Mantys Eligibility API

Daman multi-card

A Daman member holding two packages: what card_index means, why the card you get back is not a choice, and what to show the front desk.

A Daman member can hold more than one card, and the cards are different products. Gold on one network, Silver on another, Bronze on a network that excludes some hospitals. The check runs once per card and each run produces its own result with its own package, network, plan and cost sharing.

GET /eligibility-result/{task_id} returns one of them, and not necessarily the one the patient is presenting.

What the portal showed

OpenJet, Daman member eligibility

Member packages

Member
Sample Patient
Card number
MBR-0000000

Packages on this member

#PackageNetworkStatus
11Bronze Ex2Grand +Al Zahra Excluding BMC3Active
21Gold2NW UAE: Royal3Active
  1. 1Portal order. It reaches you as card_index, 1-based, alongside multi_card_total.
  2. 2The package, in package_name. These are different products, not two views of one policy.
  3. 3The network, in card_network. One of these two excludes hospitals the other covers, so which card the visit is billed against changes the answer.
Redrawn from a production Daman eligibility page returning two active packages. Package and network names are real; identifiers are placeholders.

What came back

The multi-card fields on the result
.json
{
"id": "00000000-0000-4000-a000-000000000001",
"tenant_id": "yourorg",
"clinic_id": "00000000-0000-4000-a000-000000000002",
"created_at": "2026-09-07T08:31:45.646000",
"updated_at": "2026-09-07T08:32:55.298000",
"task_id": "00000000-0000-4000-a000-000000000001",
"status": "PROCESS_COMPLETE",
"request_dump": {
"emirates_id": "784-0000-0000000-0",
"phone": "+971 50 000 0000",
"practice_id": "00000000-0000-4000-a000-000000000002",
"tpa_name": "INS026",
"id_type": "CARDNUMBER",
"visit_type": "OUTPATIENT",
"name": "Sample Patient",
"extra_args": {
"title": "",
"value": "",
"is_pod": false,
"is_maternity": false,
"not_related_to_chief_complaint": false,
"free_followup_or_extended_followup": false,
"request_start_time": 1788769905.639303
},
"doctorName": "Sample Clinician",
"payerName": "",
"user_id": "00000000-0000-4000-a000-000000000003"
},
"interim_results": {
"referral_documents": [
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Member Eligibility Card Pdf",
"id": "member_eligibility_card_pdf",
"original_filename": "member-eligibility.png"
},
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Schedule of Benefits Pdf",
"id": "schedule_of_benefits_pdf",
"original_filename": "member-eligibility.png"
},
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Member Eligibility Document",
"id": "member_eligibility",
"original_filename": "member-eligibility.png"
}
],
"screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tpa_name": "INS026"
},
"is_search_all": false,
"search_all_status": null,
"created_by_user_id": null,
"eligibility_result": {
"id": "00000000-0000-4000-a000-000000000001:INS026:card2",
"tenant_id": "yourorg",
"clinic_id": "00000000-0000-4000-a000-000000000002",
"created_at": "2026-09-07T08:32:55.284000",
"updated_at": "2026-09-07T08:32:55.284000",
"data_dump": {
"status": "found",
"tpa": "INS026",
"data": {
"patient_info": {
"policy_holder_name": "Sample Policy Holder",
"patient_emirates_id": "784-0000-0000000-0",
"policy_primary_member_id": "MBR-0000000",
"eligibility_id": "REF-0000000",
"policy_primary_dha_member_id": "0000000000",
"policy_holder_dob": "1990-01-01"
},
"copay_analysis": {
"waiting_period": "Not Specified",
"copay_details": [
{
"visit_type": "Consultation - Outside Abu Dhabi",
"coverage_status": "Covered",
"copay_percentage": 10,
"copay_amount": null,
"copay_max_amount": 75,
"copay_currency": "AED",
"copay_max_scope": null,
"coinsurance_percentage": null,
"visit_setting": null,
"remarks": "Includes: physician consultation\nCitation: - **Coinsurance**: Physician Consultation : 10% Pharmaceuticals : 10% Dental : 20% Diagnostics : 10% | - **Out Of Pocket Limit**: Physician Consultation : 75 Diagnostics : 150",
"scope": {
"benefit": "Consultation - Outside Abu Dhabi",
"network": null,
"location": "UAE",
"visit_setting": null,
"qualifiers": [
"Outside Abu Dhabi"
],
"is_default": false,
"label": "Outside Abu Dhabi | UAE"
}
},
{
"visit_type": "Pharmacy",
"coverage_status": "Covered",
"copay_percentage": 10,
"copay_amount": null,
"copay_max_amount": null,
"copay_currency": "AED",
"copay_max_scope": null,
"coinsurance_percentage": null,
"visit_setting": null,
"remarks": "Includes: pharmaceuticals\nCitation: - **Coinsurance**: Physician Consultation : 10% Pharmaceuticals : 10% Dental : 20% Diagnostics : 10%",
"scope": {
"benefit": "Pharmacy",
"network": null,
"location": "UAE",
"visit_setting": null,
"qualifiers": [
],
"is_default": true,
"label": "UAE"
}
},
{
"visit_type": "Dental",
"coverage_status": "Covered",
"copay_percentage": 20,
"copay_amount": null,
"copay_max_amount": null,
"copay_currency": "AED",
"copay_max_scope": null,
"coinsurance_percentage": null,
"visit_setting": null,
"remarks": "Citation: - **Coinsurance**: Physician Consultation : 10% Pharmaceuticals : 10% Dental : 20% Diagnostics : 10% | - **Dental**: Yes | - **LIMIT**: Dental : 3500",
"copay_aggregate_cap": "AED 3,500",
"scope": {
"benefit": "Dental",
"network": null,
"location": "UAE",
"visit_setting": null,
"qualifiers": [
],
"is_default": true,
"label": "UAE"
}
},
{
"visit_type": "Diagnostics",
"coverage_status": "Covered",
"copay_percentage": 10,
"copay_amount": null,
"copay_max_amount": 150,
"copay_currency": "AED",
"copay_max_scope": null,
"coinsurance_percentage": null,
"visit_setting": null,
"remarks": "Citation: - **Coinsurance**: Physician Consultation : 10% Pharmaceuticals : 10% Dental : 20% Diagnostics : 10% | - **Out Of Pocket Limit**: Physician Consultation : 75 Diagnostics : 150",
"scope": {
"benefit": "Diagnostics",
"network": null,
"location": "UAE",
"visit_setting": null,
"qualifiers": [
],
"is_default": true,
"label": "UAE"
}
},
{
"visit_type": "Optical",
"coverage_status": "Not Covered",
"copay_percentage": null,
"copay_amount": null,
"copay_max_amount": null,
"copay_currency": "AED",
"copay_max_scope": null,
"coinsurance_percentage": null,
"visit_setting": null,
"remarks": "Not Covered",
"scope": {
"benefit": "Optical",
"network": null,
"location": "UAE",
"visit_setting": null,
"qualifiers": [
],
"is_default": true,
"label": "UAE"
}
},
{
"visit_type": "Consultation - Abu Dhabi",
"coverage_status": "Covered",
"copay_percentage": null,
"copay_amount": 50,
"copay_max_amount": 75,
"copay_currency": "AED",
"copay_max_scope": null,
"coinsurance_percentage": null,
"visit_setting": null,
"remarks": "Includes: physician consultation\nCitation: - **Outpatient Deductible (Copay Amount)**: Physician Consultation : 50 | - **Out Of Pocket Limit**: Physician Consultation : 75 Diagnostics : 150",
"scope": {
"benefit": "Consultation",
"network": null,
"location": "Abu Dhabi",
"visit_setting": null,
"qualifiers": [
],
"is_default": false,
"label": "Abu Dhabi"
}
},
{
"visit_type": "Maternity",
"coverage_status": "Not Covered",
"copay_percentage": null,
"copay_amount": null,
"copay_max_amount": null,
"copay_currency": "AED",
"copay_max_scope": null,
"coinsurance_percentage": null,
"visit_setting": null,
"remarks": "Not Covered",
"scope": {
"benefit": "Maternity",
"network": null,
"location": "UAE",
"visit_setting": null,
"qualifiers": [
],
"is_default": true,
"label": "UAE"
}
}
],
"special_remarks": [
"networknotes: For Physician Consultation : Deductible applicable in Abu Dhabi / Co-ins applicable outside Abu Dhabi",
"networkaborad: Abroad : Worldwide Excluding. US Canada"
],
"new_version_of_copay_analysis": {
"benefits": [
{
"service_category_standardized": "Consultation - Outside Abu Dhabi",
"service_category_original": "physician consultation",
"coverage_status": "Covered",
"cost_sharing": [
{
"visit_type": null,
"visit_setting": null,
"copay_percentage": 10,
"copay_amount": null,
"copay_maximum_amount": 75
}
],
"conditions": null,
"limits": null,
"remarks": "Includes: physician consultation\nCitation: - **Coinsurance**: Physician Consultation : 10% Pharmaceuticals : 10% Dental : 20% Diagnostics : 10% | - **Out Of Pocket Limit**: Physician Consultation : 75 Diagnostics : 150"
},
{
"service_category_standardized": "Pharmacy",
"service_category_original": "pharmaceuticals",
"coverage_status": "Covered",
"cost_sharing": [
{
"visit_type": null,
"visit_setting": null,
"copay_percentage": 10,
"copay_amount": null,
"copay_maximum_amount": null
}
],
"conditions": null,
"limits": null,
"remarks": "Includes: pharmaceuticals\nCitation: - **Coinsurance**: Physician Consultation : 10% Pharmaceuticals : 10% Dental : 20% Diagnostics : 10%"
},
{
"service_category_standardized": "Dental",
"service_category_original": "dental",
"coverage_status": "Covered",
"cost_sharing": [
{
"visit_type": null,
"visit_setting": null,
"copay_percentage": 20,
"copay_amount": null,
"copay_maximum_amount": null
}
],
"conditions": null,
"limits": null,
"remarks": "Citation: - **Coinsurance**: Physician Consultation : 10% Pharmaceuticals : 10% Dental : 20% Diagnostics : 10% | - **Dental**: Yes | - **LIMIT**: Dental : 3500"
},
{
"service_category_standardized": "Diagnostics",
"service_category_original": "diagnostics",
"coverage_status": "Covered",
"cost_sharing": [
{
"visit_type": null,
"visit_setting": null,
"copay_percentage": 10,
"copay_amount": null,
"copay_maximum_amount": 150
}
],
"conditions": null,
"limits": null,
"remarks": "Citation: - **Coinsurance**: Physician Consultation : 10% Pharmaceuticals : 10% Dental : 20% Diagnostics : 10% | - **Out Of Pocket Limit**: Physician Consultation : 75 Diagnostics : 150"
},
{
"service_category_standardized": "Optical",
"service_category_original": "optical",
"coverage_status": "Not Covered",
"cost_sharing": [
{
"visit_type": null,
"visit_setting": null,
"copay_percentage": null,
"copay_amount": null,
"copay_maximum_amount": null
}
],
"conditions": null,
"limits": null,
"remarks": "Not Covered"
},
{
"service_category_standardized": "Consultation - Abu Dhabi",
"service_category_original": "physician consultation",
"coverage_status": "Covered",
"cost_sharing": [
{
"visit_type": null,
"visit_setting": null,
"copay_percentage": null,
"copay_amount": 50,
"copay_maximum_amount": 75
}
],
"conditions": null,
"limits": null,
"remarks": "Includes: physician consultation\nCitation: - **Outpatient Deductible (Copay Amount)**: Physician Consultation : 50 | - **Out Of Pocket Limit**: Physician Consultation : 75 Diagnostics : 150"
},
{
"service_category_standardized": "Maternity",
"service_category_original": "maternity",
"coverage_status": "Not Covered",
"cost_sharing": [
{
"visit_type": null,
"visit_setting": null,
"copay_percentage": null,
"copay_amount": null,
"copay_maximum_amount": null
}
],
"conditions": null,
"limits": null,
"remarks": "Not Covered"
}
],
"policy_info": {
},
"general_remarks": [
"networknotes: For Physician Consultation : Deductible applicable in Abu Dhabi / Co-ins applicable outside Abu Dhabi",
"networkaborad: Abroad : Worldwide Excluding. US Canada"
]
}
},
"policy_network": {
"policy_plan_name": "Gold",
"payer_name_as_in_text": "Daman",
"sponsor_id": "INS026",
"payer_name": "Not Applicable",
"valid_upto": "2027-01-31",
"start_date": "2026-02-01",
"all_networks": [
{
"network_name_as_in_text": "Network Billing Reference: NW2",
"network": "NW2",
"network_value": "NW2",
"visit_type": "Not Specified",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "DAMAN NETWORK-2-DXB",
"plan_code": "D003-DXB"
}
],
"policy_authority": "DHA",
"is_general_physician_referral_required_for_specialist_referral": false,
"is_gatekeeper": "Not Mentioned",
"is_vip": "Not Mentioned",
"waiting_period": null,
"policy_holder_name": "Sample Policy Holder",
"work_site_covered": "Could not determine",
"package_name": null,
"package": "Gold",
"card_network": "Royal",
"network_billing_reference": "NW2"
},
"copay_details_to_fill": [
{
"name": "Outpatient",
"values_to_fill": {
"CONSULTATION": {
"deductible": "0",
"copay": "10.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "75.0",
"_is_outpatient_fallback": false,
"_deductibleLegacy": "75.0"
},
"LAB": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"RADIOLOGY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DIAGNOSTICS": {
"deductible": "0",
"copay": "10.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "150.0",
"_is_outpatient_fallback": false,
"_deductibleLegacy": "0"
},
"DENTAL CONSULTATION & PROCEDURE": {
"deductible": "0",
"copay": "20.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false,
"_deductibleLegacy": "0"
},
"MEDICINES": {
"deductible": "0",
"copay": "10.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false,
"_deductibleLegacy": "0"
},
"PHYSIOTHERAPY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"OPTICAL": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false,
"_deductibleLegacy": "0"
}
},
"available_networks": [
{
"network_name_as_in_text": "Network Billing Reference: NW2",
"network": "NW2",
"network_value": "NW2",
"visit_type": "Not Specified",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "DAMAN NETWORK-2-DXB",
"plan_code": "D003-DXB"
}
],
"has_multiple_networks": false,
"primary_network": {
"network": "NW2",
"network_status": null,
"matched_plan_name": null
}
},
{
"name": "Maternity",
"values_to_fill": {
"CONSULTATION": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"LAB": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0",
"_maxDeductible": "0"
},
"RADIOLOGY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"DIAGNOSTICS": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"DENTAL CONSULTATION & PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"MEDICINES": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"PHYSIOTHERAPY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"OPTICAL": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
}
},
"available_networks": [
{
"network_name_as_in_text": "Network Billing Reference: NW2",
"network": "NW2",
"network_value": "NW2",
"visit_type": "Not Specified",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "DAMAN NETWORK-2-DXB",
"plan_code": "D003-DXB"
}
],
"has_multiple_networks": false,
"primary_network": {
"network": "NW2",
"network_status": null,
"matched_plan_name": null
}
},
{
"name": "Specialization",
"values_to_fill": {
"CONSULTATION": {
"deductible": "0",
"copay": "10.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "75.0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "75.0"
},
"LAB": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"RADIOLOGY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"DIAGNOSTICS": {
"deductible": "0",
"copay": "10.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "150.0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"DENTAL CONSULTATION & PROCEDURE": {
"deductible": "0",
"copay": "20.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"MEDICINES": {
"deductible": "0",
"copay": "10.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"PHYSIOTHERAPY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"OPTICAL": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
}
},
"available_networks": [
{
"network_name_as_in_text": "Network Billing Reference: NW2",
"network": "NW2",
"network_value": "NW2",
"visit_type": "Not Specified",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "DAMAN NETWORK-2-DXB",
"plan_code": "D003-DXB"
}
],
"has_multiple_networks": false,
"primary_network": {
"network": "NW2",
"network_status": null,
"matched_plan_name": null
}
},
{
"name": "Inpatient",
"values_to_fill": {
"CONSULTATION": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"LAB": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"RADIOLOGY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DIAGNOSTICS": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DENTAL CONSULTATION & PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"MEDICINES": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"PHYSIOTHERAPY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"OPTICAL": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
}
},
"available_networks": [
{
"network_name_as_in_text": "Network Billing Reference: NW2",
"network": "NW2",
"network_value": "NW2",
"visit_type": "Not Specified",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "DAMAN NETWORK-2-DXB",
"plan_code": "D003-DXB"
}
],
"has_multiple_networks": false,
"primary_network": {
"network": "NW2",
"network_status": null,
"matched_plan_name": null
}
}
],
"policy_holder_name": "Sample Policy Holder",
"policy_holder_emirates_id": "784-0000-0000000-0",
"eligibility_id": "REF-0000000",
"policy_holder_dob": "1990-01-01",
"is_eligible": true,
"failure_reason": null,
"adjusted_tpa_name": "INS026",
"screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"referral_documents": [
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Member Eligibility Card Pdf",
"id": "member_eligibility_card_pdf",
"original_filename": "member-eligibility.png"
},
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Schedule of Benefits Pdf",
"id": "schedule_of_benefits_pdf",
"original_filename": "member-eligibility.png"
},
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Member Eligibility Document",
"id": "member_eligibility",
"original_filename": "member-eligibility.png"
}
],
"payer_id": "INS026",
"warning_messages": [
],
"was_identified_by_aggregator": false,
"card_index": 2,
"card_number": "MBR-0000000",
"package_name": "Gold",
"card_network": "NW UAE: Royal",
"multi_card_total": 2
}
},
"search_id": "0000-0000-0000-0000",
"tpa_name": "INS026",
"task_id": "00000000-0000-4000-a000-000000000001",
"user_id": null,
"status": "found"
}
}

