Mantys Eligibility APINot found, then found
The same patient, checked twice, answering differently: when a member_not_found is worth retrying and when it is a real answer.
member_not_found means the payer has no member matching the identifier you
sent. It is a real answer, not a failure, and the response says so plainly:
{"id": "00000000-0000-4000-a000-000000000001","tenant_id": "yourorg","clinic_id": "00000000-0000-4000-a000-000000000002","created_at": "2026-02-11T14:35:38.967000","updated_at": "2026-02-11T14:35:49.992000","task_id": "00000000-0000-4000-a000-000000000001","status": "PROCESS_COMPLETE","request_dump": {"phone": "+971 50 000 0000","id_type": "EMIRATESID","tpa_name": "TPA036","payerName": "","doctorName": "Sample Clinician","extra_args": {"title": "","value": ""},"visit_type": "OUTPATIENT","emirates_id": "784-0000-0000000-0","practice_id": "00000000-0000-4000-a000-000000000002","user_id": "00000000-0000-4000-a000-000000000003","name": null,"dob": null,"mode": "prod","test_mode": false},"interim_results": null,"is_search_all": false,"search_all_status": null,"created_by_user_id": null,"eligibility_result": {"id": "00000000-0000-4000-a000-000000000001:TPA036","tenant_id": "yourorg","clinic_id": "00000000-0000-4000-a000-000000000002","created_at": "2026-02-11T14:35:50.153000","updated_at": "2026-02-11T14:35:50.153000","data_dump": {"tpa": "TPA036","data": {"payer_id": "TPA036","show_data": false,"is_eligible": false,"screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z","was_identified_by_aggregator": false},"status": "member_not_found","message": "Member with ID 784-0000-0000000-0 not found","error_type": "MemberNotFoundError","screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z","was_identified_by_aggregator": false},"search_id": "0000-0000-0000-0000","tpa_name": "TPA036","task_id": "00000000-0000-4000-a000-000000000001","user_id": null,"status": "member_not_found"}}
Highlighted on eligibility_result: status, tpa_name, data_dump.data.is_eligible, data_dump.data.show_data, data_dump.message. The rest of the keys are documented on Results.
show_data: false is the flag that says there is nothing behind this result
worth rendering. What you do next depends on why the member was not found, and
the response does not tell you which reason applies. There are two, and only one
of them is worth another call.
What the portal showed, twice
Payer portal, member search: first attempt
Search by Emirates ID
No match- Search by
- Emirates ID1
- Value
- 784-0000-0000000-0
No member found for the given ID.2
- 1
id_type: "EMIRATESID", the default and the one every payer accepts. - 2Becomes
status: "member_not_found"withshow_data: false. A real answer, not a failure.
Payer portal, member search: eleven minutes later
Search by card number
Eligible- Search by
- Card number1
- Value
- MBR-0000000
- Member
- Sample Patient
- Valid until
- 30 Sep 2026
- 1The same person, present under
id_type: "CARDNUMBER". A payer can hold a member under a card number without the Emirates ID linked to it yet.
Worth retrying: the Emirates ID is not linked yet
Two production checks, the same patient at the same clinic, eleven minutes apart.
| First attempt | Retry | |
|---|---|---|
id_type | EMIRATESID | CARDNUMBER |
tpa_name | TPA036 | TPA002 |
| Result | member_not_found | found, is_eligible: true |
| Created | 14:35:38 | 14:46:30 |
{"id": "00000000-0000-4000-a000-000000000001","tenant_id": "yourorg","clinic_id": "00000000-0000-4000-a000-000000000002","created_at": "2026-02-11T14:46:30.365000","updated_at": "2026-02-11T14:47:08.230000","task_id": "00000000-0000-4000-a000-000000000001","status": "PROCESS_COMPLETE","request_dump": {"phone": "+971 50 000 0000","id_type": "CARDNUMBER","tpa_name": "TPA002","payerName": "","doctorName": "Sample Clinician","extra_args": {"title": "","value": ""},"visit_type": "OUTPATIENT","emirates_id": "784-0000-0000000-0","practice_id": "00000000-0000-4000-a000-000000000002","user_id": "00000000-0000-4000-a000-000000000003","name": null,"dob": null,"mode": "prod","test_mode": false},"interim_results": {"tpa_name": "TPA002","screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z","referral_documents": [{"id": "claim_form","tag": "Claim Form","s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z"},{"id": "claim_form_image","tag": "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"},{"id": "table_of_benefits","tag": "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"},{"id": "member_eligibility_document","tag": "Member