{
  "id": "00000000-0000-4000-a000-000000000001",
  "tenant_id": "yourorg",
  "clinic_id": "00000000-0000-4000-a000-000000000002",
  "created_at": "2026-01-20T04:06:49.200000",
  "updated_at": "2026-01-20T04:08:27.477000",
  "task_id": "00000000-0000-4000-a000-000000000001",
  "status": "PROCESS_COMPLETE",
  "request_dump": {
    "phone": "+971 50 000 0000",
    "id_type": "CARDNUMBER",
    "tpa_name": "INS012",
    "payerName": "",
    "doctorName": "Sample Clinician",
    "extra_args": {
      "title": "",
      "value": ""
    },
    "visit_type": "OUTPATIENT",
    "emirates_id": "MBR-0000000",
    "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": "INS012",
    "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": "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:INS012",
    "tenant_id": "yourorg",
    "clinic_id": "00000000-0000-4000-a000-000000000002",
    "created_at": "2026-01-20T04:08:27.622000",
    "updated_at": "2026-01-20T04:08:27.622000",
    "data_dump": {
      "tpa": "INS012",
      "data": {
        "payer_id": "INS012",
        "is_eligible": true,
        "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"
        },
        "copay_analysis": {
          "copay_details": [
            {
              "remarks": "Citation: Mediclinic group DXB all OP Copay @20% excludes Maternity related service | \n\n Provider Terms: Mediclinic group DXB all OP Copay @20% excludes Maternity related service; NIL All OP/Maternity Copay for In house clinics(Dubai medical & Al Taweelah)",
              "visit_type": "Consultation - Other Hospitals or Clinics - Dubai",
              "copay_amount": null,
              "cost_sharing": {
                "visit_type": "Outpatient",
                "copay_amount": null,
                "visit_setting": "Outpatient",
                "copay_currency": "AED",
                "copay_percentage": 20.0,
                "applicable_location": "Dubai",
                "copay_maximum_scope": null,
                "copay_maximum_amount": null,
                "coinsurance_percentage": null
              },
              "visit_setting": "Outpatient",
              "copay_currency": "AED",
              "copay_max_scope": null,
              "copay_max_amount": null,
              "copay_percentage": "20.0",
              "coinsurance_percentage": null
            },
            {
              "remarks": "Citation: NIL All OP/Maternity Copay for In house clinics(Dubai medical & Al Taweelah) | \n\n Citation: Mediclinic group DXB all OP Copay @20% excludes Maternity related service | \n\n Provider Terms: Mediclinic group DXB all OP Copay @20% excludes Maternity related service; NIL All OP/Maternity Copay for In house clinics(Dubai medical & Al Taweelah)",
              "visit_type": "Consultation - Other Hospitals or Clinics - Dubai and Northern Emirates",
              "copay_amount": null,
              "cost_sharing": {
                "visit_type": "Outpatient",
                "copay_amount": null,
                "visit_setting": "Outpatient",
                "copay_currency": "AED",
                "copay_percentage": 0.0,
                "applicable_location": "Dubai and Northern Emirates",
                "copay_maximum_scope": null,
                "copay_maximum_amount": null,
                "coinsurance_percentage": null
              },
              "visit_setting": "Outpatient",
              "copay_currency": "AED",
              "copay_max_scope": null,
              "copay_max_amount": null,
              "copay_percentage": "0.0",
              "coinsurance_percentage": null
            },
            {
              "remarks": "Citation: Other Providers OP Cons:20% Max AED 50/- Per visit | \n\n Citation: NIL All OP/Maternity Copay for In house clinics(Dubai medical & Al Taweelah) | \n\n Citation: Mediclinic group DXB all OP Copay @20% excludes Maternity related service | \n\n Provider Terms: Mediclinic group DXB all OP Copay @20% excludes Maternity related service; NIL All OP/Maternity Copay for In house clinics(Dubai medical & Al Taweelah)",
              "visit_type": "Consultation",
              "copay_amount": null,
              "cost_sharing": {
                "visit_type": "Outpatient",
                "copay_amount": null,
                "visit_setting": "Outpatient",
                "copay_currency": "AED",
                "copay_percentage": 20.0,
                "applicable_location": "UAE",
                "copay_maximum_scope": "per visit",
                "copay_maximum_amount": 50.0,
                "coinsurance_percentage": null
              },
              "visit_setting": "Outpatient",
              "copay_currency": "AED",
              "copay_max_scope": "per visit",
              "copay_max_amount": 50.0,
              "copay_percentage": "20.0",
              "coinsurance_percentage": null
            },
            {
