openapi: 3.0.3
info:
  title: Patient Access Plus API Integration Guide
  description: >
    The Patient Access Plus API Integration Guide (October 2025) provides detailed  documentation
    for integrating third-party systems with the Patient Access Plus platform.
  version: 1.0.0
  x-infinx-audience: EXTERNAL
  x-repository-url: https://bitbucket.org/rcmplatform/patient_access_plus_integration
servers:
  - url: https://ipas.infinx.com
    description: Production IPA server
tags:
  - name: Authentication
  - name: Prior Authorization APIs
  - name: Eligibility Benefits APIs
  -
    name: Webhooks
    description: |
      ### Purpose

      Outbound webhooks deliver case status updates and new comments to your configured callback URL.

      The operations under this tag return **sample payloads** for integration reference only.

      ### Retry logic

      A failed delivery is retried only when the error is one of:

      - **`IOException`** — I/O or network problems
      - **`ResourceAccessException`** — problems reaching your URL (for example connection or timeout errors)
      - **`HttpServerErrorException`** — your server returns an HTTP **5xx** response

      ### Not retried

      - HTTP **4xx** responses
      - Any other error not listed above

      ### Retry limits

      - `maxAttempts`: `2`
      - `maxDelay`: `50 milliseconds`

      ### Idempotency

      Webhook endpoints should be designed to safely process duplicate notifications, as retries may result in the same event being delivered multiple times.
components:
  securitySchemes:
    bearerAuth:
      type: http
      scheme: bearer
      bearerFormat: JWT
  parameters:
    IfxSecurityRealm:
      name: Ifx-Security-Realm
      in: header
      required: true
      schema:
        type: string
        default: ipa
      description: Infinx security realm header
    ifxSecurityRealmLower:
      name: ifx-security-realm
      in: header
      required: true
      schema:
        type: string
        default: ipa
      description: Infinx security realm header (lowercase key variant)
    AuthorizationHeader:
      name: Authorization
      in: header
      required: true
      schema:
        type: string
      example: Bearer eyJhbGciOi...
      description: Bearer JWT token

  schemas:
    # ============================================================
    # ENUM SCHEMAS
    # ============================================================
    ProductGroup:
      type: integer
      description: |
        Product Group. Possible values:
         - **1** - Patient_Access_Plus
      example: 1
      nullable: false
    Product:
      type: integer
      description: |
        Products. Possible values:
         - **1** - PA: Prior Authorization
         - **2** - EB: Eligibility/Benefits
         - **5** - PA_EB: Eligibility/Benefits and Prior Authorization 
         - **6** - FU: Auth Follow-up
         - **7** - PAV_EB: Eligibility/Benefits and Prior Authorization Verification
      example: 1
      nullable: false
    Priority:
      type: string
      description: Case priority values
      enum:
        - RETRO
        - STAT
        - NORMAL
        - SAMEDAY
      example: STAT
      nullable: true
    Gender:
      type: string
      description: |
        Gender of the individual. Possible values:
        - **M** - Male
        - **F** - Female
        - **O** - Other
        - **U** - Unknown
      enum:
        - M
        - F
        - O
        - U
        - Male
        - Female
        - Other
        - Unknown
      example: M
    AdmissionType:
      type: string
      enum:
        - "A - Accident"
        - "E - Emergency"
        - "L - Labor"
        - "NA"
      description: Admission type values
      example: "E - Emergency"
      nullable: true
    AppointmentTypeCode:
      type: string
      description: |
        Appointment type **code** used internally to identify the nature of a patient appointment.
        Each code maps to a corresponding descriptive label in `AppointmentType`.

        **Code Mappings:**

        | Code      | Label (Shown in `AppointmentType`) |
        |-----------|------------------------------------|
        | Redraw    | Redraw                             |
        | New Pt    | New Patient (New Pt)               |
        | True PA   | True PA                            |
        | Same Day  | Same Day                           |
        | F/U       | Follow-Up (F/U)                    |
        | Hosp F/U  | Hospital Follow-Up (Hosp F/U)      |
        | Consult   | Consultation (Consult)             |
        | Pre-Op    | Pre-Operative Assessment (Pre-Op)  |
        | Post-Op   | Post-Operative Visit (Post-Op)     |
        | APE       | Annual Physical Exam (APE)         |
        | SV        | Sick Visit (SV)                    |
        | WCV       | Well Child Visit (WCV)             |
        | CCM       | Chronic Care Management (CCM)      |
        | UCV       | Urgent Care Visit (UCV)            |
        | IV        | Immunization Visit (IV)            |
        | TH        | New Patient Telehealth (TH)        |
        | Scheduled | Scheduled                          |
        | PLT       | Pilot                              |
        | HBO       | HBO                                |
        | AuthNew   | New Authorization                  |
        | AuthExt   | Extend Authorization Dates         |
        | AuthCont  | Continuation of Care               |
        | WCV       | Wound Care Visit                   |
        | RV        | Re-Verification                    |
      enum:
        - "Redraw"
        - "New Pt"
        - "True PA"
        - "Same Day"
        - "F/U"
        - "Hosp F/U"
        - "Consult"
        - "Pre-Op"
        - "Post-Op"
        - "APE"
        - "SV"
        - "WCV"
        - "CCM"
        - "UCV"
        - "IV"
        - "TH"
        - "Scheduled"
        - "PLT"
        - "HBO"
        - "AuthNew"
        - "AuthExt"
        - "AuthCont"
        - "RV"
      example: "New Pt"
      nullable: true

    AppointmentType:
      type: string
      description: |
        Read-only display label derived from appointmentTypeCode. Do not send this
        field in requests; it is returned by the API and always matches the selected
        appointmentTypeCode.  See `AppointmentTypeCode` for possible values.
      example: "New Patient(New Pt)"
      nullable: true

    PatientClass:
      type: string
      description: |
        Indicates the **type of patient classification**.
        Possible values correspond to patient admission categories used in clinical and billing systems.

        **Allowed Values:**
        - I - Inpatient
        - O - Outpatient
        - E - Emergency
        - P - Preadmit
        - R - Recurring
        - Ob - Observation
        - NA - Not Applicable
      enum:
        - "I - Inpatient"
        - "O - Outpatient"
        - "E - Emergency"
        - "P - Preadmit"
        - "R - Recurring"
        - "Ob - Observation"
        - "NA"
      example: "I - Inpatient"
      nullable: true

    PayerType:
      type: string
      description: |
        Indicates the **payer classification** for an insurance or billing entity.
        These values define the hierarchy of payer responsibility in a claim.

        **Allowed Values:**
        - PRIMARY - Primary payer responsible for the claim
        - SECONDARY - Secondary payer (after primary)
        - TERTIARY - Third-level payer (after secondary)
        - QUATERNARY - Fourth-level payer (rare cases)
        - UNKNOWN - Payer type is not identified
      enum:
        - "PRIMARY"
        - "SECONDARY"
        - "TERTIARY"
        - "QUATERNARY"
        - "UNKNOWN"
      example: "PRIMARY"
      nullable: true

    NetworkType:
      type: string
      description: |
        Indicates the **provider network classification** for a given payer or claim.
        Determines whether the provider or facility is part of the payer’s preferred network.

        **Allowed Values:**
        - In Network - Provider is part of the payer’s preferred network
        - Out of Network - Provider is not part of the payer’s preferred network
        - General - Not network-specific or applicable
      enum:
        - "In Network"
        - "Out of Network"
        - "General"
      example: "In Network"
      nullable: true
    QuantityType:
      type: string
      description: Unit or context of the requested quantity (e.g., Visits or Units).
      enum:
        - "Visits"
        - "Units"
      example: "Visits"
      nullable: true
    PlaceOfService:
      type: string
      description: |
        Indicates the **location or setting** where the healthcare service is provided.
        This corresponds to standardized *Place of Service (POS)* codes used in healthcare billing.

        **Allowed Values:**
        - Home - Service provided at patient's residence
        - PCP/Physician Office - Service performed in a physician’s office
        - Outpatient/Facility - Service performed in an outpatient facility
        - Free Standing Facility - Independent healthcare facility
        - Specialist - Specialist’s office or clinic
        - Ambulatory Surgical Center - Outpatient surgical center
        - Inpatient Hospital - Service provided in an inpatient hospital setting
      enum:
        - "Home"
        - "PCP/Physician Office"
        - "Outpatient/Facility"
        - "Free Standing Facility"
        - "Specialist"
        - "Ambulatory Surgical Center"
        - "Inpatient Hospital"
      example: "Home"
      nullable: true

    CancelReasonType:
      type: string
      description: Cancel Reason Type values
      enum:
        - AUTO
        - MANUAL
      example: MANUAL
      nullable: false

    AttachmentType:
      type: string
      description: Attachment Type values
      enum:
        - Insurance
        - Physician
      example: Physician
      nullable: false

    ExecutionMode:
      type: string
      description: |
        Case execution mode. Possible values:
        - **AUTOMATION_ONLY** - Automation only
        - **HITL** - Human in the loop
      enum:
        - AUTOMATION_ONLY
        - HITL
      example: HITL
      nullable: true

    IntakeReviewValidation:
      type: object
      properties:
        physicianFirstName:
          type: string
          description: |
            Physician First Name - No special character (Hyphen, Slash, Backslash, Period)

            **Validation Rules:**
            - **PA:** Mandatory
            - **FU:** Mandatory
            - **EB_PA:** Mandatory
            - **EB:** Mandatory if provider type is physician

        physicianLastName:
          type: string
          description: |
            Physician Last Name - No special character (Hyphen, Slash, Backslash, Period)

            **Validation Rules:**
            - **PA:** Mandatory
            - **FU:** Mandatory
            - **EB_PA:** Mandatory
            - **EB:** Mandatory if provider type is physician

        physicianNPI:
          type: string
          pattern: "^[0-9]{10}$"
          description: |
            Physician NPI - Valid NPI present in government’s NPI registry

            **Validation Rules:**
            - **PA:** Mandatory
            - **FU:** Mandatory
            - **EB_PA:** Mandatory
            - **EB:** Mandatory if provider type is physician

        physicianFaxNo:
          type: string
          pattern: "^[0-9]{10}$"
          description: |
            Physician Fax No - Numeric and 10 characters

            **Validation Rules:**
            - **PA:** Mandatory
            - **FU:** Mandatory
            - **EB_PA:** Mandatory
            - **EB:** Optional

        physicianTIN:
          type: string
          pattern: "^[0-9]{9}$"
          description: |
            Physician TIN - Numeric and 9 characters

            **Validation Rules:**
            - **PA:** Optional
            - **FU:** Optional
            - **EB_PA:** Optional
            - **EB:** Optional

        physicianAddress:
          type: string
          maxLength: 100
          description: |
            Physician Address - Alphanumeric with special characters. Max 100 chars

            **Validation Rules:**
            - **PA:** Mandatory
            - **FU:** Mandatory
            - **EB_PA:** Mandatory
            - **EB:** Optional

        physicianCity:
          type: string
          description: |
            Physician City

            **Validation Rules:**
            - **PA:** Mandatory
            - **FU:** Mandatory
            - **EB_PA:** Mandatory
            - **EB:** Optional

        physicianState:
          type: string
          maxLength: 2
          description: |
            Physician State - Validate against US states master. Display as 2 characters

            **Validation Rules:**
            - **PA:** Mandatory
            - **FU:** Mandatory
            - **EB_PA:** Mandatory
            - **EB:** Optional

        physicianZip:
          type: string
          pattern: "^[0-9]{5}(-[0-9]{4})?$"
          description: |
            Physician ZIP - Format: ddddd or ddddd-dddd

            **Validation Rules:**
            - **PA:** Mandatory
            - **FU:** Mandatory
            - **EB_PA:** Mandatory
            - **EB:** Optional

        patientFirstName:
          type: string
          description: |
            Patient First Name - No special characters (Hyphen, Slash, Backslash, Period)

            **Validation Rules:**
            - **PA:** Mandatory
            - **FU:** Mandatory
            - **EB_PA:** Mandatory
            - **EB:** Mandatory

        patientLastName:
          type: string
          description: |
            Patient Last Name - No special characters (Hyphen, Slash, Backslash, Period)

            **Validation Rules:**
            - **PA:** Mandatory
            - **FU:** Mandatory
            - **EB_PA:** Mandatory
            - **EB:** Mandatory

        patientDateOfBirth:
          type: string
          format: date
          description: |
            Patient DOB - mm/dd/yyyy and must be less than current date

            **Validation Rules:**
            - **PA:** Mandatory
            - **FU:** Mandatory
            - **EB_PA:** Mandatory
            - **EB:** Mandatory

        patientAddress:
          type: string
          maxLength: 100
          description: |
            Patient Address - Alphanumeric with special characters. Max 100 chars

            **Validation Rules:**
            - **PA:** Optional
            - **FU:** Optional
            - **EB_PA:** Optional
            - **EB:** Mandatory for Insurance Discovery

        patientCity:
          type: string
          description: |
            Patient City

            **Validation Rules:**
            - **PA:** Optional
            - **FU:** Optional
            - **EB_PA:** Optional
            - **EB:** Mandatory for Insurance Discovery

        patientState:
          type: string
          maxLength: 2
          description: |
            Patient State - Validate against US states master. Display as 2 characters

            **Validation Rules:**
            - **PA:** Optional
            - **FU:** Optional
            - **EB_PA:** Optional
            - **EB:** Mandatory for Insurance Discovery

        patientZip:
          type: string
          pattern: "^[0-9]{5}(-[0-9]{4})?$"
          description: |
            Patient ZIP - Format: ddddd or ddddd-dddd

            **Validation Rules:**
            - **PA:** Optional
            - **FU:** Optional
            - **EB_PA:** Optional
            - **EB:** Mandatory for Insurance Discovery

        patientGender:
          $ref: "#/components/schemas/Gender"
          description: |
            Patient Gender - Must be Male, Female, Other, or Unknown

            **Validation Rules:**
            - **PA:** Mandatory
            - **FU:** Mandatory
            - **EB_PA:** Mandatory
            - **EB:** Mandatory

        patientId:
          type: string
          pattern: "^[A-Za-z0-9]+$"
          description: |
            Patient ID - Alphanumeric only (no special characters)

            **Validation Rules:**
            - **PA:** Mandatory
            - **FU:** Mandatory
            - **EB_PA:** Mandatory
            - **EB:** Optional

        dateOfServiceStart:
          type: string
          format: date-time
          description: |
            Date of Service Start - mm/dd/yyyy hh:mm:ss (±10 years)

            **Validation Rules:**
            - **PA:** Mandatory
            - **FU:** Mandatory
            - **EB_PA:** Mandatory
            - **EB:** Mandatory

        dateOfServiceEnd:
          type: string
          format: date-time
          description: |
            Date of Service End - mm/dd/yyyy hh:mm:ss (±10 years)

            **Validation Rules:**
            - **PA:** Optional
            - **FU:** Optional
            - **EB_PA:** Optional
            - **EB:** Optional

        appointmentId:
          type: string
          pattern: "^[A-Za-z0-9]+$"
          description: |
            Appointment ID - Alphanumeric only (no special characters)

            **Validation Rules:**
            - **PA:** Mandatory
            - **FU:** Mandatory
            - **EB_PA:** Mandatory
            - **EB:** Mandatory

        facilityName:
          type: string
          description: |
            Facility Name - Must match registered Facility name in Infinx

            **Validation Rules:**
            - **PA:** Mandatory
            - **FU:** Mandatory
            - **EB_PA:** Mandatory
            - **EB:** Mandatory if provider type is facility

        facilityNPI:
          type: string
          pattern: "^[0-9]{10}$"
          description: |
            Facility NPI - Valid NPI present in government’s NPI registry

            **Validation Rules:**
            - **PA:** Mandatory
            - **FU:** Mandatory
            - **EB_PA:** Mandatory
            - **EB:** Mandatory if provider type is facility

        facilityFaxNo:
          type: string
          pattern: "^[0-9]{10}$"
          description: |
            Facility Fax No - Numeric and 10 characters

            **Validation Rules:**
            - **PA:** Mandatory
            - **FU:** Mandatory
            - **EB_PA:** Mandatory
            - **EB:** Optional

        facilityTIN:
          type: string
          pattern: "^[0-9-]{9,11}$"
          description: |
            Facility TIN - 9–11 chars; up to 2 hyphens; numeric

            **Validation Rules:**
            - **PA:** Mandatory
            - **FU:** Mandatory
            - **EB_PA:** Mandatory
            - **EB:** Optional

        facilityAddress:
          type: string
          maxLength: 100
          description: |
            Facility Address - Alphanumeric with special characters. Max 100 chars

            **Validation Rules:**
            - **PA:** Mandatory
            - **FU:** Mandatory
            - **EB_PA:** Mandatory
            - **EB:** Optional

        facilityCity:
          type: string
          description: |
            Facility City

            **Validation Rules:**
            - **PA:** Mandatory
            - **FU:** Mandatory
            - **EB_PA:** Mandatory
            - **EB:** Optional

        facilityState:
          type: string
          maxLength: 2
          description: |
            Facility State - Validate against US states master. Display as 2 characters

            **Validation Rules:**
            - **PA:** Mandatory
            - **FU:** Mandatory
            - **EB_PA:** Mandatory
            - **EB:** Optional

        facilityZip:
          type: string
          pattern: "^[0-9]{5}(-[0-9]{4})?$"
          description: |
            Facility ZIP - Format: ddddd or ddddd-dddd

            **Validation Rules:**
            - **PA:** Mandatory
            - **FU:** Mandatory
            - **EB_PA:** Mandatory
            - **EB:** Optional

        insuranceType:
          type: string
          enum:
            - "Primary"
            - "Secondary"
            - "Tertiary"
            - "Quarternary"
            - "Unknown"
          description: |
            Insurance Type - Must match one of: Primary, Secondary, Tertiary, Quarternary, Unknown

            **Validation Rules:**
            - **PA:** Mandatory
            - **FU:** Mandatory
            - **EB_PA:** Mandatory
            - **EB:** Mandatory

        insuranceName:
          type: string
          description: |
            Insurance Name - Must exist in Infinx insurance master mapping

            **Validation Rules:**
            - **PA:** Mandatory
            - **FU:** Mandatory
            - **EB_PA:** Mandatory
            - **EB:** Mandatory

        memberId:
          type: string
          pattern: "^[A-Za-z0-9]+$"
          description: |
            Member ID - Alphanumeric only (no special characters)

