[
{
"id": "722b06d8-1855-402b-9916-bfa450cc1572",
"status": "SUCCESS",
"creation_ts": "2023-08-01T00:00:00.000000Z",
"summary": "Benefits retrieved successfully.",
"results": {
"call_details": [{
"call_end_time": "2023-08-01T06:00:00.0000Z",
"representative_name": "Deborah M",
"reference_number": "2812129",
"call_recording_url": "https://www.google.com/voice_recording.wav"
}],
"treatment_history": {
"10-01-2020": [{
"procedure_code": "D1110",
"tooth_numbers": [1, 21],
"surfaces": ["occlusal"],
"quadrant_numbers": [10]
},
{
"procedure_code": "D1120",
"tooth_numbers": [5],
"surfaces": ["distal"],
"quadrant_numbers": [20,30]
}
]
},
"procedure_codes": [
[
{
"procedure_code": "D0120",
"procedure_name": "Exam"
},
{
"is_covered": true,
"is_prior_auth_required": false,
"coverage_percentage": 100.0,
"frequency_limitations": "once per 36 floating months",
"more_info": ""
}
],
[
{
"procedure_code": "D4240",
"procedure_name": "Gingival Flap Procedure"
},
{
"is_covered": true,
"is_prior_auth_required": true,
"prior_auth_info": "Call United Healthcare at 555-123-1234",
"coverage_percentage": 50.0,
"frequency_limitations": "once per 5 years"
"more_info": ""
}
]
]
},
"request": {
"type": "BENEFITS",
"desired_completion_date": "08-25-2024",
"patient_name": "Alex Martin",
"dob": "01-31-2020",
"member_id": "123456789",
"group_id": "123456",
"insurance_in_network": true,
"insurance": "UNITED_HEALTHCARE",
"npi": "1245319599",
"tax_id": "123456789",
"external_id": "provider_123",
"benefits_codes": ["D0120", "D4240"],
"benefits_query": ["CODE_LOOKUP_BENEFITS", "CODE_LOOKUP_FREQUENCIES", "TREATMENT_HISTORY"],
"is_specialist": true
}
}
]