Highlighted on eligibility_result.data_dump.data: card_index, multi_card_total, card_number, package_name, card_network, is_eligible, payer_id. The rest of the keys are documented on Results.

One result, for card 2 of 2. Card 1, the Bronze Ex card on the restricted network, is not in the body: there is no array of cards, no second result and no way to ask for it through this endpoint.

all_cards and is_multi_card are not on this endpoint

An internal response shape for the same situation carries is_multi_card: true and an all_cards array with every card in it. GET /eligibility-result emits neither key, and no production sample contains them. Do not write code that waits for all_cards.

Which card you get is not a choice

This is the part to design around. The card in the response is whichever result row came back first, so it is neither "the primary card" nor a stable pick. Three production Daman checks, same payer, same shape:

Check 1 returned card 2
.json
{
"id": "00000000-0000-4000-a000-000000000001",
"tenant_id": "yourorg",
"clinic_id": "00000000-0000-4000-a000-000000000002",
"created_at": "2026-09-07T08:31:45.646000",
"updated_at": "2026-09-07T08:32:55.298000",
"task_id": "00000000-0000-4000-a000-000000000001",
"status": "PROCESS_COMPLETE",
"request_dump": {
"emirates_id": "784-0000-0000000-0",
"phone": "+971 50 000 0000",
"practice_id": "00000000-0000-4000-a000-000000000002",
"tpa_name": "INS026",
"id_type": "CARDNUMBER",
"visit_type": "OUTPATIENT",
"name": "Sample Patient",
"extra_args": {
"title": "",
"value": "",
"is_pod": false,
"is_maternity": false,
"not_related_to_chief_complaint": false,
"free_followup_or_extended_followup": false,
"request_start_time": 1788769905.639303
},
"doctorName": "Sample Clinician",
"payerName": "",
"user_id": "00000000-0000-4000-a000-000000000003"
},
"interim_results": {
"referral_documents": [
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Member Eligibility Card Pdf",
"id": "member_eligibility_card_pdf",
"original_filename": "member-eligibility.png"
},
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Schedule of Benefits Pdf",
"id": "schedule_of_benefits_pdf",
"original_filename": "member-eligibility.png"
},
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Member Eligibility Document",
"id": "member_eligibility",
"original_filename": "member-eligibility.png"
}
],
"screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tpa_name": "INS026"
},
"is_search_all": false,
"search_all_status": null,
"created_by_user_id": null,
"eligibility_result": {
"id": "00000000-0000-4000-a000-000000000001:INS026:card2",
"tenant_id": "yourorg",
"clinic_id": "00000000-0000-4000-a000-000000000002",
"created_at": "2026-09-07T08:32:55.284000",
"updated_at": "2026-09-07T08:32:55.284000",
"data_dump": {
"status": "found",
"tpa": "INS026",
"data": {
"patient_info": {
"policy_holder_name": "Sample Policy Holder",
"patient_emirates_id": "784-0000-0000000-0",
"policy_primary_member_id": "MBR-0000000",
"eligibility_id": "REF-0000000",
"policy_primary_dha_member_id": "0000000000",
"policy_holder_dob": "1990-01-01"
},
"copay_analysis": {
"waiting_period": "Not Specified",
"copay_details": [
{
"visit_type": "Consultation - Outside Abu Dhabi",
"coverage_status": "Covered",
"copay_percentage": 10,
"copay_amount": null,
"copay_max_amount": 75,
"copay_currency": "AED",
"copay_max_scope": null,
"coinsurance_percentage": null,
"visit_setting": null,
"remarks": "Includes: physician consultation\nCitation: - **Coinsurance**: Physician Consultation : 10% Pharmaceuticals : 10% Dental : 20% Diagnostics : 10% | - **Out Of Pocket Limit**: Physician Consultation : 75 Diagnostics : 150",
"scope": {
"benefit": "Consultation - Outside Abu Dhabi",
"network": null,
"location": "UAE",
"visit_setting": null,
"qualifiers": [
"Outside Abu Dhabi"
],
"is_default": false,
"label": "Outside Abu Dhabi | UAE"
}
},
{
"visit_type": "Pharmacy",
"coverage_status": "Covered",
"copay_percentage": 10,
"copay_amount": null,
"copay_max_amount": null,
"copay_currency": "AED",
"copay_max_scope": null,
"coinsurance_percentage": null,
"visit_setting": null,
"remarks": "Includes: pharmaceuticals\nCitation: - **Coinsurance**: Physician Consultation : 10% Pharmaceuticals : 10% Dental : 20% Diagnostics : 10%",
"scope": {
"benefit": "Pharmacy",
"network": null,
"location": "UAE",
"visit_setting": null,
"qualifiers": [
],
"is_default": true,
"label": "UAE"
}
},
{
"visit_type": "Dental",
"coverage_status": "Covered",
"copay_percentage": 20,
"copay_amount": null,
"copay_max_amount": null,
"copay_currency": "AED",
"copay_max_scope": null,
"coinsurance_percentage": null,
"visit_setting": null,
"remarks": "Citation: - **Coinsurance**: Physician Consultation : 10% Pharmaceuticals : 10% Dental : 20% Diagnostics : 10% | - **Dental**: Yes | - **LIMIT**: Dental : 3500",
"copay_aggregate_cap": "AED 3,500",
"scope": {
"benefit": "Dental",
"network": null,
"location": "UAE",
"visit_setting": null,
"qualifiers": [
],
"is_default": true,
"label": "UAE"
}
},
{
"visit_type": "Diagnostics",
"coverage_status": "Covered",
"copay_percentage": 10,
"copay_amount": null,
"copay_max_amount": 150,
"copay_currency": "AED",
"copay_max_scope": null,
"coinsurance_percentage": null,
"visit_setting": null,
"remarks": "Citation: - **Coinsurance**: Physician Consultation : 10% Pharmaceuticals : 10% Dental : 20% Diagnostics : 10% | - **Out Of Pocket Limit**: Physician Consultation : 75 Diagnostics : 150",
"scope": {
"benefit": "Diagnostics",
"network": null,
"location": "UAE",
"visit_setting": null,
"qualifiers": [
],
"is_default": true,
"label": "UAE"
}
},
{
"visit_type": "Optical",
"coverage_status": "Not Covered",
"copay_percentage": null,
"copay_amount": null,
"copay_max_amount": null,
"copay_currency": "AED",
"copay_max_scope": null,
"coinsurance_percentage": null,
"visit_setting": null,
"remarks": "Not Covered",
"scope": {
"benefit": "Optical",
"network": null,
"location": "UAE",
"visit_setting": null,
"qualifiers": [
],
"is_default": true,
"label": "UAE"
}
},
{
"visit_type": "Consultation - Abu Dhabi",
"coverage_status": "Covered",
"copay_percentage": null,
"copay_amount": 50,
"copay_max_amount": 75,
"copay_currency": "AED",
"copay_max_scope": null,
"coinsurance_percentage": null,
"visit_setting": null,
"remarks": "Includes: physician consultation\nCitation: - **Outpatient Deductible (Copay Amount)**: Physician Consultation : 50 | - **Out Of Pocket Limit**: Physician Consultation : 75 Diagnostics : 150",
"scope": {
"benefit": "Consultation",
"network": null,
"location": "Abu Dhabi",
"visit_setting": null,
"qualifiers": [
],
"is_default": false,
"label": "Abu Dhabi"
}
},
{
"visit_type": "Maternity",
"coverage_status": "Not Covered",
"copay_percentage": null,
"copay_amount": null,
"copay_max_amount": null,
"copay_currency": "AED",
"copay_max_scope": null,
"coinsurance_percentage": null,
"visit_setting": null,
"remarks": "Not Covered",
"scope": {
"benefit": "Maternity",
"network": null,
"location": "UAE",
"visit_setting": null,
"qualifiers": [
],
"is_default": true,
"label": "UAE"
}
}
],
"special_remarks": [
"networknotes: For Physician Consultation : Deductible applicable in Abu Dhabi / Co-ins applicable outside Abu Dhabi",
"networkaborad: Abroad : Worldwide Excluding. US Canada"
],
"new_version_of_copay_analysis": {
"benefits": [
{
"service_category_standardized": "Consultation - Outside Abu Dhabi",
"service_category_original": "physician consultation",
"coverage_status": "Covered",
"cost_sharing": [
{
"visit_type": null,
"visit_setting": null,
"copay_percentage": 10,
"copay_amount": null,
"copay_maximum_amount": 75
}
],
"conditions": null,
"limits": null,
"remarks": "Includes: physician consultation\nCitation: - **Coinsurance**: Physician Consultation : 10% Pharmaceuticals : 10% Dental : 20% Diagnostics : 10% | - **Out Of Pocket Limit**: Physician Consultation : 75 Diagnostics : 150"
},
{
"service_category_standardized": "Pharmacy",
"service_category_original": "pharmaceuticals",
"coverage_status": "Covered",
"cost_sharing": [
{
"visit_type": null,
"visit_setting": null,
"copay_percentage": 10,
"copay_amount": null,
"copay_maximum_amount": null
}
],
"conditions": null,
"limits": null,
"remarks": "Includes: pharmaceuticals\nCitation: - **Coinsurance**: Physician Consultation : 10% Pharmaceuticals : 10% Dental : 20% Diagnostics : 10%"
},
{
"service_category_standardized": "Dental",
"service_category_original": "dental",
"coverage_status": "Covered",
"cost_sharing": [
{
"visit_type": null,
"visit_setting": null,
"copay_percentage": 20,
"copay_amount": null,
"copay_maximum_amount": null
}
],
"conditions": null,
"limits": null,
"remarks": "Citation: - **Coinsurance**: Physician Consultation : 10% Pharmaceuticals : 10% Dental : 20% Diagnostics : 10% | - **Dental**: Yes | - **LIMIT**: Dental : 3500"
},
{
"service_category_standardized": "Diagnostics",
"service_category_original": "diagnostics",
"coverage_status": "Covered",
"cost_sharing": [
{
"visit_type": null,
"visit_setting": null,
"copay_percentage": 10,
"copay_amount": null,
"copay_maximum_amount": 150
}
],
"conditions": null,
"limits": null,
"remarks": "Citation: - **Coinsurance**: Physician Consultation : 10% Pharmaceuticals : 10% Dental : 20% Diagnostics : 10% | - **Out Of Pocket Limit**: Physician Consultation : 75 Diagnostics : 150"
},
{
"service_category_standardized": "Optical",
"service_category_original": "optical",
"coverage_status": "Not Covered",
"cost_sharing": [
{
"visit_type": null,
"visit_setting": null,
"copay_percentage": null,
"copay_amount": null,
"copay_maximum_amount": null
}
],
"conditions": null,
"limits": null,
"remarks": "Not Covered"
},
{
"service_category_standardized": "Consultation - Abu Dhabi",
"service_category_original": "physician consultation",
"coverage_status": "Covered",
"cost_sharing": [
{
"visit_type": null,
"visit_setting": null,
"copay_percentage": null,
"copay_amount": 50,
"copay_maximum_amount": 75
}
],
"conditions": null,
"limits": null,
"remarks": "Includes: physician consultation\nCitation: - **Outpatient Deductible (Copay Amount)**: Physician Consultation : 50 | - **Out Of Pocket Limit**: Physician Consultation : 75 Diagnostics : 150"
},
{
"service_category_standardized": "Maternity",
"service_category_original": "maternity",
"coverage_status": "Not Covered",
"cost_sharing": [
{
"visit_type": null,
"visit_setting": null,
"copay_percentage": null,
"copay_amount": null,
"copay_maximum_amount": null
}
],
"conditions": null,
"limits": null,
"remarks": "Not Covered"
}
],
"policy_info": {
},
"general_remarks": [
"networknotes: For Physician Consultation : Deductible applicable in Abu Dhabi / Co-ins applicable outside Abu Dhabi",
"networkaborad: Abroad : Worldwide Excluding. US Canada"
]
}
},
"policy_network": {
"policy_plan_name": "Gold",
"payer_name_as_in_text": "Daman",
"sponsor_id": "INS026",
"payer_name": "Not Applicable",
"valid_upto": "2027-01-31",
"start_date": "2026-02-01",
"all_networks": [
{
"network_name_as_in_text": "Network Billing Reference: NW2",
"network": "NW2",
"network_value": "NW2",
"visit_type": "Not Specified",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "DAMAN NETWORK-2-DXB",
"plan_code": "D003-DXB"
}
],
"policy_authority": "DHA",
"is_general_physician_referral_required_for_specialist_referral": false,
"is_gatekeeper": "Not Mentioned",
"is_vip": "Not Mentioned",
"waiting_period": null,
"policy_holder_name": "Sample Policy Holder",
"work_site_covered": "Could not determine",
"package_name": null,
"package": "Gold",
"card_network": "Royal",
"network_billing_reference": "NW2"
},
"copay_details_to_fill": [
{
"name": "Outpatient",
"values_to_fill": {
"CONSULTATION": {
"deductible": "0",
"copay": "10.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "75.0",
"_is_outpatient_fallback": false,
"_deductibleLegacy": "75.0"
},
"LAB": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"RADIOLOGY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DIAGNOSTICS": {
"deductible": "0",
"copay": "10.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "150.0",
"_is_outpatient_fallback": false,
"_deductibleLegacy": "0"
},
"DENTAL CONSULTATION & PROCEDURE": {
"deductible": "0",
"copay": "20.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false,
"_deductibleLegacy": "0"
},
"MEDICINES": {
"deductible": "0",
"copay": "10.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false,
"_deductibleLegacy": "0"
},
"PHYSIOTHERAPY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"OPTICAL": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false,
"_deductibleLegacy": "0"
}
},
"available_networks": [
{
"network_name_as_in_text": "Network Billing Reference: NW2",
"network": "NW2",
"network_value": "NW2",
"visit_type": "Not Specified",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "DAMAN NETWORK-2-DXB",
"plan_code": "D003-DXB"
}
],
"has_multiple_networks": false,
"primary_network": {
"network": "NW2",
"network_status": null,
"matched_plan_name": null
}
},
{
"name": "Maternity",
"values_to_fill": {
"CONSULTATION": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"LAB": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0",
"_maxDeductible": "0"
},
"RADIOLOGY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"DIAGNOSTICS": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"DENTAL CONSULTATION & PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"MEDICINES": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"PHYSIOTHERAPY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"OPTICAL": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
}
},
"available_networks": [
{
"network_name_as_in_text": "Network Billing Reference: NW2",
"network": "NW2",
"network_value": "NW2",
"visit_type": "Not Specified",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "DAMAN NETWORK-2-DXB",
"plan_code": "D003-DXB"
}
],
"has_multiple_networks": false,
"primary_network": {
"network": "NW2",
"network_status": null,
"matched_plan_name": null
}
},
{
"name": "Specialization",
"values_to_fill": {
"CONSULTATION": {
"deductible": "0",
"copay": "10.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "75.0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "75.0"
},
"LAB": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"RADIOLOGY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"DIAGNOSTICS": {
"deductible": "0",
"copay": "10.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "150.0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"DENTAL CONSULTATION & PROCEDURE": {
"deductible": "0",
"copay": "20.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"MEDICINES": {
"deductible": "0",
"copay": "10.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"PHYSIOTHERAPY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"OPTICAL": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
}
},
"available_networks": [
{
"network_name_as_in_text": "Network Billing Reference: NW2",
"network": "NW2",
"network_value": "NW2",
"visit_type": "Not Specified",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "DAMAN NETWORK-2-DXB",
"plan_code": "D003-DXB"
}
],
"has_multiple_networks": false,
"primary_network": {
"network": "NW2",
"network_status": null,
"matched_plan_name": null
}
},
{
"name": "Inpatient",
"values_to_fill": {
"CONSULTATION": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"LAB": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"RADIOLOGY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DIAGNOSTICS": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DENTAL CONSULTATION & PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"MEDICINES": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"PHYSIOTHERAPY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"OPTICAL": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
}
},
"available_networks": [
{
"network_name_as_in_text": "Network Billing Reference: NW2",
"network": "NW2",
"network_value": "NW2",
"visit_type": "Not Specified",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "DAMAN NETWORK-2-DXB",
"plan_code": "D003-DXB"
}
],
"has_multiple_networks": false,
"primary_network": {
"network": "NW2",
"network_status": null,
"matched_plan_name": null
}
}
],
"policy_holder_name": "Sample Policy Holder",
"policy_holder_emirates_id": "784-0000-0000000-0",
"eligibility_id": "REF-0000000",
"policy_holder_dob": "1990-01-01",
"is_eligible": true,
"failure_reason": null,
"adjusted_tpa_name": "INS026",
"screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"referral_documents": [
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Member Eligibility Card Pdf",
"id": "member_eligibility_card_pdf",
"original_filename": "member-eligibility.png"
},
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Schedule of Benefits Pdf",
"id": "schedule_of_benefits_pdf",
"original_filename": "member-eligibility.png"
},
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Member Eligibility Document",
"id": "member_eligibility",
"original_filename": "member-eligibility.png"
}
],
"payer_id": "INS026",
"warning_messages": [
],
"was_identified_by_aggregator": false,
"card_index": 2,
"card_number": "MBR-0000000",
"package_name": "Gold",
"card_network": "NW UAE: Royal",
"multi_card_total": 2
}
},
"search_id": "0000-0000-0000-0000",
"tpa_name": "INS026",
"task_id": "00000000-0000-4000-a000-000000000001",
"user_id": null,
"status": "found"
}
}