              "remarks": "Citation: NIL All OP/Maternity Copay for In house clinics(Dubai medical & Al Taweelah) | \n\n Provider Terms: NIL All OP/Maternity Copay for In house clinics(Dubai medical & Al Taweelah)",
              "visit_type": "Maternity Consultation - Other Hospitals or Clinics - Dubai and Northern Emirates",
              "copay_amount": null,
              "cost_sharing": {
                "visit_type": "Maternity",
                "copay_amount": null,
                "visit_setting": "Outpatient",
                "copay_currency": "AED",
                "copay_percentage": 0.0,
                "applicable_location": "Dubai and Northern Emirates",
                "copay_maximum_scope": null,
                "copay_maximum_amount": null,
                "coinsurance_percentage": null
              },
              "visit_setting": "Outpatient",
              "copay_currency": "AED",
              "copay_max_scope": null,
              "copay_max_amount": null,
              "copay_percentage": "0.0",
              "coinsurance_percentage": null
            },
            {
              "remarks": "Citation: All Other providers Maternity Cons:10% Max AED50/- per visit | \n\n Citation: NIL All OP/Maternity Copay for In house clinics(Dubai medical & Al Taweelah) | \n\n Provider Terms: NIL All OP/Maternity Copay for In house clinics(Dubai medical & Al Taweelah)",
              "visit_type": "Maternity Consultation",
              "copay_amount": null,
              "cost_sharing": {
                "visit_type": "Maternity",
                "copay_amount": null,
                "visit_setting": "Outpatient",
                "copay_currency": "AED",
                "copay_percentage": 10.0,
                "applicable_location": "UAE",
                "copay_maximum_scope": "per visit",
                "copay_maximum_amount": 50.0,
                "coinsurance_percentage": null
              },
              "visit_setting": "Outpatient",
              "copay_currency": "AED",
              "copay_max_scope": "per visit",
              "copay_max_amount": 50.0,
              "copay_percentage": "10.0",
              "coinsurance_percentage": null
            },
            {
              "remarks": "Citation: OP Pharmacy:20% Coinsurance | \n\n ",
              "visit_type": "Pharmacy",
              "copay_amount": null,
              "cost_sharing": {
                "visit_type": "Outpatient",
                "copay_amount": null,
                "visit_setting": "Outpatient",
                "copay_currency": null,
                "copay_percentage": 20.0,
                "applicable_location": "UAE",
                "copay_maximum_scope": null,
                "copay_maximum_amount": null,
                "coinsurance_percentage": null
              },
              "visit_setting": "Outpatient",
              "copay_currency": null,
              "copay_max_scope": null,
              "copay_max_amount": null,
              "copay_percentage": "20.0",
              "coinsurance_percentage": null
            },
            {
              "remarks": "Citation: OP Mat Pharma:10% Coins | \n\n ",
              "visit_type": "Pharmacy (Maternity)",
              "copay_amount": null,
              "cost_sharing": {
                "visit_type": "Maternity",
                "copay_amount": null,
                "visit_setting": "Outpatient",
                "copay_currency": null,
                "copay_percentage": 10.0,
                "applicable_location": "UAE",
                "copay_maximum_scope": null,
                "copay_maximum_amount": null,
                "coinsurance_percentage": null
              },
              "visit_setting": "Outpatient",
              "copay_currency": null,
              "copay_max_scope": null,
              "copay_max_amount": null,
              "copay_percentage": "10.0",
              "coinsurance_percentage": null
            },
            {
              "remarks": "Citation: Routine Dental:20% Copay | \n\n ",
              "visit_type": "Dental",
              "copay_amount": null,
              "cost_sharing": {
                "visit_type": "Outpatient",
                "copay_amount": null,
                "visit_setting": "Outpatient",
                "copay_currency": null,
                "copay_percentage": 20.0,
                "applicable_location": "UAE",
                "copay_maximum_scope": null,
                "copay_maximum_amount": null,
                "coinsurance_percentage": null
              },
              "visit_setting": "Outpatient",
              "copay_currency": null,
              "copay_max_scope": null,
              "copay_max_amount": null,
              "copay_percentage": "20.0",
              "coinsurance_percentage": null
            },
            {
              "remarks": "Citation: Optical Benefit:20% Copay on RI | \n\n ",
              "visit_type": "Optical",
