institutional";78.3200;4.0800;"1750909974";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A4673";"2022 CMS,AHA";"A4673 - EXT LINE W EASY LOCK CONNECT";"ein";"473248194";;"institutional";20.0000;2.1700;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A6257";"2022 CMS,AHA";"A6257 - TRANSPARENT FILM <= 16 SQ IN";"ein";"842951019";;"institutional";125.0000;7.5400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"A9273";"2022 CMS,AHA";"A9273 - HOT/COLD H2OBOT/CAP/COL/WRAP";"ein";"472166397";;"institutional";20.0000;3.1100;"1093191397";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"E0114";"2022 CMS,AHA";"E0114 - CRUTCH UNDERARM PAIR NO WOOD";"ein";"472616215";;"institutional";160.0000;136.0000;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"814084541";;"institutional";22.0500;3.3800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"HCPCS";"L1830";"2022 CMS,AHA";"L1830 - KO IMMOB CANVAS LONG PRE OTS";"ein";"473231590";;"institutional";36.8100;5.4400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medical and Surgical Supplies";"REVENUE CODE";"270";"2022 AHA";"MED-SUR SUPPLIES";"ein";"201547519";;"institutional";145.2100;46.5251;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"860719857";;"institutional";19.5800;13.7000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"860719857";;"institutional";108.2100;75.7500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90471";"2022 CMS,AHA";"90471 - IMMUNIZATION ADMIN";"ein";"843073061";;"institutional";324.0000;59.8500;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90472";"2022 CMS,AHA";"90472 - IMMUNIZATION ADMIN EACH ADD";"ein";"850416296";;"institutional";68.4600;18.9900;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90715";"2022 CMS,AHA";"90715 - TDAP VACCINE 7 YRS/> IM";"ein";"473248194";;"institutional";200.0000;33.7400;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90746";"2022 CMS,AHA";"90746 - HEPB VACCINE 3 DOSE ADULT IM";"ein";"850416296";;"institutional";243.5000;67.5200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"464499268";;"institutional";449.0000;48.2100;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"472177648";;"institutional";472.7800;85.1900;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96361";"2022 CMS,AHA";"96361 - HYDRATE IV INFUSION ADD-ON";"ein";"842951019";;"institutional";595.0000;50.4100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96365";"2022 CMS,AHA";"96365 - THER/PROPH/DIAG IV INF INIT";"ein";"474187773";;"institutional";476.0300;107.3800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96366";"2022 CMS,AHA";"96366 - THER/PROPH/DIAG IV INF ADDON";"ein";"473923087";;"institutional";913.8000;73.7800;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96367";"2022 CMS,AHA";"96367 - TX/PROPH/DG ADDL SEQ IV INF";"ein";"473923087";;"institutional";344.4000;25.2300;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"273908339";;"institutional";324.8500;52.8300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"472616215";;"institutional";220.0000;187.0000;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"473231590";;"institutional";656.2000;99.0500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"473248194";;"institutional";220.0000;32.9800;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"464499268";;"institutional";357.0000;0.0000;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"854042853";;"institutional";615.0200;66.7100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"473231590";;"institutional";922.8300;138.5600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"473248194";;"institutional";270.0000;42.5800;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96376";"2022 CMS,AHA";"96376 - TX/PRO/DX INJ SAME DRUG ADON";"ein";"473923087";;"institutional";1157.1600;93.4300;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"A4248";"2022 CMS,AHA";"A4248 - CHLORHEXIDINE ANTISEPT";"ein";"473248194";;"institutional";80.0000;8.6800;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1100";"2022 CMS,AHA";"J1100 - DEXAMETHASONE SODIUM PHOS";"ein";"273908339";;"institutional";511.8000;83.2400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1100";"2022 CMS,AHA";"J1100 - DEXAMETHASONE SODIUM PHOS";"ein";"473231590";;"institutional";325.3000;325.3000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1170";"2022 CMS,AHA";"J1170 - HYDROMORPHONE INJECTION";"ein";"473923087";;"institutional";53.5800;3.9200;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1200";"2022 CMS,AHA";"J1200 - DIPHENHYDRAMINE HCL INJECTIO";"ein";"474187773";;"institutional";28.1600;8.2300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1200";"2022 CMS,AHA";"J1200 - DIPHENHYDRAMINE HCL INJECTIO";"ein";"821703810";;"institutional";32.5300;2.2700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1644";"2022 CMS,AHA";"J1644 - INJ HEPARIN SODIUM PER 1000U";"ein";"751912147";;"institutional";112.0000;0.0000;"1023013448";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"464499268";;"institutional";40.0000;3.6200;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"473923087";;"institutional";50.0000;7.5400;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"474187773";;"institutional";50.0000;9.3300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"842951019";;"institutional";190.0000;11.4600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"870972215";;"institutional";790.6200;35.5700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"472177648";;"institutional";7.2000;0.9500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"473248194";;"institutional";280.0000;44.1600;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2405";"2022 CMS,AHA";"J2405 - ONDANSETRON HCL INJECTION";"ein";"842951019";;"institutional";80.0000;6.7800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2704";"2022 CMS,AHA";"J2704 - INJ, PROPOFOL, 10 MG";"ein";"871529394";;"institutional";180.0000;47.5800;"1437720828";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2930";"2022 CMS,AHA";"J2930 - METHYLPREDNISOLONE INJECTION";"ein";"473231590";;"institutional";88.7000;14.2900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2930";"2022 CMS,AHA";"J2930 - METHYLPREDNISOLONE INJECTION";"ein";"832010142";;"institutional";228.0000;7.8300;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3010";"2022 CMS,AHA";"J3010 - FENTANYL CITRATE INJECITON";"ein";"751912147";;"institutional";47.7400;0.0000;"1023013448";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3360";"2022 CMS,AHA";"J3360 - DIAZEPAM INJECTION";"ein";"850416296";;"institutional";23.3600;6.7200;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3490";"2022 CMS,AHA";"J3490 - DRUGS UNCLASSIFIED INJECTION";"ein";"465702822";;"institutional";4.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3490";"2022 CMS,AHA";"J3490 - DRUGS UNCLASSIFIED INJECTION";"ein";"465735510";;"institutional";3.1800;0.0000;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"852489965";;"institutional";20.0000;2.0200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7040";"2022 CMS,AHA";"J7040 - NORMAL SALINE SOLUTION INFUS";"ein";"473923087";;"institutional";34.9000;2.8200;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7050";"2022 CMS,AHA";"J7050 - NORMAL SALINE SOLUTION INFUS";"ein";"473923087";;"institutional";34.2600;2.7600;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7327";"2022 CMS,AHA";"J7327 - MONOVISC INJ PER DOSE";"ein";"850416296";;"institutional";7222.5000;2611.2500;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7512";"2022 CMS,AHA";"J7512 - PREDNISONE IR OR DR ORAL 1MG";"ein";"815038663";;"institutional";675.0000;92.5600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7512";"2022 CMS,AHA";"J7512 - PREDNISONE IR OR DR ORAL 1MG";"ein";"843073061";;"institutional";138.0000;21.9900;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J8499";"2022 CMS,AHA";"J8499 - ORAL PRESCRIP DRUG NON