Eligibility Document","s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z"}]},"is_search_all": false,"search_all_status": null,"created_by_user_id": null,"eligibility_result": {"id": "00000000-0000-4000-a000-000000000001:TPA002","tenant_id": "yourorg","clinic_id": "00000000-0000-4000-a000-000000000002","created_at": "2026-02-11T14:47:09.417000","updated_at": "2026-02-11T14:47:09.417000","data_dump": {"tpa": "TPA002","data": {"payer_id": "TPA002","is_eligible": true,"patient_info": {"policy_holder_dob": "1990-01-01","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"},"copay_analysis": {"copay_details": [{"remarks": "Citation: Chronic Conditions: | \n\n ","visit_type": "Chronic Conditions","copay_amount": null,"visit_setting": "Outpatient","copay_currency": "AED","copay_max_scope": null,"copay_max_amount": null,"copay_percentage": "Covered","coinsurance_percentage": null},{"remarks": "Citation: Out-Patient: Co-Part: 20% | \n\n ","visit_type": "Outpatient","copay_amount": null,"visit_setting": "Outpatient","copay_currency": "AED","copay_max_scope": null,"copay_max_amount": null,"copay_percentage": "20.0","coinsurance_percentage": null},{"remarks": "Citation: Laboratory: Covered | \n\n ","visit_type": "Laboratory","copay_amount": null,"visit_setting": "Outpatient","copay_currency": "AED","copay_max_scope": null,"copay_max_amount": null,"copay_percentage": "Covered","coinsurance_percentage": null},{"remarks": "Citation: Radiology: Covered | \n\n ","visit_type": "Radiology","copay_amount": null,"visit_setting": "Outpatient","copay_currency": "AED","copay_max_scope": null,"copay_max_amount": null,"copay_percentage": "Covered","coinsurance_percentage": null},{"remarks": "Citation: Pharmacy: Co-Part: 20% Max(100 AED) | \n\n ","visit_type": "Pharmacy","copay_amount": null,"visit_setting": "Outpatient","copay_currency": "AED","copay_max_scope": "AED","copay_max_amount": 100,"copay_percentage": "20.0","coinsurance_percentage": null},{"remarks": "Citation: Consultation: Co-Part: 20% | \n\n ","visit_type": "Consultation","copay_amount": null,"visit_setting": "Outpatient","copay_currency": "AED","copay_max_scope": null,"copay_max_amount": null,"copay_percentage": "20.0","coinsurance_percentage": null}],"waiting_period": "Not Specified","special_remarks": [],"new_version_of_copay_analysis": {"benefits": [{"limits": null,"remarks": null,"conditions": null,"cost_sharing": [{"visit_type": "Outpatient","copay_amount": null,"visit_setting": "Outpatient","copay_currency": "AED","copay_percentage": "Covered","copay_maximum_scope": null,"copay_maximum_amount": null,"coinsurance_percentage": null}],"coverage_status": "Covered","service_category_original": "Chronic Conditions","service_category_standardized": "Chronic Conditions"},{"limits": null,"remarks": null,"conditions": null,"cost_sharing": [{"visit_type": "Outpatient","copay_amount": null,"visit_setting": "Outpatient","copay_currency": "AED","copay_percentage": 20,"copay_maximum_scope": null,"copay_maximum_amount": null,"coinsurance_percentage": null}],"coverage_status": "Covered","service_category_original": "Out-Patient","service_category_standardized": "Outpatient"},{"limits": null,"remarks": null,"conditions": null,"cost_sharing": [{"visit_type": "Outpatient","copay_amount": null,"visit_setting": "Outpatient","copay_currency": "AED","copay_percentage": "Covered","copay_maximum_scope": null,"copay_maximum_amount": null,"coinsurance_percentage": null}],"coverage_status": "Covered","service_category_original": "Laboratory","service_category_standardized": "Laboratory"},{"limits": null,"remarks": null,"conditions": null,"cost_sharing": [{"visit_type": "Outpatient","copay_amount": null,"visit_setting": "Outpatient","copay_currency": "AED","copay_percentage": "Covered","copay_maximum_scope": null,"copay_maximum_amount": null,"coinsurance_percentage": null}],"coverage_status": "Covered","service_category_original": "Radiology","service_category_standardized": "Radiology"},{"limits": null,"remarks": null,"conditions": null,"cost_sharing": [{"visit_type": "Outpatient","copay_amount": null,"visit_setting": "Outpatient","copay_currency": "AED","copay_percentage": 20,"copay_maximum_scope": "AED","copay_maximum_amount": 