{
  "id": "00000000-0000-4000-a000-000000000001",
  "tenant_id": "yourorg",
  "clinic_id": "00000000-0000-4000-a000-000000000002",
  "created_at": "2026-02-13T20:32:17.525000",
  "updated_at": "2026-02-13T21:08:09.214000",
  "task_id": "00000000-0000-4000-a000-000000000001",
  "status": "PROCESS_COMPLETE",
  "request_dump": {
    "phone": "+971 50 000 0000",
    "id_type": "EMIRATESID",
    "tpa_name": "INS010",
    "payerName": "AXA INSURANCE - GULF",
    "doctorName": "Sample Clinician",
    "extra_args": {
      "title": "LocationGroup",
      "value": "OPTICAL"
    },
    "visit_type": "OPTICAL",
    "emirates_id": "784-0000-0000000-0",
    "practice_id": "00000000-0000-4000-a000-000000000002",
    "is_special_location": true,
    "user_id": "00000000-0000-4000-a000-000000000003",
    "name": null,
    "dob": null,
    "mode": "prod",
    "test_mode": false
  },
  "interim_results": {
    "tpa_name": "INS010",
    "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:INS010",
    "tenant_id": "yourorg",
    "clinic_id": "00000000-0000-4000-a000-000000000002",
    "created_at": "2026-02-13T21:08:09.754000",
    "updated_at": "2026-02-13T21:08:09.754000",
    "data_dump": {
      "tpa": "INS010",
      "data": {
        "payer_id": "INS010",
        "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: CONSULTATION:20% MAX AED 75 | \n\n ",
              "visit_type": "Consultation - Northern Emirates (NE)",
              "copay_amount": null,
              "cost_sharing": {
                "visit_type": "Outpatient",
                "copay_amount": null,
                "visit_setting": "Inpatient",
                "copay_currency": "AED",
                "copay_percentage": 20.0,
                "applicable_location": "Northern Emirates (NE)",
                "copay_maximum_scope": null,
                "copay_maximum_amount": 75.0,
                "coinsurance_percentage": null
              },
              "visit_setting": "Inpatient",
              "copay_currency": "AED",
              "copay_max_scope": null,
              "copay_max_amount": 75.0,
              "copay_percentage": "20.0",
              "coinsurance_percentage": null
            },
            {
              "remarks": "Citation: PH:20% | \n\n ",
              "visit_type": "Pharmacy - Northern Emirates (NE)",
              "copay_amount": null,
              "cost_sharing": {
                "visit_type": "Outpatient",
                "copay_amount": null,
                "visit_setting": "Inpatient",
                "copay_currency": "AED",
                "copay_percentage": 20.0,
                "applicable_location": "Northern Emirates (NE)",
                "copay_maximum_scope": null,
                "copay_maximum_amount": null,
                "coinsurance_percentage": null
              },
              "visit_setting": "Inpatient",
              "copay_currency": "AED",
              "copay_max_scope": null,
              "copay_max_amount": null,
              "copay_percentage": "20.0",
              "coinsurance_percentage": null
            },
            {
              "remarks": "Citation: MAT CONSULT:10% MAX AED 75 | \n\n ",
              "visit_type": "Consultation (Maternity) - Northern Emirates (NE)",
              "copay_amount": null,
              "cost_sharing": {
                "visit_type": "Outpatient",
                "copay_amount": null,
                "visit_setting": "Inpatient",
                "copay_currency": "AED",
                "copay_percentage": 10.0,
                "applicable_location": "Northern Emirates (NE)",
                "copay_maximum_scope": null,
                "copay_maximum_amount": 75.0,
                "coinsurance_percentage": null
              },
              "visit_setting": "Inpatient",
              "copay_currency": "AED",
              "copay_max_scope": null,
              "copay_max_amount": 75.0,
              "copay_percentage": "10.0",
              "coinsurance_percentage": null
            },
            {
              "remarks": "Citation: MAT PH:10% | \n\n ",
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              "copay_amount": null,
              "cost_sharing": {
                "visit_type": "Outpatient",
                "copay_amount": null,
                "visit_setting": "Inpatient",
                "copay_currency": "AED",
                "copay_percentage": 10.0,
                "applicable_location": "Northern Emirates (NE)",
                "copay_maximum_scope": null,
                "copay_maximum_amount": null,
                "coinsurance_percentage": null
              },
              "visit_setting": "Inpatient",
              "copay_currency": "AED",
              "copay_max_scope": null,
              "copay_max_amount": null,
              "copay_percentage": "10.0",
              "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": [
                  {
                    "visit_type": "Outpatient",
                    "copay_amount": null,
                    "visit_setting": "Inpatient",
                    "copay_currency": "AED",
                    "copay_percentage": 20.0,
                    "applicable_location": "Northern Emirates (NE)",
                    "copay_maximum_scope": null,
                    "copay_maximum_amount": 75.0,
                    "coinsurance_percentage": null
                  }
                ],
                "coverage_status": "Covered",
                "service_category_original": null,
                "service_category_standardized": "Consultation"
              },
              {
                "limits": null,
                "remarks": null,
                "conditions": null,
                "cost_sharing": [
                  {
                    "visit_type": "Outpatient",
                    "copay_amount": null,
                    "visit_setting": "Inpatient",
                    "copay_currency": "AED",