Highlighted on eligibility_result.data_dump.data: card_index, multi_card_total, package_name, card_network. The rest of the keys are documented on Results.

Check 2 returned card 1
.json
{
"id": "00000000-0000-4000-a000-000000000001",
"tenant_id": "yourorg",
"clinic_id": "00000000-0000-4000-a000-000000000002",
"created_at": "2026-08-21T13:31:21.091000",
"updated_at": "2026-08-21T13:32:25.336000",
"task_id": "00000000-0000-4000-a000-000000000001",
"status": "PROCESS_COMPLETE",
"request_dump": {
"emirates_id": "784-0000-0000000-0",
"phone": "+971 50 000 0000",
"practice_id": "00000000-0000-4000-a000-000000000002",
"tpa_name": "INS026",
"id_type": "CARDNUMBER",
"visit_type": "OUTPATIENT",
"name": "Sample Patient",
"extra_args": {
"title": "",
"value": "",
"is_pod": false,
"is_maternity": false,
"not_related_to_chief_complaint": false,
"free_followup_or_extended_followup": false,
"request_start_time": 1787319081.0836437
},
"doctorName": "Sample Clinician",
"payerName": "",
"user_id": "00000000-0000-4000-a000-000000000003"
},
"interim_results": {
"referral_documents": [
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Member Eligibility Card Pdf",
"id": "member_eligibility_card_pdf",
"original_filename": "member-eligibility.png"
},
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Schedule of Benefits Pdf",
"id": "schedule_of_benefits_pdf",
"original_filename": "member-eligibility.png"
},
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Member Eligibility Document",
"id": "member_eligibility",
"original_filename": "member-eligibility.png"
}
],
"screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tpa_name": "INS026"
},
"is_search_all": false,
"search_all_status": null,
"created_by_user_id": null,
"eligibility_result": {
"id": "00000000-0000-4000-a000-000000000001:INS026:card1",
"tenant_id": "yourorg",
"clinic_id": "00000000-0000-4000-a000-000000000002",
"created_at": "2026-08-21T13:32:25.331000",
"updated_at": "2026-08-21T13:32:25.331000",
"data_dump": {
"status": "found",
"tpa": "INS026",
"data": {
"patient_info": {
"policy_holder_name": "Sample Policy Holder",
"patient_emirates_id": "784-0000-0000000-0",
"policy_primary_member_id": "MBR-0000000",
"eligibility_id": "REF-0000000",
"policy_primary_dha_member_id": "0000000000",
"policy_holder_dob": "1990-01-01"
},
"copay_analysis": {
"waiting_period": "Not Specified",
"copay_details": [
{
"visit_type": "Dental",
"copay_percentage": "20.0",
"visit_setting": "Outpatient",
"copay_amount": null,
"copay_currency": "AED",
"copay_max_amount": null,
"copay_max_scope": null,
"coinsurance_percentage": 20,
"remarks": "Citation: Coinsurance: Dental 1 : 20% | LIMIT: Dental 1 : 7000 | \n\n Annual Limit: 7000.0 AED",
"cost_sharing": {
"applicable_location": "UAE",
"visit_type": "Outpatient",
"visit_setting": "Outpatient",
"copay_percentage": 20,
"copay_amount": null,
"copay_currency": "AED",
"copay_maximum_amount": null,
"copay_maximum_scope": null,
"coinsurance_percentage": 20
},
"scope": {
"benefit": "Dental",
"network": "General",
"location": "UAE",
"visit_setting": "Outpatient",
"qualifiers": [
],
"is_default": true,
"label": "General | UAE"
}
},
{
"visit_type": "Dental",
"copay_percentage": "50.0",
"visit_setting": "Outpatient",
"copay_amount": null,
"copay_currency": "AED",
"copay_max_amount": null,
"copay_max_scope": null,
"coinsurance_percentage": 50,
"remarks": "Citation: Coinsurance: Dental 2 : 50% | LIMIT: Dental 2 : 5000 | \n\n Annual Limit: 5000.0 AED",
"cost_sharing": {
"applicable_location": "UAE",
"visit_type": "Outpatient",
"visit_setting": "Outpatient",
"copay_percentage": 50,
"copay_amount": null,
"copay_currency": "AED",
"copay_maximum_amount": null,
"copay_maximum_scope": null,
"coinsurance_percentage": 50
},
"scope": {
"benefit": "Dental",
"network": "General",
"location": "UAE",
"visit_setting": "Outpatient",
"qualifiers": [
],
"is_default": true,
"label": "General | UAE"
}
},
{
"visit_type": "Optical",
"copay_percentage": "Covered",
"visit_setting": "Outpatient",
"copay_amount": null,
"copay_currency": null,
"copay_max_amount": null,
"copay_max_scope": null,
"coinsurance_percentage": null,
"deductible_amount": null,
"deductible_currency": null,
"deductible_scope": null,
"remarks": "",
"scope": {
"benefit": "Optical",
"network": null,
"location": "UAE",
"visit_setting": "Outpatient",
"qualifiers": [
],
"is_default": true,
"label": "UAE"
}
},
{
"visit_type": "Consultation",
"copay_percentage": null,
"visit_setting": "Outpatient",
"copay_amount": 50,
"copay_currency": "AED",
"copay_max_amount": null,
"copay_max_scope": null,
"coinsurance_percentage": null,
"remarks": "Citation: Outpatient Deductible (Copay Amount): Physician Consultation : 50 | \n\n ",
"cost_sharing": {
"applicable_location": "UAE",
"visit_type": "Outpatient",
"visit_setting": "Outpatient",
"copay_percentage": null,
"copay_amount": 50,
"copay_currency": "AED",
"copay_maximum_amount": null,
"copay_maximum_scope": null,
"coinsurance_percentage": null
},
"scope": {
"benefit": "Consultation",
"network": "General",
"location": "UAE",
"visit_setting": "Outpatient",
"qualifiers": [
],
"is_default": true,
"label": "General | UAE"
}
},
{
"visit_type": "Health Checkup",
"copay_percentage": null,
"visit_setting": "Outpatient",
"copay_amount": null,
"copay_currency": "AED",
"copay_max_amount": null,
"copay_max_scope": null,
"coinsurance_percentage": null,
"remarks": "Citation: - **(One Annual Checkup limited to a maximum of AED 1,000 per person)**: Covered — One Annual Checkup limited to a maximum of AED 1,000 per person | \n\n ",
"cost_sharing": {
"applicable_location": null,
"visit_type": "Outpatient",
"visit_setting": "Outpatient",
"copay_percentage": null,
"copay_amount": null,
"copay_currency": "AED",
"copay_maximum_amount": null,
"copay_maximum_scope": null,
"coinsurance_percentage": null
},
"scope": {
"benefit": "Health Checkup",
"network": "General",
"location": "UAE",
"visit_setting": "Outpatient",
"qualifiers": [
],
"is_default": true,
"label": "General | UAE"
}
}
],
"special_remarks": [
"NETWORKABORAD: Abroad : Worldwide Excluding. US Canada"
],
"new_version_of_copay_analysis": {
"policy_info": {
"policy_period_start": null,
"policy_period_end": null,
"beneficiary_start_date": null,
"waiting_period": "Not Specified",
"policy_jurisdiction": "Not Specified"
},
"benefits": [
{
"service_category_standardized": "Dental",
"service_category_original": "Dental 1",
"coverage_status": "Covered",
"cost_sharing": [
{
"applicable_location": "UAE",
"visit_type": "Outpatient",
"visit_setting": "Outpatient",
"copay_percentage": 20,
"copay_amount": null,
"copay_currency": "AED",
"copay_maximum_amount": null,
"copay_maximum_scope": null,
"coinsurance_percentage": 20
}
],
"conditions": null,
"limits": {
"annual_limit": 7000,
"annual_limit_currency": "AED",
"per_service_limit": null,
"per_service_limit_currency": null,
"per_service_limit_scope": null
},
"remarks": null
},
{
"service_category_standardized": "Dental",
"service_category_original": "Dental 2",
"coverage_status": "Covered",
"cost_sharing": [
{
"applicable_location": "UAE",
"visit_type": "Outpatient",
"visit_setting": "Outpatient",
"copay_percentage": 50,
"copay_amount": null,
"copay_currency": "AED",
"copay_maximum_amount": null,
"copay_maximum_scope": null,
"coinsurance_percentage": 50
}
],
"conditions": null,
"limits": {
"annual_limit": 5000,
"annual_limit_currency": "AED",
"per_service_limit": null,
"per_service_limit_currency": null,
"per_service_limit_scope": null
},
"remarks": null
},
{
"service_category_standardized": "Optical",
"service_category_original": null,
"coverage_status": "Covered",
"cost_sharing": [
],
"conditions": null,
"limits": null,
"remarks": null
},
{
"service_category_standardized": "Consultation",
"service_category_original": "Physician Consultation",
"coverage_status": "Covered",
"cost_sharing": [
{
"applicable_location": "UAE",
"visit_type": "Outpatient",
"visit_setting": "Outpatient",
"copay_percentage": null,
"copay_amount": 50,
"copay_currency": "AED",
"copay_maximum_amount": null,
"copay_maximum_scope": null,
"coinsurance_percentage": null
}
],
"conditions": null,
"limits": null,
"remarks": null
},
{
"service_category_standardized": "Health Checkup",
"service_category_original": "(One Annual Checkup limited to a maximum of AED 1,000 per person)",
"coverage_status": "Covered",
"cost_sharing": [
{
"applicable_location": null,
"visit_type": "Outpatient",
"visit_setting": "Outpatient",
"copay_percentage": null,
"copay_amount": null,
"copay_currency": "AED",
"copay_maximum_amount": null,
"copay_maximum_scope": null,
"coinsurance_percentage": null
}
],
"conditions": null,
"limits": null,
"remarks": [
"Covered — One Annual Checkup limited to a maximum of AED 1,000 per person"
]
}
],
"general_remarks": [
"NETWORKABORAD: Abroad : Worldwide Excluding. US Canada"
],
"abbreviations_defined": [
]
}
},
"policy_network": {
"policy_plan_name": "Gold",
"payer_name_as_in_text": "Daman",
"sponsor_id": null,
"payer_name": "Not Applicable",
"valid_upto": "2027-05-04",
"start_date": "2026-05-05",
"all_networks": [
{
"network_name_as_in_text": "Network Billing Reference: NW2",
"network": "NW2",
"network_value": "NW2",
"visit_type": "Not Specified",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "DAMAN NETWORK-2-DXB",
"plan_code": "D003-DXB"
}
],
"policy_authority": "MOH",
"is_general_physician_referral_required_for_specialist_referral": false,
"is_gatekeeper": "Not Mentioned",
"is_vip": "Not Mentioned",
"waiting_period": null,
"policy_holder_name": "Sample Policy Holder",
"work_site_covered": "Could not determine",
"package_name": "Gold",
"package": "Gold",
"card_network": "Royal",
"network_billing_reference": "NW2"
},
"copay_details_to_fill": [
{
"name": "Outpatient",
"values_to_fill": {
"CONSULTATION": {
"deductible": "50.0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "50.0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false,
"_deductibleLegacy": "50.0"
},
"LAB": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"RADIOLOGY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DIAGNOSTICS": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DENTAL CONSULTATION & PROCEDURE": {
"deductible": "0",
"copay": "20.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false,
"_deductibleLegacy": "0"
},
"MEDICINES": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"PHYSIOTHERAPY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"OPTICAL": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false,
"_deductibleLegacy": "0"
}
},
"available_networks": [
{
"network_name_as_in_text": "Network Billing Reference: NW2",
"network": "NW2",
"network_value": "NW2",
"visit_type": "Not Specified",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "DAMAN NETWORK-2-DXB",
"plan_code": "D003-DXB"
}
],
"has_multiple_networks": false,
"primary_network": {
"network": "NW2",
"network_status": null,
"matched_plan_name": null
}
},
{
"name": "Maternity",
"values_to_fill": {
"CONSULTATION": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"LAB": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"RADIOLOGY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DIAGNOSTICS": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DENTAL CONSULTATION & PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"MEDICINES": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"PHYSIOTHERAPY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"OPTICAL": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
}
},
"available_networks": [
{
"network_name_as_in_text": "Network Billing Reference: NW2",
"network": "NW2",
"network_value": "NW2",
"visit_type": "Not Specified",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "DAMAN NETWORK-2-DXB",
"plan_code": "D003-DXB"
}
],
"has_multiple_networks": false,
"primary_network": {
"network": "NW2",
"network_status": null,
"matched_plan_name": null
}
},
{
"name": "Specialization",
"values_to_fill": {
"CONSULTATION": {
"deductible": "50.0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "50.0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "50.0"
},
"LAB": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"RADIOLOGY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"DIAGNOSTICS": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"DENTAL CONSULTATION & PROCEDURE": {
"deductible": "0",
"copay": "20.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"MEDICINES": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"PHYSIOTHERAPY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"OPTICAL": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
}
},
"available_networks": [
{
"network_name_as_in_text": "Network Billing Reference: NW2",
"network": "NW2",
"network_value": "NW2",
"visit_type": "Not Specified",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "DAMAN NETWORK-2-DXB",
"plan_code": "D003-DXB"
}
],
"has_multiple_networks": false,
"primary_network": {
"network": "NW2",
"network_status": null,
"matched_plan_name": null
}
},
{
"name": "Inpatient",
"values_to_fill": {
"CONSULTATION": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"LAB": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"RADIOLOGY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DIAGNOSTICS": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DENTAL CONSULTATION & PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"MEDICINES": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"PHYSIOTHERAPY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"OPTICAL": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
}
},
"available_networks": [
{
"network_name_as_in_text": "Network Billing Reference: NW2",
"network": "NW2",
"network_value": "NW2",
"visit_type": "Not Specified",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "DAMAN NETWORK-2-DXB",
"plan_code": "D003-DXB"
}
],
"has_multiple_networks": false,
"primary_network": {
"network": "NW2",
"network_status": null,
"matched_plan_name": null
}
}
],
"policy_holder_name": "Sample Policy Holder",
"policy_holder_emirates_id": "784-0000-0000000-0",
"eligibility_id": "REF-0000000",
"policy_holder_dob": "1990-01-01",
"is_eligible": true,
"failure_reason": null,
"adjusted_tpa_name": "INS026",
"card_index": 1,
"card_number": "MBR-0000000",
"package_name": "Gold",
"card_network": "NW UAE: Royal",
"multi_card_total": 2,
"screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"referral_documents": [
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Member Eligibility Card Pdf",
"id": "member_eligibility_card_pdf",
"original_filename": "member-eligibility.png"
},
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Schedule of Benefits Pdf",
"id": "schedule_of_benefits_pdf",
"original_filename": "member-eligibility.png"
},
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Member Eligibility Document",
"id": "member_eligibility",
"original_filename": "member-eligibility.png"
}
],
"payer_id": "INS026",
"warning_messages": [
{
"message": "Medical check-up / wellness is covered under this policy",
"screenshot": null,
"warning": true,
"message_type": "information"
}
],
"was_identified_by_aggregator": false
}
},
"search_id": "0000-0000-0000-0000",
"tpa_name": "INS026",
"task_id": "00000000-0000-4000-a000-000000000001",
"user_id": null,
"status": "found"
}
}