100,"coinsurance_percentage": null}],"coverage_status": "Covered","service_category_original": "Pharmacy","service_category_standardized": "Pharmacy"},{"limits": null,"remarks": null,"conditions": null,"cost_sharing": [{"visit_type": "Outpatient","copay_amount": null,"visit_setting": "Outpatient","copay_currency": "AED","copay_percentage": 20,"copay_maximum_scope": null,"copay_maximum_amount": null,"coinsurance_percentage": null}],"coverage_status": "Covered","service_category_original": "Consultation","service_category_standardized": "Consultation"}],"policy_info": {"waiting_period": "Not Specified","policy_period_end": null,"policy_jurisdiction": "Not Specified","policy_period_start": null,"beneficiary_start_date": {"DD": 1,"MM": 10,"YYYY": 2020},"air_arabia_referral_number": "REF-0000000"},"general_remarks": null,"abbreviations_defined": null}},"failure_reason": null,"policy_network": {"is_vip": "No","payer_name": "ORIENT INSURANCE PJSC - INS008","sponsor_id": "INS008","start_date": "2025-10-01","valid_upto": "2026-09-30","all_networks": [{"network": "RN Enhanced","plan_code": "P025-1","visit_type": "OP (Out Patient)","network_code": null,"network_value": "RN Enhanced","raw_plan_string": "ORIENT INSURANCE CO (INS008)(NEXTCARE) - SHJ","matched_plan_name": "RN Enhanced","network_name_as_in_text": "RN Enhanced (UAE)"},{"network": "NEXTCARE GN-OP","plan_code": "P025-1","visit_type": "OP (Out Patient)","network_code": null,"network_value": "GN","raw_plan_string": "ORIENT INSURANCE CO (INS008)(NEXTCARE) - SHJ","matched_plan_name": "NEXTCARE GN-OP","network_name_as_in_text": "GN (Non-UAE) (ENBD)"}],"package_name": null,"is_gatekeeper": "No","waiting_period": null,"policy_authority": "MOH","policy_plan_name": null,"work_site_covered": "Could not determine","policy_holder_name": "Sample Policy Holder","payer_name_as_in_text": "INS008 - Orient Insurance PJSC","is_general_physician_referral_required_for_specialist_referral": false},"screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z","warning_messages": [],"policy_holder_dob": "1990-01-01","policy_holder_name": "Sample Policy Holder","referral_documents": [{"id": "claim_form","tag": "Claim Form","s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z"},{"id": "claim_form_image","tag": "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"},{"id": "table_of_benefits","tag": "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"},{"id": "member_eligibility_document","tag": "Member Eligibility Document","s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z"}],"copay_details_to_fill": [{"name": "Outpatient","values_to_fill": {"LAB": {"copay": "20.0","deductible": "0","_copayAmount": "0","_maxDeductible": "0","_copayMaxAmount": "0","should_set_copay": true,"_deductibleLegacy": "0"},"MEDICINES": {"copay": "20.0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "100.0","should_set_copay": true,"_deductibleLegacy": "100.0"},"PROCEDURE": {"copay": "20.0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true,"_deductibleLegacy": "0"},"RADIOLOGY": {"copay": "20.0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true,"_deductibleLegacy": "0"},"CONSULTATION": {"copay": "20.0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true,"_deductibleLegacy": "0"},"PHYSIOTHERAPY": {"copay": "20.0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true,"_deductibleLegacy": "0"},"DENTAL CONSULTATION & PROCEDURE": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true}},"primary_network": {"network": "RN Enhanced","network_status": null,"matched_plan_name": "RN Enhanced"},"available_networks": [{"network": "RN Enhanced","plan_code": "P025-1","visit_type": "OP (Out Patient)","network_code": null,"network_value": "RN Enhanced","raw_plan_string": "ORIENT INSURANCE CO (INS008)(NEXTCARE) - SHJ","matched_plan_name": "RN Enhanced","network_name_as_in_text": "RN Enhanced (UAE)"},{"network": "NEXTCARE GN-OP","plan_code": "P025-1","visit_type": "OP (Out Patient)","network_code": null,"network_value": "GN","raw_plan_string": "ORIENT INSURANCE CO (INS008)(NEXTCARE) - SHJ","matched_plan_name": "NEXTCARE GN-OP","network_name_as_in_text": "GN (Non-UAE) (ENBD)"}],"has_multiple_networks": true},{"name": "Maternity","values_to_fill": {"LAB": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"MEDICINES": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"PROCEDURE": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"RADIOLOGY": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"CONSULTATION": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"PHYSIOTHERAPY": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"DENTAL