                    "copay_percentage": 20.0,
                    "applicable_location": "Northern Emirates (NE)",
                    "copay_maximum_scope": null,
                    "copay_maximum_amount": null,
                    "coinsurance_percentage": null
                  }
                ],
                "coverage_status": "Covered",
                "service_category_original": null,
                "service_category_standardized": "Pharmacy"
              },
              {
                "limits": null,
                "remarks": null,
                "conditions": null,
                "cost_sharing": [
                  {
                    "visit_type": "Outpatient",
                    "copay_amount": null,
                    "visit_setting": "Inpatient",
                    "copay_currency": "AED",
                    "copay_percentage": 10.0,
                    "applicable_location": "Northern Emirates (NE)",
                    "copay_maximum_scope": null,
                    "copay_maximum_amount": 75.0,
                    "coinsurance_percentage": null
                  }
                ],
                "coverage_status": "Covered",
                "service_category_original": null,
                "service_category_standardized": "Consultation (Maternity)"
              },
              {
                "limits": null,
                "remarks": null,
                "conditions": null,
                "cost_sharing": [
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                    "visit_type": "Outpatient",
                    "copay_amount": null,
                    "visit_setting": "Inpatient",
                    "copay_currency": "AED",
                    "copay_percentage": 10.0,
                    "applicable_location": "Northern Emirates (NE)",
                    "copay_maximum_scope": null,
                    "copay_maximum_amount": null,
                    "coinsurance_percentage": null
                  }
                ],
                "coverage_status": "Covered",
                "service_category_original": null,
                "service_category_standardized": "Pharmacy (Maternity)"
              }
            ],
            "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": [
              {
                "definition": "Maternity",
                "abbreviation": "MAT"
              }
            ]
          }
        },
        "failure_reason": null,
        "policy_network": {
          "is_vip": "No",
          "payer_name": "Not Applicable",
          "sponsor_id": null,
          "start_date": "2026-01-15",
          "valid_upto": "2027-01-14",
          "all_networks": [
            {
              "network": "A.1",
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              "visit_type": "IP (In Patient)",
              "network_code": null,
              "network_value": "A.1",
              "raw_plan_string": "INS010 - (AXA) GULF INSURANCE GROUP (GULF) B S C - STAR, STAR PLUS NETWORK - A.1 - DXB",
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              "network_name_as_in_text": "A.1"
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            {
              "network": "A.3",
              "plan_code": "NPDXB-158",
              "visit_type": "OP (Out Patient)",
              "network_code": null,
              "network_value": "A.3",
              "raw_plan_string": "INS010 - (AXA) GULF INSURANCE GROUP (GULF) B S C - STAR, STAR PLUS NETWORK - A.3 - DXB",
              "matched_plan_name": null,
              "network_name_as_in_text": "A.3"
            }
          ],
          "package_name": null,
          "is_gatekeeper": "Not Mentioned",
          "waiting_period": null,
          "policy_authority": "DHA",
          "policy_plan_name": "Group Plan",
          "work_site_covered": "Could not determine",
          "policy_holder_name": "Sample Policy Holder",
          "network_payment_limit": "Not Mentioned",
          "payer_name_as_in_text": "Sample Policy Holder",
          "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": "1990-01-01",
        "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": "75.0",
                "should_set_copay": true,
                "_deductibleLegacy": "75.0"
              },
              "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": "A.1",
              "network_status": null,
              "matched_plan_name": null
            },
            "available_networks": [
              {
                "network": "A.1",
                "plan_code": "P196-1-DXB",
                "visit_type": "IP (In Patient)",
                "network_code": null,
                "network_value": "A.1",
                "raw_plan_string": "INS010 - (AXA) GULF INSURANCE GROUP (GULF) B S C - STAR, STAR PLUS NETWORK - A.1 - DXB",
                "matched_plan_name": null,
                "network_name_as_in_text": "A.1"
              },
              {
                "network": "A.3",
                "plan_code": "NPDXB-158",
                "visit_type": "OP (Out Patient)",
                "network_code": null,
                "network_value": "A.3",
                "raw_plan_string": "INS010 - (AXA) GULF INSURANCE GROUP (GULF) B S C - STAR, STAR PLUS NETWORK - A.3 - DXB",
                "matched_plan_name": null,
                "network_name_as_in_text": "A.3"
              }
            ],
            "has_multiple_networks": true
          },
          {
            "name": "Maternity",
            "values_to_fill": {
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                "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
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              "RADIOLOGY": {
                "copay": "0",
                "deductible": "0",
                "_copayAmount": "0",
                "_copayMaxAmount": "0",
                "should_set_copay": true