              "copay_amount": null,
              "cost_sharing": {
                "visit_type": "Outpatient",
                "copay_amount": null,
                "visit_setting": "Outpatient",
                "copay_currency": null,
                "copay_percentage": 20.0,
                "applicable_location": "UAE",
                "copay_maximum_scope": null,
                "copay_maximum_amount": null,
                "coinsurance_percentage": null
              },
              "visit_setting": "Outpatient",
              "copay_currency": null,
              "copay_max_scope": null,
              "copay_max_amount": null,
              "copay_percentage": "20.0",
              "coinsurance_percentage": null
            }
          ],
          "waiting_period": "Not Specified",
          "special_remarks": [
            "Provider Terms: NIL All OP/Maternity Copay for In house clinics(Dubai medical & Al Taweelah)",
            "NIL All OP/Maternity Copay for In house clinics (Dubai medical & Al Taweelah)",
            "Network Restrictions: EDGE Network",
            "Provider Terms: Mediclinic group DXB all OP Copay @20% excludes Maternity related service; NIL All OP/Maternity Copay for In house clinics(Dubai medical & Al Taweelah)",
            "Mediclinic group DXB all OP Copay @20% excludes Maternity related service"
          ],
          "new_version_of_copay_analysis": {
            "benefits": [
              {
                "limits": null,
                "remarks": null,
                "conditions": {
                  "referral_required": null,
                  "referral_exceptions": null,
                  "network_restrictions": "EDGE Network",
                  "pre_approval_required": "No",
                  "provider_specific_terms": "Mediclinic group DXB all OP Copay @20% excludes Maternity related service; NIL All OP/Maternity Copay for In house clinics(Dubai medical & Al Taweelah)",
                  "pre_approval_threshold_scope": null,
                  "pre_approval_threshold_amount": null,
                  "pre_approval_specific_services": null,
                  "pre_approval_threshold_currency": null
                },
                "cost_sharing": [
                  {
                    "visit_type": "Outpatient",
                    "copay_amount": null,
                    "visit_setting": "Outpatient",
                    "copay_currency": "AED",
                    "copay_percentage": 20.0,
                    "applicable_location": "Dubai",
                    "copay_maximum_scope": null,
                    "copay_maximum_amount": null,
                    "coinsurance_percentage": null
                  },
                  {
                    "visit_type": "Outpatient",
                    "copay_amount": null,
                    "visit_setting": "Outpatient",
                    "copay_currency": "AED",
                    "copay_percentage": 0.0,
                    "applicable_location": "Dubai and Northern Emirates",
                    "copay_maximum_scope": null,
                    "copay_maximum_amount": null,
                    "coinsurance_percentage": null
                  },
                  {
                    "visit_type": "Outpatient",
                    "copay_amount": null,
                    "visit_setting": "Outpatient",
                    "copay_currency": "AED",
                    "copay_percentage": 20.0,
                    "applicable_location": "UAE",
                    "copay_maximum_scope": "per visit",
                    "copay_maximum_amount": 50.0,
                    "coinsurance_percentage": null
                  }
                ],
                "coverage_status": "Covered",
                "service_category_original": "OP Cons",
                "service_category_standardized": "Consultation"
              },
              {
                "limits": null,
                "remarks": null,
                "conditions": {
                  "referral_required": null,
                  "referral_exceptions": null,
                  "network_restrictions": "EDGE Network",
                  "pre_approval_required": "No",
                  "provider_specific_terms": "NIL All OP/Maternity Copay for In house clinics(Dubai medical & Al Taweelah)",
                  "pre_approval_threshold_scope": null,
                  "pre_approval_threshold_amount": null,
                  "pre_approval_specific_services": null,
                  "pre_approval_threshold_currency": null
                },
                "cost_sharing": [
                  {
                    "visit_type": "Maternity",
                    "copay_amount": null,
                    "visit_setting": "Outpatient",
                    "copay_currency": "AED",
                    "copay_percentage": 0.0,
                    "applicable_location": "Dubai and Northern Emirates",
