{ "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": "MEDNET GLOBAL HEALTHCARE SOLUTIONS L.L.C.", "doctorName": "Sample Clinician", "extra_args": { "title": "LocationGroup", "value": "OUTPATIENT" }, "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": "DHPO / Riayati", "status": "delegated_to_search_all_pool", "data": null, "created_at": "2026-02-24T10:34:21.285000", "message": "Identification via DHPO / Riayati failed, triggering pool-based search_all.", "screenshot_url": null }, { "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": "Document explicitly states NOT ELIGIBLE and Invalid member, overriding any policy start/end dates; therefore the member is not eligible for the claimed benefits.", "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": "2026-02-24T10:47:07.951000", "message": null, "screenshot_url": null }, { "tpa_name": "INS015", "status": "member_not_found", "data": { "network": null, "payer_id": "INS015", "show_data": false, "payer_name": null, "valid_upto": null, "is_eligible": false, "copay_details": null, "other_details": null, "failure_reason": "Document does not contain any insurance eligibility indicators (no policy number, copays, eligibility status, or transaction/date). Therefore cannot determine eligibility from provided content.", "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": [], "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": "2026-02-24T10:47:34.382000", "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": "2026-02-24T10:47:28.393000", "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": "member_not_found", "data": { "network": null, "payer_id": "TPA008", "show_data": false, "payer_name": null, "valid_upto": null, "is_eligible": false, "copay_details": null, "other_details": null, "failure_reason": "Insufficient visible information to confirm eligibility. The page shows a mismatch message and lacks policy details or explicit status indicating Active/Eligible. 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Therefore, not eligible.", "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": [], "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": "2026-02-24T10:51:07.037000", "message": null, "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": 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}, "air_arabia_referral_number": "REF-0000000" }, "general_remarks": [], "abbreviations_defined": [] } }, "failure_reason": null, "policy_network": { "is_vip": "No", "payer_name": "DUBAI GOVERNMENT - PROGRAM 2 (ENAYA 2022) - INS002", "sponsor_id": null, "start_date": "2024-01-01", "valid_upto": "2026-12-31", "all_networks": [ { "network": "NEXTCARE ENAYA PLATINUM - OP", "plan_code": "Z079", "visit_type": "OP (Out Patient)", "network_code": null, "network_value": "ENAYA Platinum", "raw_plan_string": "INS001 - GOVERNMENT OF DUBAI (ENAYA SCHEME) - PLATINUM - DXB-SHJ", "matched_plan_name": "NEXTCARE ENAYA PLATINUM - OP", "network_name_as_in_text": "Network Name: ENAYA Platinum" } ], "package_name": null, "is_gatekeeper": "No", "waiting_period": null, "policy_authority": "DHA", "policy_plan_name": "ENAYA Platinum", "work_site_covered": "Could not determine", "policy_holder_name": "Sample Policy Holder", "payer_name_as_in_text": "ENAYA", "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", "policy_holder_dob": "1990-01-01", "policy_holder_name": "Sample Policy Holder", "referral_documents": [ { "id": "claim_form", "tag": "Claim Form", "s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z" }, { "id": "claim_form_image", "tag": "Claim Form Image", "s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z" }, { "id": "table_of_benefits", "tag": "Table of Benefits", "s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z" }, { "id": "member_eligibility_document", "tag": "Member 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"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": "NEXTCARE ENAYA PLATINUM - OP", "network_status": null, "matched_plan_name": "NEXTCARE ENAYA PLATINUM - OP" }, "available_networks": [ { "network": "NEXTCARE ENAYA PLATINUM - OP", "plan_code": "Z079", "visit_type": "OP (Out Patient)", "network_code": null, "network_value": "ENAYA Platinum", "raw_plan_string": "INS001 - GOVERNMENT OF DUBAI (ENAYA SCHEME) 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"data": { "payer_id": "TPA036", "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_holder_phone": "+971 50 000 0000", "policy_holder_last_name": "Sample Policy Holder", "policy_holder_first_name": "Sample Policy Holder", "policy_primary_member_id": "MBR-0000000", "policy_primary_dha_member_id": "0000000000" }, "copay_analysis": { "copay_details": [ { "remarks": "Citation: physician consultation copayment copay 20% max 50 aed applicable | \n\n ", "visit_type": "Consultation", "copay_amount": 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": 50.0, "coinsurance_percentage": null }, "visit_setting": "Inpatient", "copay_currency": "AED", "copay_max_scope": null, 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"_copayMaxAmount": "0", "should_set_copay": true }, "RADIOLOGY": { "copay": "100.0", "deductible": "0", "_copayAmount": "0", "_copayMaxAmount": "0", "should_set_copay": true, "_deductibleLegacy": "0" }, "CONSULTATION": { "copay": "100.0", "deductible": "0", "_copayAmount": "0", "_copayMaxAmount": "0.0", "should_set_copay": true, "_deductibleLegacy": "0.0" }, "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": "ML - GOLD", "network_status": null, "matched_plan_name": null }, "available_networks": [ { "network": "ML - GOLD", "plan_code": "DXSHJ-P299", "visit_type": "OP (Out Patient)", "network_code": null, "network_value": "ML - GOLD", "raw_plan_string": "INS013 - METLIFE - MEDNET COBRAND - ML GOLD - DXB-SHJ", "matched_plan_name": null, "network_name_as_in_text": "ML - Gold" } ], "has_multiple_networks": false }, { "name": "Specialization", "values_to_fill": { "LAB": { "copay": "0.0", "deductible": "0", "_copayAmount": "0", "_maxDeductible": "0", "_copayMaxAmount": "0", "should_set_copay": true, "_deductibleLegacy": "0" }, "MEDICINES": { "copay": "0.0", "deductible": "0", "_copayAmount": "0", "_copayMaxAmount": "0", "should_set_copay": true, "_deductibleLegacy": "0" }, "PROCEDURE": { "copay": "0.0", "deductible": "0", "_copayAmount": "0", "_copayMaxAmount": "0", "should_set_copay": true, "_deductibleLegacy": "0" }, "RADIOLOGY": { "copay": "0.0", "deductible": "0", "_copayAmount": "0", "_copayMaxAmount": "0", "should_set_copay": true, "_deductibleLegacy": "0" }, "CONSULTATION": { "copay": "20.0", "deductible": "0", "_copayAmount": "0", "_copayMaxAmount": "50.0", "should_set_copay": true, "_deductibleLegacy": "50.0" }, "PHYSIOTHERAPY": { "copay": "0.0", "deductible": "0", "_copayAmount": "0", "_copayMaxAmount": "0", "should_set_copay": true, "_deductibleLegacy": "0" }, "DENTAL CONSULTATION & PROCEDURE": { "copay": "20.0", "deductible": "0", "_copayAmount": "0", "_copayMaxAmount": "0", "should_set_copay": true, "_deductibleLegacy": "0" } }, "primary_network": { "network": "ML - GOLD", "network_status": null, "matched_plan_name": null }, "available_networks": [ { "network": "ML - GOLD", "plan_code": "DXSHJ-P299", "visit_type": "OP (Out Patient)", "network_code": null, "network_value": "ML - GOLD", "raw_plan_string": "INS013 - METLIFE - MEDNET COBRAND - ML GOLD - DXB-SHJ", "matched_plan_name": null, "network_name_as_in_text": "ML - Gold" } ], "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 }, "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": "ML - GOLD", "network_status": null, "matched_plan_name": null }, "available_networks": [ { "network": "ML - GOLD", "plan_code": "DXSHJ-P299", "visit_type": "OP (Out Patient)", "network_code": null, "network_value": "ML - GOLD", "raw_plan_string": "INS013 - METLIFE - MEDNET COBRAND - ML GOLD - DXB-SHJ", "matched_plan_name": null, "network_name_as_in_text": "ML - Gold" } ], "has_multiple_networks": false } ], "policy_holder_emirates_id": "784-0000-0000000-0", "was_identified_by_aggregator": false }, "created_at": "2026-02-24T10:47:38.434000", "message": null, "screenshot_url": null }, { "tpa_name": "INS020", "status": "member_not_found", "data": { "payer_id": "INS020", "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": "2026-02-24T10:46:55.436000", "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": "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": "2026-02-24T10:47:09.566000", "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": "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": "2026-02-24T10:48:34.756000", "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": "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": "2026-02-24T10:47:17.068000", "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": { "network": null, "payer_id": "TPA026", "show_data": false, "payer_name": null, "valid_upto": null, "is_eligible": false, "copay_details": null, "other_details": null, "failure_reason": "Document lacks concrete eligibility indicators (no policy number, no inception/expiry dates, no eligibility status). TPAs instructions exist but do not confirm eligibility for the patient due to missing data. The placeholder content and invalid credentials suggest this is not a valid eligibility record.", "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": [], "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": "2026-02-24T10:47:23.730000", "message": null, "screenshot_url": null }, { "tpa_name": "TPA001", "status": "member_not_found", "data": { "network": null, "payer_id": "TPA001", "show_data": false, "payer_name": null, "valid_upto": null, "is_eligible": false, "copay_details": null, "other_details": null, "failure_reason": "Policy status indicates expiration before the check date and explicitly states Not Eligible.", "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": [ { "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" } ], "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": "2026-02-24T10:47:55.207000", "message": null, "screenshot_url": null }, { "tpa_name": "INS012", "status": "member_not_found", "data": { "network": null, "payer_id": "INS012", "show_data": false, "payer_name": null, "valid_upto": null, "is_eligible": false, "copay_details": null, "other_details": null, "failure_reason": "The message indicates an invalid health card number and states the patient is ineligible, with no information suggesting active or valid coverage for the current service.", "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": "2026-02-24T10:49:22.788000", "message": null, "screenshot_url": null } ], "total_tpas_checked": 18, "found_results": 2, "created_at": "2026-02-24T10:33:49.196000", "updated_at": "2026-02-24T10:47:36.229000" }