Highlighted on eligibility_result.data_dump.data: card_index, multi_card_total, package_name, card_network. The rest of the keys are documented on Results.

Check 3 returned card 1
.json
{
"id": "00000000-0000-4000-a000-000000000001",
"tenant_id": "yourorg",
"clinic_id": "00000000-0000-4000-a000-000000000002",
"created_at": "2026-09-02T21:48:13.166000",
"updated_at": "2026-09-02T22:05:03.041000",
"task_id": "00000000-0000-4000-a000-000000000001",
"status": "PROCESS_COMPLETE",
"request_dump": {
"emirates_id": "784-0000-0000000-0",
"phone": "+971 50 000 0000",
"practice_id": "00000000-0000-4000-a000-000000000002",
"tpa_name": "INS026",
"id_type": "CARDNUMBER",
"visit_type": "OUTPATIENT",
"extra_args": {
"title": "LocationGroup",
"value": "OUTPATIENT",
"request_start_time": 1788385693.1548471
},
"doctorName": "Sample Clinician",
"payerName": "THE NATIONAL INSURANCE COMPANY (DAMAN) PJSC",
"user_id": "00000000-0000-4000-a000-000000000003"
},
"interim_results": {
"referral_documents": [
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Member Eligibility Card Pdf",
"id": "member_eligibility_card_pdf",
"original_filename": "member-eligibility.png"
},
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Schedule of Benefits Pdf",
"id": "schedule_of_benefits_pdf",
"original_filename": "member-eligibility.png"
},
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Member Eligibility Document",
"id": "member_eligibility",
"original_filename": "member-eligibility.png"
}
],
"screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tpa_name": "INS026"
},
"is_search_all": false,
"search_all_status": null,
"created_by_user_id": null,
"eligibility_result": {
"id": "00000000-0000-4000-a000-000000000001:INS026:card1",
"tenant_id": "yourorg",
"clinic_id": "00000000-0000-4000-a000-000000000002",
"created_at": "2026-09-02T22:05:03.034000",
"updated_at": "2026-09-02T22:05:03.034000",
"data_dump": {
"status": "found",
"tpa": "INS026",
"data": {
"patient_info": {
"policy_holder_name": "Sample Policy Holder",
"patient_emirates_id": "784-0000-0000000-0",
"policy_primary_member_id": "MBR-0000000",
"eligibility_id": "REF-0000000",
"policy_primary_dha_member_id": "0000000000",
"policy_holder_dob": "1990-01-01"
},
"copay_analysis": {
"waiting_period": "Not Specified",
"copay_details": [
{
"visit_type": "Consultation",
"coverage_status": "Covered",
"copay_percentage": 20,
"copay_amount": 50,
"copay_max_amount": 50,
"copay_currency": "AED",
"copay_max_scope": null,
"coinsurance_percentage": null,
"visit_setting": null,
"remarks": "Includes: physician consultation\nCitation: - **Coinsurance**: Physician Consultation : 20% Maternity Physician Consultation : 10% Pharmaceuticals : 20% | - **Outpatient Deductible (Copay Amount)**: Physician Consultation : 50 | - **Out Of Pocket Limit**: Physician Consultation : 50 Maternity Physician Consultation : 50 Pharmaceuticals : 100",
"scope": {
"benefit": "Consultation",
"network": null,
"location": "UAE",
"visit_setting": null,
"qualifiers": [
],
"is_default": true,
"label": "UAE"
}
},
{
"visit_type": "Maternity Consultation",
"coverage_status": "Covered",
"copay_percentage": 10,
"copay_amount": null,
"copay_max_amount": 50,
"copay_currency": "AED",
"copay_max_scope": null,
"coinsurance_percentage": null,
"visit_setting": null,
"remarks": "Includes: maternity physician consultation\nCitation: - **Coinsurance**: Physician Consultation : 20% Maternity Physician Consultation : 10% Pharmaceuticals : 20% | - **Out Of Pocket Limit**: Physician Consultation : 50 Maternity Physician Consultation : 50 Pharmaceuticals : 100",
"scope": {
"benefit": "Maternity Consultation",
"network": null,
"location": "UAE",
"visit_setting": null,
"qualifiers": [
],
"is_default": true,
"label": "UAE"
}
},
{
"visit_type": "Pharmacy",
"coverage_status": "Covered",
"copay_percentage": 20,
"copay_amount": null,
"copay_max_amount": 100,
"copay_currency": "AED",
"copay_max_scope": null,
"coinsurance_percentage": null,
"visit_setting": null,
"remarks": "Includes: pharmaceuticals\nCitation: - **Coinsurance**: Physician Consultation : 20% Maternity Physician Consultation : 10% Pharmaceuticals : 20% | - **Out Of Pocket Limit**: Physician Consultation : 50 Maternity Physician Consultation : 50 Pharmaceuticals : 100",
"scope": {
"benefit": "Pharmacy",
"network": null,
"location": "UAE",
"visit_setting": null,
"qualifiers": [
],
"is_default": true,
"label": "UAE"
}
},
{
"visit_type": "Dental",
"coverage_status": "Covered",
"copay_percentage": null,
"copay_amount": null,
"copay_max_amount": null,
"copay_currency": "AED",
"copay_max_scope": null,
"coinsurance_percentage": null,
"visit_setting": null,
"remarks": "Covered",
"scope": {
"benefit": "Dental",
"network": null,
"location": "UAE",
"visit_setting": null,
"qualifiers": [
],
"is_default": true,
"label": "UAE"
}
},
{
"visit_type": "Maternity",
"coverage_status": "Covered",
"copay_percentage": null,
"copay_amount": null,
"copay_max_amount": null,
"copay_currency": "AED",
"copay_max_scope": null,
"coinsurance_percentage": null,
"visit_setting": null,
"remarks": "Covered",
"scope": {
"benefit": "Maternity",
"network": null,
"location": "UAE",
"visit_setting": null,
"qualifiers": [
],
"is_default": true,
"label": "UAE"
}
},
{
"visit_type": "Optical",
"coverage_status": "Not Covered",
"copay_percentage": null,
"copay_amount": null,
"copay_max_amount": null,
"copay_currency": "AED",
"copay_max_scope": null,
"coinsurance_percentage": null,
"visit_setting": null,
"remarks": "Not Covered",
"scope": {
"benefit": "Optical",
"network": null,
"location": "UAE",
"visit_setting": null,
"qualifiers": [
],
"is_default": true,
"label": "UAE"
}
}
],
"special_remarks": [
"networknotes: For Physician Consultation : Deductible applicable in Abu Dhabi / Co-ins in applicable outside Abu Dhabi",
"networkaborad: Abroad : NA"
],
"new_version_of_copay_analysis": {
"benefits": [
{
"service_category_standardized": "Consultation",
"service_category_original": "physician consultation",
"coverage_status": "Covered",
"cost_sharing": [
{
"visit_type": null,
"visit_setting": null,
"copay_percentage": 20,
"copay_amount": 50,
"copay_maximum_amount": 50
}
],
"conditions": null,
"limits": null,
"remarks": "Includes: physician consultation\nCitation: - **Coinsurance**: Physician Consultation : 20% Maternity Physician Consultation : 10% Pharmaceuticals : 20% | - **Outpatient Deductible (Copay Amount)**: Physician Consultation : 50 | - **Out Of Pocket Limit**: Physician Consultation : 50 Maternity Physician Consultation : 50 Pharmaceuticals : 100"
},
{
"service_category_standardized": "Maternity Consultation",
"service_category_original": "maternity physician consultation",
"coverage_status": "Covered",
"cost_sharing": [
{
"visit_type": null,
"visit_setting": null,
"copay_percentage": 10,
"copay_amount": null,
"copay_maximum_amount": 50
}
],
"conditions": null,
"limits": null,
"remarks": "Includes: maternity physician consultation\nCitation: - **Coinsurance**: Physician Consultation : 20% Maternity Physician Consultation : 10% Pharmaceuticals : 20% | - **Out Of Pocket Limit**: Physician Consultation : 50 Maternity Physician Consultation : 50 Pharmaceuticals : 100"
},
{
"service_category_standardized": "Pharmacy",
"service_category_original": "pharmaceuticals",
"coverage_status": "Covered",
"cost_sharing": [
{
"visit_type": null,
"visit_setting": null,
"copay_percentage": 20,
"copay_amount": null,
"copay_maximum_amount": 100
}
],
"conditions": null,
"limits": null,
"remarks": "Includes: pharmaceuticals\nCitation: - **Coinsurance**: Physician Consultation : 20% Maternity Physician Consultation : 10% Pharmaceuticals : 20% | - **Out Of Pocket Limit**: Physician Consultation : 50 Maternity Physician Consultation : 50 Pharmaceuticals : 100"
},
{
"service_category_standardized": "Dental",
"service_category_original": "dental",
"coverage_status": "Covered",
"cost_sharing": [
{
"visit_type": null,
"visit_setting": null,
"copay_percentage": null,
"copay_amount": null,
"copay_maximum_amount": null
}
],
"conditions": null,
"limits": null,
"remarks": "Covered"
},
{
"service_category_standardized": "Maternity",
"service_category_original": "maternity",
"coverage_status": "Covered",
"cost_sharing": [
{
"visit_type": null,
"visit_setting": null,
"copay_percentage": null,
"copay_amount": null,
"copay_maximum_amount": null
}
],
"conditions": null,
"limits": null,
"remarks": "Covered"
},
{
"service_category_standardized": "Optical",
"service_category_original": "optical",
"coverage_status": "Not Covered",
"cost_sharing": [
{
"visit_type": null,
"visit_setting": null,
"copay_percentage": null,
"copay_amount": null,
"copay_maximum_amount": null
}
],
"conditions": null,
"limits": null,
"remarks": "Not Covered"
}
],
"policy_info": {
},
"general_remarks": [
"networknotes: For Physician Consultation : Deductible applicable in Abu Dhabi / Co-ins in applicable outside Abu Dhabi",
"networkaborad: Abroad : NA"
]
}
},
"policy_network": {
"policy_plan_name": "Silver",
"payer_name_as_in_text": "Daman",
"sponsor_id": null,
"payer_name": "Not Applicable",
"valid_upto": "2027-05-07",
"start_date": "2026-05-08",
"all_networks": [
{
"network_name_as_in_text": "Network Billing Reference: NW2",
"network": "NW2",
"network_value": "NW2",
"visit_type": "Not Specified",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "INS026 - DAMAN NETWORK-2-DXB-SHJ",
"plan_code": "DXSHJ-P59"
}
],
"policy_authority": "DHA",
"is_general_physician_referral_required_for_specialist_referral": false,
"is_gatekeeper": "Not Mentioned",
"is_vip": "Not Mentioned",
"waiting_period": null,
"policy_holder_name": "Sample Policy Holder",
"work_site_covered": "Could not determine",
"package_name": "Silver",
"package": "Silver",
"card_network": "Supreme",
"network_billing_reference": "NW2"
},
"copay_details_to_fill": [
{
"name": "Outpatient",
"values_to_fill": {
"CONSULTATION": {
"deductible": "50.0",
"copay": "20.0",
"should_set_copay": true,
"_copayAmount": "50.0",
"_copayMaxAmount": "50.0",
"_is_outpatient_fallback": false,
"_deductibleLegacy": "50.0"
},
"LAB": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"RADIOLOGY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DIAGNOSTICS": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DENTAL CONSULTATION & PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false,
"_deductibleLegacy": "0"
},
"MEDICINES": {
"deductible": "0",
"copay": "20.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "100.0",
"_is_outpatient_fallback": false,
"_deductibleLegacy": "100.0"
},
"PHYSIOTHERAPY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"OPTICAL": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false,
"_deductibleLegacy": "0"
}
},
"available_networks": [
{
"network_name_as_in_text": "Network Billing Reference: NW2",
"network": "NW2",
"network_value": "NW2",
"visit_type": "Not Specified",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "INS026 - DAMAN NETWORK-2-DXB-SHJ",
"plan_code": "DXSHJ-P59"
}
],
"has_multiple_networks": false,
"primary_network": {
"network": "NW2",
"network_status": null,
"matched_plan_name": null
}
},
{
"name": "Maternity",
"values_to_fill": {
"CONSULTATION": {
"deductible": "0",
"copay": "10.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "50.0",
"_is_outpatient_fallback": false,
"_deductibleLegacy": "50.0"
},
"LAB": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0",
"_maxDeductible": "0"
},
"RADIOLOGY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"DIAGNOSTICS": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"DENTAL CONSULTATION & PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"MEDICINES": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"PHYSIOTHERAPY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"OPTICAL": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
}
},
"available_networks": [
{
"network_name_as_in_text": "Network Billing Reference: NW2",
"network": "NW2",
"network_value": "NW2",
"visit_type": "Not Specified",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "INS026 - DAMAN NETWORK-2-DXB-SHJ",
"plan_code": "DXSHJ-P59"
}
],
"has_multiple_networks": false,
"primary_network": {
"network": "NW2",
"network_status": null,
"matched_plan_name": null
}
},
{
"name": "Specialization",
"values_to_fill": {
"CONSULTATION": {
"deductible": "50.0",
"copay": "20.0",
"should_set_copay": true,
"_copayAmount": "50.0",
"_copayMaxAmount": "50.0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "50.0"
},
"LAB": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"RADIOLOGY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"DIAGNOSTICS": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"DENTAL CONSULTATION & PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"MEDICINES": {
"deductible": "0",
"copay": "20.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "100.0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "100.0"
},
"PHYSIOTHERAPY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"OPTICAL": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
}
},
"available_networks": [
{
"network_name_as_in_text": "Network Billing Reference: NW2",
"network": "NW2",
"network_value": "NW2",
"visit_type": "Not Specified",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "INS026 - DAMAN NETWORK-2-DXB-SHJ",
"plan_code": "DXSHJ-P59"
}
],
"has_multiple_networks": false,
"primary_network": {
"network": "NW2",
"network_status": null,
"matched_plan_name": null
}
},
{
"name": "Inpatient",
"values_to_fill": {
"CONSULTATION": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"LAB": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"RADIOLOGY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DIAGNOSTICS": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DENTAL CONSULTATION & PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"MEDICINES": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"PHYSIOTHERAPY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"OPTICAL": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
}
},
"available_networks": [
{
"network_name_as_in_text": "Network Billing Reference: NW2",
"network": "NW2",
"network_value": "NW2",
"visit_type": "Not Specified",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "INS026 - DAMAN NETWORK-2-DXB-SHJ",
"plan_code": "DXSHJ-P59"
}
],
"has_multiple_networks": false,
"primary_network": {
"network": "NW2",
"network_status": null,
"matched_plan_name": null
}
}
],
"policy_holder_name": "Sample Policy Holder",
"policy_holder_emirates_id": "784-0000-0000000-0",
"eligibility_id": "REF-0000000",
"policy_holder_dob": "1990-01-01",
"is_eligible": true,
"failure_reason": null,
"adjusted_tpa_name": "INS026",
"card_index": 1,
"card_number": "MBR-0000000",
"package_name": "Silver",
"card_network": "NW UAE : Supreme + CCAD(ADCB)",
"multi_card_total": 2,
"screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"referral_documents": [
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Member Eligibility Card Pdf",
"id": "member_eligibility_card_pdf",
"original_filename": "member-eligibility.png"
},
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Schedule of Benefits Pdf",
"id": "schedule_of_benefits_pdf",
"original_filename": "member-eligibility.png"
},
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Member Eligibility Document",
"id": "member_eligibility",
"original_filename": "member-eligibility.png"
}
],
"payer_id": "INS026",
"warning_messages": [
],
"was_identified_by_aggregator": false
}
},
"search_id": "0000-0000-0000-0000",
"tpa_name": "INS026",
"task_id": "00000000-0000-4000-a000-000000000001",
"user_id": null,
"status": "found"
}
}

