{
  "id": "00000000-0000-4000-a000-000000000001",
  "tenant_id": "yourorg",
  "clinic_id": "00000000-0000-4000-a000-000000000002",
  "created_at": "2026-05-08T06:28:46.230000",
  "updated_at": "2026-05-08T06:30:52.245000",
  "task_id": "00000000-0000-4000-a000-000000000001",
  "status": "PROCESS_COMPLETE",
  "request_dump": {
    "name": "Layla",
    "phone": "971-50-2274318",
    "id_type": "CARDNUMBER",
    "tpa_name": "TPA004",
    "payerName": "",
    "doctorName": "",
    "extra_args": {
      "title": "",
      "value": "",
      "request_start_time": 1778221726.2185426,
      "is_member_present_at_the_facility": true
    },
    "visit_type": "OUTPATIENT",
    "emirates_id": "7C41-05B9-4E28-1D63",
    "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": "TPA004",
    "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": "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:TPA004",
    "tenant_id": "yourorg",
    "clinic_id": "00000000-0000-4000-a000-000000000002",
    "created_at": "2026-05-08T06:30:55.631000",
    "updated_at": "2026-05-08T06:30:55.631000",
    "data_dump": {
      "tpa": "TPA004",
      "data": {
        "payer_id": "TPA004",
        "is_eligible": true,
        "patient_info": {
          "policy_holder_dob": "14-Jul-1991",
          "policy_holder_name": "Layla Hassan Mahmoud",
          "patient_emirates_id": "784-1991-4726185-9",
          "policy_primary_member_id": "7C41-05B9-4E28-1D63",
          "policy_primary_dha_member_id": "I019-004-372641508-01"
        },
        "copay_analysis": {
          "copay_details": [
            {
              "remarks": "Citation: Copay 20% Max 50.00 AED applicable for \n                                                                    :\n\nConsultation / Evaluation and Management, Teleconsultations",
              "visit_type": "Consultation",
              "copay_amount": null,
              "cost_sharing": {
                "visit_type": "Outpatient",
                "copay_amount": null,
                "visit_setting": "Outpatient",
                "copay_currency": "AED",
                "copay_percentage": 20,
                "applicable_location": "Outside UAE",
                "copay_maximum_scope": null,
                "copay_maximum_amount": 50.0,
                "coinsurance_percentage": null
              },
              "visit_setting": "Outpatient",
              "copay_currency": "AED",
              "copay_max_scope": null,
              "copay_max_amount": 50.0,
              "copay_percentage": "20",
              "coinsurance_percentage": null
            },
            {
              "remarks": "Citation: Copay 20%  applicable for \n                                                                    :\n\nDialysis",
              "visit_type": "Dialysis",
              "copay_amount": null,
              "cost_sharing": {
                "visit_type": "Outpatient",
                "copay_amount": null,
                "visit_setting": "Outpatient",
                "copay_currency": "AED",
                "copay_percentage": 20,
                "applicable_location": "Outside UAE",
                "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",
              "coinsurance_percentage": null
            }
          ],
          "waiting_period": "Not Specified",
          "special_remarks": [
            "No referral required for specialist consultation",
            "Work Injury Covered"
          ],
          "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": 20,
                    "applicable_location": "Outside UAE",
                    "copay_maximum_scope": null,
                    "copay_maximum_amount": 50.0,
                    "coinsurance_percentage": null
                  }
                ],
                "coverage_status": "Covered",
                "service_category_original": "Consultation / Evaluation and Management, Teleconsultations",
                "service_category_standardized": "Consultation"
              },
              {
                "limits": null,
                "remarks": null,
                "conditions": null,
                "cost_sharing": [
                  {
                    "visit_type": "Outpatient",
                    "copay_amount": null,
                    "visit_setting": "Outpatient",
                    "copay_currency": "AED",
                    "copay_percentage": 20,
                    "applicable_location": "Outside UAE",
                    "copay_maximum_scope": null,
                    "copay_maximum_amount": null,
                    "coinsurance_percentage": null
                  }
                ],
                "coverage_status": "Covered",
                "service_category_original": "Dialysis",
                "service_category_standardized": "Dialysis"
              }
            ],
            "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",
              "Work Injury Covered"
            ],
            "abbreviations_defined": []
          }
        },
        "failure_reason": null,
        "policy_network": {
          "is_vip": "Not Mentioned",
          "payer_name": "QATAR INSURANCE COMPANY - INS019",
          "sponsor_id": "INS019",
          "start_date": "2026-03-10",
          "valid_upto": "2027-03-09",
          "all_networks": [
            {
              "network": "GN",
              "plan_code": "DXSHJ-P154",
              "visit_type": "Out Mat",
              "network_code": null,
              "network_value": "General Network",
              "raw_plan_string": "INS019 - QATAR INSURANCE COMPANY - NAS - GN -DXB-SHJ",
              "matched_plan_name": null,
              "network_name_as_in_text": "Restricted Network [Applicable Tariff: General Network]"
            }
          ],
          "package_name": null,
          "is_gatekeeper": "Not Mentioned",
          "waiting_period": null,
          "policy_authority": "DHA",
          "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": "Qatar Insurance Company",
          "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": "14-Jul-1991",
        "policy_holder_name": "Layla Hassan Mahmoud",
        "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": "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",
                "_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": "20.0",
                "deductible": "0",