            **Validation Rules:**
            - **PA:** Mandatory
            - **FU:** Mandatory
            - **EB_PA:** Mandatory
            - **EB:** Mandatory

        cptCode:
          type: string
          description: |
            CPT Code - Must match valid CPT code in Infinx CPT master

            **Validation Rules:**
            - **PA:** Mandatory
            - **FU:** Mandatory
            - **EB_PA:** Mandatory
            - **EB:** Mandatory

        cptDescription:
          type: string
          description: |
            CPT Description - Pre-populate based on CPT selected; editable if required

            **Validation Rules:**
            - **PA:** Optional
            - **FU:** Optional
            - **EB_PA:** Optional
            - **EB:** Optional

        diagnosisCode:
          type: string
          description: |
            Diagnosis Code - Must match valid Diagnosis code in Infinx master

            **Validation Rules:**
            - **PA:** Mandatory
            - **FU:** Mandatory
            - **EB_PA:** Mandatory
            - **EB:** Optional

        serviceType:
          type: string
          description: |
            Service Type - Validate for Service Type in Infinx Service Type master

            **Validation Rules:**
            - **PA:** Optional
            - **FU:** Optional
            - **EB_PA:** Mandatory
            - **EB:** Mandatory

    # ============================================================
    # OBJECT SCHEMAS
    # ============================================================

    CreateCasePriorAuthorizationRequest:
      type: object
      properties:
        caseInformation:
          type: object
          required:
            - appointmentId
          properties:
            dateOfService:
              type: string
              format: date-time
              nullable: false
              description: |
                The start date and time of service for the case in ISO 8601 format.
                Example: `"2025-10-15T10:30:55Z"`.
              example: "2025-10-11T10:30:55Z"
            dateOfServiceEndDate:
              type: string
              format: date-time
              nullable: true
              description: |
                The end date and time of service for the case in ISO 8601 format.
                Example: `"2025-10-15T10:30:55Z"`.
              example: "2025-10-11T10:30:55Z"
            appointmentId:
              type: string
            priority:
              $ref: "#/components/schemas/Priority"
            patientClass:
              $ref: "#/components/schemas/PatientClass"
            caseProductInformation:
              type: object
              properties:
                productGroupId:
                  type: integer
                  description: |
                    Product Group. Possible values:
                    - **1** - Patient_Access_Plus
                  example: 1
                productId:
                  type: integer
                  description: |
                    Products. Possible values:
                    - **1** - PA: Prior Authorization
                    - **5** - PA_EB: Eligibility/Benefits and Prior Authorization
                    - **6** - FU: Auth Follow-up
                    - **7** - PAV_EB: Eligibility/Benefits and Prior Authorization Verification
                  example: 1
              required:
                - productGroupId
                - productId
            admissionType:
              $ref: "#/components/schemas/AdmissionType"
            orderId:
              type: string
            appointmentType:
              $ref: "#/components/schemas/AppointmentType"
            appointmentTypeCode:
              $ref: "#/components/schemas/AppointmentTypeCode"
            executionMode:
              $ref: "#/components/schemas/ExecutionMode"
        patientInformation:
          type: object
          description: |
            Contains key demographic and identification details of the patient,
            including personal information, contact details, and identifiers.
          properties:
            firstName:
              type: string
              description: Patient's first name.
              example: "John"
              x-phi: true
            lastName:
              type: string
              description: Patient's last name.
              example: "Doe"
              x-phi: true
            patientId:
              type: string
              description: Unique identifier assigned to the patient within the system.
              example: "P0001"
            dob:
              type: string
              format: date
              description: |
                Patient’s date of birth in ISO 8601 format (YYYY-MM-DD).
              example: "1964-12-16"
              x-phi: true
            gender:
              $ref: "#/components/schemas/Gender"
            note:
              type: string
              description: Free-text notes related to the patient or encounter.
              example: "Test Notes"
            address:
              type: string
              description: Patient’s residential street address.
              example: "123 Test Street"
              x-phi: true
            city:
              type: string
              description: City of residence.
              example: "New York"
              x-phi: true
            state:
              type: string
              description: Two-letter state abbreviation.
              example: "NY"
              x-phi: true
            zipCode:
              type: string
              description: ZIP or postal code of the patient's address.
              example: "90001"
              x-phi: true
            phone:
              type: string
              description: Patient’s contact phone number.
              example: "999-999-9999"
              x-phi: true
          required:
            - firstName
            - lastName
            - patientId
        physicianInformation:
          type: object
          description: |
            Contains details about the attending or referring physician, including identifiers and contact information.
          properties:
            firstName:
              type: string
              description: Physician's first name.
              example: "Tom"
              x-phi: true
            lastName:
              type: string
              description: Physician's last name.
              example: "DOEHRING"
              x-phi: true
            npi:
              type: string
              description: |
                National Provider Identifier (NPI) assigned to the physician by CMS.
                Must be a 10-digit numeric identifier.
              example: "1841243912"
              x-phi: true
            physicianExternalId:
              type: string
              description: External system or EHR identifier for the physician.
              example: "1001"
            contact:
              type: string
              description: Physician’s contact phone number.
              example: "999-999-9999"
              x-phi: true
            address:
              type: string
              description: Street address of the physician’s practice.
              example: "1234 Test Street"
              x-phi: true
            faxNo:
              type: string
              description: Fax number for the physician’s office.
              example: "999-999-1111"
            physicianTin:
              type: string
              description: |
                Tax Identification Number (TIN) associated with the physician or practice.
                Typically a 9-digit numeric value.
              example: "123456789"
            physicianCity:
              type: string
              description: City of the physician’s office.
              example: "New York"
              x-phi: true
            physicianState:
              type: string
              description: Two-letter state abbreviation for the physician’s location.
              example: "NY"
              x-phi: true
            physicianZip:
              type: string
              description: ZIP or postal code of the physician’s office.
              example: "10001"
              x-phi: true
        orderingPhysicianInformation:
          type: object
          description: |
            Contains details of the **ordering physician** - the provider who requested or ordered the medical service or test.
            Includes identifiers, contact information, and practice address details.
          properties:
            firstName:
              type: string
              description: Ordering physician’s first name.
              example: "Tim"
              x-phi: true
            lastName:
              type: string
              description: Ordering physician’s last name.
              example: "DOEPKER"
              x-phi: true
            npi:
              type: string
              description: |
                National Provider Identifier (NPI) assigned to the ordering physician by CMS.
                Must be a valid 10-digit number.
              example: "1760466460"
              x-phi: true
            physicianExternalId:
              type: string
              description:
                External identifier for the physician, as defined in an EHR or partner system.
              example: "10002"
            contact:
              type: string
              description: Ordering physician’s primary contact phone number.
              example: "999-999-2222"
              x-phi: true
            address:
              type: string
              description: Practice or clinic address of the ordering physician.
              example: "12345 Test Street"
              x-phi: true
            faxNo:
              type: string
              description: Fax number for the ordering physician’s office.
              example: "999-999-3333"
            physicianTin:
              type: string
              description:
                Tax Identification Number (TIN) of the ordering physician or group practice.
              example: "123123123"
            physicianCity:
              type: string
              description: City where the ordering physician’s practice is located.
              example: "FORT ATKINSON"
              x-phi: true
            physicianState:
              type: string
              description: Two-letter state abbreviation of the physician’s location.
              example: "WI"
              x-phi: true
            physicianZip:
              type: string
              description: ZIP or postal code of the ordering physician’s practice.
              example: "53538"
              x-phi: true

        facilityInformation:
          type: object
          description: |
            Contains identifying and contact information about the **facility or practice location**
            where the service is performed or billed. Includes administrative identifiers,
            address, and communication details.
          properties:
            code:
              type: string
              description: Short code or abbreviation representing the facility.
              example: "PV"
            name:
              type: string
              description: Full name of the facility or practice location.
              example: "INFINX- ELK GROVE NEW"
            npi:
              type: string
              description: |
                National Provider Identifier (NPI) assigned to the facility.
                Must be a valid 10-digit numeric identifier issued by CMS.
              example: "1234567890"
            facilityFax:
              type: string
              description: Fax number of the facility.
              example: "999-999-4444"
            facilityTin:
              type: string
              description: |
                Tax Identification Number (TIN) associated with the facility or billing entity.
                Typically a 9-digit numeric value.
              example: "123456789"
            facilityAddress:
              type: string
              description: Street address of the facility.
              example: "123456 Test Street"
              x-phi: true
            facilityCity:
              type: string
              description: City where the facility is located.
              example: "New York"
              x-phi: true
            facilityState:
              type: string
              description: Two-letter state abbreviation of the facility’s location.
              example: "NY"
              x-phi: true
            facilityZip:
              type: string
              description: ZIP or postal code of the facility’s location.
              example: "10001"
              x-phi: true
            facilityContact:
              type: string
              description: Primary contact phone number of the facility.
              example: "999-999-5555"
              x-phi: true

        orderingFacilityInformation:
          type: object
          description: |
            Contains identifying and contact details of the **ordering facility** -
            the healthcare facility or organization that initiated or ordered a test or service.
            Includes identifiers, contact details, and address information.
          properties:
            code:
              type: string
              description: Short code or abbreviation representing the ordering facility.
              example: "PV"
            name:
              type: string
              description: Full name of the ordering facility or organization.
              example: "INFINX- ELK GROVE NEW1"
            npi:
              type: string
              description: |
                National Provider Identifier (NPI) assigned to the ordering facility.
                Must be a valid 10-digit numeric identifier issued by CMS.
              example: "1234567890"
            facilityFax:
              type: string
              description: Fax number of the ordering facility.
              example: "999-999-5555"
            facilityTin:
              type: string
              description: |
                Tax Identification Number (TIN) associated with the ordering facility or billing entity.
                Typically a 9-digit numeric value.
              example: "123456789"
            facilityAddress:
              type: string
              description: Street address of the ordering facility.
              example: "123456 Test Street"
              x-phi: true
            facilityCity:
              type: string
              description: City where the ordering facility is located.
              example: "New York"
              x-phi: true
            facilityState:
              type: string
              description: Two-letter state abbreviation for the facility’s location.
              example: "NY"
              x-phi: true
            facilityZip:
              type: string
              description: ZIP or postal code of the facility’s address.
              example: "10001"
              x-phi: true
            facilityContact:
              type: string
              description: Primary contact phone number of the ordering facility.
              example: "999-999-6666"
              x-phi: true

        insuranceInformation:
          type: array
          items:
            type: object
            description: |
              Contains information about a patient's insurance coverage, including payer, plan,
              member identifiers, and network classification.
            properties:
              type:
                $ref: "#/components/schemas/PayerType"
              name:
                type: string
                description: Name of the insurance payer or company.
                example: "INFINX"
              groupNumber:
                type: string
                description:
                  Insurance group number or plan classification (e.g., Commercial, PPO, HMO).
                example: "Commercial"
              planId:
                type: string
                description: Identifier for the specific insurance plan or policy.
                example: "TEST 001"
              memberId:
                type: string
                description: Unique member identifier assigned by the payer.
                example: "TEST1234567"
                x-phi: true
              networkType:
                $ref: "#/components/schemas/NetworkType"

        procedureInformation:
          type: array
          items:
            type: object
            description: |
              Contains information about a requested or performed medical procedure,
              including CPT codes, modifiers, quantity, and descriptive details.
            properties:
              cptCode:
                type: string
                description: |
                  CPT (Current Procedural Terminology) or HCPCS code representing the procedure.
                  Used for billing and clinical documentation.
                example: "73030"
              modifier:
                type: string
                description: |
                  CPT modifier that provides additional information about the procedure
                  (e.g., technical component, bilateral procedure, etc.).
                example: "TC"
              requestedQuantity:
                type: integer
                description: Number of procedures, visits, or units requested.
                example: 5
              quantityType:
                $ref: "#/components/schemas/QuantityType"
              placeOfService:
                $ref: "#/components/schemas/PlaceOfService"
              bodyPart:
                type: string
                description: Anatomical area associated with the procedure.
                example: "Shoulder"
              description:
                type: string
                description: Text description of the procedure, usually derived from the CPT code.
                example: "X-ray of shoulder, minimum of 2 views"
              testName:
                type: string
                description: Name of the test or diagnostic study associated with the procedure.
                example: "Test"
              testCode:
                type: string
                description: Unique identifier or internal code for the test.
                example: "T1"
              testGroupName:
                type: string
                description: Group or panel name under which the test is categorized.
                example: "Test Group"

        diagnosisInformation:
          type: array
          items:
            type: object
            description: |
              Contains information about a diagnosis related to a patient encounter,
              order, or claim, including the ICD-10 code and its description.
            properties:
              icdCode:
                type: string
                description: |
                  ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification)
                  diagnosis code used to describe the patient’s condition or reason for service.
                example: "M51.04"
              description:
                type: string
                description: Textual description of the diagnosis corresponding to the ICD-10 code.
                example: "Other specified"

        customFieldInformation:
          type: object
          properties:
            customField1:
              type: string
              maxLength: 50
              description: Custom field 1 (max 50 characters).
              example: custom field1
            customField2:
              type: string
              maxLength: 50
              description: Custom field 2 (max 50 characters).
              example: custom field2


        systemIdentifier:
          type: string
      additionalProperties: true

    UpdateCasePriorAuthorizationRequest:
      allOf:
        - $ref: "#/components/schemas/CreateCasePriorAuthorizationRequest"

    CreateCaseEligibilityBenefitsRequest:
      type: object
      properties:
        caseInformation:
          type: object
          description: |
            Contains metadata and contextual information related to a patient case or encounter,
            including service dates, priority, admission details, and associated product information.
          properties:
            dateOfService:
              type: string
              format: date-time
              description: |
                The start date and time of service for the case in ISO 8601 format.
                Example: `"2025-10-15T10:30:55Z"`.
              nullable: false
              example: "2025-10-15T10:30:55Z"
            dateOfServiceEndDate:
              type: string
              format: date-time
              nullable: true
              description: |
                The End date and time of service for the case in ISO 8601 format.
                Example: `"2025-10-15T10:30:55Z"`.
              example: "2025-10-15T10:30:55Z"
            accessionNumber:
              type: string
              description: |
                Unique accession number assigned to the case.
              example: "PAP-EXT-TEST-EB-INFX001"
            priority:
              $ref: "#/components/schemas/Priority"
            patientClass:
              $ref: "#/components/schemas/PatientClass"
            caseProductInformation:
              type: object
              description: Contains identifiers for the associated product or product group.
              properties:
                productGroupId:
                  type: integer
                  description: |
                    Product Group. Possible values:
                    - **1** - Patient_Access_Plus
                  example: 1
                productId:
                  type: integer
                  description: |
                    Products. Possible values:
                    - **2** - EB: Eligibility Benefits
                  example: 2
              required:
                - productGroupId
                - productId
            admissionType:
              $ref: "#/components/schemas/AdmissionType"
            orderId:
              type: string
              description: Order or request identifier associated with this case.
              example: "00013"
            appointmentType:
              $ref: "#/components/schemas/AppointmentType"
            appointmentTypeCode:
              $ref: "#/components/schemas/AppointmentTypeCode"
            executionMode:
              $ref: "#/components/schemas/ExecutionMode"
          required:
            - accessionNumber
        patientInformation:
          type: object
          description: |
            Contains key demographic and identifying details about the patient,
            including personal information, contact details, and address.
          properties:
            patientMRN:
              type: string
              description: |
                Medical Record Number (MRN) uniquely identifying the patient within the healthcare system.
              example: "P0001"
            dateOfBirth:
              type: string
              format: date
              description: |
                Patient’s date of birth.
                Can be formatted as `YYYY-MM-DD` or `MM/DD/YYYY` depending on system standards.
              example: "01/01/1980"
              x-phi: true
            firstName:
              type: string
              description: Patient's first name.
              example: "John"
              x-phi: true
            middleName:
              type: string
              description: Patient’s middle name or initial, if available.
              example: "m"
              x-phi: true
            lastName:
              type: string
              description: Patient's last name.
              example: "Doe"
              x-phi: true
            gender:
              $ref: "#/components/schemas/Gender"
            contact:
              type: string
              description: Patient’s contact phone number.
              example: "999-999-1111"
              x-phi: true
            address:
              type: string
              description: Street address of the patient’s residence.
              example: "123 Test Street"
              x-phi: true
            city:
              type: string
              description: City of residence.
              example: "New York"
              x-phi: true
            state:
              type: string
              description: Two-letter state abbreviation.
              example: "NY"
              x-phi: true
            zipCode:
              type: string
              description: ZIP or postal code of the patient’s address.
              example: "90001"
              x-phi: true
            note:
              type: string
              description: Additional notes or comments related to the patient.
              example: "Some notes 1"
          required:
            - firstName
            - lastName
        insuranceInformation:
          type: array
          items:
            type: object
            description: |
              Contains detailed information about the patient's insurance coverage,
              including payer details, plan identifiers, contact, and network information.
            properties:
              payerName:
                type: string
                description: Name of the insurance payer or company.
                example: "INFINX"
              payerType:
                $ref: "#/components/schemas/PayerType"
              groupNumber:
                type: string
                description: Group or policy number associated with the insurance plan.
                example: "INFINX0001"
              groupName:
                type: string
                description:
                  Name of the employer group or insurance group associated with the policy.
                example: "INFINX Group"
              contact:
                type: string
                description: Payer’s contact phone number for verification or billing inquiries.
                example: "999-999-2222"
              memberId:
                type: string
                description: Unique member or subscriber ID assigned by the insurance payer.
                example: "TEST1234567"
                x-phi: true
              networkType:
                $ref: "#/components/schemas/NetworkType"
              employerName:
                type: string
                description: Name of the employer providing or sponsoring the insurance plan.
                example: "INF"
              mailingAddress:
                type: string
                format: email
                description: |
                  Email or contact mailing address associated with the payer or plan administrator.
                example: "infinx@infinx.com"