CONSULTATION & PROCEDURE": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true}},"primary_network": {"network": "RN Enhanced","network_status": null,"matched_plan_name": "RN Enhanced"},"available_networks": [{"network": "RN Enhanced","plan_code": "P025-1","visit_type": "OP (Out Patient)","network_code": null,"network_value": "RN Enhanced","raw_plan_string": "ORIENT INSURANCE CO (INS008)(NEXTCARE) - SHJ","matched_plan_name": "RN Enhanced","network_name_as_in_text": "RN Enhanced (UAE)"},{"network": "NEXTCARE GN-OP","plan_code": "P025-1","visit_type": "OP (Out Patient)","network_code": null,"network_value": "GN","raw_plan_string": "ORIENT INSURANCE CO (INS008)(NEXTCARE) - SHJ","matched_plan_name": "NEXTCARE GN-OP","network_name_as_in_text": "GN (Non-UAE) (ENBD)"}],"has_multiple_networks": true},{"name": "Specialization","values_to_fill": {"LAB": {"copay": "20.0","deductible": "0","_copayAmount": "0","_maxDeductible": "0","_copayMaxAmount": "0","should_set_copay": true,"_deductibleLegacy": "0"},"MEDICINES": {"copay": "20.0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "100.0","should_set_copay": true,"_deductibleLegacy": "100.0"},"PROCEDURE": {"copay": "20.0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true,"_deductibleLegacy": "0"},"RADIOLOGY": {"copay": "20.0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true,"_deductibleLegacy": "0"},"CONSULTATION": {"copay": "20.0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true,"_deductibleLegacy": "0"},"PHYSIOTHERAPY": {"copay": "20.0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true,"_deductibleLegacy": "0"},"DENTAL CONSULTATION & PROCEDURE": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true}},"primary_network": {"network": "RN Enhanced","network_status": null,"matched_plan_name": "RN Enhanced"},"available_networks": [{"network": "RN Enhanced","plan_code": "P025-1","visit_type": "OP (Out Patient)","network_code": null,"network_value": "RN Enhanced","raw_plan_string": "ORIENT INSURANCE CO (INS008)(NEXTCARE) - SHJ","matched_plan_name": "RN Enhanced","network_name_as_in_text": "RN Enhanced (UAE)"},{"network": "NEXTCARE GN-OP","plan_code": "P025-1","visit_type": "OP (Out Patient)","network_code": null,"network_value": "GN","raw_plan_string": "ORIENT INSURANCE CO (INS008)(NEXTCARE) - SHJ","matched_plan_name": "NEXTCARE GN-OP","network_name_as_in_text": "GN (Non-UAE) (ENBD)"}],"has_multiple_networks": true},{"name": "Inpatient","values_to_fill": {"LAB": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"MEDICINES": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"PROCEDURE": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"RADIOLOGY": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"CONSULTATION": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"PHYSIOTHERAPY": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"DENTAL CONSULTATION & PROCEDURE": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true}},"primary_network": {"network": "RN Enhanced","network_status": null,"matched_plan_name": "RN Enhanced"},"available_networks": [{"network": "RN Enhanced","plan_code": "P025-1","visit_type": "OP (Out Patient)","network_code": null,"network_value": "RN Enhanced","raw_plan_string": "ORIENT INSURANCE CO (INS008)(NEXTCARE) - SHJ","matched_plan_name": "RN Enhanced","network_name_as_in_text": "RN Enhanced (UAE)"},{"network": "NEXTCARE GN-OP","plan_code": "P025-1","visit_type": "OP (Out Patient)","network_code": null,"network_value": "GN","raw_plan_string": "ORIENT INSURANCE CO (INS008)(NEXTCARE) - SHJ","matched_plan_name": "NEXTCARE GN-OP","network_name_as_in_text": "GN (Non-UAE) (ENBD)"}],"has_multiple_networks": true}],"policy_holder_emirates_id": "784-0000-0000000-0","was_identified_by_aggregator": false},"status": "found"},"search_id": "0000-0000-0000-0000","tpa_name": "TPA002","task_id": "00000000-0000-4000-a000-000000000001","user_id": null,"status": "found"}}
Highlighted on request_dump: id_type, tpa_name, visit_type. The rest of the keys are documented on Results.
Eleven minutes is a front desk trying again while the patient is still standing there, which is what makes this pair worth reading. A payer can hold a member under a card number without the Emirates ID linked to it yet, so the same person is absent under one identifier and present under the other.