CHEMO";"ein";"473231590";;"institutional";25.9600;3.9200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"842951019";;"institutional";1500.0000;127.0700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"S0028";"2022 CMS,AHA";"S0028 - INJECTION, FAMOTIDINE, 20 MG";"ein";"821703810";;"institutional";106.7800;7.4700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"S0030";"2022 CMS,AHA";"S0030 - INJECTION, METRONIDAZOLE";"ein";"811862049";;"institutional";229.0000;37.7600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"S0077";"2022 CMS,AHA";"S0077 - INJECTION, CLINDAMYCIN PHOSP";"ein";"473923087";;"institutional";251.0400;20.2700;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"S5001";"2022 CMS,AHA";"S5001 - PRESCRIPTION DRUG,BRAND NAME";"ein";"473923087";;"institutional";38.9200;3.1400;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"S5001";"2022 CMS,AHA";"S5001 - PRESCRIPTION DRUG,BRAND NAME";"ein";"474187773";;"institutional";29.1900;6.8400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"383813467";;"institutional";10.5000;9.4700;"1497053912";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"260";"2022 AHA";"IV THERAPY";"ein";"383813467";;"institutional";835.2600;751.7300;"1497053912";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Musculoskeletal";"HCPCS";"L0625";"2022 CMS,AHA";"L0625 - LO FLEX L1-BELOW L5 PRE OTS";"ein";"472177648";;"institutional";43.3500;7.8100;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";;"2022 CMS,AHA";;"ein";"860719857";;"institutional";51.3300;35.9300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"464499268";;"institutional";150.0000;16.8100;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80048";"2022 CMS,AHA";"80048 - METABOLIC PANEL TOTAL CA";"ein";"815038663";;"institutional";408.3900;44.6300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80048";"2022 CMS,AHA";"80048 - METABOLIC PANEL TOTAL CA";"ein";"851820772";;"institutional";308.8800;39.7000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80048";"2022 CMS,AHA";"80048 - METABOLIC PANEL TOTAL CA";"ein";"860719852";;"institutional";29.0800;20.3600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80050";"2022 CMS,AHA";"80050 - GENERAL HEALTH PANEL";"ein";"850416296";;"institutional";411.2100;71.7500;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80050";"2022 CMS,AHA";"80050 - GENERAL HEALTH PANEL";"ein";"850416296";;"institutional";411.2100;86.1900;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80051";"2022 CMS,AHA";"80051 - ELECTROLYTE PANEL";"ein";"815038663";;"institutional";421.2800;48.5700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80051";"2022 CMS,AHA";"80051 - ELECTROLYTE PANEL";"ein";"843073061";;"institutional";120.5000;12.3600;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"463151282";;"institutional";850.0000;42.3100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"473231590";;"institutional";823.8500;117.7100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"473231590";;"institutional";823.8500;132.7200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"473248194";;"institutional";740.0000;78.1600;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"474187773";;"institutional";180.0000;40.6100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"811862049";;"institutional";658.0000;108.5100;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80076";"2022 CMS,AHA";"80076 - HEPATIC FUNCTION PANEL";"ein";"850416296";;"institutional";209.5800;21.1600;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80076";"2022 CMS,AHA";"80076 - HEPATIC FUNCTION PANEL";"ein";"850416296";;"institutional";209.5800;37.2200;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"80305";"2022 CMS,AHA";"80305 - DRUG TEST PRSMV DIR OPT OBS";"ein";"842951019";;"institutional";411.0000;24.7800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"465735510";;"institutional";180.0000;30.3200;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"473231590";;"institutional";194.4700;26.1100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"473231590";;"institutional";194.4700;29.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"473231590";;"institutional";194.4700;29.3600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"832010142";;"institutional";545.0000;18.7100;"1508424490";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"842951019";;"institutional";454.0000;27.3900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81025";"2022 CMS,AHA";"81025 - URINE PREGNANCY TEST";"ein";"473231590";;"institutional";143.3600;21.5300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81025";"2022 CMS,AHA";"81025 - URINE PREGNANCY TEST";"ein";"473231590";;"institutional";143.3600;22.6900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"81025";"2022 CMS,AHA";"81025 - URINE PREGNANCY TEST";"ein";"851984103";;"institutional";128.5200;4.9600;"1376151365";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82150";"2022 CMS,AHA";"82150 - ASSAY OF AMYLASE";"ein";"473923087";;"institutional";275.5200;41.5300;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82150";"2022 CMS,AHA";"82150 - ASSAY OF AMYLASE";"ein";"815038663";;"institutional";318.2300;36.6900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82150";"2022 CMS,AHA";"82150 - ASSAY OF AMYLASE";"ein";"820984034";;"institutional";318.2300;33.6800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82274";"2022 CMS,AHA";"82274 - ASSAY TEST FOR BLOOD FECAL";"ein";"850416296";;"institutional";82.2500;18.9800;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82306";"2022 CMS,AHA";"82306 - VITAMIN D 25 HYDROXY";"ein";"850416296";;"institutional";194.3400;24.4500;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82306";"2022 CMS,AHA";"82306 - VITAMIN D 25 HYDROXY";"ein";"850416296";;"institutional";194.3400;33.9100;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82306";"2022 CMS,AHA";"82306 - VITAMIN D 25 HYDROXY";"ein";"850416296";;"institutional";211.6700;37.5900;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82553";"2022 CMS,AHA";"82553 - CREATINE MB FRACTION";"ein";"842951019";;"institutional";650.0000;39.2100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82565";"2022 CMS,AHA";"82565 - ASSAY OF CREATININE";"ein";"463151282";;"institutional";300.0000;14.9300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82565";"2022 CMS,AHA";"82565 - ASSAY OF CREATININE";"ein";"473923087";;"institutional";191.3400;28.8400;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82565";"2022 CMS,AHA";"82565 - ASSAY OF CREATININE";"ein";"843073061";;"institutional";88.0000;9.0300;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82570";"2022 CMS,AHA";"82570 - ASSAY OF URINE CREATININE";"ein";"850416296";;"institutional";63.6200;11.8700;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"842951019";;"institutional";230.0000;19.4800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"843073061";;"institutional";67.3800;8.9800;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"82977";"2022 CMS,AHA";"82977 - ASSAY OF GGT";"ein";"473923087";;"institutional";101.2700;7.4200;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"850416296";;"institutional";99.2300;17.3200;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"83605";"2022 CMS,AHA";"83605 - ASSAY OF LACTIC ACID";"ein";"474187773";;"institutional";116.1300;21.6800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84075";"2022 CMS,AHA";"84075 - ASSAY ALKALINE PHOSPHATASE";"ein";"465735510";;"institutional";28.0000;4.7200;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84075";"2022 CMS,AHA";"84075 - ASSAY ALKALINE PHOSPHATASE";"ein";"473248194";;"institutional";28.0000;4.4200;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84075";"2022 CMS,AHA";"84075 - ASSAY ALKALINE PHOSPHATASE";"ein";"474187773";;"institutional";44.6000;6.9800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84075";"2022 CMS,AHA";"84075 - ASSAY ALKALINE PHOSPHATASE";"ein";"820756286";;"institutional";44.6000;7.6500;"1821501875";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84155";"2022 CMS,AHA";"84155 - ASSAY OF PROTEIN SERUM";"ein";"465735510";;"institutional";40.0000;6.7400;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84450";"2022 CMS,AHA";"84450 - TRANSFERASE (AST) (SGOT)";"ein";"473923087";;"institutional";195.8200;29.5200;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84450";"2022 CMS,AHA";"84450 - TRANSFERASE (AST) (SGOT)";"ein";"820756286";;"institutional";195.8200;33.5800;"1821501875";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84460";"2022 CMS,AHA";"84460 - ALANINE AMINO (ALT) (SGPT)";"ein";"474187773";;"institutional";195.8200;36.5600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84484";"2022 CMS,AHA";"84484 - ASSAY OF TROPONIN QUANT";"ein";"473231590";;"institutional";397.7900;56.8300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"84520";"2022 CMS,AHA";"84520 - ASSAY OF UREA NITROGEN";"ein";"474187773";;"institutional";166.8600;26.1300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85014";"2022 CMS,AHA";"85014 - HEMATOCRIT";"ein";"752756307";;"institutional";80.0000;67.4500;"1669480323";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85018";"2022 CMS,AHA";"85018 - HEMOGLOBIN";"ein";"752756307";;"institutional";80.0000;67.4500;"1669480323";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"473231590";;"institutional";309.3800;32.5700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"473923087";;"institutional";267.8700;40.3800;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"811862049";;"institutional";247.0000;40.7300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"86140";"2022 CMS,AHA";"86140 - C-REACTIVE PROTEIN";"ein";"473248194";;"institutional";210.0000;33.1200;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87420";"2022 CMS,AHA";"87420 - RESP SYNCYTIAL AG IA";"ein";"843073061";;"institutional";206.1300;24.8700;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"273908339";;"institutional";199.0000;26.1700;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"461895231";;"institutional";600.0000;43.9200;"1871937144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"473231590";;"institutional";450.0000;59.1100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"473231590";;"institutional";450.0000;78.0400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"473248194";;"institutional";210.0000;29.8000;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"474624853";;"institutional";615.0000;33.2000;"1649781915";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"814084541";;"institutional";450.0000;60.5700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"814084541";;"institutional";450.0000;61.6700;"1649789819";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"815038663";;"institutional";450.0000;51.8800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"820756286";;"institutional";120.0000;30.5300;"1821501875";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87426";"2022 CMS,AHA";"87426 - Infectious agent antigen detection by immunoassay technique SARS-CoV";"ein";"851984103";;"institutional";245.7000;9.4700;"1376151365";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87428";"2022 CMS,AHA";"87428 - SarsCov & Inf Vir A&B AG IA";"ein";"473152225";;"institutional";850.0000;105.1600;"1942676838";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87428";"2022 CMS,AHA";"87428 - SarsCov & Inf Vir A&B AG IA";"ein";"814084541";;"institutional";750.0000;99.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87428";"2022 CMS,AHA";"87428 - SarsCov & Inf Vir A&B AG IA";"ein";"854042853";;"institutional";700.0000;75.9200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87633";"2022 CMS,AHA";"87633 - RESP VIRUS 12-25 TARGETS";"ein";"472616215";;"institutional";1980.0000;422.3900;"1922468156";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87633";"2022 CMS,AHA";"87633 - RESP VIRUS 12-25 TARGETS";"ein";"474187773";;"institutional";2083.9000;470.1300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"860719855";;"institutional";75.0000;45.0000;"1225002322";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87637";"2022 CMS,AHA";"87637 - SarsCov2 & Inf A&B&RSV Amp Prb";"ein";"473231590";;"institutional";750.0000;116.7900;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87660";"2022 CMS,AHA";"87660 - TRICHOMONAS VAGIN DIR PROBE";"ein";"473923087";;"institutional";205.1500;15.0300;"1366815144";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"273908339";;"institutional";331.8200;53.9600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"472971495";;"institutional";473.8500;18.1600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"473231590";;"institutional";263.4200;35.4000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"474187773";;"institutional";221.9500;50.0700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"815038663";;"institutional";131.7100;15.1800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"815038663";;"institutional";131.7100;18.1900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"815038663";;"institutional";263.4200;36.3700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"852007987";;"institutional";473.8500;21.6600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87880";"2022 CMS,AHA";"87880 - STREP A ASSAY W/OPTIC";"ein";"472971495";;"institutional";470.8800;18.0400;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87880";"2022 CMS,AHA";"87880 - STREP A ASSAY W/OPTIC";"ein";"473248194";;"institutional";190.0000;34.1500;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87880";"2022 CMS,AHA";"87880 - STREP A ASSAY W/OPTIC";"ein";"842951019";;"institutional";865.2000;53.1500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87880";"2022 CMS,AHA";"87880 - STREP A ASSAY W/OPTIC";"ein";"842951019";;"institutional";865.2000;73.2900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"87880";"2022 CMS,AHA";"87880 - STREP A ASSAY W/OPTIC";"ein";"851820772";;"institutional";470.8800;60.5300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"HCPCS";"G2023";"2022 CMS,AHA";"G2023 - Spec Coll for SARS-CoV-2; any spec source;";"ein";"811862049";;"institutional";187.6800;30.9500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Pathology and Laboratory";"REVENUE CODE";"301";"2022 AHA";"LAB/CHEMISTRY";"ein";"201547519";;"institutional";25.1900;8.0709;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Physical Therapy";"HCPCS";"95180";"2022 CMS,AHA";"95180 - RAPID DESENSITIZATION";"ein";"850416296";;"institutional";2587.2400;825.3400;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Physical Therapy";"HCPCS";"97530";"2022 CMS,AHA";"97530 - THERAPEUTIC ACTIVITIES";"ein";"850416296";;"institutional";336.8400;221.6600;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Physical Therapy";"HCPCS";"G0152";"2022 CMS,AHA";"G0152 - HHCP-SERV OF OT,EA 15 MIN";"ein";"273579603";;"institutional";250.0000;100.0000;"1790085934";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Physical Therapy";"HCPCS";"J0360";"2022 CMS,AHA";"J0360 - HYDRALAZINE HCL INJECTION";"ein";"811862049";;"institutional";209.0000;34.4600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"71275";"2022 CMS,AHA";"71275 - CT ANGIOGRAPHY CHEST";"ein";"815038663";;"institutional";4501.0800;518.9300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"72125";"2022 CMS,AHA";"72125 - CT NECK SPINE W/O DYE";"ein";"850416296";;"institutional";477.2800;137.3300;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"73120";"2022 CMS,AHA";"73120 - X-RAY EXAM OF HAND";"ein";"833265408";;"institutional";1109.9000;81.