                    "copay_maximum_scope": null,
                    "copay_maximum_amount": null,
                    "coinsurance_percentage": null
                  },
                  {
                    "visit_type": "Maternity",
                    "copay_amount": null,
                    "visit_setting": "Outpatient",
                    "copay_currency": "AED",
                    "copay_percentage": 10.0,
                    "applicable_location": "UAE",
                    "copay_maximum_scope": "per visit",
                    "copay_maximum_amount": 50.0,
                    "coinsurance_percentage": null
                  }
                ],
                "coverage_status": "Covered",
                "service_category_original": "Maternity Cons",
                "service_category_standardized": "Maternity Consultation"
              },
              {
                "limits": null,
                "remarks": null,
                "conditions": {
                  "referral_required": null,
                  "referral_exceptions": null,
                  "network_restrictions": "EDGE Network",
                  "pre_approval_required": "No",
                  "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": [
                  {
                    "visit_type": "Outpatient",
                    "copay_amount": null,
                    "visit_setting": "Outpatient",
                    "copay_currency": null,
                    "copay_percentage": 20.0,
                    "applicable_location": "UAE",
                    "copay_maximum_scope": null,
                    "copay_maximum_amount": null,
                    "coinsurance_percentage": null
                  }
                ],
                "coverage_status": "Covered",
                "service_category_original": "OP Pharmacy",
                "service_category_standardized": "Pharmacy"
              },
              {
                "limits": null,
                "remarks": null,
                "conditions": {
                  "referral_required": null,
                  "referral_exceptions": null,
                  "network_restrictions": "EDGE Network",
                  "pre_approval_required": "No",
                  "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": [
                  {
                    "visit_type": "Maternity",
                    "copay_amount": null,
                    "visit_setting": "Outpatient",
                    "copay_currency": null,
                    "copay_percentage": 10.0,
                    "applicable_location": "UAE",
                    "copay_maximum_scope": null,
                    "copay_maximum_amount": null,
                    "coinsurance_percentage": null
                  }
                ],
                "coverage_status": "Covered",
                "service_category_original": "OP Mat Pharma",
                "service_category_standardized": "Pharmacy (Maternity)"
              },
              {
                "limits": null,
                "remarks": null,
                "conditions": {
                  "referral_required": null,
                  "referral_exceptions": null,
                  "network_restrictions": "EDGE Network",
                  "pre_approval_required": "No",
                  "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": [
                  {
                    "visit_type": "Outpatient",
                    "copay_amount": null,
                    "visit_setting": "Outpatient",
                    "copay_currency": null,
                    "copay_percentage": 20.0,
                    "applicable_location": "UAE",
                    "copay_maximum_scope": null,
                    "copay_maximum_amount": null,
                    "coinsurance_percentage": null
                  }
                ],
                "coverage_status": "Covered",
                "service_category_original": "Routine Dental",
                "service_category_standardized": "Dental"
              },
              {
                "limits": null,
                "remarks": null,
                "conditions": {
                  "referral_required": null,
                  "referral_exceptions": null,
                  "network_restrictions": "EDGE Network",
                  "pre_approval_required": "No",
                  "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": [
                  {
                    "visit_type": "Outpatient",
                    "copay_amount": null,
                    "visit_setting": "Outpatient",
                    "copay_currency": null,
                    "copay_percentage": 20.0,
                    "applicable_location": "UAE",
                    "copay_maximum_scope": null,
                    "copay_maximum_amount": null,
                    "coinsurance_percentage": null