The retry changed the payer as well as the identifier
The staff member switched from TPA036 to TPA002 at the same time. So this pair does not prove
that changing id_type alone would have worked, and neither does any other production pair we
have. If you automate a fallback, changing id_type is the part with a mechanism behind it;
changing the payer is a guess unless the patient's card says otherwise.
Not worth retrying: the policy changed
The counter-example matters more than the example, because it looks identical in the response and is not the same situation at all.
| First check | Later check | |
|---|---|---|
id_type | CARDNUMBER | CARDNUMBER |
tpa_name | TPA001 | TPA001 |
| Result | member_not_found | found, is_eligible: true |
| Created | 7 February | 4 April |
Same identifier, same payer, different answer, fifty-six days apart. Nothing about the request changed. The policy did.
{"id": "00000000-0000-4000-a000-000000000001","tenant_id": "yourorg","clinic_id": "00000000-0000-4000-a000-000000000002","created_at": "2026-02-07T12:12:10.678000","updated_at": "2026-02-07T12:13:03.568000","task_id": "00000000-0000-4000-a000-000000000001","status": "PROCESS_COMPLETE","request_dump": {"name": "Sample Patient","phone": "+971 50 000 0000","id_type": "CARDNUMBER","tpa_name": "TPA001","payerName": null,"doctorName": "Sample Clinician","extra_args": {"title": "","value": "","is_member_present_at_the_facility": true},"visit_type": "OUTPATIENT","emirates_id": "784-0000-0000000-0","practice_id": "00000000-0000-4000-a000-000000000002","user_id": "00000000-0000-4000-a000-000000000003","dob": null,"mode": "prod","test_mode": false},"interim_results": {"tpa_name": "TPA001","screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z","referral_documents": [{"tag": "Member Eligibility - Main Page","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 - Details Modal","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 - Alternative Screenshot","s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z"}]},"is_search_all": false,"search_all_status": null,"created_by_user_id": null,"eligibility_result": {"id": "00000000-0000-4000-a000-000000000001:TPA001","tenant_id": "yourorg","clinic_id": "00000000-0000-4000-a000-000000000002","created_at": "2026-02-07T12:13:05.492000","updated_at": "2026-02-07T12:13:05.492000","data_dump": {"tpa": "TPA001","data": {"payer_id": "TPA001","is_eligible": false,"patient_info": {"policy_holder_name": "Sample Policy Holder","patient_emirates_id": null,"policy_primary_dha_member_id": "0000000000"},"copay_analysis": {"copay_details": [{"remarks": "","visit_type": "Outpatient","copay_amount": null,"visit_setting": "Outpatient","copay_currency": null,"copay_max_scope": null,"copay_max_amount": null,"copay_percentage": "Covered","deductible_scope": null,"deductible_amount": null,"deductible_currency": null,"coinsurance_percentage": null}],"waiting_period": "waiting_period_time=0 waiting_period_unit='Days' waiting_period_starting_from='policy_start_date'","special_remarks": [],"new_version_of_copay_analysis": {"benefits": [{"limits": null,"remarks": null,"conditions": null,"cost_sharing": [],"coverage_status": "Covered","service_category_original": "OutPatient","service_category_standardized": "Outpatient"}],"policy_info": {"waiting_period": {"waiting_period_time": 0,"waiting_period_unit": "Days","waiting_period_starting_from": "policy_start_date"},"policy_period_end": null,"policy_jurisdiction": "Not Specified","policy_period_start": null,"beneficiary_start_date": null},"general_remarks": [],"abbreviations_defined": []}},"failure_reason": "Document clearly states 'Invalid Member Identifier' and 'Not Eligible', indicating the member is not eligible for the requested outpatient services.","policy_network": {"is_vip": "Not Mentioned","payer_name": "Could not determine","sponsor_id": null,"start_date": "2026-02-07","valid_upto": "2026-02-07","all_networks": [],"package_name": null,"is_gatekeeper": "Not Mentioned","waiting_period": null,"policy_authority": "Not Mentioned","policy_plan_name": null,"applicable_tariff": null,"work_site_covered": "Could not determine","policy_holder_name": null,"network_payment_limit": "Not Mentioned","payer_name_as_in_text": null,"is_consultation_excluded_from_payment_limit": false,"is_general_physician_referral_required_for_specialist_referral": false},"screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z","policy_holder_name": "Sample Policy Holder","referral_documents": [{"tag": "Member Eligibility - Main Page","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 - Details Modal","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 - Alternative