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"73630";"2022 CMS,AHA";"73630 - X-RAY EXAM OF FOOT";"ein";"843073061";;"institutional";787.0300;104.9500;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"73701";"2022 CMS,AHA";"73701 - CT LOWER EXTREMITY W/DYE";"ein";"473231590";;"institutional";7648.4700;805.2100;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"74176";"2022 CMS,AHA";"74176 - CT ABD & PELVIS W/O CONTRAST";"ein";"464499268";;"institutional";5400.0000;488.7300;"1679976278";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"74176";"2022 CMS,AHA";"74176 - CT ABD & PELVIS W/O CONTRAST";"ein";"473231590";;"institutional";2651.8500;362.0200;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"74177";"2022 CMS,AHA";"74177 - CT ABD & PELV W/CONTRAST";"ein";"820756286";;"institutional";3957.0000;678.6500;"1821501875";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"76705";"2022 CMS,AHA";"76705 - ECHO EXAM OF ABDOMEN";"ein";"465735510";;"institutional";1350.0000;227.3900;"1164827093";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"473231590";;"institutional";396.8200;56.7000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"473248194";;"institutional";350.0000;55.2000;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"843073061";;"institutional";472.0000;48.4400;"1750932117";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Radiology";"REVENUE CODE";"402";"2022 AHA";"ULTRASOUND";"ein";"383813467";;"institutional";2159.1300;1943.2200;"1497053912";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Respiratory";"HCPCS";"94760";"2022 CMS,AHA";"94760 - MEASURE BLOOD OXYGEN LEVEL";"ein";"465702822";;"institutional";150.0000;23.2400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Respiratory";"HCPCS";"94760";"2022 CMS,AHA";"94760 - MEASURE BLOOD OXYGEN LEVEL";"ein";"473248194";;"institutional";150.0000;19.6600;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Respiratory";"HCPCS";"94760";"2022 CMS,AHA";"94760 - MEASURE BLOOD OXYGEN LEVEL";"ein";"473248194";;"institutional";150.0000;20.5500;"1588111082";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Respiratory";"HCPCS";"94761";"2022 CMS,AHA";"94761 - MEASURE BLOOD OXYGEN LEVEL";"ein";"850416296";;"institutional";182.7600;76.2800;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Room and Board";"HCPCS";"20552";"2022 CMS,AHA";"20552 - INJ TRIGGER POINT 1/2 MUSCL";"ein";"860719852";;"institutional";728.2200;509.7500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Room and Board";"HCPCS";"27760";"2022 CMS,AHA";"27760 - CLTX MEDIAL ANKLE FX";"ein";"465702822";;"institutional";940.0000;186.0600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"IBEW-NECA Southwestern";"group";"Room and Board";"REVENUE CODE";"762";"2022 AHA";"OBSERVATION RM";"ein";"383813467";;"institutional";58443.0000;52598.7000;"1497053912";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"831287043";;"institutional";1538.0500;256.0100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3010";"2022 CMS,AHA";"J3010 - FENTANYL CITRATE INJECITON";"ein";"831287043";;"institutional";31.3300;5.2100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7613";"2022 CMS,AHA";"J7613 - ALBUTEROL NON-COMP UNIT";"ein";"831287043";;"institutional";64.1700;15.4000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"831287043";;"institutional";194.4700;32.3700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Pathology and Laboratory";"HCPCS";"82945";"2022 CMS,AHA";"82945 - GLUCOSE OTHER FLUID";"ein";"831287043";;"institutional";132.5400;22.0600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Iron Workers 395";"group";"Pathology and Laboratory";"HCPCS";"87804";"2022 CMS,AHA";"87804 - INFLUENZA ASSAY W/OPTIC";"ein";"831287043";;"institutional";131.7100;31.6200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Ambulatory Surgical Care";"HCPCS";;"2022 CMS,AHA";;"ein";"461892306";;"institutional";18562.5000;5856.4700;"1114361185";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Ambulatory Surgical Care";"HCPCS";"49652";"2022 CMS,AHA";"49652 - LAP VENT/ABD HERNIA REPAIR";"ein";"204221282";;"institutional";39980.0000;4562.9600;"1922332774";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Las Vegas Firefighters";"group";"Ambulatory Surgical Care";"HCPCS";"S2900";"2022 CMS,AHA";"S2900 - ROBOTIC SURGICAL SYSTEM";"ein";"204221282";;"institutional";35610.0000;4064.2000;"1922332774";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"NECA IBEW Local 176 H&W Fund";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2250";"2022 CMS,AHA";"J2250 - INJ MIDAZOLAM HYDROCHLORIDE";"ein";"362276984";;"institutional";16.2200;5.6400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Administration";"HCPCS";"99214";"2022 CMS,AHA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"850416296";;"institutional";220.3100;42.8200;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"850105601";;"institutional";515.0000;0.0000;"1215913470";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"860719852";;"institutional";132.8800;93.0200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Outpatient Services";"HCPCS";"99393";"2022 CMS,AHA";"99393 - PREV VISIT EST AGE 5-11";"ein";"860719852";;"institutional";179.0000;125.3000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"80048";"2022 CMS,AHA";"80048 - METABOLIC PANEL TOTAL CA";"ein";"850416296";;"institutional";201.5100;23.7900;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"81003";"2022 CMS,AHA";"81003 - URINALYSIS AUTO W/O SCOPE";"ein";"860719852";;"institutional";7.7300;5.4100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"850416296";;"institutional";99.2300;11.7200;"1013966118";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Pathology and Laboratory";"HCPCS";"87491";"2022 CMS,AHA";"87491 - CHYLMD TRACH DNA AMP PROBE";"ein";"860719852";;"institutional";120.6000;84.4200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"New Mexico Pipetrades";"group";"Respiratory";"HCPCS";"94760";"2022 CMS,AHA";"94760 - MEASURE BLOOD OXYGEN LEVEL";"ein";"472078805";;"institutional";217.1700;34.2800;"1245690940";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Dialysis";"HCPCS";"90999";"2022 CMS,AHA";"90999 - DIALYSIS PROCEDURE";"ein";"953372911";;"institutional";2744.5500;523.6500;"1922062066";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Medical and Surgical Supplies";"HCPCS";"A4657";"2022 CMS,AHA";"A4657 - SYRINGE W/WO NEEDLE";"ein";"264194741";;"institutional";121.0500;21.3500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Medical and Surgical Supplies";"HCPCS";"A4657";"2022 CMS,AHA";"A4657 - SYRINGE W/WO NEEDLE";"ein";"264194741";;"institutional";242.1000;41.3200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Medical and Surgical Supplies";"HCPCS";"A4657";"2022 CMS,AHA";"A4657 - SYRINGE W/WO NEEDLE";"ein";"264194741";;"institutional";363.1500;61.9900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Northwest Laborers";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1756";"2022 CMS,AHA";"J1756 - IRON SUCROSE INJECTION";"ein";"264194741";;"institutional";822.5000;145.1100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Administration";"HCPCS";"93971";"2022 CMS,AHA";"93971 - EXTREMITY STUDY";"ein";"263487583";;"institutional";1262.0000;314.3200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Administration";"HCPCS";"99214";"2022 CMS,AHA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"946000417";;"institutional";567.0000;54.6000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Administration";"HCPCS";"99214";"2022 CMS,AHA";"99214 - OFFICE/OUTPATIENT VISIT EST";"ein";"946000509";;"institutional";213.7600;133.4400;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Anesthesia";"REVENUE CODE";"370";"2022 AHA";"ANESTHESIA";"ein";"263487583";;"institutional";17244.9200;6414.4200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"10120";"2022 CMS,AHA";"10120 - REMOVE FOREIGN BODY";"ein";"861464604";;"institutional";695.9200;207.1000;"1003493784";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"12011";"2022 CMS,AHA";"12011 - RPR F/E/E/N/L/M 2.5 CM/<";"ein";"941105628";;"institutional";560.0000;51.7600;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"23650";"2022 CMS,AHA";"23650 - TREAT SHOULDER DISLOCATION";"ein";"941105628";;"institutional";1299.0000;225.0900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"30901";"2022 CMS,AHA";"30901 - CONTROL OF NOSEBLEED";"ein";"941105628";;"institutional";560.0000;97.9300;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"96360";"2022 CMS,AHA";"96360 - HYDRATION IV INFUSION INIT";"ein";"946000531";;"institutional";628.