Highlighted on eligibility_result.data_dump.data: card_index, multi_card_total, package_name, card_network. The rest of the keys are documented on Results.

card_index reads 2, then 1, then 1. All three were OUTPATIENT checks sent with CARDNUMBER, so nothing in the request explains the difference. A front desk that reads the response as "the patient's cover" is therefore right some of the time by luck, and the failure mode is expensive: billing an outpatient visit against a card whose network excludes the hospital you are standing in.

card_index is the only tell

There is no boolean saying "there is more of this". multi_card_total > 1 is how you know, and card_index is how you know which one you are looking at. Both live at eligibility_result.data_dump.data.

The rest of the response is that card's

Everything else in the body describes the returned card and nothing else: policy_network, copay_analysis, referral_documents, the lot.

The network of the returned card only
.json
{
"id": "00000000-0000-4000-a000-000000000001",
"tenant_id": "yourorg",
"clinic_id": "00000000-0000-4000-a000-000000000002",
"created_at": "2026-09-07T08:31:45.646000",
"updated_at": "2026-09-07T08:32:55.298000",
"task_id": "00000000-0000-4000-a000-000000000001",
"status": "PROCESS_COMPLETE",
"request_dump": {
"emirates_id": "784-0000-0000000-0",
"phone": "+971 50 000 0000",
"practice_id": "00000000-0000-4000-a000-000000000002",
"tpa_name": "INS026",
"id_type": "CARDNUMBER",
"visit_type": "OUTPATIENT",
"name": "Sample Patient",
"extra_args": {
"title": "",
"value": "",
"is_pod": false,
"is_maternity": false,
"not_related_to_chief_complaint": false,
"free_followup_or_extended_followup": false,
"request_start_time": 1788769905.639303
},
"doctorName": "Sample Clinician",
"payerName": "",
"user_id": "00000000-0000-4000-a000-000000000003"
},
"interim_results": {
"referral_documents": [
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Member Eligibility Card Pdf",
"id": "member_eligibility_card_pdf",
"original_filename": "member-eligibility.png"
},
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Schedule of Benefits Pdf",
"id": "schedule_of_benefits_pdf",
"original_filename": "member-eligibility.png"
},
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Member Eligibility Document",
"id": "member_eligibility",
"original_filename": "member-eligibility.png"
}
],
"screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tpa_name": "INS026"
},
"is_search_all": false,
"search_all_status": null,
"created_by_user_id": null,
"eligibility_result": {
"id": "00000000-0000-4000-a000-000000000001:INS026:card2",
"tenant_id": "yourorg",
"clinic_id": "00000000-0000-4000-a000-000000000002",
"created_at": "2026-09-07T08:32:55.284000",
"updated_at": "2026-09-07T08:32:55.284000",
"data_dump": {
"status": "found",
"tpa": "INS026",
"data": {
"patient_info": {
"policy_holder_name": "Sample Policy Holder",
"patient_emirates_id": "784-0000-0000000-0",
"policy_primary_member_id": "MBR-0000000",
"eligibility_id": "REF-0000000",
"policy_primary_dha_member_id": "0000000000",
"policy_holder_dob": "1990-01-01"
},
"copay_analysis": {
"waiting_period": "Not Specified",
"copay_details": [
{
"visit_type": "Consultation - Outside Abu Dhabi",
"coverage_status": "Covered",
"copay_percentage": 10,
"copay_amount": null,
"copay_max_amount": 75,
"copay_currency": "AED",
"copay_max_scope": null,
"coinsurance_percentage": null,
"visit_setting": null,
"remarks": "Includes: physician consultation\nCitation: - **Coinsurance**: Physician Consultation : 10% Pharmaceuticals : 10% Dental : 20% Diagnostics : 10% | - **Out Of Pocket Limit**: Physician Consultation : 75 Diagnostics : 150",
"scope": {
"benefit": "Consultation - Outside Abu Dhabi",
"network": null,
"location": "UAE",
"visit_setting": null,
"qualifiers": [
"Outside Abu Dhabi"
],
"is_default": false,
"label": "Outside Abu Dhabi | UAE"
}
},
{
"visit_type": "Pharmacy",
"coverage_status": "Covered",
"copay_percentage": 10,
"copay_amount": null,
"copay_max_amount": null,
"copay_currency": "AED",
"copay_max_scope": null,
"coinsurance_percentage": null,
"visit_setting": null,
"remarks": "Includes: pharmaceuticals\nCitation: - **Coinsurance**: Physician Consultation : 10% Pharmaceuticals : 10% Dental : 20% Diagnostics : 10%",
"scope": {
"benefit": "Pharmacy",
"network": null,
"location": "UAE",
"visit_setting": null,
"qualifiers": [
],
"is_default": true,
"label": "UAE"
}
},
{
"visit_type": "Dental",
"coverage_status": "Covered",
"copay_percentage": 20,
"copay_amount": null,
"copay_max_amount": null,
"copay_currency": "AED",
"copay_max_scope": null,
"coinsurance_percentage": null,
"visit_setting": null,
"remarks": "Citation: - **Coinsurance**: Physician Consultation : 10% Pharmaceuticals : 10% Dental : 20% Diagnostics : 10% | - **Dental**: Yes | - **LIMIT**: Dental : 3500",
"copay_aggregate_cap": "AED 3,500",
"scope": {
"benefit": "Dental",
"network": null,
"location": "UAE",
"visit_setting": null,
"qualifiers": [
],
"is_default": true,
"label": "UAE"
}
},
{
"visit_type": "Diagnostics",
"coverage_status": "Covered",
"copay_percentage": 10,
"copay_amount": null,
"copay_max_amount": 150,
"copay_currency": "AED",
"copay_max_scope": null,
"coinsurance_percentage": null,
"visit_setting": null,
"remarks": "Citation: - **Coinsurance**: Physician Consultation : 10% Pharmaceuticals : 10% Dental : 20% Diagnostics : 10% | - **Out Of Pocket Limit**: Physician Consultation : 75 Diagnostics : 150",
"scope": {
"benefit": "Diagnostics",
"network": null,
"location": "UAE",
"visit_setting": null,
"qualifiers": [
],
"is_default": true,
"label": "UAE"
}
},
{
"visit_type": "Optical",
"coverage_status": "Not Covered",
"copay_percentage": null,
"copay_amount": null,
"copay_max_amount": null,
"copay_currency": "AED",
"copay_max_scope": null,
"coinsurance_percentage": null,
"visit_setting": null,
"remarks": "Not Covered",
"scope": {
"benefit": "Optical",
"network": null,
"location": "UAE",
"visit_setting": null,
"qualifiers": [
],
"is_default": true,
"label": "UAE"
}
},
{
"visit_type": "Consultation - Abu Dhabi",
"coverage_status": "Covered",
"copay_percentage": null,
"copay_amount": 50,
"copay_max_amount": 75,
"copay_currency": "AED",
"copay_max_scope": null,
"coinsurance_percentage": null,
"visit_setting": null,
"remarks": "Includes: physician consultation\nCitation: - **Outpatient Deductible (Copay Amount)**: Physician Consultation : 50 | - **Out Of Pocket Limit**: Physician Consultation : 75 Diagnostics : 150",
"scope": {
"benefit": "Consultation",
"network": null,
"location": "Abu Dhabi",
"visit_setting": null,
"qualifiers": [
],
"is_default": false,
"label": "Abu Dhabi"
}
},
{
"visit_type": "Maternity",
"coverage_status": "Not Covered",
"copay_percentage": null,
"copay_amount": null,
"copay_max_amount": null,
"copay_currency": "AED",
"copay_max_scope": null,
"coinsurance_percentage": null,
"visit_setting": null,
"remarks": "Not Covered",
"scope": {
"benefit": "Maternity",
"network": null,
"location": "UAE",
"visit_setting": null,
"qualifiers": [
],
"is_default": true,
"label": "UAE"
}
}
],
"special_remarks": [
"networknotes: For Physician Consultation : Deductible applicable in Abu Dhabi / Co-ins applicable outside Abu Dhabi",
"networkaborad: Abroad : Worldwide Excluding. US Canada"
],
"new_version_of_copay_analysis": {
"benefits": [
{
"service_category_standardized": "Consultation - Outside Abu Dhabi",
"service_category_original": "physician consultation",
"coverage_status": "Covered",
"cost_sharing": [
{
"visit_type": null,
"visit_setting": null,
"copay_percentage": 10,
"copay_amount": null,
"copay_maximum_amount": 75
}
],
"conditions": null,
"limits": null,
"remarks": "Includes: physician consultation\nCitation: - **Coinsurance**: Physician Consultation : 10% Pharmaceuticals : 10% Dental : 20% Diagnostics : 10% | - **Out Of Pocket Limit**: Physician Consultation : 75 Diagnostics : 150"
},
{
"service_category_standardized": "Pharmacy",
"service_category_original": "pharmaceuticals",
"coverage_status": "Covered",
"cost_sharing": [
{
"visit_type": null,
"visit_setting": null,
"copay_percentage": 10,
"copay_amount": null,
"copay_maximum_amount": null
}
],
"conditions": null,
"limits": null,
"remarks": "Includes: pharmaceuticals\nCitation: - **Coinsurance**: Physician Consultation : 10% Pharmaceuticals : 10% Dental : 20% Diagnostics : 10%"
},
{
"service_category_standardized": "Dental",
"service_category_original": "dental",
"coverage_status": "Covered",
"cost_sharing": [
{
"visit_type": null,
"visit_setting": null,
"copay_percentage": 20,
"copay_amount": null,
"copay_maximum_amount": null
}
],
"conditions": null,
"limits": null,
"remarks": "Citation: - **Coinsurance**: Physician Consultation : 10% Pharmaceuticals : 10% Dental : 20% Diagnostics : 10% | - **Dental**: Yes | - **LIMIT**: Dental : 3500"
},
{
"service_category_standardized": "Diagnostics",
"service_category_original": "diagnostics",
"coverage_status": "Covered",
"cost_sharing": [
{
"visit_type": null,
"visit_setting": null,
"copay_percentage": 10,
"copay_amount": null,
"copay_maximum_amount": 150
}
],
"conditions": null,
"limits": null,
"remarks": "Citation: - **Coinsurance**: Physician Consultation : 10% Pharmaceuticals : 10% Dental : 20% Diagnostics : 10% | - **Out Of Pocket Limit**: Physician Consultation : 75 Diagnostics : 150"
},
{
"service_category_standardized": "Optical",
"service_category_original": "optical",
"coverage_status": "Not Covered",
"cost_sharing": [
{
"visit_type": null,
"visit_setting": null,
"copay_percentage": null,
"copay_amount": null,
"copay_maximum_amount": null
}
],
"conditions": null,
"limits": null,
"remarks": "Not Covered"
},
{
"service_category_standardized": "Consultation - Abu Dhabi",
"service_category_original": "physician consultation",
"coverage_status": "Covered",
"cost_sharing": [
{
"visit_type": null,
"visit_setting": null,
"copay_percentage": null,
"copay_amount": 50,
"copay_maximum_amount": 75
}
],
"conditions": null,
"limits": null,
"remarks": "Includes: physician consultation\nCitation: - **Outpatient Deductible (Copay Amount)**: Physician Consultation : 50 | - **Out Of Pocket Limit**: Physician Consultation : 75 Diagnostics : 150"
},
{
"service_category_standardized": "Maternity",
"service_category_original": "maternity",
"coverage_status": "Not Covered",
"cost_sharing": [
{
"visit_type": null,
"visit_setting": null,
"copay_percentage": null,
"copay_amount": null,
"copay_maximum_amount": null
}
],
"conditions": null,
"limits": null,
"remarks": "Not Covered"
}
],
"policy_info": {
},
"general_remarks": [
"networknotes: For Physician Consultation : Deductible applicable in Abu Dhabi / Co-ins applicable outside Abu Dhabi",
"networkaborad: Abroad : Worldwide Excluding. US Canada"
]
}
},
"policy_network": {
"policy_plan_name": "Gold",
"payer_name_as_in_text": "Daman",
"sponsor_id": "INS026",
"payer_name": "Not Applicable",
"valid_upto": "2027-01-31",
"start_date": "2026-02-01",
"all_networks": [
{
"network_name_as_in_text": "Network Billing Reference: NW2",
"network": "NW2",
"network_value": "NW2",
"visit_type": "Not Specified",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "DAMAN NETWORK-2-DXB",
"plan_code": "D003-DXB"
}
],
"policy_authority": "DHA",
"is_general_physician_referral_required_for_specialist_referral": false,
"is_gatekeeper": "Not Mentioned",
"is_vip": "Not Mentioned",
"waiting_period": null,
"policy_holder_name": "Sample Policy Holder",
"work_site_covered": "Could not determine",
"package_name": null,
"package": "Gold",
"card_network": "Royal",
"network_billing_reference": "NW2"
},
"copay_details_to_fill": [
{
"name": "Outpatient",
"values_to_fill": {
"CONSULTATION": {
"deductible": "0",
"copay": "10.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "75.0",
"_is_outpatient_fallback": false,
"_deductibleLegacy": "75.0"
},
"LAB": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"RADIOLOGY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DIAGNOSTICS": {
"deductible": "0",
"copay": "10.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "150.0",
"_is_outpatient_fallback": false,
"_deductibleLegacy": "0"
},
"DENTAL CONSULTATION & PROCEDURE": {
"deductible": "0",
"copay": "20.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false,
"_deductibleLegacy": "0"
},
"MEDICINES": {
"deductible": "0",
"copay": "10.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false,
"_deductibleLegacy": "0"
},
"PHYSIOTHERAPY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"OPTICAL": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false,
"_deductibleLegacy": "0"
}
},
"available_networks": [
{
"network_name_as_in_text": "Network Billing Reference: NW2",
"network": "NW2",
"network_value": "NW2",
"visit_type": "Not Specified",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "DAMAN NETWORK-2-DXB",
"plan_code": "D003-DXB"
}
],
"has_multiple_networks": false,
"primary_network": {
"network": "NW2",
"network_status": null,
"matched_plan_name": null
}
},
{
"name": "Maternity",
"values_to_fill": {
"CONSULTATION": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"LAB": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0",
"_maxDeductible": "0"
},
"RADIOLOGY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"DIAGNOSTICS": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"DENTAL CONSULTATION & PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"MEDICINES": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"PHYSIOTHERAPY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"OPTICAL": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
}
},
"available_networks": [
{
"network_name_as_in_text": "Network Billing Reference: NW2",
"network": "NW2",
"network_value": "NW2",
"visit_type": "Not Specified",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "DAMAN NETWORK-2-DXB",
"plan_code": "D003-DXB"
}
],
"has_multiple_networks": false,
"primary_network": {
"network": "NW2",
"network_status": null,
"matched_plan_name": null
}
},
{
"name": "Specialization",
"values_to_fill": {
"CONSULTATION": {
"deductible": "0",
"copay": "10.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "75.0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "75.0"
},
"LAB": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"RADIOLOGY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"DIAGNOSTICS": {
"deductible": "0",
"copay": "10.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "150.0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"DENTAL CONSULTATION & PROCEDURE": {
"deductible": "0",
"copay": "20.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"MEDICINES": {
"deductible": "0",
"copay": "10.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"PHYSIOTHERAPY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"OPTICAL": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
}
},
"available_networks": [
{
"network_name_as_in_text": "Network Billing Reference: NW2",
"network": "NW2",
"network_value": "NW2",
"visit_type": "Not Specified",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "DAMAN NETWORK-2-DXB",
"plan_code": "D003-DXB"
}
],
"has_multiple_networks": false,
"primary_network": {
"network": "NW2",
"network_status": null,
"matched_plan_name": null
}
},
{
"name": "Inpatient",
"values_to_fill": {
"CONSULTATION": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"LAB": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"RADIOLOGY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DIAGNOSTICS": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DENTAL CONSULTATION & PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"MEDICINES": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"PHYSIOTHERAPY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"OPTICAL": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
}
},
"available_networks": [
{
"network_name_as_in_text": "Network Billing Reference: NW2",
"network": "NW2",
"network_value": "NW2",
"visit_type": "Not Specified",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "DAMAN NETWORK-2-DXB",
"plan_code": "D003-DXB"
}
],
"has_multiple_networks": false,
"primary_network": {
"network": "NW2",
"network_status": null,
"matched_plan_name": null
}
}
],
"policy_holder_name": "Sample Policy Holder",
"policy_holder_emirates_id": "784-0000-0000000-0",
"eligibility_id": "REF-0000000",
"policy_holder_dob": "1990-01-01",
"is_eligible": true,
"failure_reason": null,
"adjusted_tpa_name": "INS026",
"screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"referral_documents": [
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Member Eligibility Card Pdf",
"id": "member_eligibility_card_pdf",
"original_filename": "member-eligibility.png"
},
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Schedule of Benefits Pdf",
"id": "schedule_of_benefits_pdf",
"original_filename": "member-eligibility.png"
},
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Member Eligibility Document",
"id": "member_eligibility",
"original_filename": "member-eligibility.png"
}
],
"payer_id": "INS026",
"warning_messages": [
],
"was_identified_by_aggregator": false,
"card_index": 2,
"card_number": "MBR-0000000",
"package_name": "Gold",
"card_network": "NW UAE: Royal",
"multi_card_total": 2
}
},
"search_id": "0000-0000-0000-0000",
"tpa_name": "INS026",
"task_id": "00000000-0000-4000-a000-000000000001",
"user_id": null,
"status": "found"
}
}

