{
  "id": "00000000-0000-4000-a000-000000000001",
  "tenant_id": "yourorg",
  "clinic_id": "00000000-0000-4000-a000-000000000002",
  "created_at": "2026-09-09T21:48:02.953000",
  "updated_at": "2026-09-09T22:02:06.674000",
  "task_id": "00000000-0000-4000-a000-000000000001",
  "status": "PROCESS_COMPLETE",
  "request_dump": {
    "emirates_id": "MBR-0000000",
    "phone": "+971 50 000 0000",
    "practice_id": "00000000-0000-4000-a000-000000000002",
    "tpa_name": "TPA003",
    "id_type": "CARDNUMBER",
    "visit_type": "MATERNITY",
    "extra_args": {
      "title": "LocationGroup",
      "value": "MATERNITY",
      "request_start_time": 1788990482.9462805
    },
    "doctorName": "Sample Clinician",
    "payerName": "ALMADALLAH HEALTHCARE MANAGEMENT FZ-LLC",
    "is_special_location": true,
    "user_id": "00000000-0000-4000-a000-000000000003"
  },
  "interim_results": {
    "referral_documents": [
      {
        "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 Document",
        "id": "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",
        "tag": "Member Claim Form",
        "id": "claim_form_document"
      },
      {
        "s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
        "tag": "Member Reimbursement Form",
        "id": "reimbursement_form_document"
      }
    ],
    "screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
    "tpa_name": "TPA003"
  },
  "is_search_all": false,
  "search_all_status": null,
  "created_by_user_id": null,
  "eligibility_result": {
    "id": "00000000-0000-4000-a000-000000000001:TPA003",
    "tenant_id": "yourorg",
    "clinic_id": "00000000-0000-4000-a000-000000000002",
    "created_at": "2026-09-09T22:02:06.666000",
    "updated_at": "2026-09-09T22:02:06.666000",
    "data_dump": {
      "status": "member_not_found",
      "tpa": "TPA003",
      "data": {
        "patient_info": {
          "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": {},
        "policy_network": {
          "policy_plan_name": null,
          "payer_name_as_in_text": "Dubai Government",
          "sponsor_id": null,
          "payer_name": "Dubai Government - DHA - INS002",
          "valid_upto": "2026-12-31",
          "start_date": "2026-01-01",
          "all_networks": [
            {
              "network_name_as_in_text": "Network: Enaya Platinum",
              "network": "Enaya Platinum",
              "visit_type": "Not Specified",
              "network_value": "Enaya Platinum",
              "matched_plan_name": null,
              "network_code": null
            },
            {
              "network_name_as_in_text": "Network: GN+",
              "network": "GN+",
              "visit_type": "Not Specified",
              "network_value": "GN+",
              "matched_plan_name": null,
              "network_code": null
            }
          ],
          "policy_authority": "DHA",
          "is_general_physician_referral_required_for_specialist_referral": false,
          "is_gatekeeper": "Not Mentioned",
          "is_vip": "Not Mentioned",
          "waiting_period": null,
          "policy_holder_name": null,
          "work_site_covered": "Could not determine",
          "package_name": null
        },
        "copay_details_to_fill": [],
        "policy_holder_name": "Sample Policy Holder",
        "policy_holder_emirates_id": "784-0000-0000000-0",
        "is_eligible": false,
        "failure_reason": "Policy is active (01-Jan-2026 to 31-Dec-2026) but the document explicitly states '**NOT ELIGIBLE**' and notes maternity coverage applies only to married female members; therefore the patient is not eligible for the requested maternity service.",
        "referral_documents": [
          {
            "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 Document",
            "id": "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",
            "tag": "Member Claim Form",
            "id": "claim_form_document"
          },
          {
            "s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z",
            "tag": "Member Reimbursement Form",
            "id": "reimbursement_form_document"
          }
        ],
        "payer_id": "TPA003",
        "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
      }
    },
    "search_id": "0000-0000-0000-0000",
    "tpa_name": "TPA003",
    "task_id": "00000000-0000-4000-a000-000000000001",
    "user_id": null,
    "status": "member_not_found"
  }
}