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"96366";"2022 CMS,AHA";"96366 - THER/PROPH/DIAG IV INF ADDON";"ein";"946000531";;"institutional";244.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"96372";"2022 CMS,AHA";"96372 - THER/PROPH/DIAG INJ SC/IM";"ein";"941105628";;"institutional";307.0000;61.8900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"941105628";;"institutional";832.0000;97.3100;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"946000531";;"institutional";266.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99281";"2022 CMS,AHA";"99281 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";525.0000;128.8000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99282";"2022 CMS,AHA";"99282 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";1248.0000;251.5900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99282";"2022 CMS,AHA";"99282 - EMERGENCY DEPT VISIT";"ein";"946000531";;"institutional";1143.0000;273.3500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";2496.0000;291.9200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";2496.0000;432.4900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";2496.0000;537.5200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99283";"2022 CMS,AHA";"99283 - EMERGENCY DEPT VISIT";"ein";"946000532";;"institutional";600.0000;499.2300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"813562144";;"institutional";4320.0000;403.7000;"1639663370";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"941105628";;"institutional";4160.0000;485.0100;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"HCPCS";"99285";"2022 CMS,AHA";"99285 - EMERGENCY DEPT VISIT";"ein";"946000531";;"institutional";4328.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Emergency Department Services";"REVENUE CODE";"450";"2022 AHA";"EMERG ROOM";"ein";"263487583";;"institutional";5037.0000;1873.5600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"263487583";;"institutional";317.0000;43.7900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medical and Surgical Supplies";"REVENUE CODE";"270";"2022 AHA";"MED-SUR SUPPLIES";"ein";"941105628";;"institutional";754.0000;357.3000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medical and Surgical Supplies";"REVENUE CODE";"278";"2022 AHA";"SUPPLY/IMPLANTS";"ein";"946000531";;"institutional";21315.0000;8695.6800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";2.3000;0.1700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";7.7500;0.0000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";7.7500;0.8200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";12.8000;1.4900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"0052A";"2022 CMS,AHA";"0052A - ADM SARSCV2 30MCG TRS-SUCR 2";"ein";"946000509";;"institutional";40.0000;9.7300;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"0054A";"2022 CMS,AHA";"0054A - ADM SARSCV2 30MCG TRS-SUCR B";"ein";"946000509";;"institutional";40.0000;9.7300;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"462218636";;"institutional";176.0000;50.6600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1170";"2022 CMS,AHA";"J1170 - HYDROMORPHONE INJECTION";"ein";"941105628";;"institutional";46.9500;5.4700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1630";"2022 CMS,AHA";"J1630 - HALOPERIDOL INJECTION";"ein";"946000531";;"institutional";33.1600;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1815";"2022 CMS,AHA";"J1815 - INSULIN INJECTION";"ein";"941105628";;"institutional";14.9000;1.7400;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1940";"2022 CMS,AHA";"J1940 - FUROSEMIDE INJECTION";"ein";"941105628";;"institutional";81.9000;6.1300;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2250";"2022 CMS,AHA";"J2250 - INJ MIDAZOLAM HYDROCHLORIDE";"ein";"263487583";;"institutional";130.0000;27.7700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3490";"2022 CMS,AHA";"J3490 - DRUGS UNCLASSIFIED INJECTION";"ein";"263487583";;"institutional";249.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3490";"2022 CMS,AHA";"J3490 - DRUGS UNCLASSIFIED INJECTION";"ein";"946000531";;"institutional";41.4200;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"941105628";;"institutional";280.0000;26.2100;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"946000531";;"institutional";85932.0100;30076.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"946000509";;"institutional";50.0000;7.0800;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"80048";"2022 CMS,AHA";"80048 - METABOLIC PANEL TOTAL CA";"ein";"941105628";;"institutional";314.0000;33.3600;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"80051";"2022 CMS,AHA";"80051 - ELECTROLYTE PANEL";"ein";"941105628";;"institutional";78.0000;7.3000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"80051";"2022 CMS,AHA";"80051 - ELECTROLYTE PANEL";"ein";"941105628";;"institutional";78.0000;9.1200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"946000531";;"institutional";247.0000;30.4100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"81001";"2022 CMS,AHA";"81001 - URINALYSIS AUTO W/SCOPE";"ein";"946034863";;"institutional";22.7500;1.7900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"81025";"2022 CMS,AHA";"81025 - URINE PREGNANCY TEST";"ein";"462218636";;"institutional";174.0000;50.0900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82565";"2022 CMS,AHA";"82565 - ASSAY OF CREATININE";"ein";"941105628";;"institutional";80.0000;9.9200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82565";"2022 CMS,AHA";"82565 - ASSAY OF CREATININE";"ein";"941105628";;"institutional";80.0000;20.1900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82607";"2022 CMS,AHA";"82607 - VITAMIN B-12";"ein";"852390012";;"institutional";160.1000;8.5400;"1235162645";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"941105628";;"institutional";48.0000;5.5900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"941105628";;"institutional";48.0000;7.2400;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"941105628";;"institutional";48.0000;11.7000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"941105628";;"institutional";48.0000;12.1200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82947";"2022 CMS,AHA";"82947 - ASSAY GLUCOSE BLOOD QUANT";"ein";"946000417";;"institutional";144.0000;21.7400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"82962";"2022 CMS,AHA";"82962 - GLUCOSE BLOOD TEST";"ein";"941105628";;"institutional";125.0000;14.5700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"83690";"2022 CMS,AHA";"83690 - ASSAY OF LIPASE";"ein";"263487583";;"institutional";105.0000;19.3200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"83690";"2022 CMS,AHA";"83690 - ASSAY OF LIPASE";"ein";"941105628";;"institutional";243.0000;61.3300;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"83880";"2022 CMS,AHA";"83880 - ASSAY OF NATRIURETIC PEPTIDE";"ein";"263487583";;"institutional";200.0000;22.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84100";"2022 CMS,AHA";"84100 - ASSAY OF PHOSPHORUS";"ein";"941105628";;"institutional";129.0000;9.6500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84460";"2022 CMS,AHA";"84460 - ALANINE AMINO (ALT) (SGPT)";"ein";"941105628";;"institutional";61.0000;7.1300;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84520";"2022 CMS,AHA";"84520 - ASSAY OF UREA NITROGEN";"ein";"941105628";;"institutional";29.0000;2.