{
  "id": "<string>",
  "status": "SUCCESS",
  "creation_ts": "2020-01-01T00:00:00.000000Z",
  "summary": "Benefits retrieved successfully.",
  "results": {
    "call_details": [
      {
        "call_end_time": "2024-03-01T06:00:00.0000Z",
        "representative_name": "Deborah M",
        "reference_number": "2812129",
        "call_recording_url": "https://www.google.com/voice_recording.wav",
        "transcript": "..."
      }
    ],
    "plan_information": {
      "is_active": true,
      "plan_type": "PPO",
      "effective_date": "10-01-2020",
      "termination_date": "10-31-2021",
      "is_calendar_year_plan": true,
      "is_provider_in_network": true,
      "is_primary_insurance": true
    },
    "maximums": {
      "individual_deductible": "100",
      "individual_deductible_used": "80",
      "individual_out_of_pocket_maximum": "1000",
      "individual_out_of_pocket_maximum_used": "800",
      "family_deductible": "200",
      "family_deductible_used": "100",
      "family_out_of_pocket_maximum": "2000",
      "family_out_of_pocket_maximum_used": "1000"
    },
    "procedure_classes": {
      "PHYSICAL_THERAPY": {
        "is_covered": true,
        "is_prior_auth_required": true,
        "prior_auth_info": "Call Benefits Office at 555-999-1234.",
        "is_deductible_waived": true,
        "copay_amount": "50.00",
        "coinsurance_percentage": "30",
        "frequency_limitations": "None"
      },
      "CHIROPRACTIC": {
        "is_covered": false,
        "more_info": ""
      }
    },
    "procedure_codes": [
      [
        {
          "procedure_code": "94625",
          "procedure_name": "Pulmonary Rehabilitation Coverage"
        },
        {
          "is_covered": true,
          "is_prior_auth_required": true,
          "prior_auth_info": "Call United Healthcare at 555-123-1234",
          "is_deductible_waived": false,
          "copay_amount": "20.00",
          "coinsurance_percentage": "20",
          "frequency_limitations": "Two visits per week",
          "more_info": "Diagnosis of medium to severe COPD is required for coverage."
        }
      ],
      [
        {
          "procedure_code": "94626",
          "procedure_name": "Pulmonary Rehabilitation Coverage"
        },
        {
          "is_covered": false,
          "more_info": ""
        }
      ]
    ]
  },
  "request": {
    "type": "BENEFITS",
    "desired_completion_date": "03-19-2024",
    "patient_name": "Alex Martin",
    "dob": "01-31-2020",
    "member_id": "123456789",
    "group_id": "123456",
    "insurance_in_network": true,
    "npi": "1234567890",
    "tax_id": "123456789",
    "external_id": "<string>",
    "practice_billing_address": "123 Main St, New York, NY 10001",
    "diagnosis_codes": [
      "F41.1",
      "F42.23"
    ],
    "claims_date_of_service": "01-31-2020",
    "claim_number": "1234567890",
    "additional_info": "The patient is on a Medicare plan and we need to know their secondary insurance benefits.",
    "insurance": "UNITED_HEALTHCARE",
    "benefits_query": [
      "PULMONARY_REHAB_COVERAGE"
    ],
    "benefits_codes": [
      "99395"
    ],
    "benefits_form_name": "",
    "is_specialist": true,
    "place_of_service": "doctors office",
    "billed_amount": 100,
    "insurance_payor_id": "60054",
    "insurance_phone_number": "<string>"
  }
}