Screenshot","s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z"}],"copay_details_to_fill": [{"name": "Outpatient","values_to_fill": {"LAB": {"copay": "0","deductible": "0","_copayAmount": "0","_maxDeductible": "0","_copayMaxAmount": "0","should_set_copay": true,"_deductibleLegacy": "0"},"MEDICINES": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true,"_deductibleLegacy": "0"},"PROCEDURE": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true,"_deductibleLegacy": "0"},"RADIOLOGY": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true,"_deductibleLegacy": "0"},"CONSULTATION": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true,"_deductibleLegacy": "0"},"PHYSIOTHERAPY": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true,"_deductibleLegacy": "0"},"DENTAL CONSULTATION & PROCEDURE": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true}},"available_networks": [],"has_multiple_networks": false},{"name": "Maternity","values_to_fill": {"LAB": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"MEDICINES": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"PROCEDURE": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"RADIOLOGY": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"CONSULTATION": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"PHYSIOTHERAPY": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"DENTAL CONSULTATION & PROCEDURE": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true}},"available_networks": [],"has_multiple_networks": false},{"name": "Specialization","values_to_fill": {"LAB": {"copay": "0","deductible": "0","_copayAmount": "0","_maxDeductible": "0","_copayMaxAmount": "0","should_set_copay": true,"_deductibleLegacy": "0"},"MEDICINES": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true,"_deductibleLegacy": "0"},"PROCEDURE": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true,"_deductibleLegacy": "0"},"RADIOLOGY": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true,"_deductibleLegacy": "0"},"CONSULTATION": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true,"_deductibleLegacy": "0"},"PHYSIOTHERAPY": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true,"_deductibleLegacy": "0"},"DENTAL CONSULTATION & PROCEDURE": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true}},"available_networks": [],"has_multiple_networks": false},{"name": "Inpatient","values_to_fill": {"LAB": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"MEDICINES": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"PROCEDURE": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"RADIOLOGY": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"CONSULTATION": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"PHYSIOTHERAPY": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"DENTAL CONSULTATION & PROCEDURE": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true}},"available_networks": [],"has_multiple_networks": false}],"policy_holder_emirates_id": null,"was_identified_by_aggregator": false},"status": "member_not_found"},"search_id": "0000-0000-0000-0000","tpa_name": "TPA001","task_id": "00000000-0000-4000-a000-000000000001","user_id": null,"status": "member_not_found"}}
Highlighted on eligibility_result: status, tpa_name, data_dump.data.is_eligible. The rest of the keys are documented on Results.
{"id": "00000000-0000-4000-a000-000000000001","tenant_id": "yourorg","clinic_id": "00000000-0000-4000-a000-000000000002","created_at": "2026-04-04T17:01:55.358000","updated_at": "2026-04-04T17:02:51.282000","task_id": "00000000-0000-4000-a000-000000000001","status": "PROCESS_COMPLETE","request_dump": {"name": "Sample Patient","phone": "+971 50 000 0000","id_type": "CARDNUMBER","tpa_name": "TPA001","payerName": "","doctorName": "Sample Clinician","extra_args": {"title": "","value": "","is_member_present_at_the_facility": true},"visit_type": "OUTPATIENT","emirates_id": "784-0000-0000000-0","practice_id": "00000000-0000-4000-a000-000000000002","user_id": "00000000-0000-4000-a000-000000000003","dob": null,"mode": "prod","test_mode": false},"interim_results": {"tpa_name": "TPA001","screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z","referral_documents": [{"tag": "Member Eligibility - Main Page","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 - Details Modal","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 - Alternative Screenshot","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 - Approval Requirements","s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z"},{"tag": "Consultation / 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": "Prescription Form","s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z"}]},"is_search_all": false,"search_all_status": null,"created_by_user_id": null,"eligibility_result": {"id": "00000000-0000-4000-a000-000000000001:TPA001","tenant_id": "yourorg","clinic_id": "00000000-0000-4000-a000-000000000002","created_at": "2026-04-04T17:02:53.377000","updated_at": "2026-04-04T17:02:53.377000","data_dump": {"tpa": "TPA001","data": {"payer_id": "TPA001","is_eligible": true,"patient_info": {"policy_holder_dob": "01-01-1990","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"},"copay_analysis": {"copay_details": [{"remarks": "Referral: No","visit_type": "Outpatient","copay_amount": null,"visit_setting": "Outpatient","copay_currency": null,"copay_max_scope": null,"copay_max_amount": null,"copay_percentage": "Covered","deductible_scope": null,"deductible_amount": null,"deductible_currency": null,"coinsurance_percentage": null}],"waiting_period": "waiting_period_time=0 waiting_period_unit='Days' waiting_period_starting_from='policy_start_date'","special_remarks": ["No referral required for specialist consultation"],"new_version_of_copay_analysis": {"benefits": [{"limits": null,"remarks": null,"conditions": {"referral_required": "No","referral_exceptions": null,"network_restrictions": null,"pre_approval_required": null,"provider_specific_terms": null,"pre_approval_threshold_scope": null,"pre_approval_threshold_amount": null,"pre_approval_specific_services": null,"pre_approval_threshold_currency": null},"cost_sharing": [],"coverage_status": "Covered","service_category_original": "OutPatient","service_category_standardized": "Outpatient"}],"policy_info": {"waiting_period": {"waiting_period_time": 0,"waiting_period_unit": "Days","waiting_period_starting_from": "policy_start_date"},"policy_period_end": null,"policy_jurisdiction": "Not Specified","policy_period_start": null,"beneficiary_start_date": null},"general_remarks": ["No referral required for specialist consultation"],"abbreviations_defined": []}},"failure_reason": null,"policy_network": {"is_vip": "Not Mentioned","payer_name": "CIGNA INSURANCE MIDDLE EAST (S.A.L) - DUBAI BRANCH - INS137","sponsor_id": "INS137","start_date": "2025-10-01","valid_upto": "2026-09-30","all_networks": [{"network": "NEURON GENERAL PLUS-OP","plan_code": "DXSHJ-P525","visit_type": "OP (Out Patient)","network_code": null,"network_value": "General Network +","raw_plan_string": "INS137 - CIGNA INSURANCE MIDDLE EAST (S.A.L) - DUBAI BRANCH - NEURON - GN PLUS - DXB-SHJ","matched_plan_name": "NEURON GENERAL PLUS-OP","network_name_as_in_text": "Open Network 2 [Applicable Tariff: General Network +]"}],"package_name": null,"is_gatekeeper": "Not Mentioned","waiting_period": null,"policy_authority": "DHA","policy_plan_name": null,"applicable_tariff": "General Network +","work_site_covered": "Could not determine","policy_holder_name": "Sample Policy Holder","network_payment_limit": "Not Mentioned","payer_name_as_in_text": "Cigna","is_consultation_excluded_from_payment_limit": false,"is_general_physician_referral_required_for_specialist_referral": false},"screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z","warning_messages": [],"policy_holder_dob": "01-01-1990","policy_holder_name": "Sample Policy Holder","referral_documents": [{"tag": "Member Eligibility - Main Page","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 - Details Modal","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 - Alternative Screenshot","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 - Approval Requirements","s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z"},{"tag": "Consultation / 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": "Prescription Form","s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z"}],"copay_details_to_fill": [{"name": "Outpatient","values_to_fill": {"LAB": {"copay": "0","deductible": "0","_copayAmount": "0","_maxDeductible": "0","_copayMaxAmount": "0","should_set_copay": true,"_deductibleLegacy": "0"},"MEDICINES": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true,"_deductibleLegacy": "0"},"PROCEDURE": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true,"_deductibleLegacy": "0"},"RADIOLOGY": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true,"_deductibleLegacy": "0"},"DIAGNOSTICS": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true,"_deductibleLegacy": "0"},"CONSULTATION": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true,"_deductibleLegacy": "0"},"PHYSIOTHERAPY": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true,"_deductibleLegacy": "0"},"DENTAL CONSULTATION & PROCEDURE": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true}},"primary_network": {"network": "NEURON GENERAL PLUS-OP","network_status": null,"matched_plan_name": "NEURON GENERAL PLUS-OP"},"available_networks": [{"network": "NEURON GENERAL PLUS-OP","plan_code": "DXSHJ-P525","visit_type": "OP (Out Patient)","network_code": null,"network_value": "General Network +","raw_plan_string": "INS137 - CIGNA INSURANCE MIDDLE EAST (S.A.L) - DUBAI BRANCH - NEURON - GN PLUS - DXB-SHJ","matched_plan_name": "NEURON GENERAL PLUS-OP","network_name_as_in_text": "Open Network 2 [Applicable Tariff: General Network +]"}],"has_multiple_networks": false},{"name": "Maternity","values_to_fill": {"LAB": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"MEDICINES": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"PROCEDURE": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"RADIOLOGY": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"DIAGNOSTICS": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"CONSULTATION": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"PHYSIOTHERAPY": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"DENTAL