        procedureInformation:
          type: array
          items:
            type: object
            description: |
              Contains details about a requested or performed medical procedure,
              including CPT code, description, test grouping, and service location information.
            properties:
              cptCode:
                type: string
                description: |
                  CPT (Current Procedural Terminology) or HCPCS code representing the medical procedure.
                  Used for billing and clinical documentation.
                example: "73030"
              description:
                type: string
                description: Text description of the procedure corresponding to the CPT code.
                example: "X-ray of shoulder, minimum of 2 views"
              testGroupName:
                type: string
                description: Group or panel name under which the test or procedure is categorized.
                example: "Test Group1"
              testName:
                type: string
                description: Name of the test or diagnostic study associated with the procedure.
                example: "Test"
              testCode:
                type: string
                description: Internal or external identifier for the test or procedure.
                example: "T1"
              modifier:
                type: string
                description: |
                  CPT modifier providing additional context to the procedure code,
                  such as technical or professional components.
                example: "TC1"
              bodyPart:
                type: string
                description: Anatomical area or body region associated with the procedure.
                example: "Shoulder"
              serviceType:
                type: string
                description: |
                  Indicates the type or category of service being performed.
                  This may map to internal or payer-specific service type codes.
                example: "4"
              placeOfService:
                $ref: "#/components/schemas/PlaceOfService"

        diagnosisInformation:
          type: array
          items:
            type: object
            description: |
              Contains diagnostic information associated with a patient case,
              including ICD-10 codes and their corresponding textual descriptions.
            properties:
              icd_10Code:
                type: string
                description: |
                  ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification)
                  diagnosis code that identifies the patient’s condition or reason for the service.
                example: "M51.04"
              description:
                type: string
                description: |
                  Textual description of the diagnosis corresponding to the ICD-10 code.
                example: "Other specified"

        providerInformation:
          type: object
          description: |
            Contains identifying details for a healthcare provider, group, or organization.
            Includes internal and national identifiers such as provider code, name, and NPI.
          properties:
            providerCode:
              type: string
              description: |
                Internal or external short code representing the provider or organization.
                Typically assigned by the system or business partner.
              example: "PV"
            providerName:
              type: string
              description: |
                Full legal or business name of the provider, facility, or organization.
              example: "INFINX- ELK GROVE NEW1"
            providerNPI:
              type: string
              description: |
                National Provider Identifier (NPI) assigned to the provider by CMS.
                Must be a valid 10-digit numeric identifier.
              example: "1234567890"
            providerState:
              type: string
              description: State where the provider is located.
              example: "NY"
              x-phi: true
            providerCity:
              type: string
              description: City where the provider is located.
              example: "New York"
              x-phi: true
            providerZip:
              type: string
              description: ZIP or postal code of the provider's location.
              example: "10001"
              x-phi: true
            providerContact:
              type: string
              description: Primary contact phone number of the provider.
              example: "999-999-5555"
              x-phi: true
            providerFax:
              type: string
              description: Fax number of the provider.
              example: "999-999-5556"
            providerTin:
              type: string
              description: |
                Tax Identification Number (TIN) associated with the facility or billing entity.
                Typically a 9-digit numeric value.
              example: "123123123"
            providerAddress:
              type: string
              description: Street address of the provider.
              example: "ABC"
              x-phi: true

        orderingFacilityInformation:
          type: object
          description: |
            Contains details of the **ordering facility** -
            the healthcare organization or location that initiated or ordered the service.
          properties:
            orderingFacilityCode:
              type: string
              description: |
                Internal short code or identifier representing the ordering facility.
              example: "PV"
            orderingFacility:
              type: string
              description: |
                Full name of the ordering facility or organization.
              example: "INFINX- ELK GROVE NEW1"
            orderingFacilityAddress:
              type: string
              description: Street address of the ordering facility.
              example: "123456 Test Street"
              x-phi: true
            orderingFacilityCity:
              type: string
              description: City where the ordering facility is located.
              example: "New York"
              x-phi: true
            orderingFacilityState:
              type: string
              description: Two-letter state abbreviation of the ordering facility location.
              example: "NY"
              x-phi: true
            orderingFacilityZip:
              type: string
              description: ZIP or postal code of the ordering facility.
              example: "10001"
              x-phi: true
            orderingFacilityNPI:
              type: string
              description: |
                National Provider Identifier (NPI) assigned to the facility.
                Must be a valid 10-digit numeric identifier.
              example: "1234567890"
              x-phi: true
            orderingFacilityContact:
              type: string
              description: Primary phone number of the ordering facility.
              example: "999-999-5555"
              x-phi: true
            orderingFacilityFax:
              type: string
              description: Fax number of the ordering facility.
              example: "999-999-5556"

        orderingPhysicianInformation:
          type: object
          description: |
            Contains information about the **ordering physician** -
            the provider who requested or authorized the medical service or procedure.
          properties:
            firstName:
              type: string
              description: Ordering physician’s first name.
              example: "Tim"
              x-phi: true
            lastName:
              type: string
              description: Ordering physician’s last name.
              example: "DOEPKER"
              x-phi: true
            physicianExternalId:
              type: string
              description: External or system-specific identifier for the ordering physician.
              example: "10002"
            npi:
              type: string
              description: |
                National Provider Identifier (NPI) for the physician, issued by CMS.
                Must be a valid 10-digit number.
              example: "1760466460"
            contact:
              type: string
              description: Ordering physician’s contact phone number.
              example: "999-999-2222"
              x-phi: true
            address:
              type: string
              description: Street address of the physician’s office or clinic.
              example: "12345 Test Street"
              x-phi: true
            faxNo:
              type: string
              description: Fax number for the physician’s office.
              example: "999-999-3333"
            physicianCity:
              type: string
              description: City of the physician’s office.
              example: "FORT ATKINSON"
              x-phi: true
            physicianState:
              type: string
              description: Two-letter state abbreviation for the physician’s location.
              example: "WI"
              x-phi: true
            physicianZip:
              type: string
              description: ZIP or postal code of the physician’s location.
              example: "53538"
              x-phi: true
            physicianTin:
              type: string
              description: |
                Tax Identification Number (TIN) associated with the physician or group practice.
              example: "123123123"

        customFieldInformation:
          type: object
          properties:
            customField1:
              type: string
              maxLength: 50
              description: Custom field 1 (max 50 characters).
              example: custom field1
            customField2:
              type: string
              maxLength: 50
              description: Custom field 2 (max 50 characters).
              example: custom field2

        systemIdentifier:
          type: string
      additionalProperties: true

    UpdateCaseEligibilityBenefitsRequest:
      allOf:
        - $ref: "#/components/schemas/CreateCaseEligibilityBenefitsRequest"

    CommentsInformationRequest:
      type: object
      properties:
        additionalInformation:
          type: array
          items:
            type: string

    CancelReasonsRequest:
      type: array
      items:
        type: object
        properties:
          reasonType:
            $ref: "#/components/schemas/CancelReasonType"
          reasons:
            type: array
            items:
              type: string

    CreateCaseWithAttachmentRequest:
      type: object
      properties:
        jsonPayload:
          type: string
          description: JSON payload string for case creation
        attachmentType:
          $ref: "#/components/schemas/AttachmentType"
        files:
          type: string
          format: binary