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"84520";"2022 CMS,AHA";"84520 - ASSAY OF UREA NITROGEN";"ein";"941105628";;"institutional";29.0000;7.3200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85014";"2022 CMS,AHA";"85014 - HEMATOCRIT";"ein";"946000417";;"institutional";54.0000;8.1500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"852390012";;"institutional";74.0000;4.4100;"1235162645";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"941105628";;"institutional";183.0000;13.6800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"941105628";;"institutional";183.0000;27.6000;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"941105628";;"institutional";183.0000;46.1900;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"85652";"2022 CMS,AHA";"85652 - RBC SED RATE AUTOMATED";"ein";"941105628";;"institutional";72.0000;5.3800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"86703";"2022 CMS,AHA";"86703 - HIV-1/HIV-2 1 RESULT ANTBDY";"ein";"943302014";;"institutional";185.0000;27.8600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"86709";"2022 CMS,AHA";"86709 - HEPATITIS A IGM ANTIBODY";"ein";"941105628";;"institutional";63.0000;4.7100;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"86901";"2022 CMS,AHA";"86901 - BLOOD TYPING SEROLOGIC RH(D)";"ein";"263487583";;"institutional";144.0000;30.7500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"86901";"2022 CMS,AHA";"86901 - BLOOD TYPING SEROLOGIC RH(D)";"ein";"941105628";;"institutional";150.0000;37.8600;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"86901";"2022 CMS,AHA";"86901 - BLOOD TYPING SEROLOGIC RH(D)";"ein";"946000531";;"institutional";81.9000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"87389";"2022 CMS,AHA";"87389 - HIV-1 AG W/HIV-1 & HIV-2 AB";"ein";"946034863";;"institutional";146.0000;13.6500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"941105628";;"institutional";144.0000;35.1000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"88302";"2022 CMS,AHA";"88302 - TISSUE EXAM BY PATHOLOGIST";"ein";"941105628";;"institutional";185.0000;45.0900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"HCPCS";"U0003";"2022 CMS,AHA";"U0003 - Inf agent detection SARS-CoV-2; high throughput";"ein";"946000509";;"institutional";84.0000;76.3700;"1386719086";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"REVENUE CODE";"300";"2022 AHA";"LABORATORY";"ein";"263487583";;"institutional";2803.0000;761.9400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"REVENUE CODE";"300";"2022 AHA";"LABORATORY";"ein";"946000531";;"institutional";431.0000;175.8300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"REVENUE CODE";"301";"2022 AHA";"LAB/CHEMISTRY";"ein";"941105628";;"institutional";3238.0000;1534.3800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"REVENUE CODE";"306";"2022 AHA";"LAB/BACT-MICRO";"ein";"946000531";;"institutional";5889.0000;2061.1500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"REVENUE CODE";"383";"2022 AHA";"BLOOD/PLASMA";"ein";"946000531";;"institutional";1828.0000;639.8000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Pathology and Laboratory";"REVENUE CODE";"384";"2022 AHA";"BLOOD/PLATELETS";"ein";"946000531";;"institutional";3334.0000;1166.9000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Physical Therapy";"HCPCS";"97799";"2022 CMS,AHA";"97799 - PHYSICAL MEDICINE PROCEDURE";"ein";"611251391";;"institutional";1050.0000;132.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"70450";"2022 CMS,AHA";"70450 - CT HEAD/BRAIN W/O DYE";"ein";"946000531";;"institutional";3185.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"70481";"2022 CMS,AHA";"70481 - CT ORBIT/EAR/FOSSA W/DYE";"ein";"946000531";;"institutional";4153.0000;511.3100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"70551";"2022 CMS,AHA";"70551 - MRI BRAIN STEM W/O DYE";"ein";"941105628";;"institutional";6063.0000;417.7900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"71045";"2022 CMS,AHA";"71045 - X-RAY EXAM CHEST 1 VIEW";"ein";"941105628";;"institutional";636.0000;59.5300;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"71275";"2022 CMS,AHA";"71275 - CT ANGIOGRAPHY CHEST";"ein";"941105628";;"institutional";6998.0000;654.9800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"72070";"2022 CMS,AHA";"72070 - X-RAY EXAM THORAC SPINE 2VWS";"ein";"941105628";;"institutional";735.0000;157.3700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"72070";"2022 CMS,AHA";"72070 - X-RAY EXAM THORAC SPINE 2VWS";"ein";"941105628";;"institutional";735.0000;176.8600;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"73221";"2022 CMS,AHA";"73221 - MRI JOINT UPR EXTREM W/O DYE";"ein";"941105628";;"institutional";4410.0000;468.4600;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"73590";"2022 CMS,AHA";"73590 - X-RAY EXAM OF LOWER LEG";"ein";"813562144";;"institutional";2300.0000;214.9400;"1639663370";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"73590";"2022 CMS,AHA";"73590 - X-RAY EXAM OF LOWER LEG";"ein";"941105628";;"institutional";755.0000;113.8600;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"73590";"2022 CMS,AHA";"73590 - X-RAY EXAM OF LOWER LEG";"ein";"943302014";;"institutional";507.1500;96.8700;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"73610";"2022 CMS,AHA";"73610 - X-RAY EXAM OF ANKLE";"ein";"943302014";;"institutional";565.9500;108.1000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"74176";"2022 CMS,AHA";"74176 - CT ABD & PELVIS W/O CONTRAST";"ein";"263487583";;"institutional";4542.7300;970.3200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"76536";"2022 CMS,AHA";"76536 - US EXAM OF HEAD AND NECK";"ein";"941105628";;"institutional";1369.0000;60.4700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"76856";"2022 CMS,AHA";"76856 - US EXAM PELVIC COMPLETE";"ein";"943302014";;"institutional";1190.7000;179.3000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"263487583";;"institutional";497.0000;106.1600;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"941105628";;"institutional";571.0000;66.7800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"REVENUE CODE";"324";"2022 AHA";"DX X-RAY/CHEST";"ein";"946000531";;"institutional";48004.0000;16801.4000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Radiology";"REVENUE CODE";"350";"2022 AHA";"CT SCAN";"ein";"941105628";;"institutional";6415.0000;3039.8700;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Respiratory";"REVENUE CODE";"460";"2022 AHA";"PULMONARY FUNC";"ein";"946000531";;"institutional";5104.0000;1786.4000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Room and Board";"HCPCS";;"2022 CMS,AHA";;"ein";"263487583";;"institutional";6250.0000;1335.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Room and Board";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";2195.0000;535.0900;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Active)";"group";"Room and Board";"HCPCS";"49561";"2022 CMS,AHA";"49561 - RPR VENTRAL HERN INIT BLOCK";"ein";"941105628";;"institutional";14973.0000;3650.1000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Administration";"REVENUE CODE";"240";"2022 AHA";"ALL INCL ANCIL";"ein";"000027050";;"institutional";940.6900;358.6400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Emergency Department Services";"HCPCS";"29125";"2022 CMS,AHA";"29125 - APPLY FOREARM SPLINT";"ein";"811407290";;"institutional";539.0000;82.3600;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"811407290";;"institutional";3200.0000;488.9900;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medical and Surgical Supplies";"HCPCS";"A7003";"2022 CMS,AHA";"A7003 - NEBULIZER ADMINISTRATION SET";"ein";"811690806";;"institutional";74.2500;16.8900;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medical and Surgical Supplies";"REVENUE CODE";"270";"2022 AHA";"MED-SUR SUPPLIES";"ein";"941105628";;"institutional";1508.0000;601.0800;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medical and Surgical Supplies";"REVENUE CODE";"271";"2022 AHA";"NON-STER SUPPLY";"ein";"263487583";;"institutional";177.1000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medical and Surgical Supplies";"REVENUE CODE";"278";"2022 AHA";"SUPPLY/IMPLANTS";"ein";"263487583";;"institutional";765.8800;765.8800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7613";"2022 CMS,AHA";"J7613 - ALBUTEROL NON-COMP UNIT";"ein";"811690806";;"institutional";18.6000;4.2300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"000027050";;"institutional";391.6500;149.3200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"250";"2022 AHA";"PHARMACY";"ein";"941105628";;"institutional";1994.0500;794.8200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"941196203";;"institutional";50.0000;4.9900;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"811690806";;"institutional";788.0300;179.3300;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"HCPCS";"87798";"2022 CMS,AHA";"87798 - DETECT AGENT NOS DNA AMP";"ein";"811690806";;"institutional";108.3200;24.6500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"REVENUE CODE";"305";"2022 AHA";"LAB/HEMATOLOGY";"ein";"263487583";;"institutional";5193.0000;5193.