Highlighted: eligibility_result.data_dump.data.policy_network.all_networks. Every other key on the response is documented on Results.

D003-DXB on DAMAN NETWORK-2-DXB is card 2's plan. Card 1 is on a different network with a different plan and its own copay schedule, none of which is anywhere in this response. Do not present these numbers as the member's cover without saying which card they belong to.

Not only Daman

The same fields arrive from Nextcare (TPA002), where the portal's Multiple Beneficiaries flow returns several eligible policies for one member.

The same fields from Nextcare
.json
{
"id": "00000000-0000-4000-a000-000000000001",
"tenant_id": "yourorg",
"clinic_id": "00000000-0000-4000-a000-000000000002",
"created_at": "2026-07-26T04:26:23.738000",
"updated_at": "2026-07-26T04:27:26.191000",
"task_id": "00000000-0000-4000-a000-000000000001",
"status": "PROCESS_COMPLETE",
"request_dump": {
"emirates_id": "784-0000-0000000-0",
"phone": "+971 50 000 0000",
"practice_id": "00000000-0000-4000-a000-000000000002",
"tpa_name": "TPA002",
"id_type": "CARDNUMBER",
"visit_type": "OUTPATIENT",
"name": "Sample Patient",
"extra_args": {
"title": "",
"value": "",
"request_start_time": 1785039983.731288
},
"doctorName": "Sample Clinician",
"payerName": "",
"user_id": "00000000-0000-4000-a000-000000000003"
},
"interim_results": {
"referral_documents": [
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Claim Form",
"id": "claim_form"
},
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Claim Form Image",
"id": "claim_form_image"
},
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Table of Benefits",
"id": "table_of_benefits"
},
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Member Eligibility Document",
"id": "member_eligibility_document"
}
],
"screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tpa_name": "TPA002"
},
"is_search_all": false,
"search_all_status": null,
"created_by_user_id": null,
"eligibility_result": {
"id": "00000000-0000-4000-a000-000000000001:TPA002:card1",
"tenant_id": "yourorg",
"clinic_id": "00000000-0000-4000-a000-000000000002",
"created_at": "2026-07-26T04:27:26.184000",
"updated_at": "2026-07-26T04:27:26.184000",
"data_dump": {
"status": "found",
"tpa": "TPA002",
"data": {
"patient_info": {
"policy_holder_name": "Sample Policy Holder",
"patient_emirates_id": "784-0000-0000000-0",
"policy_primary_member_id": "MBR-0000000",
"policy_primary_dha_member_id": "0000000000",
"policy_holder_dob": "1990-01-01"
},
"copay_analysis": {
"waiting_period": "Not Specified",
"copay_details": [
{
"visit_type": "Laboratory",
"copay_percentage": "5.0",
"visit_setting": "Outpatient",
"copay_amount": null,
"copay_currency": "AED",
"copay_max_amount": null,
"copay_max_scope": null,
"coinsurance_percentage": null,
"remarks": "Citation: Co-Part: 5% | \n\n ",
"cost_sharing": {
"visit_type": "Outpatient",
"visit_setting": "Outpatient",
"copay_percentage": 5,
"copay_amount": null,
"copay_currency": "AED",
"copay_maximum_amount": null,
"copay_maximum_scope": null,
"coinsurance_percentage": null
}
},
{
"visit_type": "Radiology",
"copay_percentage": "5.0",
"visit_setting": "Outpatient",
"copay_amount": null,
"copay_currency": "AED",
"copay_max_amount": null,
"copay_max_scope": null,
"coinsurance_percentage": null,
"remarks": "Citation: Co-Part: 5% | \n\n ",
"cost_sharing": {
"visit_type": "Outpatient",
"visit_setting": "Outpatient",
"copay_percentage": 5,
"copay_amount": null,
"copay_currency": "AED",
"copay_maximum_amount": null,
"copay_maximum_scope": null,
"coinsurance_percentage": null
}
},
{
"visit_type": "Pharmacy",
"copay_percentage": "5.0",
"visit_setting": "Outpatient",
"copay_amount": null,
"copay_currency": "AED",
"copay_max_amount": null,
"copay_max_scope": null,
"coinsurance_percentage": null,
"remarks": "Citation: Co-Part: 5% | \n\n ",
"cost_sharing": {
"visit_type": "Outpatient",
"visit_setting": "Outpatient",
"copay_percentage": 5,
"copay_amount": null,
"copay_currency": "AED",
"copay_maximum_amount": null,
"copay_maximum_scope": null,
"coinsurance_percentage": null
}
},
{
"visit_type": "Consultation",
"copay_percentage": "20.0",
"visit_setting": "Outpatient",
"copay_amount": null,
"copay_currency": "AED",
"copay_max_amount": 14,
"copay_max_scope": null,
"coinsurance_percentage": null,
"remarks": "Citation: Co-Part: 20% Max(14 USD) | \n\n ",
"cost_sharing": {
"visit_type": "Outpatient",
"visit_setting": "Outpatient",
"copay_percentage": 20,
"copay_amount": null,
"copay_currency": "AED",
"copay_maximum_amount": 14,
"copay_maximum_scope": null,
"coinsurance_percentage": null
}
}
],
"special_remarks": [
],
"new_version_of_copay_analysis": {
"benefits": [
{
"service_category_standardized": "Laboratory",
"service_category_original": "Laboratory",
"coverage_status": "Covered",
"cost_sharing": [
{
"visit_type": "Outpatient",
"visit_setting": "Outpatient",
"copay_percentage": 5,
"copay_amount": null,
"copay_currency": "AED",
"copay_maximum_amount": null,
"copay_maximum_scope": null,
"coinsurance_percentage": null
}
],
"conditions": null,
"limits": null,
"remarks": null
},
{
"service_category_standardized": "Radiology",
"service_category_original": "Radiology",
"coverage_status": "Covered",
"cost_sharing": [
{
"visit_type": "Outpatient",
"visit_setting": "Outpatient",
"copay_percentage": 5,
"copay_amount": null,
"copay_currency": "AED",
"copay_maximum_amount": null,
"copay_maximum_scope": null,
"coinsurance_percentage": null
}
],
"conditions": null,
"limits": null,
"remarks": null
},
{
"service_category_standardized": "Pharmacy",
"service_category_original": "Pharmacy",
"coverage_status": "Covered",
"cost_sharing": [
{
"visit_type": "Outpatient",
"visit_setting": "Outpatient",
"copay_percentage": 5,
"copay_amount": null,
"copay_currency": "AED",
"copay_maximum_amount": null,
"copay_maximum_scope": null,
"coinsurance_percentage": null
}
],
"conditions": null,
"limits": null,
"remarks": null
},
{
"service_category_standardized": "Consultation",
"service_category_original": "Consultation",
"coverage_status": "Covered",
"cost_sharing": [
{
"visit_type": "Outpatient",
"visit_setting": "Outpatient",
"copay_percentage": 20,
"copay_amount": null,
"copay_currency": "AED",
"copay_maximum_amount": 14,
"copay_maximum_scope": null,
"coinsurance_percentage": null
}
],
"conditions": null,
"limits": null,
"remarks": null
},
{
"service_category_standardized": "Medical Checkup",
"service_category_original": "Medical Checkup",
"coverage_status": "Covered",
"cost_sharing": [
{
"visit_type": "Outpatient",
"visit_setting": "Outpatient",
"copay_percentage": null,
"copay_amount": null,
"copay_currency": "AED",
"copay_maximum_amount": null,
"copay_maximum_scope": null,
"coinsurance_percentage": null
}
],
"conditions": null,
"limits": null,
"remarks": null
}
],
"policy_info": {
"policy_period_start": {
"DD": 1,
"MM": 1,
"YYYY": 2026
},
"policy_period_end": null,
"beneficiary_start_date": {
"DD": 23,
"MM": 4,
"YYYY": 2024
},
"waiting_period": "Not Specified",
"policy_jurisdiction": "Not Specified"
},
"general_remarks": [
],
"abbreviations_defined": [
]
}
},
"policy_network": {
"policy_plan_name": null,
"payer_name_as_in_text": "INS008 - Orient Insurance PJSC Worldwide E-Rx",
"sponsor_id": "INS008",
"payer_name": "ORIENT INSURANCE PJSC - INS008",
"valid_upto": "2026-12-31",
"start_date": "2026-01-01",
"all_networks": [
{
"network_name_as_in_text": "Amazon - RNE including 14 Hospital exc. Iranian",
"network": "RN Enhanced",
"visit_type": "OP (Out Patient)",
"network_value": "RN Enhanced",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "INS008 - ORIENT INSURANCE PJSC- NEXTCARE - RN - DXB",
"plan_code": "INT001"
}
],
"policy_authority": "DHA",
"is_general_physician_referral_required_for_specialist_referral": false,
"is_gatekeeper": "No",
"is_vip": "No",
"waiting_period": null,
"policy_holder_name": "Sample Policy Holder",
"work_site_covered": "Could not determine",
"package_name": null
},
"copay_details_to_fill": [
{
"name": "Outpatient",
"values_to_fill": {
"CONSULTATION": {
"deductible": "0",
"copay": "20.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "14.0",
"_is_outpatient_fallback": false,
"_deductibleLegacy": "14.0"
},
"LAB": {
"deductible": "0",
"copay": "5.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false,
"_deductibleLegacy": "0",
"_maxDeductible": "0"
},
"RADIOLOGY": {
"deductible": "0",
"copay": "5.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false,
"_deductibleLegacy": "0"
},
"PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DIAGNOSTICS": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DENTAL CONSULTATION & PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"MEDICINES": {
"deductible": "0",
"copay": "5.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false,
"_deductibleLegacy": "0"
},
"PHYSIOTHERAPY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"OPTICAL": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
}
},
"available_networks": [
{
"network_name_as_in_text": "Amazon - RNE including 14 Hospital exc. Iranian",
"network": "RN Enhanced",
"visit_type": "OP (Out Patient)",
"network_value": "RN Enhanced",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "INS008 - ORIENT INSURANCE PJSC- NEXTCARE - RN - DXB",
"plan_code": "INT001"
}
],
"has_multiple_networks": false,
"primary_network": {
"network": "RN Enhanced",
"network_status": null,
"matched_plan_name": null
}
},
{
"name": "Maternity",
"values_to_fill": {
"CONSULTATION": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"LAB": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"RADIOLOGY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DIAGNOSTICS": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DENTAL CONSULTATION & PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"MEDICINES": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"PHYSIOTHERAPY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"OPTICAL": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
}
},
"available_networks": [
{
"network_name_as_in_text": "Amazon - RNE including 14 Hospital exc. Iranian",
"network": "RN Enhanced",
"visit_type": "OP (Out Patient)",
"network_value": "RN Enhanced",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "INS008 - ORIENT INSURANCE PJSC- NEXTCARE - RN - DXB",
"plan_code": "INT001"
}
],
"has_multiple_networks": false,
"primary_network": {
"network": "RN Enhanced",
"network_status": null,
"matched_plan_name": null
}
},
{
"name": "Specialization",
"values_to_fill": {
"CONSULTATION": {
"deductible": "0",
"copay": "20.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "14.0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "14.0"
},
"LAB": {
"deductible": "0",
"copay": "5.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0",
"_maxDeductible": "0"
},
"RADIOLOGY": {
"deductible": "0",
"copay": "5.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"DIAGNOSTICS": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"DENTAL CONSULTATION & PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"MEDICINES": {
"deductible": "0",
"copay": "5.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"PHYSIOTHERAPY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"OPTICAL": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
}
},
"available_networks": [
{
"network_name_as_in_text": "Amazon - RNE including 14 Hospital exc. Iranian",
"network": "RN Enhanced",
"visit_type": "OP (Out Patient)",
"network_value": "RN Enhanced",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "INS008 - ORIENT INSURANCE PJSC- NEXTCARE - RN - DXB",
"plan_code": "INT001"
}
],
"has_multiple_networks": false,
"primary_network": {
"network": "RN Enhanced",
"network_status": null,
"matched_plan_name": null
}
},
{
"name": "Inpatient",
"values_to_fill": {
"CONSULTATION": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"LAB": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"RADIOLOGY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DIAGNOSTICS": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DENTAL CONSULTATION & PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"MEDICINES": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"PHYSIOTHERAPY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"OPTICAL": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
}
},
"available_networks": [
{
"network_name_as_in_text": "Amazon - RNE including 14 Hospital exc. Iranian",
"network": "RN Enhanced",
"visit_type": "OP (Out Patient)",
"network_value": "RN Enhanced",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "INS008 - ORIENT INSURANCE PJSC- NEXTCARE - RN - DXB",
"plan_code": "INT001"
}
],
"has_multiple_networks": false,
"primary_network": {
"network": "RN Enhanced",
"network_status": null,
"matched_plan_name": null
}
}
],
"policy_holder_name": "Sample Policy Holder",
"policy_holder_emirates_id": "784-0000-0000000-0",
"policy_holder_dob": "1990-01-01",
"is_eligible": true,
"failure_reason": null,
"card_index": 1,
"card_number": "MBR-0000000",
"package_name": "Orient Insurance PJSC Worldwide E-Rx",
"card_network": null,
"multi_card_total": 2,
"screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"referral_documents": [
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Claim Form",
"id": "claim_form"
},
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Claim Form Image",
"id": "claim_form_image"
},
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Table of Benefits",
"id": "table_of_benefits"
},
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Member Eligibility Document",
"id": "member_eligibility_document"
}
],
"payer_id": "TPA002",
"warning_messages": [
{
"message": "Patient holds 2 NextCare policies; checking each of them...",
"screenshot": null,
"warning": true,
"message_type": "warning"
},
{
"message": "Referral Details Dropdown does not have any options to select",
"screenshot": null,
"warning": true,
"message_type": "warning"
},
{
"message": "Referral Details Dropdown does not have any options to select",
"screenshot": null,
"warning": true,
"message_type": "warning"
},
{
"message": "Patient holds 2 NextCare policies; delivering 2 eligible as separate results: Sample Plan A, Sample Plan B",
"screenshot": null,
"warning": true,
"message_type": "warning"
},
{
"message": "Medical check-up / wellness is covered under this policy",
"screenshot": null,
"warning": true,
"message_type": "information"
}
],
"was_identified_by_aggregator": false
}
},
"search_id": "0000-0000-0000-0000",
"tpa_name": "TPA002",
"task_id": "00000000-0000-4000-a000-000000000001",
"user_id": null,
"status": "found"
}
}