    WebhookRequest:
      type: object
      properties:
        appointmentId:
          type: string
          description: String field Appointment Number
          example: PAP-EXT-TEST-PA_EB-003
        caseNumber:
          type: string
          description: String field Case Number
          example: ipa-218604
        caseId:
          type: integer
          description: Integer value Case Id
          example: 192760
        caseStatus:
          type: string
          description: String field Case Status
          example: Pending Review
        subStatus:
          type: string
          description: String field Sub Status
          example: In Review
        statusReason:
          type: string
          description: String field status Reason
          example: Info Submitted to payer
        statusReasonOther:
          type: string
          description: String field at Status Reason Other
          example: Manual Followup required
        statusUpdatedAt:
          type: string
          format: date-time
          description: Date and time the status was updated in ISO 8601 format, UTC timezone.
          example: 2025-01-01T00:00:00Z
        informationType:
          type: string
          description: String field at Information Type
          example: Clinicals Required
        informationTypeOther:
          type: string
          description: String field Information Type Other
          example: clinicals Required
        nextFollowupDate:
          type: string
          nullable: true
          description: Nullable field Next Followup-Date
          example: null
        executionMode:
          $ref: "#/components/schemas/ExecutionMode"
        systemIdentifier:
          type: string
          description: String field Customer System Identifier
          example: TEST0001
        tenant:
          type: string
          description: String field Tenant
          example: ipa
        customFieldInformation:
          type: object
          description: |
            Optional custom fields for additional information not covered by dedicated attributes
            when creating or updating a case.
          properties:
            customField1:
              type: string
              maxLength: 50
              description: Custom field 1 (max 50 characters).
              example: test1
            customField2:
              type: string
              maxLength: 50
              description: Custom field 2 (max 50 characters).
              example: test2
        patientInformation:
          type: object
          description: Object containing Patient Information
          properties:
            patientId:
              type: string
              description: String field Patient Id/MRN
              example: P0001
            patientDateOfBirth:
              type: string
              description: String field Patient Date Of Birth
              example: 12/16/1964
            note:
              type: string
              description: String field Patient Note
              example: Test Notes
            lastName:
              type: string
              description: String field Patient Last Name
              example: Doe
            gender:
              type: string
              description: String field Patient Gender
              example: Male
            address:
              type: string
              description: String field Patient Address
              example: 123 Test Street
            firstName:
              type: string
              description: String field Patient First Name
              example: John
          example: &id002
            patientId: P0001
            patientDateOfBirth: 12/16/1964
            note: Test Notes
            lastName: Doe
            gender: Male
            address: 123 Test Street
            firstName: John
        facilityInformation:
          type: object
          description: Object containing Facility Information
          properties:
            facilityZip:
              type: string
              description: String field Facility Zip
              example: "10001"
            facilityCode:
              type: string
              description: String field Facility Code
              example: PV
            facilityContact:
              type: string
              description: String field Facility Contact
              example: 123-456-7890
            facilityFax:
              type: string
              description: String field Facility Fax
              example: "9999994444"
            facilityAddress:
              type: string
              description: String field Facility Address
              example: 123456 Test Street
            facilityNPI:
              type: string
              description: String field Facility NPI
              example: "1891925582"
            facilityState:
              type: string
              description: String field Facility State
              example: NY
            facilityCity:
              type: string
              description: String field Facility City
              example: New York
          example: &id003
            facilityZip: "10001"
            facilityCode: PV
            facilityContact: 123-456-7890
            facilityFax: "9999994444"
            facilityAddress: 123456 Test Street
            facilityNPI: "1891925582"
            facilityState: NY
            facilityCity: New York
        orderingFacilityInformation:
          type: object
          description: Object containing Ordering Facility Information
          properties:
            orderingFacilityZip:
              type: string
              description: String field Ordering Facility Zip
              example: "10001"
            orderingFacility:
              type: string
              description: String field Ordering Facility
              example: BLR- ELK GROVE NEW
            orderingFacilityNPI:
              type: string
              description: String field Ordering Facility NPI
              example: "1891925582"
            orderingFacilityState:
              type: string
              description: String field Ordering Facility State
              example: NY
            orderingFacilityAddress:
              type: string
              description: String field Ordering Facility Address
              example: 123456 Test Street
            orderingFacilityCode:
              type: string
              description: String field Ordering  Facility Code
              example: PV
            orderingFacilityCity:
              type: string
              description: String field Ordering  Facility City
              example: New York
            orderingFacilityFax:
              type: string
              description: String field Ordering Facility Fax
              example: 999-999-5555
            orderingFacilityContact:
              type: string
              description: String field Ordering Facility Contact
              example: 999-999-6666
          example: &id004
            orderingFacilityZip: "10001"
            orderingFacility: BLR- ELK GROVE NEW
            orderingFacilityNPI: "1891925582"
            orderingFacilityState: NY
            orderingFacilityAddress: 123456 Test Street
            orderingFacilityCode: PV
            orderingFacilityCity: New York
            orderingFacilityFax: 999-999-5555
            orderingFacilityContact: 999-999-6666
        physicianInformation:
          type: object
          description: Object containing Physician Information
          properties:
            lastName:
              type: string
              description: String field Physician Last Name
              example: DOEHRING
            address:
              type: string
              description: String field Physician Address
              example: 1234 Test Street
            npi:
              type: string
              description: String field Physician npi
              example: "1841243912"
            physicianState:
              type: string
              description: String field Physician State
              example: NY
            physicianExternalId:
              type: string
              description: String field Physician External Id
              example: "1001"
            physicianTaxonomyCode:
              type: string
              description: String field Physician Taxonomy Code
              example: 2085R0202X
            physicianZip:
              type: string
              description: String field Physician Zip
              example: "10001"
            fullName:
              type: string
              description: String field Physician Full Name
              example: Tom DOEHRING
            physicianCity:
              type: string
              description: String field Physician City
              example: New York
            physicianTaxonomyLicense:
              type: string
              description: String field Physician Taxonomy License
              example: G50925
            firstName:
              type: string
              description: String field Physician First Name
              example: Tom
            physicianTaxonomyState:
              type: string
              description: String field Physician Taxonomy State
              example: CA
            faxNo:
              type: string
              description: String field Physician FaxNo
              example: "9999991111"
            taxId:
              type: integer
              description: Integer value Physician TaxId
              example: 357191
            physicianTaxonomyDescription:
              type: string
              description: String field Physician Taxonomy Description
              example: Radiology, Diagnostic Radiology
            contact:
              type: string
              description: String field Physician Contact
              example: 999-999-9999
            enrolled:
              type: boolean
              description: Boolean value Physician Enrolled
              example: false
            physicianTin:
              type: string
              description: String field Physician Tin
              example: "123456789"
          example: &id005
            lastName: DOEHRING
            address: 1234 Test Street
            physicianAddressId: null
            npi: "1841243912"
            physicianState: NY
            physicianExternalId: "1001"
            physicianTaxonomyCode: 2085R0202X
            physicianZip: "10001"
            fullName: Tom DOEHRING
            physicianCity: New York
            physicianTaxonomyLicense: G50925
            firstName: Tom
            physicianTaxonomyState: CA
            faxNo: "9999991111"
            taxId: 357191
            physicianTaxonomyDescription: Radiology, Diagnostic Radiology
            contact: 999-999-9999
            enrolled: false
            physicianTin: "123456789"
        diagnosisInformation:
          type: array
          description: List of diagnosis entries associated with the case or webhook payload
          items:
            type: object
            properties:
              description:
                type: string
                description: String field Diagnosis Description
                example: Other specified
              icd_10Code:
                type: string
                description: String field Diagnosis icd_10Code
                example: M51.04
          example: &id006
            - description: Other specified
              icd_10Code: M51.04
        orderingPhysicianInformation:
          type: object
          description: Object containing Ordering Physician Information
          properties:
            lastName:
              type: string
              description: String field Ordering Physician Last Name
              example: DOEPKER
            address:
              type: string
              description: String field Ordering Physician Address
              example: 12345 Test Street
            npi:
              type: string
              description: String field Ordering Physician npi
              example: "1760466460"
            physicianState:
              type: string
              description: String field Ordering Physician State
              example: WI
            physicianExternalId:
              type: string
              description: String field Ordering Physician External Id
              example: "10002"
            physicianTaxonomyCode:
              type: string
              nullable: true
              description: Nullable field Ordering Physician Taxonomy Code
              example: null
            physicianZip:
              type: string
              description: String field Ordering Physician Zip
              example: "53538"
            fullName:
              type: string
              description: String field Ordering Physician Full Name
              example: Tim DOEPKER
            physicianCity:
              type: string
              description: String field Ordering Physician City
              example: FORT ATKINSON
            physicianTaxonomyLicense:
              type: string
              nullable: true
              description: Nullable field Ordering Physician Taxonomy License
              example: null
            firstName:
              type: string
              description: String field Ordering Physician First Name
              example: Tim
            physicianTaxonomyState:
              type: string
              nullable: true
              description: Nullable field Ordering Physician Taxonomy State
              example: null
            faxNo:
              type: string
              description: String field Ordering Physician FaxNo
              example: 999-999-3333
            taxId:
              type: string
              description: String field at root.orderingPhysicianInformation.taxId
              example: "123456789"
            physicianTaxonomyDescription:
              type: string
              nullable: true
              description: Nullable field Ordering Physician Taxonomy Description
              example: null
            contact:
              type: string
              description: String field Ordering Physician Contact
              example: 999-999-2222
            physicianTin:
              type: string
              description: String field Ordering Physician Tin
              example: "123123123"
          example: &id007
            lastName: DOEPKER
            address: 12345 Test Street
            npi: "1760466460"
            physicianState: WI
            physicianExternalId: "10002"
            physicianTaxonomyCode: null
            physicianZip: "53538"
            fullName: Tim DOEPKER
            physicianCity: FORT ATKINSON
            physicianTaxonomyLicense: null
            firstName: Tim
            physicianTaxonomyState: null
            faxNo: 999-999-3333
            taxId: "123456789"
            physicianTaxonomyDescription: null
            contact: 999-999-2222
            physicianTin: "123123123"
        procedureInformation:
          type: array
          description: List of procedure line items associated with the case or webhook payload
          items:
            type: object
            properties:
              serviceType:
                type: string
                description: String field Service Type
                example: "4"
              quantityType:
                type: string
                description: String field Quantity Type
                example: Visits
              testCode:
                type: string
                description: String field Test Code
                example: T1
              modifier:
                type: string
                description: String field Modifier
                example: TC
              description:
                type: string
                description: String field Description
                example: X-ray of shoulder, minimum of 2 views
              id:
                type: integer
                description: Integer value id
                example: 261067
              testGroupName:
                type: string
                description: String field Test Group Name
                example: Test Group
              placeOfService:
                type: string
                description: String field Place Of Service
                example: Home
              cptCode:
                type: string
                description: String field Cpt Code
                example: "73030"
              bodyPart:
                type: string
                description: String field Body Part
                example: Shoulder
              testName:
                type: string
                description: String field TestName
                example: Test
          example: &id008
            - serviceType: "4"
              quantityType: Visits
              testCode: T1
              modifier: TC
              description: X-ray of shoulder, minimum of 2 views
              id: 261067
              testGroupName: Test Group
              placeOfService: Home
              cptCode: "73030"
              bodyPart: Shoulder
              testName: Test
        procedureAuthorizationInformation:
          type: array
          description: List of procedure authorization records associated with the case or webhook payload
          items:
            type: object
            properties:
              unitsAuthorizedType:
                type: string
                description: String field Units Authorized Type
                example: Units
              unitsAuthorized:
                type: string
                description: String field Units Authorized
                example: "10"
              peerReviewDate:
                type: integer
                nullable: true
                description: Integer value Peer Review Date (epoch ms) when applicable
                example: 1761609600000
              callReferenceNumber:
                type: string
                description: String field Call Reference Number
                example: "74389438934"
              procedureId:
                type: integer
                description: Integer value Procedure Id
                example: 261067
              expiryDate:
                type: string
                nullable: true
                description: String field Authorization Expiry Date
                example: 2025-10-29T00:00:00.000+0000
              omJobNumber:
                type: string
                description: String field Om Job Number
                example: ipa-218604J1
              denialReason:
                type: string
                nullable: true
                description: String field Denial Reason
                example: Existing Denial with either same Facility or provider or Procedure.
              insuranceId:
                type: integer
                description: Integer value Insurance Id
                example: 202737
              authNumber:
                type: string
                nullable: true
                description: String field Authorization Number
                example: "2877822"
              id:
                type: integer
                description: Integer value id
                example: 482429
              trackingNumber:
                type: string
                nullable: true
                description: Nullable field Tracking Number
                example: null
              caseReferenceNumber:
                type: string
                nullable: true
                description: Nullable field Case Reference Number
                example: null
              effectiveDate:
                type: string
                nullable: true
                description: String field Authorization Effective Date
                example: 2025-10-22T00:00:00.000+0000
              status:
                type: string
                nullable: true
                description: String field Status
                example: Denied
          example: &id009
            - unitsAuthorizedType: Units
              unitsAuthorized: "10"
              peerReviewDate: 1761609600000
              callReferenceNumber: "74389438934"
              procedureId: 261067
              expiryDate: 2025-10-29T00:00:00.000+0000
              omJobNumber: ipa-218604J1
              denialReason: Existing Denial with either same Facility or provider or Procedure.
              insuranceId: 202737
              authNumber: "2877822"
              id: 482429
              trackingNumber: null
              caseReferenceNumber: null
              effectiveDate: 2025-10-22T00:00:00.000+0000
              status: Denied
        insuranceInformation:
          type: array
          description: List of insurance coverage rows associated with the case or webhook payload
          items:
            type: object
            properties:
              groupName:
                type: string
                nullable: true
                description: Nullable field GroupName
                example: null
              payerType:
                type: string
                description: String field Payer Type
                example: PRIMARY
              masterPayerCode:
                type: string
                description: String field Master Payer Code
                example: CWJOSLHN
              contact:
                type: string
                nullable: true
                description: Nullable field Contact
                example: null
              policyNumber:
                type: string
                nullable: true
                description: String field Policy Number
                example: TEST 001
              payerName:
                type: string
                description: String field Payer Name
                example: Humana
              id:
                type: integer
                description: Integer value id
                example: 202737
              networkType:
                type: string
                nullable: true
                description: String field Network Type
                example: In Network
              groupNumber:
                type: string
                nullable: true
                description: String field Group Number
                example: Commercial
              memberId:
                type: string
                description: String field Member Id
                example: TEST1234567
          example: &id010
            - groupName: null
              payerType: PRIMARY
              masterPayerCode: CWJOSLHN
              contact: null
              policyNumber: TEST 001
              payerName: Humana
              id: 202737
              networkType: In Network
              groupNumber: Commercial
              memberId: TEST1234567
        attachmentInformation:
          type: array
          description: Attachments associated with the case or webhook payload
          items:
            type: object
            properties:
              fileName:
                type: string
                description: File name or storage path of the attachment
                example: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
              mimeType:
                type: string
                description: MIME type of the attachment
                example: application/pdf
              id:
                type: integer
                description: Unique identifier for the attachment
                example: 7947
              data:
                type: string
                description: Base64-encoded file content
                example: jU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg==
              fileExtension:
                type: string
                description: File extension
                example: pdf
          example: &id011
            - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
              mimeType: application/pdf
              id: 7947
              data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
              fileExtension: pdf
        commentInformation:
          type: array
          description: Comments associated with the case or webhook payload
          items:
            type: object
            properties:
              id:
                type: integer
                description: Integer value Id
                example: 42247
              comments:
                type: string
                description: String field Comments
                example: Manual Review Required.
              createdOn:
                type: string
                description: String field Created On
                example: "2026-04-20T15:06:51.305+0000"
              userName:
                type: string
                description: String field User Name
                example: infinx.auth.agent
          example: &id012
            - id: 42247
              comments: Manual Review Required.
              createdOn: "2026-04-20T15:06:51.305+0000"
              userName: infinx.auth.agent
        eligiblityBenefitsInformation:
          type: array
          description: List of eligibility or benefits detail rows associated with the case or webhook payload
          items:
            type: object
            properties:
              planType:
                type: string
                description: String field Plan Type
                example: MEDICAID
              additionalPayerName:
                type: string
                description: String field Additional Payer Name
                example: Payer
              procedureId:
                type: integer
                description: Integer value Procedure Id
                example: 261067
              eligibilityStatus:
                type: string
                description: String field Eligibility Status
                example: Eligible
              planStart:
                type: integer
                description: Integer value Plan Start
                example: 1761609600000
              omJobNumber:
                type: string
                description: String field Om Job Number
                example: ipa-218604J1
              procedureAuthorizationId:
                type: integer
                description: Integer value Procedure Authorization Id
                example: 482429
              coordinationOfBenefitsDate:
                type: integer
                description: Integer value Coordination Of Benefits Date
                example: 1761696000000
              additionalPlanName:
                type: string
                description: String field Additional Plan Name
                example: MADICARE
              insuranceId:
                type: integer
                description: Integer value InsuranceId
                example: 202737
              additionalPayerType:
                type: string
                description: String field Additional Payer Type
                example: Primary
              plan:
                type: string
                description: String field Eligiblity Plan
                example: HMO
              planEnd:
                type: integer
                description: Integer value Plan End
                example: 1761696000000
              medicareAmountUsed:
                type: integer
                description: Integer value Medicare Amount Used
                example: 10
              coIns:
                type: integer
                description: Integer value Co Ins
                example: 10
              coPayPlaceOfService:
                type: string
                description: String field CoPay Place Of Service
                example: Specialist
              networkStatus:
                type: string
                description: String field Network Status
                example: General
              ptUsed:
                type: integer
                description: Integer value PtUsed
                example: 10
              outOfPocketRemainingCoverageType:
                type: string
                description: String field Out  OfPocket Remaining Coverage Type
                example: Spouse and Children
              medicareCapAmount:
                type: integer
                description: Integer value Medicare Cap Amount
                example: 10
              deductibleCoverageType:
                type: string
                description: String field Deductible Coverage Type
                example: Children
              deductibleRemaining:
                type: integer
                description: Integer value Deductible Remaining
                example: 90
              OutofPocketMaxRemaining:
                type: integer
                description: Integer value Out of Pocket Max Remaining
                example: 900
              ptLimit:
                type: integer
                description: Integer value Pt Limit
                example: 10
              outOfPocketCoverageType:
                type: string
                description: String field Out Of Pocket Coverage Type
                example: Spouse and Children
              coInsurancePlaceOfService:
                type: string
                description: String field Co Insurance Place Of Service
                example: Specialist
              outofPocketMax:
                type: integer
                description: Integer value Out of Pocket Max
                example: 1000
              ptUsedType:
                type: string
                description: String field Pt Used Type
                example: Units
              deductibleNetworkType:
                type: string
                description: String field Deductible Network Type
                example: General
              annualDeductible:
                type: integer
                description: Integer value Annual Deductible
                example: 100
              coInsuranceNetworkType:
                type: string
                description: String field Co Insurance Network Type
                example: General
              ptLimitType:
                type: string
                description: String field Pt Limit Type
                example: Units
              coverageType:
                type: string
                description: String field Coverage Type
                example: Spouse and Children
              outOfPocketNetworkType:
                type: string
                description: String field Out Of Pocket Network Type
                example: General
              outOfPocketRemainingNetworkType:
                type: string
                description: String field Out Of Pocket Remaining Network Type
                example: General
              authorizationRequired:
                type: string
                description: String field Authorization Required
                example: "No"
              deductibleRemainingNetworkType:
                type: string
                description: String field Deductible Remaining Network Type
                example: General
              deductibleRemainingCoverageType:
                type: string
                description: String field Deductible Remaining Coverage Type
                example: Spouse and Children
              coPayNetworkType:
                type: string
                description: String field CoPay Network Type
                example: General
              coPay:
                type: integer
                description: Integer value CoPay
                example: 120
              referralRequired:
                type: string
                description: String field Referral Required
                example: "No"
          example: &id013
            - planType: MEDICAID
              additionalPayerName: Payer
              procedureId: 261067
              eligibilityStatus: Eligible
              planStart: 1761609600000
              omJobNumber: ipa-218604J1
              procedureAuthorizationId: 482429
              coordinationOfBenefitsDate: 1761696000000
              additionalPlanName: MADICARE
              insuranceId: 202737
              additionalPayerType: Primary
              plan: HMO
              planEnd: 1761696000000
              medicareAmountUsed: 10
              coIns: 10
              coPayPlaceOfService: Specialist
              networkStatus: General
              ptUsed: 10
              outOfPocketRemainingCoverageType: Spouse and Children
              medicareCapAmount: 10
              deductibleCoverageType: Children
              deductibleRemaining: 90
              OutofPocketMaxRemaining: 900
              ptLimit: 10
              outOfPocketCoverageType: Spouse and Children
              coInsurancePlaceOfService: Specialist
              outofPocketMax: 1000
              ptUsedType: Units
              deductibleNetworkType: General
              annualDeductible: 100
              coInsuranceNetworkType: General
              ptLimitType: Units
              coverageType: Spouse and Children
              outOfPocketNetworkType: General
              outOfPocketRemainingNetworkType: General
              authorizationRequired: "No"
              deductibleRemainingNetworkType: General
              deductibleRemainingCoverageType: Spouse and Children
              coPayNetworkType: General
              coPay: 120
              referralRequired: "No"
        eligibilityDetails:
          type: array
          description: Detailed eligibility benefit information returned from the eligibility source.
          items:
            type: object
            properties:
              eligibilitySource:
                type: string
                description: Source from which eligibility information was obtained.
                example: EB_WAVELAND
              plan:
                type: object
                description: Plan information.
                properties:
                  planName:
                    type: string
                    example: CALPERS ACTIVE ACCESS HMO GROUP BILL
                  planType:
                    type: string
                    nullable: true
                    example: null
                  groupNumber:
                    type: string
                    example: W0051411
                  planStartDate:
                    type: string
                    format: date-time
                    example: "2026-01-01T00:00:00Z"
                  planEndDate:
                    type: string
                    format: date-time
                    example: "9999-12-31T00:00:00Z"
              planStatus:
                type: object
                description: Coverage status details.
                properties:
                  status:
                    type: string
                    example: Active Coverage
                  networkType:
                    type: string
                    example: In-Network
                  coverageType:
                    type: string
                    example: Family
                  serviceTypes:
                    type: object
                    properties:
                      code:
                        type: string
                        example: "30"
                      name:
                        type: string
                        example: Plan Coverage and General Benefits
                  coverageStatus:
                    type: string
                    example: Eligible
              benefits:
                type: object
                properties:
                  coPay:
                    type: array
                    items:
                      type: object
                      properties:
                        networkType:
                          type: string
                          example: In-Network
                        benefitValue:
                          type: string
                          example: "15"
                        serviceTypes:
                          type: object
                          properties:
                            code:
                              type: string
                              example: PT
                            name:
                              type: string
                              example: Physical Therapy
                        applicableFor:
                          type: array
                          items:
                            type: string
                        coverageLevel:
                          type: string
                          example: Individual
                        timeQualifier:
                          type: string
                          example: Visit
                        referralRequired:
                          type: string
                          nullable: true
                          example: "No"
                        authorizationRequired:
                          type: string
                          nullable: true
                          example: "Yes"
                  deductible:
                    type: array
                    items:
                      type: object
                      properties:
                        networkType:
                          type: string
                          example: In-Network
                        benefitValue:
                          type: string
                          example: "0"
                        serviceTypes:
                          type: object
                          properties:
                            code:
                              type: string
                              example: "30"
                            name:
                              type: string
                              example: Plan Coverage and General Benefits
                        applicableFor:
                          type: array
                          items:
                            type: string
                        coverageLevel:
                          type: string
                          example: Individual
                        timeQualifier:
                          type: string
                          example: Calendar Year
                  coInsurance:
                    type: array
                    items:
                      type: object
                      properties:
                        networkType:
                          type: string
                          example: In-Network
                        benefitValue:
                          type: string
                          example: "10"
                        serviceTypes:
                          type: object
                          properties:
                            code:
                              type: string
                              example: PT
                            name:
                              type: string
                              example: Physical Therapy
                        applicableFor:
                          type: array
                          items:
                            type: string
                        coverageLevel:
                          type: string
                          example: Individual
                        timeQualifier:
                          type: string
                          example: Visit
                        referralRequired:
                          type: string
                          nullable: true
                          example: "No"
                        authorizationRequired:
                          type: string
                          nullable: true
                          example: "No"
                  limitations:
                    type: array
                    items:
                      type: object
                      properties:
                        description:
                          type: array
                          items:
                            type: string
                        coverageLevel:
                          type: string
                          example: Individual
                        benefitQuantity:
                          type: string
                          example: "100"
                        quantityQualifier:
                          type: string
                          example: "100"
                  outOfPocket:
                    type: array
                    items:
                      type: object
                      properties:
                        networkType:
                          type: string
                          example: In-Network
                        benefitValue:
                          type: string
                          example: "1500"
                        serviceTypes:
                          type: object
                          properties:
                            code:
                              type: string
                              example: "30"
                            name:
                              type: string
                              example: Plan Coverage and General Benefits
                        applicableFor:
                          type: array
                          items:
                            type: string
                        coverageLevel:
                          type: string
                          example: Individual
                        timeQualifier:
                          type: string
                          example: Calendar Year
              providerEntities:
                type: object
                properties:
                  ipa:
                    type: object
                    properties:
                      name:
                        type: string
                        example: RIVERSIDE MEDICAL CLINIC INC
                      address:
                        type: object
                        properties:
                          line1:
                            type: string
                            example: 3660 ARLINGTON AVE
                          city:
                            type: string
                            example: RIVERSIDE
                          state:
                            type: string
                            example: CA
                          zip:
                            type: string
                            example: "925063912"
                      contact:
                        type: array
                        items:
                          type: object
                          properties:
                            type:
                              type: string
                              example: Telephone
                            value:
                              type: string
                              example: "9516836370"
          example:
            - eligibilitySource: EB_WAVELAND
              plan:
                planName: CALPERS ACTIVE ACCESS HMO GROUP BILL
                planType: null
                groupNumber: W0051411
                planStartDate: "2026-01-01T00:00:00Z"
                planEndDate: "9999-12-31T00:00:00Z"
              planStatus:
                status: Active Coverage
                networkType: In-Network
                coverageType: Family
                serviceTypes:
                  code: "30"
                  name: Plan Coverage and General Benefits
                coverageStatus: Eligible
              benefits:
                coPay:
                  - networkType: In-Network
                    benefitValue: "15"
                    serviceTypes:
                      code: PT
                      name: Physical Therapy
                    applicableFor:
                      - FACILITY BENEFIT REHABILITATIVE THERAPY OUTPATIENT FACILITY REHABILITATION PHYSICAL THERAPY
                    coverageLevel: Individual
                    timeQualifier: Visit
                    referralRequired: "No"
                    authorizationRequired: "Yes"
                deductible:
                  - networkType: In-Network
                    benefitValue: "0"
                    serviceTypes:
                      code: "30"
                      name: Plan Coverage and General Benefits
                    applicableFor:
                      - FACILITY BENEFIT REHABILITATIVE THERAPY OUTPATIENT FACILITY REHABILITATION PHYSICAL THERAPY
                    coverageLevel: Individual
                    timeQualifier: Calendar Year
                coInsurance:
                  - networkType: In-Network
                    benefitValue: "10"
                    serviceTypes:
                      code: PT
                      name: Physical Therapy
                    applicableFor:
                      - FACILITY BENEFIT REHABILITATIVE THERAPY OUTPATIENT FACILITY REHABILITATION PHYSICAL THERAPY
                    coverageLevel: Individual
                    timeQualifier: Visit
                    referralRequired: "No"
                    authorizationRequired: "No"
                limitations:
                  - description:
                      - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                    coverageLevel: Individual
                    benefitQuantity: "100"
                    quantityQualifier: "100"
                outOfPocket:
                  - networkType: In-Network
                    benefitValue: "1500"
                    serviceTypes:
                      code: "30"
                      name: Plan Coverage and General Benefits
                    applicableFor:
                      - FACILITY BENEFIT REHABILITATIVE THERAPY OUTPATIENT FACILITY REHABILITATION PHYSICAL THERAPY
                    coverageLevel: Individual
                    timeQualifier: Calendar Year
              providerEntities:
                ipa:
                  name: RIVERSIDE MEDICAL CLINIC INC
                  address:
                    line1: 3660 ARLINGTON AVE
                    city: RIVERSIDE
                    state: CA
                    zip: "925063912"
                  contact:
                    - type: Telephone
                      value: "9516836370"
        ppeInformation:
          type: object
          description: Object containing PPE Information
          properties:
            totalPatientRepsonsibiliy:
              type: string
              nullable: true
              description: Nullable field Total Patient Repsonsibiliy
              example: null
            payerPPESummary:
              type: array
              description: List of payer PPE summary rows per procedure or authorization line
              items:
                type: object
                properties:
                  omJobNumber:
                    type: string
                    description: String field JobNumber
                    example: ipa-218604J1
                  procedureAuthorizationId:
                    type: integer
                    description: Integer value Procedure Authorization Id
                    example: 482429
                  cptPatientEstimateAmount:
                    type: string
                    nullable: true
                    description: Nullable field Cpt Patient Estimate Amount
                    example: null
                  payerDueAmount:
                    type: string
                    nullable: true
                    description: Nullable field Payer Due Amount
                    example: null
                  insuranceId:
                    type: integer
                    description: Integer value Insurance Id
                    example: 202737
                  benefitsApplied:
                    type: string
                    nullable: true
                    description: Nullable field Benefits Applied
                    example: null
                  procedureId:
                    type: integer
                    description: Integer value ProcedureId
                    example: 261067
                  allowedAmount:
                    type: string
                    nullable: true
                    description: Nullable field Allowed Amount
                    example: null
                  allowedAmountSource:
                    type: string
                    nullable: true
                    description: Nullable field Allowed Amount Source
                    example: null
              example: &id001
                - omJobNumber: ipa-218604J1
                  procedureAuthorizationId: 482429
                  cptPatientEstimateAmount: null
                  payerDueAmount: null
                  insuranceId: 202737
                  benefitsApplied: null
                  procedureId: 261067
                  allowedAmount: null
                  allowedAmountSource: null
            ppeDisclaimer:
              type: string
              description: String field at root.ppeInformation.ppeDisclaimer
              example:
                This is an estimate and not a guarantee of payment. It is based on an estimate of
                negotiated rates and not actual contracts.It does not consider a medical necessity,
                limitation or exclusion
          example: &id014
            totalPatientRepsonsibiliy: null
            payerPPESummary: *id001
            ppeDisclaimer:
              This is an estimate and not a guarantee of payment. It is based on an estimate of
              negotiated rates and not actual contracts.It does not consider a medical necessity,
              limitation or exclusion
      example:
        appointmentId: PAP-EXT-TEST-PA_EB-003
        caseNumber: ipa-218604
        caseId: 192760
        caseStatus: Pending Review
        subStatus: In Review
        statusReason: Info Submitted to payer
        statusReasonOther: Manual Followup required
        informationType: Clinicals Required
        informationTypeOther: clinicals Required
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: TEST0001
        tenant: ipa
        customFieldInformation:
          customField1: test1
          customField2: test2
        patientInformation: *id002
        facilityInformation: *id003
        orderingFacilityInformation: *id004
        physicianInformation: *id005
        diagnosisInformation: *id006
        orderingPhysicianInformation: *id007
        procedureInformation: *id008
        procedureAuthorizationInformation: *id009
        insuranceInformation: *id010
        attachmentInformation: *id011
        commentInformation: *id012
        eligiblityBenefitsInformation: *id013
        ppeInformation: *id014