              },
              "CONSULTATION": {
                "copay": "10.0",
                "deductible": "0",
                "_copayAmount": "0",
                "_copayMaxAmount": "75.0",
                "should_set_copay": true,
                "_deductibleLegacy": "75.0"
              },
              "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": "A.1",
              "network_status": null,
              "matched_plan_name": null
            },
            "available_networks": [
              {
                "network": "A.1",
                "plan_code": "P196-1-DXB",
                "visit_type": "IP (In Patient)",
                "network_code": null,
                "network_value": "A.1",
                "raw_plan_string": "INS010 - (AXA) GULF INSURANCE GROUP (GULF) B S C - STAR, STAR PLUS NETWORK - A.1 - DXB",
                "matched_plan_name": null,
                "network_name_as_in_text": "A.1"
              },
              {
                "network": "A.3",
                "plan_code": "NPDXB-158",
                "visit_type": "OP (Out Patient)",
                "network_code": null,
                "network_value": "A.3",
                "raw_plan_string": "INS010 - (AXA) GULF INSURANCE GROUP (GULF) B S C - STAR, STAR PLUS NETWORK - A.3 - DXB",
                "matched_plan_name": null,
                "network_name_as_in_text": "A.3"
              }
            ],
            "has_multiple_networks": true
          },
          {
            "name": "Specialization",
            "values_to_fill": {
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                "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"
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              "PROCEDURE": {
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                "_copayAmount": "0",
                "_copayMaxAmount": "0",
                "should_set_copay": true
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              "RADIOLOGY": {
                "copay": "0",
                "deductible": "0",
                "_copayAmount": "0",
                "_copayMaxAmount": "0",
                "should_set_copay": true
              },
              "CONSULTATION": {
                "copay": "20.0",
                "deductible": "0",
                "_copayAmount": "0",
                "_copayMaxAmount": "75.0",
                "should_set_copay": true,
                "_deductibleLegacy": "75.0"
              },
              "PHYSIOTHERAPY": {
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                "deductible": "0",
                "_copayAmount": "0",
                "_copayMaxAmount": "0",
                "should_set_copay": true
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              "DENTAL CONSULTATION & PROCEDURE": {
                "copay": "0",
                "deductible": "0",
                "_copayAmount": "0",
                "_copayMaxAmount": "0",
                "should_set_copay": true
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            "primary_network": {
              "network": "A.1",
              "network_status": null,
              "matched_plan_name": null
            },
            "available_networks": [
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                "network": "A.1",
                "plan_code": "P196-1-DXB",
                "visit_type": "IP (In Patient)",
                "network_code": null,
                "network_value": "A.1",
                "raw_plan_string": "INS010 - (AXA) GULF INSURANCE GROUP (GULF) B S C - STAR, STAR PLUS NETWORK - A.1 - DXB",
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                "network_name_as_in_text": "A.1"
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                "network": "A.3",
                "plan_code": "NPDXB-158",
                "visit_type": "OP (Out Patient)",
                "network_code": null,
                "network_value": "A.3",
                "raw_plan_string": "INS010 - (AXA) GULF INSURANCE GROUP (GULF) B S C - STAR, STAR PLUS NETWORK - A.3 - DXB",
                "matched_plan_name": null,
                "network_name_as_in_text": "A.3"
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            "has_multiple_networks": true
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            "name": "Inpatient",
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                "_copayAmount": "0",
                "_copayMaxAmount": "0",
                "should_set_copay": true
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              "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": "A.1",
              "network_status": null,
              "matched_plan_name": null
            },
            "available_networks": [
              {
                "network": "A.1",
                "plan_code": "P196-1-DXB",
                "visit_type": "IP (In Patient)",
                "network_code": null,
                "network_value": "A.1",
                "raw_plan_string": "INS010 - (AXA) GULF INSURANCE GROUP (GULF) B S C - STAR, STAR PLUS NETWORK - A.1 - DXB",
                "matched_plan_name": null,
                "network_name_as_in_text": "A.1"
              },
              {
                "network": "A.3",
                "plan_code": "NPDXB-158",
                "visit_type": "OP (Out Patient)",
                "network_code": null,
                "network_value": "A.3",
                "raw_plan_string": "INS010 - (AXA) GULF INSURANCE GROUP (GULF) B S C - STAR, STAR PLUS NETWORK - A.3 - DXB",
                "matched_plan_name": null,
                "network_name_as_in_text": "A.3"
              }
            ],
            "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": "INS010",
    "task_id": "00000000-0000-4000-a000-000000000001",
    "user_id": null,
    "status": "found"
  }
}