CONSULTATION & PROCEDURE": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true}},"primary_network": {"network": "NEURON GENERAL PLUS-OP","network_status": null,"matched_plan_name": "NEURON GENERAL PLUS-OP"},"available_networks": [{"network": "NEURON GENERAL PLUS-OP","plan_code": "DXSHJ-P525","visit_type": "OP (Out Patient)","network_code": null,"network_value": "General Network +","raw_plan_string": "INS137 - CIGNA INSURANCE MIDDLE EAST (S.A.L) - DUBAI BRANCH - NEURON - GN PLUS - DXB-SHJ","matched_plan_name": "NEURON GENERAL PLUS-OP","network_name_as_in_text": "Open Network 2 [Applicable Tariff: General Network +]"}],"has_multiple_networks": false},{"name": "Specialization","values_to_fill": {"LAB": {"copay": "0","deductible": "0","_copayAmount": "0","_maxDeductible": "0","_copayMaxAmount": "0","should_set_copay": true,"_deductibleLegacy": "0","_is_outpatient_fallback": true},"MEDICINES": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true,"_deductibleLegacy": "0","_is_outpatient_fallback": true},"PROCEDURE": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true,"_deductibleLegacy": "0","_is_outpatient_fallback": true},"RADIOLOGY": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true,"_deductibleLegacy": "0","_is_outpatient_fallback": true},"DIAGNOSTICS": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true,"_deductibleLegacy": "0","_is_outpatient_fallback": true},"CONSULTATION": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true,"_deductibleLegacy": "0","_is_outpatient_fallback": true},"PHYSIOTHERAPY": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true,"_deductibleLegacy": "0","_is_outpatient_fallback": true},"DENTAL CONSULTATION & PROCEDURE": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true,"_is_outpatient_fallback": true}},"primary_network": {"network": "NEURON GENERAL PLUS-OP","network_status": null,"matched_plan_name": "NEURON GENERAL PLUS-OP"},"available_networks": [{"network": "NEURON GENERAL PLUS-OP","plan_code": "DXSHJ-P525","visit_type": "OP (Out Patient)","network_code": null,"network_value": "General Network +","raw_plan_string": "INS137 - CIGNA INSURANCE MIDDLE EAST (S.A.L) - DUBAI BRANCH - NEURON - GN PLUS - DXB-SHJ","matched_plan_name": "NEURON GENERAL PLUS-OP","network_name_as_in_text": "Open Network 2 [Applicable Tariff: General Network +]"}],"has_multiple_networks": false},{"name": "Inpatient","values_to_fill": {"LAB": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"MEDICINES": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"PROCEDURE": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"RADIOLOGY": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"DIAGNOSTICS": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"CONSULTATION": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"PHYSIOTHERAPY": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true},"DENTAL CONSULTATION & PROCEDURE": {"copay": "0","deductible": "0","_copayAmount": "0","_copayMaxAmount": "0","should_set_copay": true}},"primary_network": {"network": "NEURON GENERAL PLUS-OP","network_status": null,"matched_plan_name": "NEURON GENERAL PLUS-OP"},"available_networks": [{"network": "NEURON GENERAL PLUS-OP","plan_code": "DXSHJ-P525","visit_type": "OP (Out Patient)","network_code": null,"network_value": "General Network +","raw_plan_string": "INS137 - CIGNA INSURANCE MIDDLE EAST (S.A.L) - DUBAI BRANCH - NEURON - GN PLUS - DXB-SHJ","matched_plan_name": "NEURON GENERAL PLUS-OP","network_name_as_in_text": "Open Network 2 [Applicable Tariff: General Network +]"}],"has_multiple_networks": false}],"policy_holder_emirates_id": "784-0000-0000000-0","was_identified_by_aggregator": false},"status": "found"},"search_id": "0000-0000-0000-0000","tpa_name": "TPA001","task_id": "00000000-0000-4000-a000-000000000001","user_id": null,"status": "found"}}
Highlighted on eligibility_result: status, tpa_name, data_dump.data.is_eligible. The rest of the keys are documented on Results.
An immediate retry in February would have returned member_not_found again, as
many times as it was asked. This is the case against a blind retry loop: the
answer was correct when it was given, and only became wrong later.
What your code has to do
Treat member_not_found as an answer. It is not an error, it does not need
a support ticket, and show_data: false is telling you there is no result
object to render.
Offer the identifier retry to a person, do not automate it. "Not found by Emirates ID. Try the card number?" puts the choice in front of the one person who can read the card the patient is holding.
Never retry on a timer. Nothing about the same request at the same payer changes between two calls a minute apart, and search-all sweeps are expensive.
Re-check on an event, not on a schedule: a renewal processed, a new card presented, a new visit. Fifty-six days is what a real change looks like.