    # ============================================================
    # Webhook Response SCHEMAS
    # ============================================================

  examples:
    # ============================================================
    # Webhook Response SCHEMAS EligibilityBenefitsWebhookSample
    # ============================================================

    EligibilityBenefitsWebhookSample-Intake_Review:
      summary: Eligibility Benefits - Intake Review
      description: Example payload for Eligibility Benefits
      value:
        appointmentId: TEST_EB_EXTERNAL_001
        caseNumber: ipa-218587
        caseId: 192743
        caseStatus: Intake Review
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        contact: Infinx
        tenant: ipa
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: null
        patientInformation:
          lastName: Doe
          gender: Male
          patientId: A1110
          address: 1234 24th Avenue North
          firstName: John
          patientDateOfBirth: 09/28/2025
          note: null
        facilityInformation:
          facilityZip: "37215"
          facilityCode: "1024"
          facilityContact: 615-324-1600
          facilityFax: "6152842003"
          facilityAddress: 356 24th Avenue North.
          facilityNPI: "1649713322"
          facilityState: TN
          facilityCity: NASHVILLE
        physicianInformation:
          lastName: null
          address: null
          physicianAddressId: null
          npi: null
          physicianState: null
          physicianExternalId: null
          physicianTaxonomyCode: null
          physicianZip: null
          fullName: null
          physicianCity: null
          physicianTaxonomyLicense: null
          firstName: null
          physicianTaxonomyState: null
          faxNo: null
          taxId: null
          physicianTaxonomyDescription: null
          contact: null
          enrolled: false
          physicianTin: null
        diagnosisInformation:
          - description: Retrovirus infections, not elsewhere classified
            icd_10Code: B33.3
        procedureAuthorizationInformation:
          - unitsAuthorizedType: null
            unitsAuthorized: null
            peerReviewDate: null
            callReferenceNumber: null
            procedureId: 261051
            expiryDate: null
            omJobNumber: ipa-218587J1
            denialReason: null
            insuranceId: 202719
            authNumber: null
            id: 482389
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: null
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: null
            payerName: Humana
            id: 202719
            networkType: null
            groupNumber: null
            memberId: "8789892"
        orderingFacilityInformation:
          orderingFacilityZip: "12345"
          orderingFacility: FACILITY NAME
          orderingFacilityNPI: "67890"
          orderingFacilityState: CA
          orderingFacilityAddress: 123 Main St
          orderingFacilityCode: FAC-001
          orderingFacilityCity: San Francisco
          orderingFacilityFax: 123-456-7890
          orderingFacilityContact: 837-993-0983
        orderingPhysicianInformation:
          lastName: null
          address: null
          npi: "1649713322"
          physicianState: OH
          physicianExternalId: null
          physicianTaxonomyCode: null
          physicianZip: null
          fullName: "JANE "
          physicianCity: null
          physicianTaxonomyLicense: null
          firstName: JANE
          physicianTaxonomyState: null
          faxNo: null
          taxId: null
          physicianTaxonomyDescription: null
          contact: null
          enrolled: false
          physicianTin: null
        procedureInformation:
          - serviceType: "4"
            quantityType: null
            testCode: null
            modifier: null
            description: X-ray of shoulder, minimum of 2 views
            id: 261051
            testGroupName: null
            placeOfService: Home
            cptCode: "73030"
            bodyPart: null
            testName: null
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    EligibilityBenefitsWebhookSample-Pending_Determination:
      summary: Eligibility Benefits - Pending Determination
      description: Example payload for Eligibility Benefits
      value:
        appointmentId: TEST_EB_EXTERNAL_001
        caseNumber: ipa-218587
        caseId: 192743
        caseStatus: Pending Determination
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        contact: null
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: null
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          lastName: Doe
          gender: Male
          patientId: null
          address: null
          firstName: John
          patientDateOfBirth: 09/28/2025
          note: null
        facilityInformation:
          facilityZip: "37215"
          facilityCode: "1024"
          facilityContact: 615-324-1600
          facilityFax: "6152842003"
          facilityAddress: 356 24th Avenue North.
          facilityNPI: "1649713322"
          facilityState: TN
          facilityCity: NASHVILLE
        physicianInformation:
          lastName: null
          address: null
          physicianAddressId: null
          npi: null
          physicianState: null
          physicianExternalId: null
          physicianTaxonomyCode: null
          physicianZip: null
          fullName: null
          physicianCity: null
          physicianTaxonomyLicense: null
          firstName: null
          physicianTaxonomyState: null
          faxNo: null
          taxId: null
          physicianTaxonomyDescription: null
          contact: null
          enrolled: false
          physicianTin: null
        diagnosisInformation:
          - description: Retrovirus infections, not elsewhere classified
            icd_10Code: B33.3
        procedureAuthorizationInformation:
          - unitsAuthorizedType: null
            unitsAuthorized: null
            peerReviewDate: null
            callReferenceNumber: null
            procedureId: 261051
            expiryDate: null
            omJobNumber: ipa-218587J1
            denialReason: null
            insuranceId: 202719
            authNumber: null
            id: 482389
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: null
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: null
            payerName: Humana
            id: 202719
            networkType: null
            groupNumber: null
            memberId: "8789892"
        orderingFacilityInformation:
          orderingFacilityZip: "12345"
          orderingFacility: FACILITY NAME
          orderingFacilityNPI: "67890"
          orderingFacilityState: CA
          orderingFacilityAddress: 123 Main St
          orderingFacilityCode: FAC-001
          orderingFacilityCity: San Francisco
          orderingFacilityFax: 123-456-7890
          orderingFacilityContact: 837-993-0983
        orderingPhysicianInformation:
          lastName: null
          address: null
          npi: "1649713322"
          physicianState: OH
          physicianExternalId: null
          physicianTaxonomyCode: null
          physicianZip: null
          fullName: "JANE "
          physicianCity: null
          physicianTaxonomyLicense: null
          firstName: JANE
          physicianTaxonomyState: null
          faxNo: null
          taxId: null
          physicianTaxonomyDescription: null
          contact: null
          enrolled: false
          physicianTin: null
        procedureInformation:
          - serviceType: "4"
            quantityType: null
            testCode: null
            modifier: null
            description: X-ray of shoulder, minimum of 2 views
            id: 261051
            testGroupName: null
            placeOfService: Home
            cptCode: "73030"
            bodyPart: null
            testName: null
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    EligibilityBenefitsWebhookSample-Pending_Verification:
      summary: Eligibility Benefits - Pending Verification
      description: Example payload for Eligibility Benefits
      value:
        appointmentId: TEST_EB_EXTERNAL_001
        caseNumber: ipa-218587
        caseId: 192743
        caseStatus: Pending Verification
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        contact: null
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: null
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          lastName: Doe
          gender: Male
          patientId: null
          address: null
          firstName: John
          patientDateOfBirth: 09/28/2025
          note: null
        facilityInformation:
          facilityZip: "37215"
          facilityCode: "1024"
          facilityContact: 615-324-1600
          facilityFax: "6152842003"
          facilityAddress: 356 24th Avenue North.
          facilityNPI: "1649713322"
          facilityState: TN
          facilityCity: NASHVILLE
        physicianInformation:
          lastName: null
          address: null
          physicianAddressId: null
          npi: null
          physicianState: null
          physicianExternalId: null
          physicianTaxonomyCode: null
          physicianZip: null
          fullName: null
          physicianCity: null
          physicianTaxonomyLicense: null
          firstName: null
          physicianTaxonomyState: null
          faxNo: null
          taxId: null
          physicianTaxonomyDescription: null
          contact: null
          enrolled: false
          physicianTin: null
        diagnosisInformation:
          - description: Retrovirus infections, not elsewhere classified
            icd_10Code: B33.3
        procedureAuthorizationInformation:
          - unitsAuthorizedType: null
            unitsAuthorized: null
            peerReviewDate: null
            callReferenceNumber: null
            procedureId: 261051
            expiryDate: null
            omJobNumber: ipa-218587J1
            denialReason: null
            insuranceId: 202719
            authNumber: null
            id: 482389
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: null
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: null
            payerName: Humana
            id: 202719
            networkType: null
            groupNumber: null
            memberId: "8789892"
        orderingFacilityInformation:
          orderingFacilityZip: "12345"
          orderingFacility: FACILITY NAME
          orderingFacilityNPI: "67890"
          orderingFacilityState: CA
          orderingFacilityAddress: 123 Main St
          orderingFacilityCode: FAC-001
          orderingFacilityCity: San Francisco
          orderingFacilityFax: 123-456-7890
          orderingFacilityContact: 837-993-0983
        orderingPhysicianInformation:
          lastName: null
          address: null
          npi: "1649713322"
          physicianState: OH
          physicianExternalId: null
          physicianTaxonomyCode: null
          physicianZip: null
          fullName: "JANE "
          physicianCity: null
          physicianTaxonomyLicense: null
          firstName: JANE
          physicianTaxonomyState: null
          faxNo: null
          taxId: null
          physicianTaxonomyDescription: null
          contact: null
          enrolled: false
          physicianTin: null
        procedureInformation:
          - serviceType: "4"
            quantityType: null
            testCode: null
            modifier: null
            description: X-ray of shoulder, minimum of 2 views
            id: 261051
            testGroupName: null
            placeOfService: Home
            cptCode: "73030"
            bodyPart: null
            testName: null
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    EligibilityBenefitsWebhookSample-InEligible:
      summary: Eligibility Benefits - InEligible
      description: Example payload for Eligibility Benefits
      value:
        appointmentId: TEST_EB_EXTERNAL_001
        caseNumber: ipa-218587
        caseId: 192743
        caseStatus: Ineligible
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        contact: null
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: null
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          lastName: Doe
          gender: Male
          patientId: null
          address: null
          firstName: John
          patientDateOfBirth: 09/28/2025
          note: null
        facilityInformation:
          facilityZip: "37215"
          facilityCode: "1024"
          facilityContact: 615-324-1600
          facilityFax: "6152842003"
          facilityAddress: 356 24th Avenue North.
          facilityNPI: "1649713322"
          facilityState: TN
          facilityCity: NASHVILLE
        physicianInformation:
          lastName: null
          address: null
          physicianAddressId: null
          npi: null
          physicianState: null
          physicianExternalId: null
          physicianTaxonomyCode: null
          physicianZip: null
          fullName: null
          physicianCity: null
          physicianTaxonomyLicense: null
          firstName: null
          physicianTaxonomyState: null
          faxNo: null
          taxId: null
          physicianTaxonomyDescription: null
          contact: null
          enrolled: false
          physicianTin: null
        diagnosisInformation:
          - description: Retrovirus infections, not elsewhere classified
            icd_10Code: B33.3
        procedureAuthorizationInformation:
          - unitsAuthorizedType: null
            unitsAuthorized: null
            peerReviewDate: null
            callReferenceNumber: null
            procedureId: 261051
            expiryDate: null
            omJobNumber: ipa-218587J1
            denialReason: null
            insuranceId: 202719
            authNumber: null
            id: 482389
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: Ineligible
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: null
            payerName: Humana
            id: 202719
            networkType: null
            groupNumber: null
            memberId: "8789892"
        orderingFacilityInformation:
          orderingFacilityZip: "12345"
          orderingFacility: FACILITY NAME
          orderingFacilityNPI: "67890"
          orderingFacilityState: CA
          orderingFacilityAddress: 123 Main St
          orderingFacilityCode: FAC-001
          orderingFacilityCity: San Francisco
          orderingFacilityFax: 123-456-7890
          orderingFacilityContact: 837-993-0983
        orderingPhysicianInformation:
          lastName: null
          address: null
          npi: "1649713322"
          physicianState: OH
          physicianExternalId: null
          physicianTaxonomyCode: null
          physicianZip: null
          fullName: "JANE "
          physicianCity: null
          physicianTaxonomyLicense: null
          firstName: JANE
          physicianTaxonomyState: null
          faxNo: null
          taxId: null
          physicianTaxonomyDescription: null
          contact: null
          enrolled: false
          physicianTin: null
        procedureInformation:
          - serviceType: "4"
            quantityType: null
            testCode: null
            modifier: null
            description: X-ray of shoulder, minimum of 2 views
            id: 261051
            testGroupName: null
            placeOfService: Home
            cptCode: "73030"
            bodyPart: null
            testName: null
        eligiblityBenefitsInformation:
          - planType: null
            additionalPayerName: null
            procedureId: 261051
            eligibilityStatus: Ineligible
            planStart: null
            omJobNumber: ipa-218587J1
            procedureAuthorizationId: 482389
            coordinationOfBenefitsDate: null
            additionalPlanName: null
            insuranceId: 202719
            additionalPayerType: null
            plan: null
            planEnd: 1761696000000
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    EligibilityBenefitsWebhookSample-Pending_Information:
      summary: Eligibility Benefits - Pending Information
      description: Example payload for Eligibility Benefits
      value:
        appointmentId: TEST_EB_EXTERNAL_001
        caseNumber: ipa-218587
        caseId: 192743
        caseStatus: Pending Information
        subStatus: In Review
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        contact: null
        informationType: Failed - Initiation Required
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: null
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          lastName: Doe
          gender: Male
          patientId: null
          address: null
          firstName: John
          patientDateOfBirth: 09/28/2025
          note: null
        facilityInformation:
          facilityZip: "37215"
          facilityCode: "1024"
          facilityContact: 615-324-1600
          facilityFax: "6152842003"
          facilityAddress: 356 24th Avenue North.
          facilityNPI: "1649713322"
          facilityState: TN
          facilityCity: NASHVILLE
        physicianInformation:
          lastName: null
          address: null
          physicianAddressId: null
          npi: null
          physicianState: null
          physicianExternalId: null
          physicianTaxonomyCode: null
          physicianZip: null
          fullName: null
          physicianCity: null
          physicianTaxonomyLicense: null
          firstName: null
          physicianTaxonomyState: null
          faxNo: null
          taxId: null
          physicianTaxonomyDescription: null
          contact: null
          enrolled: false
          physicianTin: null
        diagnosisInformation:
          - description: Retrovirus infections, not elsewhere classified
            icd_10Code: B33.3
        procedureAuthorizationInformation:
          - unitsAuthorizedType: null
            unitsAuthorized: null
            peerReviewDate: null
            callReferenceNumber: null
            procedureId: 261051
            expiryDate: null
            omJobNumber: ipa-218587J1
            denialReason: null
            insuranceId: 202719
            authNumber: null
            id: 482389
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: null
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: null
            payerName: Humana
            id: 202719
            networkType: null
            groupNumber: null
            memberId: "8789892"
        orderingFacilityInformation:
          orderingFacilityZip: "12345"
          orderingFacility: FACILITY NAME
          orderingFacilityNPI: "67890"
          orderingFacilityState: CA
          orderingFacilityAddress: 123 Main St
          orderingFacilityCode: FAC-001
          orderingFacilityCity: San Francisco
          orderingFacilityFax: 123-456-7890
          orderingFacilityContact: 837-993-0983
        orderingPhysicianInformation:
          lastName: null
          address: null
          npi: "1649713322"
          physicianState: OH
          physicianExternalId: null
          physicianTaxonomyCode: null
          physicianZip: null
          fullName: "JANE "
          physicianCity: null
          physicianTaxonomyLicense: null
          firstName: JANE
          physicianTaxonomyState: null
          faxNo: null
          taxId: null
          physicianTaxonomyDescription: null
          contact: null
          enrolled: false
          physicianTin: null
        procedureInformation:
          - serviceType: "4"
            quantityType: null
            testCode: null
            modifier: null
            description: X-ray of shoulder, minimum of 2 views
            id: 261051
            testGroupName: null
            placeOfService: Home
            cptCode: "73030"
            bodyPart: null
            testName: null
        eligiblityBenefitsInformation:
          - planStart:
            eligibilityStatus: null
            omJobNumber: ipa-218587J1
            procedureAuthorizationId: 482389
            planType: null
            coordinationOfBenefitsDate: null
            additionalPlanName: null
            additionalPayerName: null
            insuranceId: 202719
            additionalPayerType: null
            plan: null
            planEnd: null
            procedureId: 261051
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    EligibilityBenefitsWebhookSample-Eligible:
      summary: Eligibility Benefits - Eligible
      description: Example payload for Eligibility Benefits
      value:
        appointmentId: TEST_EB_EXTERNAL_001
        caseNumber: ipa-218587
        caseId: 192743
        caseStatus: Eligible
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        contact: null
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: null
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          lastName: Doe
          gender: Male
          patientId: null
          address: null
          firstName: John
          patientDateOfBirth: 09/28/2025
          note: null
        facilityInformation:
          facilityZip: "37215"
          facilityCode: "1024"
          facilityContact: 615-324-1600
          facilityFax: "6152842003"
          facilityAddress: 356 24th Avenue North.
          facilityNPI: "1649713322"
          facilityState: TN
          facilityCity: NASHVILLE
        physicianInformation:
          lastName: null
          address: null
          physicianAddressId: null
          npi: null
          physicianState: null
          physicianExternalId: null
          physicianTaxonomyCode: null
          physicianZip: null
          fullName: null
          physicianCity: null
          physicianTaxonomyLicense: null
          firstName: null
          physicianTaxonomyState: null
          faxNo: null
          taxId: null
          physicianTaxonomyDescription: null
          contact: null
          enrolled: false
          physicianTin: null
        diagnosisInformation:
          - description: Retrovirus infections, not elsewhere classified
            icd_10Code: B33.3
        procedureAuthorizationInformation:
          - unitsAuthorizedType: null
            unitsAuthorized: null
            peerReviewDate: null
            callReferenceNumber: "87489738432"
            procedureId: 261051
            expiryDate: null
            omJobNumber: ipa-218587J1
            denialReason: null
            insuranceId: 202719
            authNumber: null
            id: 482389
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: Eligible
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: null
            payerName: Humana
            id: 202719
            networkType: null
            groupNumber: null
            memberId: "8789892"
        orderingFacilityInformation:
          orderingFacilityZip: "12345"
          orderingFacility: FACILITY NAME
          orderingFacilityNPI: "67890"
          orderingFacilityState: CA
          orderingFacilityAddress: 123 Main St
          orderingFacilityCode: FAC-001
          orderingFacilityCity: San Francisco
          orderingFacilityFax: 123-456-7890
          orderingFacilityContact: 837-993-0983
        orderingPhysicianInformation:
          lastName: null
          address: null
          npi: "1649713322"
          physicianState: OH
          physicianExternalId: null
          physicianTaxonomyCode: null
          physicianZip: null
          fullName: "JANE "
          physicianCity: null
          physicianTaxonomyLicense: null
          firstName: JANE
          physicianTaxonomyState: null
          faxNo: null
          taxId: null
          physicianTaxonomyDescription: null
          contact: null
          enrolled: false
          physicianTin: null
        procedureInformation:
          - serviceType: "4"
            quantityType: null
            testCode: null
            modifier: null
            description: X-ray of shoulder, minimum of 2 views
            id: 261051
            testGroupName: null
            placeOfService: Home
            cptCode: "73030"
            bodyPart: null
            testName: null
        ppeInformation:
          totalPatientRepsonsibiliy: null
          payerPPESummary:
            - omJobNumber: ipa-218587J1
              procedureAuthorizationId: 482389
              cptPatientEstimateAmount: null
              payerDueAmount: null
              insuranceId: 202719
              benefitsApplied: null
              procedureId: 261051
              allowedAmount: null
              allowedAmountSource: null
          ppeDisclaimer:
            This is an estimate and not a guarantee of payment. It is based on an estimate of
            negotiated rates and not actual contracts.It does not consider a medical necessity,
            limitation or exclusion
        eligiblityBenefitsInformation:
          - medicareAmountUsed: 10
            coIns: 30
            coPayPlaceOfService: Ambulatory Surgical Center
            networkStatus: General
            ptUsed: 10
            outOfPocketRemainingCoverageType: Spouse and Children
            medicareCapAmount: 10
            planStart: 1761004800000
            omJobNumber: ipa-218587J1
            procedureAuthorizationId: 482389
            coordinationOfBenefitsDate: 1761091200000
            deductibleCoverageType: Family
            additionalPlanName: MADICAREHOME
            deductibleRemaining: 12
            OutofPocketMaxRemaining: 12
            insuranceId: 202719
            ptLimit: 10
            plan: HMO
            outOfPocketCoverageType: Spouse and Children
            planType: MEDICAID MCO
            coInsurancePlaceOfService: Ambulatory Surgical Center
            additionalPayerName: null
            outofPocketMax: 12
            ptUsedType: Units
            deductibleNetworkType: General
            procedureId: 261051
            annualDeductible: 10
            coInsuranceNetworkType: In-Network
            eligibilityStatus: Eligible
            ptLimitType: Units
            coverageType: Spouse
            outOfPocketNetworkType: General
            outOfPocketRemainingNetworkType: Out-of-Network
            authorizationRequired: "No"
            deductibleRemainingNetworkType: General
            deductibleRemainingCoverageType: Spouse
            coPayNetworkType: In-Network
            coPay: 120
            referralRequired: "No"
            additionalPayerType: null
            planEnd: 1761696000000
        eligibilityDetails:
          - eligibilitySource: EB_WAVELAND
            plan:
              planName: CALPERS ACTIVE ACCESS HMO GROUP BILL
              planType: null
              groupNumber: W0051411
              planEndDate: "9999-12-31T00:00:00Z"
              planStartDate: "2026-01-01T00:00:00Z"
            planStatus:
              status: Active Coverage
              networkType: In-Network
              coverageType: Family
              serviceTypes:
                code: "30"
                name: Plan Coverage and General Benefits
              coverageStatus: Eligible
            benefits:
              coPay:
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: Yes
                  authorizationRequired: No
                - networkType: In-Network
                  benefitValue: "15"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT REHABILITATIVE THERAPY OUTPATIENT FACILITY REHABILITATION PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: No
                  authorizationRequired: Yes
              deductible:
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Calendar Year
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Family
                  timeQualifier: Calendar Year
              coInsurance:
                - networkType: In-Network
                  benefitValue: "10"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT REHABILITATIVE THERAPY OUTPATIENT FACILITY REHABILITATION PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: "No"
                  authorizationRequired: "No"
              limitations:
                - description:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  benefitQuantity: "100"
                  quantityQualifier: "100"
              outOfPocket:
                - networkType: In-Network
                  benefitValue: "1500"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Calendar Year
                - networkType: In-Network
                  benefitValue: "3000"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Family
                  timeQualifier: Calendar Year
            providerEntities:
              ipa:
                name: RIVERSIDE MEDICAL CLINIC INC
                address:
                  zip: "925063912"
                  city: RIVERSIDE
                  line1: 3660 ARLINGTON AVE
                  state: CA
                contact:
                  - type: Telephone
                    value: "9516836370"
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    EligibilityBenefitsWebhookSample-Canceled:
      summary: Eligibility Benefits - Canceled
      description: Example payload for Eligibility Benefits
      value:
        appointmentId: TEST_EB_EXTERNAL_001
        caseNumber: ipa-218587
        caseId: 192743
        caseStatus: Canceled
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        contact: null
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: null
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          lastName: Doe
          gender: Male
          patientId: null
          address: null
          firstName: John
          patientDateOfBirth: 09/28/2025
          note: null
        facilityInformation:
          facilityZip: "37215"
          facilityCode: "1024"
          facilityContact: 615-324-1600
          facilityFax: "6152842003"
          facilityAddress: 356 24th Avenue North.
          facilityNPI: "1649713322"
          facilityState: TN
          facilityCity: NASHVILLE
        physicianInformation:
          lastName: null
          address: null
          physicianAddressId: null
          npi: null
          physicianState: null
          physicianExternalId: null
          physicianTaxonomyCode: null
          physicianZip: null
          fullName: null
          physicianCity: null
          physicianTaxonomyLicense: null
          firstName: null
          physicianTaxonomyState: null
          faxNo: null
          taxId: null
          physicianTaxonomyDescription: null
          contact: null
          enrolled: false
          physicianTin: null
        diagnosisInformation:
          - description: Retrovirus infections, not elsewhere classified
            icd_10Code: B33.3
        procedureAuthorizationInformation:
          - unitsAuthorizedType: null
            unitsAuthorized: null
            peerReviewDate: null
            callReferenceNumber: null
            procedureId: 261051
            expiryDate: null
            omJobNumber: ipa-218587J1
            denialReason: null
            insuranceId: 202719
            authNumber: null
            id: 482389
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: null
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: null
            payerName: Humana
            id: 202719
            networkType: null
            groupNumber: null
            memberId: "8789892"
        orderingFacilityInformation:
          orderingFacilityZip: "12345"
          orderingFacility: FACILITY NAME
          orderingFacilityNPI: "67890"
          orderingFacilityState: CA
          orderingFacilityAddress: 123 Main St
          orderingFacilityCode: FAC-001
          orderingFacilityCity: San Francisco
          orderingFacilityFax: 123-456-7890
          orderingFacilityContact: 837-993-0983
        orderingPhysicianInformation:
          lastName: null
          address: null
          npi: "1649713322"
          physicianState: OH
          physicianExternalId: null
          physicianTaxonomyCode: null
          physicianZip: null
          fullName: "JANE "
          physicianCity: null
          physicianTaxonomyLicense: null
          firstName: JANE
          physicianTaxonomyState: null
          faxNo: null
          taxId: null
          physicianTaxonomyDescription: null
          contact: null
          enrolled: false
          physicianTin: null
        procedureInformation:
          - serviceType: "4"
            quantityType: null
            testCode: null
            modifier: null
            description: X-ray of shoulder, minimum of 2 views
            id: 261051
            testGroupName: null
            placeOfService: Home
            cptCode: "73030"
            bodyPart: null
            testName: null
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    EligibilityBenefitsWebhookSample-Eligible-without-eligibilityDetails:
      summary: Eligibility Benefits - Eligible
      description: Example payload for Eligibility Benefits
      value:
        appointmentId: TEST_EB_EXTERNAL_001
        caseNumber: ipa-218587
        caseId: 192743
        caseStatus: Eligible
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        contact: null
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: null
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          lastName: Doe
          gender: Male
          patientId: null
          address: null
          firstName: John
          patientDateOfBirth: 09/28/2025
          note: null
        facilityInformation:
          facilityZip: "37215"
          facilityCode: "1024"
          facilityContact: 615-324-1600
          facilityFax: "6152842003"
          facilityAddress: 356 24th Avenue North.
          facilityNPI: "1649713322"
          facilityState: TN
          facilityCity: NASHVILLE
        physicianInformation:
          lastName: null
          address: null
          physicianAddressId: null
          npi: null
          physicianState: null
          physicianExternalId: null
          physicianTaxonomyCode: null
          physicianZip: null
          fullName: null
          physicianCity: null
          physicianTaxonomyLicense: null
          firstName: null
          physicianTaxonomyState: null
          faxNo: null
          taxId: null
          physicianTaxonomyDescription: null
          contact: null
          enrolled: false
          physicianTin: null
        diagnosisInformation:
          - description: Retrovirus infections, not elsewhere classified
            icd_10Code: B33.3
        procedureAuthorizationInformation:
          - unitsAuthorizedType: null
            unitsAuthorized: null
            peerReviewDate: null
            callReferenceNumber: "87489738432"
            procedureId: 261051
            expiryDate: null
            omJobNumber: ipa-218587J1
            denialReason: null
            insuranceId: 202719
            authNumber: null
            id: 482389
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: Eligible
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: null
            payerName: Humana
            id: 202719
            networkType: null
            groupNumber: null
            memberId: "8789892"
        orderingFacilityInformation:
          orderingFacilityZip: "12345"
          orderingFacility: FACILITY NAME
          orderingFacilityNPI: "67890"
          orderingFacilityState: CA
          orderingFacilityAddress: 123 Main St
          orderingFacilityCode: FAC-001
          orderingFacilityCity: San Francisco
          orderingFacilityFax: 123-456-7890
          orderingFacilityContact: 837-993-0983
        orderingPhysicianInformation:
          lastName: null
          address: null
          npi: "1649713322"
          physicianState: OH
          physicianExternalId: null
          physicianTaxonomyCode: null
          physicianZip: null
          fullName: "JANE "
          physicianCity: null
          physicianTaxonomyLicense: null
          firstName: JANE
          physicianTaxonomyState: null
          faxNo: null
          taxId: null
          physicianTaxonomyDescription: null
          contact: null
          enrolled: false
          physicianTin: null
        procedureInformation:
          - serviceType: "4"
            quantityType: null
            testCode: null
            modifier: null
            description: X-ray of shoulder, minimum of 2 views
            id: 261051
            testGroupName: null
            placeOfService: Home
            cptCode: "73030"
            bodyPart: null
            testName: null
        ppeInformation:
          totalPatientRepsonsibiliy: null
          payerPPESummary:
            - omJobNumber: ipa-218587J1
              procedureAuthorizationId: 482389
              cptPatientEstimateAmount: null
              payerDueAmount: null
              insuranceId: 202719
              benefitsApplied: null
              procedureId: 261051
              allowedAmount: null
              allowedAmountSource: null
          ppeDisclaimer:
            This is an estimate and not a guarantee of payment. It is based on an estimate of
            negotiated rates and not actual contracts.It does not consider a medical necessity,
            limitation or exclusion
        eligiblityBenefitsInformation:
          - medicareAmountUsed: 10
            coIns: 30
            coPayPlaceOfService: Ambulatory Surgical Center
            networkStatus: General
            ptUsed: 10
            outOfPocketRemainingCoverageType: Spouse and Children
            medicareCapAmount: 10
            planStart: 1761004800000
            omJobNumber: ipa-218587J1
            procedureAuthorizationId: 482389
            coordinationOfBenefitsDate: 1761091200000
            deductibleCoverageType: Family
            additionalPlanName: MADICAREHOME
            deductibleRemaining: 12
            OutofPocketMaxRemaining: 12
            insuranceId: 202719
            ptLimit: 10
            plan: HMO
            outOfPocketCoverageType: Spouse and Children
            planType: MEDICAID MCO
            coInsurancePlaceOfService: Ambulatory Surgical Center
            additionalPayerName: null
            outofPocketMax: 12
            ptUsedType: Units
            deductibleNetworkType: General
            procedureId: 261051
            annualDeductible: 10
            coInsuranceNetworkType: In-Network
            eligibilityStatus: Eligible
            ptLimitType: Units
            coverageType: Spouse
            outOfPocketNetworkType: General
            outOfPocketRemainingNetworkType: Out-of-Network
            authorizationRequired: "No"
            deductibleRemainingNetworkType: General
            deductibleRemainingCoverageType: Spouse
            coPayNetworkType: In-Network
            coPay: 120
            referralRequired: "No"
            additionalPayerType: null
            planEnd: 1761696000000
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    # ============================================================
    # Webhook Response SCHEMAS EligibilityBenefits-PriorAuthWebhookSample
    # ============================================================