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"REVENUE CODE";"305";"2022 AHA";"LAB/HEMATOLOGY";"ein";"941105628";;"institutional";2524.0000;1006.0500;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"REVENUE CODE";"306";"2022 AHA";"LAB/BACT-MICRO";"ein";"263487583";;"institutional";2856.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"REVENUE CODE";"307";"2022 AHA";"LAB/UROLOGY";"ein";"263487583";;"institutional";118.0000;118.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Pathology and Laboratory";"REVENUE CODE";"307";"2022 AHA";"LAB/UROLOGY";"ein";"941105628";;"institutional";125.0000;49.8200;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Radiology";"HCPCS";"71045";"2022 CMS,AHA";"71045 - X-RAY EXAM CHEST 1 VIEW";"ein";"811690806";;"institutional";445.8000;101.4500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Radiology";"HCPCS";"73110";"2022 CMS,AHA";"73110 - X-RAY EXAM OF WRIST";"ein";"811407290";;"institutional";500.0000;76.4000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Radiology";"REVENUE CODE";"320";"2022 AHA";"DX X-RAY";"ein";"941105628";;"institutional";1272.0000;507.0100;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Radiology";"REVENUE CODE";"351";"2022 AHA";"CT SCAN/HEAD";"ein";"941105628";;"institutional";3532.0000;1407.8400;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Room and Board";"REVENUE CODE";"360";"2022 AHA";"OR SERVICES";"ein";"263487583";;"institutional";4275.0000;4275.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Pensioned)";"group";"Room and Board";"REVENUE CODE";"360";"2022 AHA";"OR SERVICES";"ein";"263487583";;"institutional";83725.5000;83725.5000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Utah)";"group";"Administration";"HCPCS";"93015";"2022 CMS,AHA";"93015 - CARDIOVASCULAR STRESS TEST";"ein";"461892306";;"institutional";6800.0000;325.8100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Health & Welfare Trust Fund (Utah)";"group";"Dialysis";"HCPCS";"90999";"2022 CMS,AHA";"90999 - DIALYSIS PROCEDURE";"ein";"453040157";;"institutional";7826.4400;200.0000;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Operating Engineers Local 3 (Public)";"group";"Psychological";"HCPCS";;"2022 CMS,AHA";;"ein";"852063344";;"institutional";4000.0000;1018.8000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Pipe Trades DC36";"group";"Medical and Surgical Supplies";"HCPCS";;"2022 CMS,AHA";;"ein";"941105628";;"institutional";754.0000;163.7100;"1306991211";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"17110";"2022 CMS,AHA";"17110 - DESTRUCT B9 LESION 1-14";"ein";"920041488";;"institutional";288.0000;91.5480;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"17110";"2022 CMS,AHA";"17110 - DESTRUCT B9 LESION 1-14";"ein";"920041488";;"institutional";288.0000;101.7200;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"20604";"2022 CMS,AHA";"20604 - DRAIN/INJ JOINT/BURSA W/US";"ein";"920162721";;"institutional";1227.0000;466.3400;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"92511";"2022 CMS,AHA";"92511 - NASOPHARYNGOSCOPY";"ein";"920162721";;"institutional";312.0000;202.8000;"1437368891";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"99211";"2022 CMS,AHA";"99211 - OFFICE/OUTPATIENT VISIT EST";"ein";"920041488";;"institutional";217.0000;195.3000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"99211";"2022 CMS,AHA";"99211 - OFFICE/OUTPATIENT VISIT EST";"ein";"920162721";;"institutional";274.0000;82.2000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"99211";"2022 CMS,AHA";"99211 - OFFICE/OUTPATIENT VISIT EST";"ein";"920162721";;"institutional";274.0000;99.8900;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"C9803";"2022 CMS,AHA";"C9803 - Specimen collection any source";"ein";"920041488";;"institutional";76.0000;0.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"C9803";"2022 CMS,AHA";"C9803 - Specimen collection any source";"ein";"920041488";;"institutional";76.0000;76.0000;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";229.0000;44.1400;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Administration";"HCPCS";"G0463";"2022 CMS,AHA";"G0463 - HOSPITAL OUTPT CLINIC VISIT";"ein";"920162721";;"institutional";229.0000;132.8200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Cardiovascular";"HCPCS";"93788";"2022 CMS,AHA";"93788 - AMBULATORY BP ANALYSIS";"ein";"920162721";;"institutional";715.0000;349.4200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Emergency Department Services";"HCPCS";"96375";"2022 CMS,AHA";"96375 - TX/PRO/DX INJ NEW DRUG ADDON";"ein";"920162721";;"institutional";742.0000;123.8200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Emergency Department Services";"HCPCS";"99284";"2022 CMS,AHA";"99284 - EMERGENCY DEPT VISIT";"ein";"920162721";;"institutional";2602.0000;663.4400;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Emergency Department Services";"HCPCS";"J1642";"2022 CMS,AHA";"J1642 - INJ HEPARIN SODIUM PER 10 U";"ein";"920162721";;"institutional";6.0000;1.5300;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medical and Surgical Supplies";"REVENUE CODE";"272";"2022 AHA";"STERILE SUPPLY";"ein";"920162721";;"institutional";2253.0000;0.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920041461";;"institutional";0.3000;0.0700;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"920162721";;"institutional";6.6500;0.8600;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"90471";"2022 CMS,AHA";"90471 - IMMUNIZATION ADMIN";"ein";"920162721";;"institutional";29.0000;5.5900;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"91306";"2022 CMS,AHA";"91306 - SARSCOV2 VAC 50MCG/0.25ML IM";"ein";"920162721";;"institutional";0.0100;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"A9585";"2022 CMS,AHA";"A9585 - GADOBUTROL INJECTION";"ein";"920162721";;"institutional";276.0000;47.6400;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J3301";"2022 CMS,AHA";"J3301 - TRIAMCINOLONE ACET INJ NOS";"ein";"920162721";;"institutional";236.0000;89.6900;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"Q9967";"2022 CMS,AHA";"Q9967 - LOCM 300-399MG/ML IODINE,1ML";"ein";"920041461";;"institutional";53.0000;12.0000;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"258";"2022 AHA";"IV SOLUTIONS";"ein";"920162721";;"institutional";4178.9500;3757.8000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Medicine/Pharmacy/Vaccine";"REVENUE CODE";"264";"2022 AHA";"IV THER/SUPPLIES";"ein";"920162721";;"institutional";118.0000;0.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"860212139";;"institutional";25.0000;0.