Highlighted on eligibility_result.data_dump.data: card_index, multi_card_total, package_name, payer_id. The rest of the keys are documented on Results.

So do not gate your handling on the payer code. Check for multi_card_total on whatever comes back.

On Nextcare the check can also run under a search-all, and there it is worse: a search-all keeps one entry per tpa_name, so when two cards at the same payer both answer, the second overwrites the first and one eligible policy vanishes from aggregated_results entirely.

A multi-card member inside a search-all
.json
{
"task_id": "00000000-0000-4000-a000-000000000001",
"status": "SEARCH_ALL_COMPLETE",
"request_dump": {
"emirates_id": "784-0000-0000000-0",
"phone": "+971 50 000 0000",
"practice_id": "00000000-0000-4000-a000-000000000002",
"tpa_name": "BOTH",
"id_type": "EMIRATESID",
"visit_type": "OUTPATIENT",
"extra_args": {
"title": "LocationGroup",
"value": "OUTPATIENT",
"request_start_time": 1785026728.8002584
},
"doctorName": "Sample Clinician",
"payerName": "ARAB GULF HEALTH SERVICES (NEXTCARE)",
"user_id": "00000000-0000-4000-a000-000000000003"
},
"is_search_all": true,
"search_all_status": "SEARCH_ALL_PROCESSING",
"aggregated_results": [
{
"tpa_name": "TPA011",
"status": "member_not_found",
"data": {
"is_eligible": false,
"show_data": false,
"screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"payer_id": "TPA011",
"was_identified_by_aggregator": true
},
"created_at": "2026-07-26T00:48:00.428000",
"message": "Member not found - Adherent not found",
"screenshot_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z"
},
{
"tpa_name": "TPA002",
"status": "found",
"data": {
"patient_info": {
"policy_holder_name": "Sample Policy Holder",
"patient_emirates_id": "784-0000-0000000-0",
"policy_primary_member_id": "MBR-0000000",
"policy_primary_dha_member_id": "0000000000",
"policy_holder_dob": "1990-01-01"
},
"copay_analysis": {
"waiting_period": "Not Specified",
"copay_details": [
{
"visit_type": "Consultation",
"copay_percentage": "10.0",
"visit_setting": "Outpatient",
"copay_amount": null,
"copay_currency": "AED",
"copay_max_amount": null,
"copay_max_scope": null,
"coinsurance_percentage": null,
"remarks": "Citation: Co-Part: 10% | \n\n ",
"cost_sharing": {
"visit_type": "Outpatient",
"visit_setting": "Outpatient",
"copay_percentage": 10,
"copay_amount": null,
"copay_currency": "AED",
"copay_maximum_amount": null,
"copay_maximum_scope": null,
"coinsurance_percentage": null
}
}
],
"special_remarks": [
],
"new_version_of_copay_analysis": {
"benefits": [
{
"service_category_standardized": "Consultation",
"service_category_original": "Consultation",
"coverage_status": "Covered",
"cost_sharing": [
{
"visit_type": "Outpatient",
"visit_setting": "Outpatient",
"copay_percentage": 10,
"copay_amount": null,
"copay_currency": "AED",
"copay_maximum_amount": null,
"copay_maximum_scope": null,
"coinsurance_percentage": null
}
],
"conditions": null,
"limits": null,
"remarks": null
},
{
"service_category_standardized": "Medical Checkup",
"service_category_original": "Medical Checkup",
"coverage_status": "Covered",
"cost_sharing": [
{
"visit_type": "Outpatient",
"visit_setting": "Outpatient",
"copay_percentage": null,
"copay_amount": null,
"copay_currency": "AED",
"copay_maximum_amount": null,
"copay_maximum_scope": null,
"coinsurance_percentage": null
}
],
"conditions": null,
"limits": null,
"remarks": null
}
],
"policy_info": {
"policy_period_start": {
"DD": 1,
"MM": 9,
"YYYY": 2025
},
"policy_period_end": null,
"beneficiary_start_date": {
"DD": 1,
"MM": 9,
"YYYY": 2017
},
"waiting_period": "Not Specified",
"policy_jurisdiction": "Not Specified"
},
"general_remarks": [
],
"abbreviations_defined": [
]
}
},
"policy_network": {
"policy_plan_name": "A - Worldwide excluding USA",
"payer_name_as_in_text": "INS008 - Orient Insurance PJSC Worldwide E-Rx",
"sponsor_id": "INS008",
"payer_name": "ORIENT INSURANCE PJSC - INS008",
"valid_upto": "2026-08-31",
"start_date": "2025-09-01",
"all_networks": [
{
"network_name_as_in_text": "AWC CN Excl. Iranian Hospital",
"network": "CN",
"visit_type": "OP (Out Patient)",
"network_value": "CN",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "INS008 - ORIENT INSURANCE PJSC- NEXTCARE - CN - DXB",
"plan_code": "NPDXB-430"
}
],
"policy_authority": "DHA",
"is_general_physician_referral_required_for_specialist_referral": false,
"is_gatekeeper": "No",
"is_vip": "No",
"waiting_period": null,
"policy_holder_name": "Sample Policy Holder",
"work_site_covered": "Could not determine",
"package_name": null
},
"copay_details_to_fill": [
{
"name": "Outpatient",
"values_to_fill": {
"CONSULTATION": {
"deductible": "0",
"copay": "10.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false,
"_deductibleLegacy": "0"
},
"LAB": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"RADIOLOGY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DIAGNOSTICS": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DENTAL CONSULTATION & PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"MEDICINES": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"PHYSIOTHERAPY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"OPTICAL": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
}
},
"available_networks": [
{
"network_name_as_in_text": "AWC CN Excl. Iranian Hospital",
"network": "CN",
"visit_type": "OP (Out Patient)",
"network_value": "CN",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "INS008 - ORIENT INSURANCE PJSC- NEXTCARE - CN - DXB",
"plan_code": "NPDXB-430"
}
],
"has_multiple_networks": false,
"primary_network": {
"network": "CN",
"network_status": null,
"matched_plan_name": null
}
},
{
"name": "Maternity",
"values_to_fill": {
"CONSULTATION": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"LAB": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"RADIOLOGY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DIAGNOSTICS": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DENTAL CONSULTATION & PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"MEDICINES": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"PHYSIOTHERAPY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"OPTICAL": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
}
},
"available_networks": [
{
"network_name_as_in_text": "AWC CN Excl. Iranian Hospital",
"network": "CN",
"visit_type": "OP (Out Patient)",
"network_value": "CN",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "INS008 - ORIENT INSURANCE PJSC- NEXTCARE - CN - DXB",
"plan_code": "NPDXB-430"
}
],
"has_multiple_networks": false,
"primary_network": {
"network": "CN",
"network_status": null,
"matched_plan_name": null
}
},
{
"name": "Specialization",
"values_to_fill": {
"CONSULTATION": {
"deductible": "0",
"copay": "10.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"LAB": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"RADIOLOGY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"DIAGNOSTICS": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"DENTAL CONSULTATION & PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"MEDICINES": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"PHYSIOTHERAPY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"OPTICAL": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
}
},
"available_networks": [
{
"network_name_as_in_text": "AWC CN Excl. Iranian Hospital",
"network": "CN",
"visit_type": "OP (Out Patient)",
"network_value": "CN",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "INS008 - ORIENT INSURANCE PJSC- NEXTCARE - CN - DXB",
"plan_code": "NPDXB-430"
}
],
"has_multiple_networks": false,
"primary_network": {
"network": "CN",
"network_status": null,
"matched_plan_name": null
}
},
{
"name": "Inpatient",
"values_to_fill": {
"CONSULTATION": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"LAB": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"RADIOLOGY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DIAGNOSTICS": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DENTAL CONSULTATION & PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"MEDICINES": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"PHYSIOTHERAPY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"OPTICAL": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
}
},
"available_networks": [
{
"network_name_as_in_text": "AWC CN Excl. Iranian Hospital",
"network": "CN",
"visit_type": "OP (Out Patient)",
"network_value": "CN",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "INS008 - ORIENT INSURANCE PJSC- NEXTCARE - CN - DXB",
"plan_code": "NPDXB-430"
}
],
"has_multiple_networks": false,
"primary_network": {
"network": "CN",
"network_status": null,
"matched_plan_name": null
}
}
],
"policy_holder_name": "Sample Policy Holder",
"policy_holder_emirates_id": "784-0000-0000000-0",
"policy_holder_dob": "1990-01-01",
"is_eligible": true,
"failure_reason": null,
"screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"referral_documents": [
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Claim Form",
"id": "claim_form"
},
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Claim Form Image",
"id": "claim_form_image"
},
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Table of Benefits",
"id": "table_of_benefits"
},
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Member Eligibility Document",
"id": "member_eligibility_document"
}
],
"payer_id": "TPA002",
"warning_messages": [
{
"message": "Patient holds 2 NextCare policies; checking each of them...",
"screenshot": null,
"warning": true,
"message_type": "warning"
},
{
"message": "Referral Details Dropdown does not have any options to select",
"screenshot": null,
"warning": true,
"message_type": "warning"
},
{
"message": "Referral Details Dropdown does not have any options to select",
"screenshot": null,
"warning": true,
"message_type": "warning"
},
{
"message": "Patient holds 2 NextCare policies; delivering 2 eligible as separate results: Sample Plan A, Sample Plan B",
"screenshot": null,
"warning": true,
"message_type": "warning"
},
{
"message": "Medical check-up / wellness is covered under this policy",
"screenshot": null,
"warning": true,
"message_type": "information"
}
],
"was_identified_by_aggregator": true,
"card_index": 2,
"card_number": "MBR-0000000",
"package_name": "Orient Insurance PJSC Worldwide E-Rx",
"card_network": null,
"multi_card_total": 2
},
"created_at": "2026-07-26T00:54:31.010000",
"message": null,
"screenshot_url": null
}
],
"total_tpas_checked": 2,
"found_results": 1,
"created_at": "2026-07-26T00:45:28.808000",
"updated_at": "2026-07-26T00:48:42.590000"
}

Highlighted on every entry of aggregated_results: tpa_name, status, data.card_index, data.multi_card_total, data.is_eligible. The rest of the keys are documented on Results.