    EligibilityBenefits-PriorAuthWebhookSample-Intake_Review:
      summary: Eligibility Benefits Prior Auth - Intake Review
      description: Example payload for Eligibility Benefits Prior Authorization
      value:
        appointmentId: PAP-EXT-TEST-PA_EB-001
        caseNumber: ipa-218603
        caseId: 192759
        caseStatus: Intake Review
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        contact: 999-999-9999
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: TEST0001
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          patientId: P0001
          patientDateOfBirth: 12/16/1964
          note: Test Notes
          lastName: Doe
          gender: Male
          address: 123 Test Street
          firstName: John
        facilityInformation:
          facilityZip: "10001"
          facilityCode: PV
          facilityContact: 123-456-7890
          facilityFax: "9999994444"
          facilityAddress: 123456 Test Street
          facilityNPI: "1891925582"
          facilityState: NY
          facilityCity: New York
        physicianInformation:
          lastName: DOEHRING
          address: 1234 Test Street
          physicianAddressId: null
          npi: "1841243912"
          physicianState: NY
          physicianExternalId: "1001"
          physicianTaxonomyCode: 2085R0202X
          physicianZip: "10001"
          fullName: Tom DOEHRING
          physicianCity: New York
          physicianTaxonomyLicense: G50925
          firstName: Tom
          physicianTaxonomyState: CA
          faxNo: "9999991111"
          taxId: null
          physicianTaxonomyDescription: Radiology, Diagnostic Radiology
          contact: 999-999-9999
          enrolled: false
          physicianTin: "123456789"
        diagnosisInformation:
          - description: Other specified
            icd_10Code: M51.04
        procedureAuthorizationInformation:
          - unitsAuthorizedType: null
            unitsAuthorized: null
            peerReviewDate: null
            callReferenceNumber: null
            procedureId: 261066
            expiryDate: null
            omJobNumber: ipa-218603J1
            denialReason: null
            insuranceId: 202735
            authNumber: null
            id: 482423
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: null
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: null
            contact: null
            policyNumber: TEST 001
            payerName: INFINX
            id: 202735
            networkType: In Network
            groupNumber: Commercial
            memberId: TEST1234567
        orderingFacilityInformation:
          orderingFacilityZip: "10001"
          orderingFacility: BLR- ELK GROVE NEW
          orderingFacilityNPI: "1891925582"
          orderingFacilityState: NY
          orderingFacilityAddress: 123456 Test Street
          orderingFacilityCode: PV
          orderingFacilityCity: New York
          orderingFacilityFax: 999-999-5555
          orderingFacilityContact: 999-999-6666
        orderingPhysicianInformation:
          lastName: DOEPKER
          address: 12345 Test Street
          npi: "1760466460"
          physicianState: WI
          physicianExternalId: "10002"
          physicianTaxonomyCode: null
          physicianZip: "53538"
          fullName: Tim DOEPKER
          physicianCity: FORT ATKINSON
          physicianTaxonomyLicense: null
          firstName: Tim
          physicianTaxonomyState: null
          faxNo: 999-999-3333
          taxId: null
          physicianTaxonomyDescription: null
          contact: 999-999-2222
          enrolled: false
          physicianTin: "123123123"
        procedureInformation:
          - serviceType: "4"
            quantityType: Visits
            testCode: T1
            modifier: TC
            description: X-ray of shoulder, minimum of 2 views
            id: 261066
            testGroupName: Test Group
            placeOfService: Home
            cptCode: "73030"
            bodyPart: Shoulder
            testName: Test
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    EligibilityBenefits-PriorAuthWebhookSample-Pending_Determination:
      summary: Eligibility Benefits Prior Auth - Pending Determination
      description: Example payload for Prior Authorization
      value:
        appointmentId: PAP-EXT-TEST-PA_EB-001
        caseNumber: ipa-218603
        caseId: 192759
        caseStatus: Pending Determination
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        contact: 999-999-9999
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: TEST0001
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          patientId: P0001
          patientDateOfBirth: 12/16/1964
          note: Test Notes
          lastName: Doe
          gender: Male
          address: 123 Test Street
          firstName: John
        facilityInformation:
          facilityZip: "10001"
          facilityCode: PV
          facilityContact: 123-456-7890
          facilityFax: "9999994444"
          facilityAddress: 123456 Test Street
          facilityNPI: "1891925582"
          facilityState: NY
          facilityCity: New York
        physicianInformation:
          lastName: DOEHRING
          address: 1234 Test Street
          physicianAddressId: null
          npi: "1841243912"
          physicianState: NY
          physicianExternalId: "1001"
          physicianTaxonomyCode: 2085R0202X
          physicianZip: "10001"
          fullName: Tom DOEHRING
          physicianCity: New York
          physicianTaxonomyLicense: G50925
          firstName: Tom
          physicianTaxonomyState: CA
          faxNo: "9999991111"
          taxId: null
          physicianTaxonomyDescription: Radiology, Diagnostic Radiology
          contact: 999-999-9999
          enrolled: false
          physicianTin: "123456789"
        diagnosisInformation:
          - description: Other specified
            icd_10Code: M51.04
        procedureAuthorizationInformation:
          - unitsAuthorizedType: null
            unitsAuthorized: null
            peerReviewDate: null
            callReferenceNumber: null
            procedureId: 261066
            expiryDate: null
            omJobNumber: ipa-218603J1
            denialReason: null
            insuranceId: 202736
            authNumber: null
            id: 482424
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: null
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: TEST 001
            payerName: Humana
            id: 202736
            networkType: In Network
            groupNumber: Commercial
            memberId: TEST1234567
        orderingFacilityInformation:
          orderingFacilityZip: "10001"
          orderingFacility: BLR- ELK GROVE NEW
          orderingFacilityNPI: "1891925582"
          orderingFacilityState: NY
          orderingFacilityAddress: 123456 Test Street
          orderingFacilityCode: PV
          orderingFacilityCity: New York
          orderingFacilityFax: 999-999-5555
          orderingFacilityContact: 999-999-6666
        orderingPhysicianInformation:
          lastName: DOEPKER
          address: 12345 Test Street
          npi: "1760466460"
          physicianState: WI
          physicianExternalId: "10002"
          physicianTaxonomyCode: null
          physicianZip: "53538"
          fullName: Tim DOEPKER
          physicianCity: FORT ATKINSON
          physicianTaxonomyLicense: null
          firstName: Tim
          physicianTaxonomyState: null
          faxNo: 999-999-3333
          taxId: null
          physicianTaxonomyDescription: null
          contact: 999-999-2222
          enrolled: false
          physicianTin: "123123123"
        procedureInformation:
          - serviceType: "4"
            quantityType: Visits
            testCode: T1
            modifier: TC
            description: X-ray of shoulder, minimum of 2 views
            id: 261066
            testGroupName: Test Group
            placeOfService: Home
            cptCode: "73030"
            bodyPart: Shoulder
            testName: Test
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    EligibilityBenefits-PriorAuthWebhookSample-Pending_Verification:
      summary: Eligibility Benefits Prior Auth - Pending Verification
      description: Example payload for Prior Authorization
      value:
        appointmentId: PAP-EXT-TEST-PA_EB-001
        caseNumber: ipa-218603
        caseId: 192759
        caseStatus: Pending Verification
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        contact: 999-999-9999
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: TEST0001
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          patientId: P0001
          patientDateOfBirth: 12/16/1964
          note: Test Notes
          lastName: Doe
          gender: Male
          address: 123 Test Street
          firstName: John
        facilityInformation:
          facilityZip: "10001"
          facilityCode: PV
          facilityContact: 123-456-7890
          facilityFax: "9999994444"
          facilityAddress: 123456 Test Street
          facilityNPI: "1891925582"
          facilityState: NY
          facilityCity: New York
        physicianInformation:
          lastName: DOEHRING
          address: 1234 Test Street
          physicianAddressId: null
          npi: "1841243912"
          physicianState: NY
          physicianExternalId: "1001"
          physicianTaxonomyCode: 2085R0202X
          physicianZip: "10001"
          fullName: Tom DOEHRING
          physicianCity: New York
          physicianTaxonomyLicense: G50925
          firstName: Tom
          physicianTaxonomyState: CA
          faxNo: "9999991111"
          taxId: null
          physicianTaxonomyDescription: Radiology, Diagnostic Radiology
          contact: 999-999-9999
          enrolled: false
          physicianTin: "123456789"
        diagnosisInformation:
          - description: Other specified
            icd_10Code: M51.04
        procedureAuthorizationInformation:
          - unitsAuthorizedType:
            unitsAuthorized: null
            peerReviewDate: null
            callReferenceNumber: null
            procedureId: 261066
            expiryDate: null
            omJobNumber: ipa-218603J1
            denialReason: null
            insuranceId: 202736
            authNumber: null
            id: 482424
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: null
        insuranceInformation:
          - groupName:
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: TEST 001
            payerName: Humana
            id: 202736
            networkType: In Network
            groupNumber: Commercial
            memberId: TEST1234567
        orderingFacilityInformation:
          orderingFacilityZip: "10001"
          orderingFacility: BLR- ELK GROVE NEW
          orderingFacilityNPI: "1891925582"
          orderingFacilityState: NY
          orderingFacilityAddress: 123456 Test Street
          orderingFacilityCode: PV
          orderingFacilityCity: New York
          orderingFacilityFax: 999-999-5555
          orderingFacilityContact: 999-999-6666
        orderingPhysicianInformation:
          lastName: DOEPKER
          address: 12345 Test Street
          npi: "1760466460"
          physicianState: WI
          physicianExternalId: "10002"
          physicianTaxonomyCode: null
          physicianZip: "53538"
          fullName: Tim DOEPKER
          physicianCity: FORT ATKINSON
          physicianTaxonomyLicense: null
          firstName: Tim
          physicianTaxonomyState: null
          faxNo: 999-999-3333
          taxId: null
          physicianTaxonomyDescription: null
          contact: 999-999-2222
          enrolled: false
          physicianTin: "123123123"
        procedureInformation:
          - serviceType: "4"
            quantityType: Visits
            testCode: T1
            modifier: TC
            description: X-ray of shoulder, minimum of 2 views
            id: 261066
            testGroupName: Test Group
            placeOfService: Home
            cptCode: "73030"
            bodyPart: Shoulder
            testName: Test
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    EligibilityBenefits-PriorAuthWebhookSample-InEligible:
      summary: Eligibility Benefits Prior Auth - InEligible
      description: Example payload for Prior Authorization
      value:
        appointmentId: PAP-EXT-TEST-PA_EB-001
        caseNumber: ipa-218603
        caseId: 192759
        caseStatus: Ineligible
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        contact: 999-999-9999
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: TEST0001
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          patientId: P0001
          patientDateOfBirth: 12/16/1964
          note: Test Notes
          lastName: Doe
          gender: Male
          address: 123 Test Street
          firstName: John
        facilityInformation:
          facilityZip: "10001"
          facilityCode: PV
          facilityContact: 123-456-7890
          facilityFax: "9999994444"
          facilityAddress: 123456 Test Street
          facilityNPI: "1891925582"
          facilityState: NY
          facilityCity: New York
        physicianInformation:
          lastName: DOEHRING
          address: 1234 Test Street
          physicianAddressId: null
          npi: "1841243912"
          physicianState: NY
          physicianExternalId: "1001"
          physicianTaxonomyCode: 2085R0202X
          physicianZip: "10001"
          fullName: Tom DOEHRING
          physicianCity: New York
          physicianTaxonomyLicense: G50925
          firstName: Tom
          physicianTaxonomyState: CA
          faxNo: "9999991111"
          taxId: null
          physicianTaxonomyDescription: Radiology, Diagnostic Radiology
          contact: 999-999-9999
          enrolled: false
          physicianTin: "123456789"
        diagnosisInformation:
          - description: Other specified
            icd_10Code: M51.04
        procedureAuthorizationInformation:
          - unitsAuthorizedType: null
            unitsAuthorized: null
            peerReviewDate: null
            callReferenceNumber: null
            procedureId: 261066
            expiryDate: null
            omJobNumber: ipa-218603J1
            denialReason: null
            insuranceId: 202736
            authNumber: null
            id: 482424
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: Ineligible
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: TEST 001
            payerName: Humana
            id: 202736
            networkType: In Network
            groupNumber: Commercial
            memberId: TEST1234567
        orderingFacilityInformation:
          orderingFacilityZip: "10001"
          orderingFacility: BLR- ELK GROVE NEW
          orderingFacilityNPI: "1891925582"
          orderingFacilityState: NY
          orderingFacilityAddress: 123456 Test Street
          orderingFacilityCode: PV
          orderingFacilityCity: New York
          orderingFacilityFax: 999-999-5555
          orderingFacilityContact: 999-999-6666
        orderingPhysicianInformation:
          lastName: DOEPKER
          address: 12345 Test Street
          npi: "1760466460"
          physicianState: WI
          physicianExternalId: "10002"
          physicianTaxonomyCode: null
          physicianZip: "53538"
          fullName: Tim DOEPKER
          physicianCity: FORT ATKINSON
          physicianTaxonomyLicense: null
          firstName: Tim
          physicianTaxonomyState: null
          faxNo: 999-999-3333
          taxId: null
          physicianTaxonomyDescription: null
          contact: 999-999-2222
          enrolled: false
          physicianTin: "123123123"
        procedureInformation:
          - serviceType: "4"
            quantityType: Visits
            testCode: T1
            modifier: TC
            description: X-ray of shoulder, minimum of 2 views
            id: 261066
            testGroupName: Test Group
            placeOfService: Home
            cptCode: "73030"
            bodyPart: Shoulder
            testName: Test
        eligiblityBenefitsInformation:
          - planType: null
            additionalPayerName: null
            procedureId: 261066
            eligibilityStatus: Ineligible
            planStart: null
            omJobNumber: ipa-218603J1
            procedureAuthorizationId: 482424
            coordinationOfBenefitsDate: null
            additionalPlanName: null
            insuranceId: 202736
            additionalPayerType: null
            plan: null
            planEnd: 1761609600000
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    EligibilityBenefits-PriorAuthWebhookSample-Pending_Information:
      summary: Eligibility Benefits Prior Auth - Pending Information
      description: Example payload for Prior Authorization
      value:
        appointmentId: PAP-EXT-TEST-PA_EB-001
        caseNumber: ipa-218603
        caseId: 192759
        caseStatus: Pending Information
        subStatus: In Review
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        contact: 999-999-9999
        informationType: Clinicals Required
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: TEST0001
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          patientId: P0001
          patientDateOfBirth: 12/16/1964
          note: Test Notes
          lastName: Doe
          gender: Male
          address: 123 Test Street
          firstName: John
        facilityInformation:
          facilityZip: "10001"
          facilityCode: PV
          facilityContact: 123-456-7890
          facilityFax: "9999994444"
          facilityAddress: 123456 Test Street
          facilityNPI: "1891925582"
          facilityState: NY
          facilityCity: New York
        physicianInformation:
          lastName: DOEHRING
          address: 1234 Test Street
          physicianAddressId: null
          npi: "1841243912"
          physicianState: NY
          physicianExternalId: "1001"
          physicianTaxonomyCode: 2085R0202X
          physicianZip: "10001"
          fullName: Tom DOEHRING
          physicianCity: New York
          physicianTaxonomyLicense: G50925
          firstName: Tom
          physicianTaxonomyState: CA
          faxNo: "9999991111"
          taxId: null
          physicianTaxonomyDescription: Radiology, Diagnostic Radiology
          contact: 999-999-9999
          enrolled: false
          physicianTin: "123456789"
        diagnosisInformation:
          - description: Other specified
            icd_10Code: M51.04
        procedureAuthorizationInformation:
          - unitsAuthorizedType: null
            unitsAuthorized: null
            peerReviewDate: null
            callReferenceNumber: null
            procedureId: 261066
            expiryDate: null
            omJobNumber: ipa-218603J1
            denialReason: null
            insuranceId: 202736
            authNumber: null
            id: 482424
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: null
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: TEST 001
            payerName: Humana
            id: 202736
            networkType: In Network
            groupNumber: Commercial
            memberId: TEST1234567
        orderingFacilityInformation:
          orderingFacilityZip: "10001"
          orderingFacility: BLR- ELK GROVE NEW
          orderingFacilityNPI: "1891925582"
          orderingFacilityState: NY
          orderingFacilityAddress: 123456 Test Street
          orderingFacilityCode: PV
          orderingFacilityCity: New York
          orderingFacilityFax: 999-999-5555
          orderingFacilityContact: 999-999-6666
        orderingPhysicianInformation:
          lastName: DOEPKER
          address: 12345 Test Street
          npi: "1760466460"
          physicianState: WI
          physicianExternalId: "10002"
          physicianTaxonomyCode: null
          physicianZip: "53538"
          fullName: Tim DOEPKER
          physicianCity: FORT ATKINSON
          physicianTaxonomyLicense: null
          firstName: Tim
          physicianTaxonomyState: null
          faxNo: 999-999-3333
          taxId: null
          physicianTaxonomyDescription: null
          contact: 999-999-2222
          enrolled: false
          physicianTin: "123123123"
        procedureInformation:
          - serviceType: "4"
            quantityType: Visits
            testCode: T1
            modifier: TC
            description: X-ray of shoulder, minimum of 2 views
            id: 261066
            testGroupName: Test Group
            placeOfService: Home
            cptCode: "73030"
            bodyPart: Shoulder
            testName: Test
        eligiblityBenefitsInformation:
          - planStart: null
            omJobNumber: ipa-218603J1
            procedureAuthorizationId: 482424
            eligibilityStatus: null
            planType: null
            coordinationOfBenefitsDate: null
            additionalPlanName: null
            additionalPayerName: null
            insuranceId: 202736
            additionalPayerType: null
            plan: null
            planEnd: null
            procedureId: 261066
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    EligibilityBenefits-PriorAuthWebhookSample-Eligible-Uninitiated:
      summary: Eligibility Benefits Prior Auth - Eligible/Uninitiated
      description: Example payload for Eligibility Benefits Prior Authorization
      value:
        appointmentId: PAP-EXT-TEST-PA_EB-003
        caseNumber: ipa-218604
        caseId: 192760
        caseStatus: Uninitiated
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        contact: 999-999-9999
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: TEST0001
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          patientId: P0001
          patientDateOfBirth: 12/16/1964
          note: Test Notes
          lastName: Doe
          gender: Male
          address: 123 Test Street
          firstName: John
        facilityInformation:
          facilityZip: "10001"
          facilityCode: PV
          facilityContact: 123-456-7890
          facilityFax: "9999994444"
          facilityAddress: 123456 Test Street
          facilityNPI: "1891925582"
          facilityState: NY
          facilityCity: New York
        physicianInformation:
          lastName: DOEHRING
          address: 1234 Test Street
          physicianAddressId: null
          npi: "1841243912"
          physicianState: NY
          physicianExternalId: "1001"
          physicianTaxonomyCode: 2085R0202X
          physicianZip: "10001"
          fullName: Tom DOEHRING
          physicianCity: New York
          physicianTaxonomyLicense: G50925
          firstName: Tom
          physicianTaxonomyState: CA
          faxNo: "9999991111"
          taxId: null
          physicianTaxonomyDescription: Radiology, Diagnostic Radiology
          contact: 999-999-9999
          enrolled: false
          physicianTin: "123456789"
        diagnosisInformation:
          - description: Other specified
            icd_10Code: M51.04
        procedureAuthorizationInformation:
          - unitsAuthorizedType: null
            unitsAuthorized: null
            peerReviewDate: null
            callReferenceNumber: "74389438934"
            procedureId: 261067
            expiryDate: null
            omJobNumber: ipa-218604J1
            denialReason: null
            insuranceId: 202737
            authNumber: null
            id: 482429
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: null
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: TEST 001
            payerName: Humana
            id: 202737
            networkType: In Network
            groupNumber: Commercial
            memberId: TEST1234567
        orderingFacilityInformation:
          orderingFacilityZip: "10001"
          orderingFacility: BLR- ELK GROVE NEW
          orderingFacilityNPI: "1891925582"
          orderingFacilityState: NY
          orderingFacilityAddress: 123456 Test Street
          orderingFacilityCode: PV
          orderingFacilityCity: New York
          orderingFacilityFax: 999-999-5555
          orderingFacilityContact: 999-999-6666
        orderingPhysicianInformation:
          lastName: DOEPKER
          address: 12345 Test Street
          npi: "1760466460"
          physicianState: WI
          physicianExternalId: "10002"
          physicianTaxonomyCode: null
          physicianZip: "53538"
          fullName: Tim DOEPKER
          physicianCity: FORT ATKINSON
          physicianTaxonomyLicense: null
          firstName: Tim
          physicianTaxonomyState: null
          faxNo: 999-999-3333
          taxId: null
          physicianTaxonomyDescription: null
          contact: 999-999-2222
          enrolled: false
          physicianTin: "123123123"
        procedureInformation:
          - serviceType: "4"
            quantityType: Visits
            testCode: T1
            modifier: TC
            description: X-ray of shoulder, minimum of 2 views
            id: 261067
            testGroupName: Test Group
            placeOfService: Home
            cptCode: "73030"
