{ "task_id": "00000000-0000-4000-a000-000000000001", "status": "SEARCH_ALL_COMPLETE", "request_dump": { "phone": "+971 50 000 0000", "id_type": "EMIRATESID", "tpa_name": "BOTH", "payerName": "AL-BUHAIRA NATIONAL INSURANCE COMPANY", "doctorName": "Sample Clinician", "extra_args": { "title": "LocationGroup", "value": "OUTPATIENT", "request_start_time": 1776449698.1679382 }, "visit_type": "OUTPATIENT", "emirates_id": "784-0000-0000000-0", "practice_id": "00000000-0000-4000-a000-000000000002", "user_id": "00000000-0000-4000-a000-000000000003", "name": null, "dob": null, "mode": "prod", "test_mode": false }, "is_search_all": true, "search_all_status": "SEARCH_ALL_COMPLETE", "aggregated_results": [ { "tpa_name": "TPA036", "status": "member_not_found", "data": { "payer_id": "TPA036", "show_data": false, "is_eligible": false, "screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z", "was_identified_by_aggregator": false }, "created_at": "2026-04-17T18:15:53.176000", "message": "Member with ID 784-0000-0000000-0 not found", "screenshot_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z" }, { "tpa_name": "TPA026", "status": "member_not_found", "data": { "payer_id": "TPA026", "show_data": false, "is_eligible": false, "screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z", "was_identified_by_aggregator": false }, "created_at": "2026-04-17T18:16:24.618000", "message": "Member with ID 784-0000-0000000-0 not found or member is inactive. Notification: member not found !!", "screenshot_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z" }, { "tpa_name": "TPA032", "status": "tpa_not_configured", "data": { "payer_id": "TPA032", "show_data": false, "is_eligible": false, "screenshot_key": null, "was_identified_by_aggregator": false }, "created_at": "2026-04-17T18:15:55.878000", "message": "TPA `TPA032` is not configured for the practice.", "screenshot_url": null }, { "tpa_name": "TPA010", "status": "member_not_found", "data": { "payer_id": "TPA010", "show_data": false, "is_eligible": false, "screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z", "was_identified_by_aggregator": false }, "created_at": "2026-04-17T18:16:00.374000", "message": "Saw `No data found` for the given ID: 784-0000-0000000-0", "screenshot_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z" }, { "tpa_name": "TPA003", "status": "member_not_found", "data": { "network": null, "payer_id": "TPA003", "show_data": false, "payer_name": null, "valid_upto": null, "is_eligible": false, "copay_details": null, "other_details": null, "failure_reason": "The document shows a negative eligibility result with an explicit message 'NOT ELIGIBLE' due to an invalid Emirates ID, and no valid insurance information is provided.", "screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z", "coverage_details": null, "is_policy_active": false, "policy_holder_dob": null, "policy_holder_name": null, "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" } ], "policy_holder_phone": null, "policy_holder_gender": null, "policy_holder_last_name": null, "policy_holder_member_id": null, "payer_eligibility_status": null, "policy_holder_first_name": null, "policy_holder_card_number": null, "policy_holder_emirates_id": null, "policy_holder_middle_name": null, "policy_holder_relationship": null, "was_identified_by_aggregator": false }, "created_at": "2026-04-17T18:16:11.400000", "message": null, "screenshot_url": null }, { "tpa_name": "TPA029", "status": "member_not_found", "data": { "payer_id": "TPA029", "show_data": false, "is_eligible": false, "screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z", "was_identified_by_aggregator": false }, "created_at": "2026-04-17T18:16:29.797000", "message": "Member with ID 784-0000-0000000-0 not found", "screenshot_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z" }, { "tpa_name": "INS010", "status": "member_not_found", "data": { "payer_id": "INS010", "show_data": false, "is_eligible": false, "screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z", "was_identified_by_aggregator": false }, "created_at": "2026-04-17T18:16:38.085000", "message": "Member not found", "screenshot_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z" }, { "tpa_name": "TPA002", "status": "member_not_found", "data": { "payer_id": "TPA002", "show_data": false, "is_eligible": false, "screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z", "was_identified_by_aggregator": false }, "created_at": "2026-04-17T18:15:58.885000", "message": "`This beneficiary is Invalid ` was seen", "screenshot_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z" }, { "tpa_name": "TPA004", "status": "member_not_found", "data": { "payer_id": "TPA004", "show_data": false, "is_eligible": false, "screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z", "was_identified_by_aggregator": false }, "created_at": "2026-04-17T18:16:19.740000", "message": "Member not found, Final page was not member not found page.", "screenshot_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z" }, { "tpa_name": "INS038", "status": "member_not_found", "data": { "payer_id": "INS038", "show_data": false, "is_eligible": false, "screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z", "was_identified_by_aggregator": false }, "created_at": "2026-04-17T18:16:25.876000", "message": "Member with ID 784-0000-0000000-0 not found", "screenshot_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z" }, { "tpa_name": "TPA008", "status": "tpa_not_configured", "data": { "payer_id": "TPA008", "show_data": false, "is_eligible": false, "screenshot_key": null, "was_identified_by_aggregator": false }, "created_at": "2026-04-17T18:15:54.414000", "message": "TPA `TPA008` is not configured for the practice.", "screenshot_url": null }, { "tpa_name": "INS017", "status": "member_not_found", "data": { "payer_id": "INS017", "show_data": false, "is_eligible": false, "screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z", "was_identified_by_aggregator": false }, "created_at": "2026-04-17T18:16:23.049000", "message": "Member not eligible: Given Member ID/Emirates ID is invalid", "screenshot_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z" }, { "tpa_name": "TPA001", "status": "member_not_found", "data": { "payer_id": "TPA001", "show_data": false, "is_eligible": false, "screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z", "was_identified_by_aggregator": false }, "created_at": "2026-04-17T18:16:29.802000", "message": "Member not found, Final page was not member not found page.", "screenshot_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z" }, { "tpa_name": "DHPO / Riayati", "status": "delegated_to_search_all_pool", "data": null, "created_at": "2026-04-17T18:15:00.244000", "message": "Identification via DHPO / Riayati failed, triggering pool-based search_all.", "screenshot_url": null }, { "tpa_name": "TPA037", "status": "tpa_not_configured", "data": { "payer_id": "TPA037", "show_data": false, "is_eligible": false, "screenshot_key": null, "was_identified_by_aggregator": false }, "created_at": "2026-04-17T18:15:58.349000", "message": "TPA `TPA037` is not configured for the practice.", "screenshot_url": null }, { "tpa_name": "INS020", "status": "found", "data": { "payer_id": "INS020", "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": "Maternity : No", "visit_type": "Maternity", "copay_amount": null, "visit_setting": "Outpatient", "copay_currency": null, "copay_max_scope": null, "copay_max_amount": null, "copay_percentage": "Not Covered", "deductible_scope": null, "deductible_amount": null, "deductible_currency": null, "coinsurance_percentage": null }, { "remarks": "Citation: Dental : Yes 30% Copay | \n\n ", "visit_type": "Dental", "copay_amount": null, "cost_sharing": { "visit_type": "Outpatient", "copay_amount": null, "visit_setting": "Inpatient", "copay_currency": "AED", "copay_percentage": 30.0, "applicable_location": "Outside UAE", "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": "30.0", "coinsurance_percentage": null }, { "remarks": "Optical : No", "visit_type": "Optical", "copay_amount": null, "visit_setting": "Outpatient", "copay_currency": null, "copay_max_scope": null, "copay_max_amount": null, "copay_percentage": "Not Covered", "deductible_scope": null, "deductible_amount": null, "deductible_currency": null, "coinsurance_percentage": null }, { "remarks": "Citation: OP - Ded : PC: 10% max. AED 30 | \n\n ", "visit_type": "Outpatient", "copay_amount": null, "cost_sharing": { "visit_type": "Outpatient", "copay_amount": null, "visit_setting": "Inpatient", "copay_currency": "AED", "copay_percentage": 10.0, "applicable_location": "Outside UAE", "copay_maximum_scope": null, "copay_maximum_amount": 30.0, "coinsurance_percentage": null }, "visit_setting": "Inpatient", "copay_currency": "AED", "copay_max_scope": null, "copay_max_amount": 30.0, "copay_percentage": "10.0", "coinsurance_percentage": null }, { "remarks": "Citation: OP : 10% on all services including medicine | \n\n Citation: OP - Ded : PC: 10% max. AED 30 | \n\n ", "visit_type": "Outpatient", "copay_amount": null, "cost_sharing": { "visit_type": "Outpatient", "copay_amount": null, "visit_setting": "Inpatient", "copay_currency": "AED", "copay_percentage": 10.0, "applicable_location": "Outside UAE", "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": "Maternity : No", "conditions": null, "cost_sharing": [], "coverage_status": "Not Covered", "service_category_original": null, "service_category_standardized": "Maternity" }, { "limits": null, "remarks": null, "conditions": null, "cost_sharing": [ { "visit_type": "Outpatient", "copay_amount": null, "visit_setting": "Inpatient", "copay_currency": "AED", "copay_percentage": 30.0, "applicable_location": "Outside UAE", "copay_maximum_scope": null, "copay_maximum_amount": null, "coinsurance_percentage": null } ], "coverage_status": "Covered", "service_category_original": null, "service_category_standardized": "Dental" }, { "limits": null, "remarks": "Optical : No", "conditions": null, "cost_sharing": [], "coverage_status": "Not Covered", "service_category_original": null, "service_category_standardized": "Optical" }, { "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": "Outside UAE", "copay_maximum_scope": null, "copay_maximum_amount": 30.0, "coinsurance_percentage": null }, { "visit_type": "Outpatient", "copay_amount": null, "visit_setting": "Inpatient", "copay_currency": "AED", "copay_percentage": 10.0, "applicable_location": "Outside UAE", "copay_maximum_scope": null, "copay_maximum_amount": null, "coinsurance_percentage": null }, { "visit_type": "Outpatient", "copay_amount": null, "visit_setting": "Inpatient", "copay_currency": "AED", "copay_percentage": 20.0, "applicable_location": "Outside UAE", "copay_maximum_scope": null, "copay_maximum_amount": null, "coinsurance_percentage": null } ], "coverage_status": "Covered", "service_category_original": null, "service_category_standardized": "Outpatient" }, { "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": "Outside UAE", "copay_maximum_scope": null, "copay_maximum_amount": null, "coinsurance_percentage": null }, { "visit_type": "Outpatient", "copay_amount": null, "visit_setting": "Inpatient", "copay_currency": "AED", "copay_percentage": null, "applicable_location": "Outside UAE", "copay_maximum_scope": null, "copay_maximum_amount": null, "coinsurance_percentage": 20.0 } ], "coverage_status": "Covered", "service_category_original": null, "service_category_standardized": "Inpatient" } ], "policy_info": { "waiting_period": { "waiting_period_time": 0, "waiting_period_unit": "Days", "waiting_period_starting_from": "policy_start_date" }, "policy_period_end": null, "policy_jurisdiction": "Not Specified", "policy_period_start": null, "beneficiary_start_date": null }, "general_remarks": [], "abbreviations_defined": [] } }, "failure_reason": 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": "COMPREHENSIVE", "plan_code": "P167-2", "visit_type": "OP (Out Patient)", "network_code": null, "network_value": "COMPREHENSIVE", "raw_plan_string": "AL-BUHAIRA NATIONAL INSURANCE COMPANY - 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