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920162721";;"institutional";54.0000;31.3200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"36415";"2022 CMS,AHA";"36415 - ROUTINE VENIPUNCTURE";"ein";"920162721";;"institutional";108.0000;70.2000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80053";"2022 CMS,AHA";"80053 - COMPREHEN METABOLIC PANEL";"ein";"920162721";;"institutional";233.0000;21.9000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"920041461";;"institutional";180.0000;135.0000;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"920041488";;"institutional";213.0000;108.4700;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80061";"2022 CMS,AHA";"80061 - LIPID PANEL";"ein";"920162721";;"institutional";184.0000;17.3000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"80183";"2022 CMS,AHA";"80183 - DRUG SCRN QUANT OXCARBAZEPIN";"ein";"920162721";;"institutional";232.0000;69.6000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"82306";"2022 CMS,AHA";"82306 - VITAMIN D 25 HYDROXY";"ein";"920041488";;"institutional";280.0000;230.1300;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"82306";"2022 CMS,AHA";"82306 - VITAMIN D 25 HYDROXY";"ein";"920162721";;"institutional";266.0000;162.0800;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"82607";"2022 CMS,AHA";"82607 - VITAMIN B-12";"ein";"920041488";;"institutional";162.0000;94.8510;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"82607";"2022 CMS,AHA";"82607 - VITAMIN B-12";"ein";"920162721";;"institutional";171.0000;16.0700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"82728";"2022 CMS,AHA";"82728 - ASSAY OF FERRITIN";"ein";"920162721";;"institutional";252.0000;23.6800;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"82728";"2022 CMS,AHA";"82728 - ASSAY OF FERRITIN";"ein";"920162721";;"institutional";252.0000;48.5700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"860212139";;"institutional";82.0000;15.6100;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"83036";"2022 CMS,AHA";"83036 - GLYCOSYLATED HEMOGLOBIN TEST";"ein";"920162721";;"institutional";220.0000;32.8900;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"83690";"2022 CMS,AHA";"83690 - ASSAY OF LIPASE";"ein";"920162721";;"institutional";205.0000;41.1700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"83880";"2022 CMS,AHA";"83880 - ASSAY OF NATRIURETIC PEPTIDE";"ein";"920041461";;"institutional";224.0000;168.0000;"1861698805";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"84156";"2022 CMS,AHA";"84156 - ASSAY OF PROTEIN URINE";"ein";"920162721";;"institutional";180.0000;54.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"84443";"2022 CMS,AHA";"84443 - ASSAY THYROID STIM HORMONE";"ein";"920041488";;"institutional";267.0000;252.4400;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"84443";"2022 CMS,AHA";"84443 - ASSAY THYROID STIM HORMONE";"ein";"920162721";;"institutional";215.0000;19.2300;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"84443";"2022 CMS,AHA";"84443 - ASSAY THYROID STIM HORMONE";"ein";"920162721";;"institutional";215.0000;131.0200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"84484";"2022 CMS,AHA";"84484 - ASSAY OF TROPONIN QUANT";"ein";"920162721";;"institutional";575.0000;95.9500;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"920162721";;"institutional";235.0000;70.5000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"85027";"2022 CMS,AHA";"85027 - COMPLETE CBC AUTOMATED";"ein";"920162721";;"institutional";171.0000;25.5600;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"86038";"2022 CMS,AHA";"86038 - ANTINUCLEAR ANTIBODIES";"ein";"920162721";;"institutional";191.0000;33.3700;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"86160";"2022 CMS,AHA";"86160 - COMPLEMENT ANTIGEN";"ein";"920162721";;"institutional";322.0000;56.2500;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"86431";"2022 CMS,AHA";"86431 - RHEUMATOID FACTOR QUANT";"ein";"920162721";;"institutional";216.0000;19.3200;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"920041488";;"institutional";221.0000;156.8200;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"920162721";;"institutional";198.0000;35.9200;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Pathology and Laboratory";"REVENUE CODE";"300";"2022 AHA";"LABORATORY";"ein";"920162721";;"institutional";249.0000;74.7000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Physical Therapy";"HCPCS";"97032";"2022 CMS,AHA";"97032 - ELECTRICAL STIMULATION";"ein";"920041488";;"institutional";563.0000;123.8310;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"HCPCS";"72148";"2022 CMS,AHA";"72148 - MRI LUMBAR SPINE W/O DYE";"ein";"920041488";;"institutional";3828.0000;2113.5400;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"HCPCS";"73610";"2022 CMS,AHA";"73610 - X-RAY EXAM OF ANKLE";"ein";"920041488";;"institutional";674.0000;201.6360;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"HCPCS";"73721";"2022 CMS,AHA";"73721 - MRI JNT OF LWR EXTRE W/O DYE";"ein";"920162721";;"institutional";4714.0000;514.9400;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"HCPCS";"77063";"2022 CMS,AHA";"77063 - BREAST TOMOSYNTHESIS BI";"ein";"920041488";;"institutional";189.0000;100.4760;"1588902027";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"920162721";;"institutional";704.0000;457.6000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"REVENUE CODE";"324";"2022 AHA";"DX X-RAY/CHEST";"ein";"920162721";;"institutional";645.0000;645.0000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Radiology";"REVENUE CODE";"730";"2022 AHA";"EKG/ECG";"ein";"920162721";;"institutional";1367.0000;410.1000;"1437189339";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Public Employees Local 71";"group";"Room and Board";"REVENUE CODE";"126";"2022 AHA";"DETOX/2BED";"ein";"465692740";;"institutional";4495.0000;1272.8100;"1457762809";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Psychological";"HCPCS";"H2036";"2022 CMS,AHA";"H2036 - A/D TX PROGRAM, PER DIEM";"ein";"824550821";;"institutional";3350.0000;187.3000;"1023506714";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Seattle Area Plumbers & Pipefitters";"group";"Radiology";"HCPCS";"72040";"2022 CMS,AHA";"72040 - X-RAY EXAM NECK SPINE 2-3 VW";"ein";"562392010";;"institutional";478.0000;463.6600;"1023332749";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Administration";"HCPCS";"69209";"2022 CMS,AHA";"69209 - REMOVE IMPACTED EAR WAX UNI";"ein";"470376487";;"institutional";346.9000;81.6500;;"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Medical and Surgical Supplies";"HCPCS";"C1887";"2022 CMS,AHA";"C1887 - CATHETER, GUIDING";"ein";"465023240";;"institutional";3500.0000;560.0000;"0";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters and Employers Welfare Trust of IL";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J2704";"2022 CMS,AHA";"J2704 - INJ, PROPOFOL, 10 MG";"ein";"061649460";;"institutional";360.0000;0.0000;"1821066515";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"Teamsters Security Fund For Southern NV -Local 14";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"942854057";;"institutional";18.8800;0.0000;"1114025491";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";;"2022 CMS,AHA";;"ein";"831287043";;"institutional";66.9300;66.9300;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"831287043";;"institutional";454.3500;0.0000;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"96374";"2022 CMS,AHA";"96374 - THER/PROPH/DIAG INJ IV PUSH";"ein";"831287043";;"institutional";454.3500;41.2500;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J1885";"2022 CMS,AHA";"J1885 - KETOROLAC TROMETHAMINE INJ";"ein";"831287043";;"institutional";65.0600;11.5000;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"831287043";;"institutional";80.6300;7.3200;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Medicine/Pharmacy/Vaccine";"HCPCS";"J7030";"2022 CMS,AHA";"J7030 - NORMAL SALINE SOLUTION INFUS";"ein";"831287043";;"institutional";80.6300;14.2600;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"HCPCS";"85025";"2022 CMS,AHA";"85025 - COMPLETE CBC W/AUTO DIFF WBC";"ein";"831287043";;"institutional";309.3800;54.7100;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Pathology and Laboratory";"HCPCS";"87635";"2022 CMS,AHA";"87635 - Infectious agent detection by DNA/RNA, COVID-19";"ein";"831287043";;"institutional";450.0000;83.7100;"1174183024";"2022-10-31";"v1.2.0"
"Zelis";"Third-party";"Zenith American Solutions- ISSI";;"UFCW Local 1546 Food Handlers";"group";"Radiology";"HCPCS";"93005";"2022 CMS,AHA";"93005 - ELECTROCARDIOGRAM TRACING";"ein";"831287043";;"institutional";396.8200;73.8200;"1174183024";"2022-10-31";"v1.2.0"