                "_copayAmount": "0",
                "_copayMaxAmount": "50.0",
                "should_set_copay": true,
                "_deductibleLegacy": "50.0"
              },
              "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": "GN",
              "network_status": null,
              "matched_plan_name": null
            },
            "available_networks": [
              {
                "network": "GN",
                "plan_code": "DXSHJ-P154",
                "visit_type": "Out Mat",
                "network_code": null,
                "network_value": "General Network",
                "raw_plan_string": "INS019 - QATAR INSURANCE COMPANY - NAS - GN -DXB-SHJ",
                "matched_plan_name": null,
                "network_name_as_in_text": "Restricted Network [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": "GN",
              "network_status": null,
              "matched_plan_name": null
            },
            "available_networks": [
              {
                "network": "GN",
                "plan_code": "DXSHJ-P154",
                "visit_type": "Out Mat",
                "network_code": null,
                "network_value": "General Network",
                "raw_plan_string": "INS019 - QATAR INSURANCE COMPANY - NAS - GN -DXB-SHJ",
                "matched_plan_name": null,
                "network_name_as_in_text": "Restricted Network [Applicable Tariff: General Network]"
              }
            ],
            "has_multiple_networks": false
          },
          {
            "name": "Specialization",
            "values_to_fill": {
              "LAB": {
                "copay": "0",
                "deductible": "0",
                "_copayAmount": "0",
                "_copayMaxAmount": "0",
                "should_set_copay": true,
                "_is_outpatient_fallback": true
              },
              "MEDICINES": {
                "copay": "0",
                "deductible": "0",
                "_copayAmount": "0",
                "_copayMaxAmount": "0",
                "should_set_copay": true,
                "_is_outpatient_fallback": true
              },
              "PROCEDURE": {
                "copay": "0",
                "deductible": "0",
                "_copayAmount": "0",
                "_copayMaxAmount": "0",
                "should_set_copay": true,
                "_is_outpatient_fallback": true
              },
              "RADIOLOGY": {
                "copay": "0",
                "deductible": "0",
                "_copayAmount": "0",
                "_copayMaxAmount": "0",
                "should_set_copay": true,
                "_is_outpatient_fallback": true
              },
              "DIAGNOSTICS": {
                "copay": "0",
                "deductible": "0",
                "_copayAmount": "0",
                "_copayMaxAmount": "0",
                "should_set_copay": true,
                "_is_outpatient_fallback": true
              },
              "CONSULTATION": {
                "copay": "20.0",
                "deductible": "0",
                "_copayAmount": "0",
                "_copayMaxAmount": "50.0",
                "should_set_copay": true,
                "_deductibleLegacy": "50.0",
                "_is_outpatient_fallback": true
              },
              "PHYSIOTHERAPY": {
                "copay": "0",
                "deductible": "0",
                "_copayAmount": "0",
                "_copayMaxAmount": "0",
                "should_set_copay": true,
                "_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": "GN",
              "network_status": null,
              "matched_plan_name": null
            },
            "available_networks": [
              {
                "network": "GN",
                "plan_code": "DXSHJ-P154",
                "visit_type": "Out Mat",
                "network_code": null,
                "network_value": "General Network",
                "raw_plan_string": "INS019 - QATAR INSURANCE COMPANY - NAS - GN -DXB-SHJ",
                "matched_plan_name": null,
                "network_name_as_in_text": "Restricted Network [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": {
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                "deductible": "0",
                "_copayAmount": "0",
                "_copayMaxAmount": "0",
                "should_set_copay": true
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                "_copayAmount": "0",
                "_copayMaxAmount": "0",
                "should_set_copay": true
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              "RADIOLOGY": {
                "copay": "0",
                "deductible": "0",
                "_copayAmount": "0",
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                "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": {
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                "deductible": "0",
                "_copayAmount": "0",
                "_copayMaxAmount": "0",
                "should_set_copay": true
              },
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                "deductible": "0",
                "_copayAmount": "0",
                "_copayMaxAmount": "0",
                "should_set_copay": true
              }
            },
            "primary_network": {
              "network": "GN",
              "network_status": null,
              "matched_plan_name": null
            },
            "available_networks": [
              {
                "network": "GN",
                "plan_code": "DXSHJ-P154",
                "visit_type": "Out Mat",
                "network_code": null,
                "network_value": "General Network",
                "raw_plan_string": "INS019 - QATAR INSURANCE COMPANY - NAS - GN -DXB-SHJ",
                "matched_plan_name": null,
                "network_name_as_in_text": "Restricted Network [Applicable Tariff: General Network]"
              }
            ],
            "has_multiple_networks": false
          }
        ],
        "policy_holder_emirates_id": "784-1991-4726185-9",
        "was_identified_by_aggregator": false
      },
      "status": "found"
    },
    "search_id": "7C41-05B9-4E28-1D63",
    "tpa_name": "TPA004",
    "task_id": "00000000-0000-4000-a000-000000000001",
    "user_id": null,
    "status": "found"
  }
}