{
  "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": "MBR-0000000",
    "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"
  }
}