                  }
                ],
                "coverage_status": "Covered",
                "service_category_original": "Optical Benefit",
                "service_category_standardized": "Optical"
              }
            ],
            "policy_info": {
              "waiting_period": "Not Specified",
              "policy_period_end": {
                "DD": 31,
                "MM": 12,
                "YYYY": 2026
              },
              "policy_jurisdiction": "DHA",
              "policy_period_start": {
                "DD": 1,
                "MM": 1,
                "YYYY": 2026
              },
              "beneficiary_start_date": {
                "DD": 1,
                "MM": 1,
                "YYYY": 2026
              }
            },
            "general_remarks": [
              "Mediclinic group DXB all OP Copay @20% excludes Maternity related service",
              "NIL All OP/Maternity Copay for In house clinics (Dubai medical & Al Taweelah)"
            ],
            "abbreviations_defined": []
          }
        },
        "failure_reason": null,
        "policy_network": {
          "is_vip": "Not Mentioned",
          "payer_name": "Not Applicable",
          "sponsor_id": null,
          "start_date": "2026-01-01",
          "valid_upto": "2026-12-31",
          "all_networks": [
            {
              "network": "SUKOON EDGE - OP",
              "plan_code": "DXSHJ-P787",
              "visit_type": "OP (Out Patient)",
              "network_code": null,
              "network_value": "Edge",
              "raw_plan_string": "INS012 - OMAN (SUKOON) INSURANCE COMPANY - SUKOON(OMAN) - EDGE - DXB-SHJ",
              "matched_plan_name": "SUKOON EDGE - OP",
              "network_name_as_in_text": "NETWORK: EDGE / BENEFITS: Direct Billing"
            }
          ],
          "package_name": null,
          "is_gatekeeper": "Not Mentioned",
          "waiting_period": null,
          "policy_authority": "DHA",
          "policy_plan_name": null,
          "work_site_covered": "Could not determine",
          "policy_holder_name": "Sample Policy Holder",
          "payer_name_as_in_text": null,
          "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_name": "Sample Policy Holder",
        "referral_documents": [
          {
            "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": "0",
                "deductible": "0",
                "_copayAmount": "0",
                "_copayMaxAmount": "0",
                "should_set_copay": true
              },
              "MEDICINES": {
                "copay": "20.0",
                "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
              },
              "RADIOLOGY": {
                "copay": "0",
                "deductible": "0",
                "_copayAmount": "0",
                "_copayMaxAmount": "0",
                "should_set_copay": true
              },
              "CONSULTATION": {
                "copay": "20.0",
                "deductible": "0",
                "_copayAmount": "0",
                "_copayMaxAmount": "50.0",
                "should_set_copay": true,
                "_deductibleLegacy": "50.0"
              },
              "DENTAL CONSULTATION & PROCEDURE": {
                "copay": "20.0",
                "deductible": "0",
                "_copayAmount": "0",
                "_copayMaxAmount": "0",
                "should_set_copay": true,
                "_deductibleLegacy": "0"
              }
            },
            "primary_network": {
              "network": "SUKOON EDGE - OP",
              "network_status": null,
              "matched_plan_name": "SUKOON EDGE - OP"
            },
            "available_networks": [
              {
                "network": "SUKOON EDGE - OP",
                "plan_code": "DXSHJ-P787",
                "visit_type": "OP (Out Patient)",
                "network_code": null,
                "network_value": "Edge",
                "raw_plan_string": "INS012 - OMAN (SUKOON) INSURANCE COMPANY - SUKOON(OMAN) - EDGE - DXB-SHJ",
                "matched_plan_name": "SUKOON EDGE - OP",
                "network_name_as_in_text": "NETWORK: EDGE / BENEFITS: Direct Billing"
              }
            ],
            "has_multiple_networks": false
          },
          {
            "name": "Maternity",
            "values_to_fill": {
              "LAB": {
                "copay": "0",
                "deductible": "0",
                "_copayAmount": "0",
                "_copayMaxAmount": "0",
                "should_set_copay": true
              },
              "MEDICINES": {
                "copay": "10.0",
                "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
              },
              "RADIOLOGY": {
                "copay": "0",
                "deductible": "0",
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}