Two cards were checked, one entry survives, and it is card 2 of 2. Daman is never part of a search-all, so this particular collision is a Nextcare problem; the check to write is the same either way.

Nextcare says so in a warning

Where Daman is silent about the other card, Nextcare names it:

warning_messages on a Nextcare multi-policy check
.json
{
"id": "00000000-0000-4000-a000-000000000001",
"tenant_id": "yourorg",
"clinic_id": "00000000-0000-4000-a000-000000000002",
"created_at": "2026-07-26T04:26:23.738000",
"updated_at": "2026-07-26T04:27:26.191000",
"task_id": "00000000-0000-4000-a000-000000000001",
"status": "PROCESS_COMPLETE",
"request_dump": {
"emirates_id": "784-0000-0000000-0",
"phone": "+971 50 000 0000",
"practice_id": "00000000-0000-4000-a000-000000000002",
"tpa_name": "TPA002",
"id_type": "CARDNUMBER",
"visit_type": "OUTPATIENT",
"name": "Sample Patient",
"extra_args": {
"title": "",
"value": "",
"request_start_time": 1785039983.731288
},
"doctorName": "Sample Clinician",
"payerName": "",
"user_id": "00000000-0000-4000-a000-000000000003"
},
"interim_results": {
"referral_documents": [
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Claim Form",
"id": "claim_form"
},
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Claim Form Image",
"id": "claim_form_image"
},
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Table of Benefits",
"id": "table_of_benefits"
},
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Member Eligibility Document",
"id": "member_eligibility_document"
}
],
"screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tpa_name": "TPA002"
},
"is_search_all": false,
"search_all_status": null,
"created_by_user_id": null,
"eligibility_result": {
"id": "00000000-0000-4000-a000-000000000001:TPA002:card1",
"tenant_id": "yourorg",
"clinic_id": "00000000-0000-4000-a000-000000000002",
"created_at": "2026-07-26T04:27:26.184000",
"updated_at": "2026-07-26T04:27:26.184000",
"data_dump": {
"status": "found",
"tpa": "TPA002",
"data": {
"patient_info": {
"policy_holder_name": "Sample Policy Holder",
"patient_emirates_id": "784-0000-0000000-0",
"policy_primary_member_id": "MBR-0000000",
"policy_primary_dha_member_id": "0000000000",
"policy_holder_dob": "1990-01-01"
},
"copay_analysis": {
"waiting_period": "Not Specified",
"copay_details": [
{
"visit_type": "Laboratory",
"copay_percentage": "5.0",
"visit_setting": "Outpatient",
"copay_amount": null,
"copay_currency": "AED",
"copay_max_amount": null,
"copay_max_scope": null,
"coinsurance_percentage": null,
"remarks": "Citation: Co-Part: 5% | \n\n ",
"cost_sharing": {
"visit_type": "Outpatient",
"visit_setting": "Outpatient",
"copay_percentage": 5,
"copay_amount": null,
"copay_currency": "AED",
"copay_maximum_amount": null,
"copay_maximum_scope": null,
"coinsurance_percentage": null
}
},
{
"visit_type": "Radiology",
"copay_percentage": "5.0",
"visit_setting": "Outpatient",
"copay_amount": null,
"copay_currency": "AED",
"copay_max_amount": null,
"copay_max_scope": null,
"coinsurance_percentage": null,
"remarks": "Citation: Co-Part: 5% | \n\n ",
"cost_sharing": {
"visit_type": "Outpatient",
"visit_setting": "Outpatient",
"copay_percentage": 5,
"copay_amount": null,
"copay_currency": "AED",
"copay_maximum_amount": null,
"copay_maximum_scope": null,
"coinsurance_percentage": null
}
},
{
"visit_type": "Pharmacy",
"copay_percentage": "5.0",
"visit_setting": "Outpatient",
"copay_amount": null,
"copay_currency": "AED",
"copay_max_amount": null,
"copay_max_scope": null,
"coinsurance_percentage": null,
"remarks": "Citation: Co-Part: 5% | \n\n ",
"cost_sharing": {
"visit_type": "Outpatient",
"visit_setting": "Outpatient",
"copay_percentage": 5,
"copay_amount": null,
"copay_currency": "AED",
"copay_maximum_amount": null,
"copay_maximum_scope": null,
"coinsurance_percentage": null
}
},
{
"visit_type": "Consultation",
"copay_percentage": "20.0",
"visit_setting": "Outpatient",
"copay_amount": null,
"copay_currency": "AED",
"copay_max_amount": 14,
"copay_max_scope": null,
"coinsurance_percentage": null,
"remarks": "Citation: Co-Part: 20% Max(14 USD) | \n\n ",
"cost_sharing": {
"visit_type": "Outpatient",
"visit_setting": "Outpatient",
"copay_percentage": 20,
"copay_amount": null,
"copay_currency": "AED",
"copay_maximum_amount": 14,
"copay_maximum_scope": null,
"coinsurance_percentage": null
}
}
],
"special_remarks": [
],
"new_version_of_copay_analysis": {
"benefits": [
{
"service_category_standardized": "Laboratory",
"service_category_original": "Laboratory",
"coverage_status": "Covered",
"cost_sharing": [
{
"visit_type": "Outpatient",
"visit_setting": "Outpatient",
"copay_percentage": 5,
"copay_amount": null,
"copay_currency": "AED",
"copay_maximum_amount": null,
"copay_maximum_scope": null,
"coinsurance_percentage": null
}
],
"conditions": null,
"limits": null,
"remarks": null
},
{
"service_category_standardized": "Radiology",
"service_category_original": "Radiology",
"coverage_status": "Covered",
"cost_sharing": [
{
"visit_type": "Outpatient",
"visit_setting": "Outpatient",
"copay_percentage": 5,
"copay_amount": null,
"copay_currency": "AED",
"copay_maximum_amount": null,
"copay_maximum_scope": null,
"coinsurance_percentage": null
}
],
"conditions": null,
"limits": null,
"remarks": null
},
{
"service_category_standardized": "Pharmacy",
"service_category_original": "Pharmacy",
"coverage_status": "Covered",
"cost_sharing": [
{
"visit_type": "Outpatient",
"visit_setting": "Outpatient",
"copay_percentage": 5,
"copay_amount": null,
"copay_currency": "AED",
"copay_maximum_amount": null,
"copay_maximum_scope": null,
"coinsurance_percentage": null
}
],
"conditions": null,
"limits": null,
"remarks": null
},
{
"service_category_standardized": "Consultation",
"service_category_original": "Consultation",
"coverage_status": "Covered",
"cost_sharing": [
{
"visit_type": "Outpatient",
"visit_setting": "Outpatient",
"copay_percentage": 20,
"copay_amount": null,
"copay_currency": "AED",
"copay_maximum_amount": 14,
"copay_maximum_scope": null,
"coinsurance_percentage": null
}
],
"conditions": null,
"limits": null,
"remarks": null
},
{
"service_category_standardized": "Medical Checkup",
"service_category_original": "Medical Checkup",
"coverage_status": "Covered",
"cost_sharing": [
{
"visit_type": "Outpatient",
"visit_setting": "Outpatient",
"copay_percentage": null,
"copay_amount": null,
"copay_currency": "AED",
"copay_maximum_amount": null,
"copay_maximum_scope": null,
"coinsurance_percentage": null
}
],
"conditions": null,
"limits": null,
"remarks": null
}
],
"policy_info": {
"policy_period_start": {
"DD": 1,
"MM": 1,
"YYYY": 2026
},
"policy_period_end": null,
"beneficiary_start_date": {
"DD": 23,
"MM": 4,
"YYYY": 2024
},
"waiting_period": "Not Specified",
"policy_jurisdiction": "Not Specified"
},
"general_remarks": [
],
"abbreviations_defined": [
]
}
},
"policy_network": {
"policy_plan_name": null,
"payer_name_as_in_text": "INS008 - Orient Insurance PJSC Worldwide E-Rx",
"sponsor_id": "INS008",
"payer_name": "ORIENT INSURANCE PJSC - INS008",
"valid_upto": "2026-12-31",
"start_date": "2026-01-01",
"all_networks": [
{
"network_name_as_in_text": "Amazon - RNE including 14 Hospital exc. Iranian",
"network": "RN Enhanced",
"visit_type": "OP (Out Patient)",
"network_value": "RN Enhanced",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "INS008 - ORIENT INSURANCE PJSC- NEXTCARE - RN - DXB",
"plan_code": "INT001"
}
],
"policy_authority": "DHA",
"is_general_physician_referral_required_for_specialist_referral": false,
"is_gatekeeper": "No",
"is_vip": "No",
"waiting_period": null,
"policy_holder_name": "Sample Policy Holder",
"work_site_covered": "Could not determine",
"package_name": null
},
"copay_details_to_fill": [
{
"name": "Outpatient",
"values_to_fill": {
"CONSULTATION": {
"deductible": "0",
"copay": "20.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "14.0",
"_is_outpatient_fallback": false,
"_deductibleLegacy": "14.0"
},
"LAB": {
"deductible": "0",
"copay": "5.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false,
"_deductibleLegacy": "0",
"_maxDeductible": "0"
},
"RADIOLOGY": {
"deductible": "0",
"copay": "5.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false,
"_deductibleLegacy": "0"
},
"PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DIAGNOSTICS": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DENTAL CONSULTATION & PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"MEDICINES": {
"deductible": "0",
"copay": "5.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false,
"_deductibleLegacy": "0"
},
"PHYSIOTHERAPY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"OPTICAL": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
}
},
"available_networks": [
{
"network_name_as_in_text": "Amazon - RNE including 14 Hospital exc. Iranian",
"network": "RN Enhanced",
"visit_type": "OP (Out Patient)",
"network_value": "RN Enhanced",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "INS008 - ORIENT INSURANCE PJSC- NEXTCARE - RN - DXB",
"plan_code": "INT001"
}
],
"has_multiple_networks": false,
"primary_network": {
"network": "RN Enhanced",
"network_status": null,
"matched_plan_name": null
}
},
{
"name": "Maternity",
"values_to_fill": {
"CONSULTATION": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"LAB": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"RADIOLOGY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DIAGNOSTICS": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DENTAL CONSULTATION & PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"MEDICINES": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"PHYSIOTHERAPY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"OPTICAL": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
}
},
"available_networks": [
{
"network_name_as_in_text": "Amazon - RNE including 14 Hospital exc. Iranian",
"network": "RN Enhanced",
"visit_type": "OP (Out Patient)",
"network_value": "RN Enhanced",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "INS008 - ORIENT INSURANCE PJSC- NEXTCARE - RN - DXB",
"plan_code": "INT001"
}
],
"has_multiple_networks": false,
"primary_network": {
"network": "RN Enhanced",
"network_status": null,
"matched_plan_name": null
}
},
{
"name": "Specialization",
"values_to_fill": {
"CONSULTATION": {
"deductible": "0",
"copay": "20.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "14.0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "14.0"
},
"LAB": {
"deductible": "0",
"copay": "5.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0",
"_maxDeductible": "0"
},
"RADIOLOGY": {
"deductible": "0",
"copay": "5.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"DIAGNOSTICS": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"DENTAL CONSULTATION & PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"MEDICINES": {
"deductible": "0",
"copay": "5.0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true,
"_deductibleLegacy": "0"
},
"PHYSIOTHERAPY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
},
"OPTICAL": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": true
}
},
"available_networks": [
{
"network_name_as_in_text": "Amazon - RNE including 14 Hospital exc. Iranian",
"network": "RN Enhanced",
"visit_type": "OP (Out Patient)",
"network_value": "RN Enhanced",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "INS008 - ORIENT INSURANCE PJSC- NEXTCARE - RN - DXB",
"plan_code": "INT001"
}
],
"has_multiple_networks": false,
"primary_network": {
"network": "RN Enhanced",
"network_status": null,
"matched_plan_name": null
}
},
{
"name": "Inpatient",
"values_to_fill": {
"CONSULTATION": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"LAB": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"RADIOLOGY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DIAGNOSTICS": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"DENTAL CONSULTATION & PROCEDURE": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"MEDICINES": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"PHYSIOTHERAPY": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
},
"OPTICAL": {
"deductible": "0",
"copay": "0",
"should_set_copay": true,
"_copayAmount": "0",
"_copayMaxAmount": "0",
"_is_outpatient_fallback": false
}
},
"available_networks": [
{
"network_name_as_in_text": "Amazon - RNE including 14 Hospital exc. Iranian",
"network": "RN Enhanced",
"visit_type": "OP (Out Patient)",
"network_value": "RN Enhanced",
"matched_plan_name": null,
"network_code": null,
"raw_plan_string": "INS008 - ORIENT INSURANCE PJSC- NEXTCARE - RN - DXB",
"plan_code": "INT001"
}
],
"has_multiple_networks": false,
"primary_network": {
"network": "RN Enhanced",
"network_status": null,
"matched_plan_name": null
}
}
],
"policy_holder_name": "Sample Policy Holder",
"policy_holder_emirates_id": "784-0000-0000000-0",
"policy_holder_dob": "1990-01-01",
"is_eligible": true,
"failure_reason": null,
"card_index": 1,
"card_number": "MBR-0000000",
"package_name": "Orient Insurance PJSC Worldwide E-Rx",
"card_network": null,
"multi_card_total": 2,
"screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"referral_documents": [
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Claim Form",
"id": "claim_form"
},
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Claim Form Image",
"id": "claim_form_image"
},
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Table of Benefits",
"id": "table_of_benefits"
},
{
"s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
"tag": "Member Eligibility Document",
"id": "member_eligibility_document"
}
],
"payer_id": "TPA002",
"warning_messages": [
{
"message": "Patient holds 2 NextCare policies; checking each of them...",
"screenshot": null,
"warning": true,
"message_type": "warning"
},
{
"message": "Referral Details Dropdown does not have any options to select",
"screenshot": null,
"warning": true,
"message_type": "warning"
},
{
"message": "Referral Details Dropdown does not have any options to select",
"screenshot": null,
"warning": true,
"message_type": "warning"
},
{
"message": "Patient holds 2 NextCare policies; delivering 2 eligible as separate results: Sample Plan A, Sample Plan B",
"screenshot": null,
"warning": true,
"message_type": "warning"
},
{
"message": "Medical check-up / wellness is covered under this policy",
"screenshot": null,
"warning": true,
"message_type": "information"
}
],
"was_identified_by_aggregator": false
}
},
"search_id": "0000-0000-0000-0000",
"tpa_name": "TPA002",
"task_id": "00000000-0000-4000-a000-000000000001",
"user_id": null,
"status": "found"
}
}

Highlighted: eligibility_result.data_dump.data.warning_messages. Every other key on the response is documented on Results.

Display that verbatim. Do not parse the plan names out of it; the wording is portal-derived and changes. The Daman samples on this page carry an empty warning_messages, so do not depend on it being there.

What your code has to do

Read multi_card_total on every result. Greater than 1 means the member holds more policies than you are being shown.

Say which card, in the UI. "Card 2 of 2, Gold, NW UAE: Royal" is honest. Presenting one package as the member's cover is not, and card_index moving between checks means you cannot quietly always show "the first one".

Attach the package to the numbers. Copay, network and documents in the body belong to the returned card. Label them with package_name so nobody bills the other card against them.

In a search-all, check card_index on every entry, not only on the ones you treat as matches.

Display warning_messages when it is populated, and do not require it.

Where to go next

On this page