            bodyPart: Shoulder
            testName: Test
        ppeInformation:
          totalPatientRepsonsibiliy: null
          payerPPESummary:
            - omJobNumber: ipa-218604J1
              procedureAuthorizationId: 482429
              cptPatientEstimateAmount: null
              payerDueAmount: null
              insuranceId: 202737
              benefitsApplied: null
              procedureId: 261067
              allowedAmount: null
              allowedAmountSource: null
          ppeDisclaimer:
            This is an estimate and not a guarantee of payment. It is based on an estimate of
            negotiated rates and not actual contracts.It does not consider a medical necessity,
            limitation or exclusion
        eligiblityBenefitsInformation:
          - medicareAmountUsed: 10
            coIns: 10
            coPayPlaceOfService: Specialist
            networkStatus: General
            ptUsed: 10
            outOfPocketRemainingCoverageType: Spouse and Children
            medicareCapAmount: 10
            planStart: 1761609600000
            omJobNumber: ipa-218604J1
            procedureAuthorizationId: 482429
            coordinationOfBenefitsDate: 1761696000000
            deductibleCoverageType: Children
            additionalPlanName: MADICARE
            deductibleRemaining: 90
            OutofPocketMaxRemaining: 900
            insuranceId: 202737
            ptLimit: 10
            plan: HMO
            outOfPocketCoverageType: Spouse and Children
            planType: MEDICAID
            coInsurancePlaceOfService: Specialist
            additionalPayerName: Payer
            outofPocketMax: 1000
            ptUsedType: Units
            deductibleNetworkType: General
            procedureId: 261067
            annualDeductible: 100
            coInsuranceNetworkType: General
            eligibilityStatus: Eligible
            ptLimitType: Units
            coverageType: Spouse and Children
            outOfPocketNetworkType: General
            outOfPocketRemainingNetworkType: General
            authorizationRequired: "No"
            deductibleRemainingNetworkType: General
            deductibleRemainingCoverageType: Spouse and Children
            coPayNetworkType: General
            coPay: 120
            referralRequired: "No"
            additionalPayerType: Primary
            planEnd: 1761696000000
        eligibilityDetails:
          - eligibilitySource: EB_WAVELAND
            plan:
              planName: CALPERS ACTIVE ACCESS HMO GROUP BILL
              planType: null
              groupNumber: W0051411
              planEndDate: "9999-12-31T00:00:00Z"
              planStartDate: "2026-01-01T00:00:00Z"
            planStatus:
              status: Active Coverage
              networkType: In-Network
              coverageType: Family
              serviceTypes:
                code: "30"
                name: Plan Coverage and General Benefits
              coverageStatus: Eligible
            benefits:
              coPay:
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: Yes
                  authorizationRequired: No
                - networkType: In-Network
                  benefitValue: "15"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT REHABILITATIVE THERAPY OUTPATIENT FACILITY REHABILITATION PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: No
                  authorizationRequired: Yes
              deductible:
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Calendar Year
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Family
                  timeQualifier: Calendar Year
              coInsurance:
                - networkType: In-Network
                  benefitValue: "10"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT REHABILITATIVE THERAPY OUTPATIENT FACILITY REHABILITATION PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: "No"
                  authorizationRequired: "No"
              limitations:
                - description:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  benefitQuantity: "100"
                  quantityQualifier: "100"
              outOfPocket:
                - networkType: In-Network
                  benefitValue: "1500"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Calendar Year
                - networkType: In-Network
                  benefitValue: "3000"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Family
                  timeQualifier: Calendar Year
            providerEntities:
              ipa:
                name: RIVERSIDE MEDICAL CLINIC INC
                address:
                  zip: "925063912"
                  city: RIVERSIDE
                  line1: 3660 ARLINGTON AVE
                  state: CA
                contact:
                  - type: Telephone
                    value: "9516836370"
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    EligibilityBenefits-PriorAuthWebhookSample-Canceled:
      summary: Eligibility Benefits Prior Auth - Canceled
      description: Example payload for Eligibility Benefits Prior Authorization
      value:
        appointmentId: PAP-EXT-TEST-PA_EB-001
        caseNumber: ipa-218603
        caseId: 192759
        caseStatus: Canceled
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        contact: 999-999-9999
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: TEST0001
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          patientId: P0001
          patientDateOfBirth: 12/16/1964
          note: Test Notes
          lastName: Doe
          gender: Male
          address: 123 Test Street
          firstName: John
        facilityInformation:
          facilityZip: "10001"
          facilityCode: PV
          facilityContact: 123-456-7890
          facilityFax: "9999994444"
          facilityAddress: 123456 Test Street
          facilityNPI: "1891925582"
          facilityState: NY
          facilityCity: New York
        physicianInformation:
          lastName: DOEHRING
          address: 1234 Test Street
          physicianAddressId: null
          npi: "1841243912"
          physicianState: NY
          physicianExternalId: "1001"
          physicianTaxonomyCode: 2085R0202X
          physicianZip: "10001"
          fullName: Tom DOEHRING
          physicianCity: New York
          physicianTaxonomyLicense: G50925
          firstName: Tom
          physicianTaxonomyState: CA
          faxNo: "9999991111"
          taxId: null
          physicianTaxonomyDescription: Radiology, Diagnostic Radiology
          contact: 999-999-9999
          enrolled: false
          physicianTin: "123456789"
        diagnosisInformation:
          - description: Other specified
            icd_10Code: M51.04
        procedureAuthorizationInformation:
          - unitsAuthorizedType: Units
            unitsAuthorized: "10"
            peerReviewDate: null
            callReferenceNumber: "784389438943"
            procedureId: 261066
            expiryDate: null
            omJobNumber: ipa-218603J1
            denialReason: Existing Denial with either same Facility or provider or Procedure.
            insuranceId: 202736
            authNumber: null
            id: 482424
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: Denied
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: TEST 001
            payerName: Humana
            id: 202736
            networkType: In Network
            groupNumber: Commercial
            memberId: TEST1234567
        orderingFacilityInformation:
          orderingFacilityZip: "10001"
          orderingFacility: BLR- ELK GROVE NEW
          orderingFacilityNPI: "1891925582"
          orderingFacilityState: NY
          orderingFacilityAddress: 123456 Test Street
          orderingFacilityCode: PV
          orderingFacilityCity: New York
          orderingFacilityFax: 999-999-5555
          orderingFacilityContact: 999-999-6666
        orderingPhysicianInformation:
          lastName: DOEPKER
          address: 12345 Test Street
          npi: "1760466460"
          physicianState: WI
          physicianExternalId: "10002"
          physicianTaxonomyCode: null
          physicianZip: "53538"
          fullName: Tim DOEPKER
          physicianCity: FORT ATKINSON
          physicianTaxonomyLicense: null
          firstName: Tim
          physicianTaxonomyState: null
          faxNo: 999-999-3333
          taxId: null
          physicianTaxonomyDescription: null
          contact: 999-999-2222
          enrolled: false
          physicianTin: "123123123"
        procedureInformation:
          - serviceType: "4"
            quantityType: Visits
            testCode: T1
            modifier: TC
            description: X-ray of shoulder, minimum of 2 views
            id: 261066
            testGroupName: Test Group
            placeOfService: Home
            cptCode: "73030"
            bodyPart: Shoulder
            testName: Test
        eligiblityBenefitsInformation:
          - planType:
            additionalPayerName: null
            procedureId: 261066
            eligibilityStatus: Ineligible
            planStart: null
            omJobNumber: ipa-218603J1
            procedureAuthorizationId: 482424
            coordinationOfBenefitsDate: null
            additionalPlanName: null
            insuranceId: 202736
            additionalPayerType: null
            plan: null
            planEnd: 1761609600000
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    EligibilityBenefits-PriorAuthWebhookSample-No_Authorization_Required:
      summary: Eligibility Benefits Prior Auth - No Authorization Required
      description: Example payload for Eligibility Benefits Prior Authorization
      value:
        appointmentId: PAP-EXT-TEST-PA_EB-001
        caseNumber: ipa-218603
        caseId: 192759
        caseStatus: No Authorization Required
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        contact: 999-999-9999
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: TEST0001
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          patientId: P0001
          patientDateOfBirth: 12/16/1964
          note: Test Notes
          lastName: Doe
          gender: Male
          address: 123 Test Street
          firstName: John
        facilityInformation:
          facilityZip: "10001"
          facilityCode: PV
          facilityContact: 123-456-7890
          facilityFax: "9999994444"
          facilityAddress: 123456 Test Street
          facilityNPI: "1891925582"
          facilityState: NY
          facilityCity: New York
        physicianInformation:
          lastName: DOEHRING
          address: 1234 Test Street
          physicianAddressId: null
          npi: "1841243912"
          physicianState: NY
          physicianExternalId: "1001"
          physicianTaxonomyCode: 2085R0202X
          physicianZip: "10001"
          fullName: Tom DOEHRING
          physicianCity: New York
          physicianTaxonomyLicense: G50925
          firstName: Tom
          physicianTaxonomyState: CA
          faxNo: "9999991111"
          taxId: null
          physicianTaxonomyDescription: Radiology, Diagnostic Radiology
          contact: 999-999-9999
          enrolled: false
          physicianTin: "123456789"
        diagnosisInformation:
          - description: Other specified
            icd_10Code: M51.04
        procedureAuthorizationInformation:
          - unitsAuthorizedType: null
            unitsAuthorized: null
            peerReviewDate: null
            callReferenceNumber: "784389438943"
            procedureId: 261066
            expiryDate: null
            omJobNumber: ipa-218603J1
            denialReason: null
            insuranceId: 202736
            authNumber: null
            id: 482424
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: No Authorization Required
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: TEST 001
            payerName: Humana
            id: 202736
            networkType: In Network
            groupNumber: Commercial
            memberId: TEST1234567
        orderingFacilityInformation:
          orderingFacilityZip: "10001"
          orderingFacility: BLR- ELK GROVE NEW
          orderingFacilityNPI: "1891925582"
          orderingFacilityState: NY
          orderingFacilityAddress: 123456 Test Street
          orderingFacilityCode: PV
          orderingFacilityCity: New York
          orderingFacilityFax: 999-999-5555
          orderingFacilityContact: 999-999-6666
        orderingPhysicianInformation:
          lastName: DOEPKER
          address: 12345 Test Street
          npi: "1760466460"
          physicianState: WI
          physicianExternalId: "10002"
          physicianTaxonomyCode: null
          physicianZip: "53538"
          fullName: Tim DOEPKER
          physicianCity: FORT ATKINSON
          physicianTaxonomyLicense: null
          firstName: Tim
          physicianTaxonomyState: null
          faxNo: 999-999-3333
          taxId: null
          physicianTaxonomyDescription: null
          contact: 999-999-2222
          enrolled: false
          physicianTin: "123123123"
        procedureInformation:
          - serviceType: "4"
            quantityType: Visits
            testCode: T1
            modifier: TC
            description: X-ray of shoulder, minimum of 2 views
            id: 261066
            testGroupName: Test Group
            placeOfService: Home
            cptCode: "73030"
            bodyPart: Shoulder
            testName: Test
        eligiblityBenefitsInformation:
          - medicareAmountUsed: 10
            coIns: 10
            coPayPlaceOfService: Specialist
            networkStatus: General
            ptUsed: 10
            outOfPocketRemainingCoverageType: Spouse and Children
            medicareCapAmount: 10
            planStart: 1761609600000
            omJobNumber: ipa-218604J1
            procedureAuthorizationId: 482424
            coordinationOfBenefitsDate: 1761696000000
            deductibleCoverageType: Children
            additionalPlanName: MADICARE
            deductibleRemaining: 90
            OutofPocketMaxRemaining: 900
            insuranceId: 202736
            ptLimit: 10
            plan: HMO
            outOfPocketCoverageType: Spouse and Children
            planType: MEDICAID
            coInsurancePlaceOfService: Specialist
            additionalPayerName: Payer
            outofPocketMax: 1000
            ptUsedType: Units
            deductibleNetworkType: General
            procedureId: 261066
            annualDeductible: 100
            coInsuranceNetworkType: General
            eligibilityStatus: Eligible
            ptLimitType: Units
            coverageType: Spouse and Children
            outOfPocketNetworkType: General
            outOfPocketRemainingNetworkType: General
            authorizationRequired: "No"
            deductibleRemainingNetworkType: General
            deductibleRemainingCoverageType: Spouse and Children
            coPayNetworkType: General
            coPay: 120
            referralRequired: "No"
            additionalPayerType: Primary
            planEnd: 1761696000000
        eligibilityDetails:
          - eligibilitySource: EB_WAVELAND
            plan:
              planName: CALPERS ACTIVE ACCESS HMO GROUP BILL
              planType: null
              groupNumber: W0051411
              planEndDate: "9999-12-31T00:00:00Z"
              planStartDate: "2026-01-01T00:00:00Z"
            planStatus:
              status: Active Coverage
              networkType: In-Network
              coverageType: Family
              serviceTypes:
                code: "30"
                name: Plan Coverage and General Benefits
              coverageStatus: Eligible
            benefits:
              coPay:
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: Yes
                  authorizationRequired: No
                - networkType: In-Network
                  benefitValue: "15"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT REHABILITATIVE THERAPY OUTPATIENT FACILITY REHABILITATION PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: No
                  authorizationRequired: Yes
              deductible:
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Calendar Year
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Family
                  timeQualifier: Calendar Year
              coInsurance:
                - networkType: In-Network
                  benefitValue: "10"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT REHABILITATIVE THERAPY OUTPATIENT FACILITY REHABILITATION PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: "No"
                  authorizationRequired: "No"
              limitations:
                - description:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  benefitQuantity: "100"
                  quantityQualifier: "100"
              outOfPocket:
                - networkType: In-Network
                  benefitValue: "1500"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Calendar Year
                - networkType: In-Network
                  benefitValue: "3000"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Family
                  timeQualifier: Calendar Year
            providerEntities:
              ipa:
                name: RIVERSIDE MEDICAL CLINIC INC
                address:
                  zip: "925063912"
                  city: RIVERSIDE
                  line1: 3660 ARLINGTON AVE
                  state: CA
                contact:
                  - type: Telephone
                    value: "9516836370"
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    EligibilityBenefits-PriorAuthWebhookSample-Approved:
      summary: Eligibility Benefits Prior Auth - Approved
      description: Example payload for Eligibility Benefits Prior Authorization
      value:
        appointmentId: PAP-EXT-TEST-PA_EB-001
        caseNumber: ipa-218603
        caseId: 192759
        caseStatus: Approved
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        contact: 999-999-9999
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: TEST0001
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          patientId: P0001
          patientDateOfBirth: 12/16/1964
          note: Test Notes
          lastName: Doe
          gender: Male
          address: 123 Test Street
          firstName: John
        facilityInformation:
          facilityZip: "10001"
          facilityCode: PV
          facilityContact: 123-456-7890
          facilityFax: "9999994444"
          facilityAddress: 123456 Test Street
          facilityNPI: "1891925582"
          facilityState: NY
          facilityCity: New York
        physicianInformation:
          lastName: DOEHRING
          address: 1234 Test Street
          physicianAddressId: null
          npi: "1841243912"
          physicianState: NY
          physicianExternalId: "1001"
          physicianTaxonomyCode: 2085R0202X
          physicianZip: "10001"
          fullName: Tom DOEHRING
          physicianCity: New York
          physicianTaxonomyLicense: G50925
          firstName: Tom
          physicianTaxonomyState: CA
          faxNo: "9999991111"
          taxId: null
          physicianTaxonomyDescription: Radiology, Diagnostic Radiology
          contact: 999-999-9999
          enrolled: false
          physicianTin: "123456789"
        diagnosisInformation:
          - description: Other specified
            icd_10Code: M51.04
        procedureAuthorizationInformation:
          - unitsAuthorizedType: Units
            unitsAuthorized: "10"
            peerReviewDate: null
            callReferenceNumber: "784389438943"
            procedureId: 261066
            expiryDate: 2025-10-29T00:00:00.000+0000
            omJobNumber: ipa-218603J1
            denialReason: null
            insuranceId: 202736
            authNumber: "2877822"
            id: 482424
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: 2025-10-22T00:00:00.000+0000
            status: Approved
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: TEST 001
            payerName: Humana
            id: 202736
            networkType: In Network
            groupNumber: Commercial
            memberId: TEST1234567
        orderingFacilityInformation:
          orderingFacilityZip: "10001"
          orderingFacility: BLR- ELK GROVE NEW
          orderingFacilityNPI: "1891925582"
          orderingFacilityState: NY
          orderingFacilityAddress: 123456 Test Street
          orderingFacilityCode: PV
          orderingFacilityCity: New York
          orderingFacilityFax: 999-999-5555
          orderingFacilityContact: 999-999-6666
        orderingPhysicianInformation:
          lastName: DOEPKER
          address: 12345 Test Street
          npi: "1760466460"
          physicianState: WI
          physicianExternalId: "10002"
          physicianTaxonomyCode: null
          physicianZip: "53538"
          fullName: Tim DOEPKER
          physicianCity: FORT ATKINSON
          physicianTaxonomyLicense: null
          firstName: Tim
          physicianTaxonomyState: null
          faxNo: 999-999-3333
          taxId: null
          physicianTaxonomyDescription: null
          contact: 999-999-2222
          enrolled: false
          physicianTin: "123123123"
        procedureInformation:
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            quantityType: Visits
            testCode: T1
            modifier: TC
            description: X-ray of shoulder, minimum of 2 views
            id: 261066
            testGroupName: Test Group
            placeOfService: Home
            cptCode: "73030"
            bodyPart: Shoulder
            testName: Test
        eligiblityBenefitsInformation:
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            coIns: 10
            coPayPlaceOfService: Specialist
            networkStatus: General
            ptUsed: 10
            outOfPocketRemainingCoverageType: Spouse and Children
            medicareCapAmount: 10
            planStart: 1761609600000
            omJobNumber: ipa-218604J1
            procedureAuthorizationId: 482424
            coordinationOfBenefitsDate: 1761696000000
            deductibleCoverageType: Children
            additionalPlanName: MADICARE
            deductibleRemaining: 90
            OutofPocketMaxRemaining: 900
            insuranceId: 202736
            ptLimit: 10
            plan: HMO
            outOfPocketCoverageType: Spouse and Children
            planType: MEDICAID
            coInsurancePlaceOfService: Specialist
            additionalPayerName: Payer
            outofPocketMax: 1000
            ptUsedType: Units
            deductibleNetworkType: General
            procedureId: 261066
            annualDeductible: 100
            coInsuranceNetworkType: General
            eligibilityStatus: Eligible
            ptLimitType: Units
            coverageType: Spouse and Children
            outOfPocketNetworkType: General
            outOfPocketRemainingNetworkType: General
            authorizationRequired: "No"
            deductibleRemainingNetworkType: General
            deductibleRemainingCoverageType: Spouse and Children
            coPayNetworkType: General
            coPay: 120
            referralRequired: "No"
            additionalPayerType: Primary
            planEnd: 1761696000000
        eligibilityDetails:
          - eligibilitySource: EB_WAVELAND
            plan:
              planName: CALPERS ACTIVE ACCESS HMO GROUP BILL
              planType: null
              groupNumber: W0051411
              planEndDate: "9999-12-31T00:00:00Z"
              planStartDate: "2026-01-01T00:00:00Z"
            planStatus:
              status: Active Coverage
              networkType: In-Network
              coverageType: Family
              serviceTypes:
                code: "30"
                name: Plan Coverage and General Benefits
              coverageStatus: Eligible
            benefits:
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                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: Yes
                  authorizationRequired: No
                - networkType: In-Network
                  benefitValue: "15"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT REHABILITATIVE THERAPY OUTPATIENT FACILITY REHABILITATION PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: No
                  authorizationRequired: Yes
              deductible:
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Calendar Year
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Family
                  timeQualifier: Calendar Year
              coInsurance:
                - networkType: In-Network
                  benefitValue: "10"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT REHABILITATIVE THERAPY OUTPATIENT FACILITY REHABILITATION PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: "No"
                  authorizationRequired: "No"
              limitations:
                - description:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  benefitQuantity: "100"
                  quantityQualifier: "100"
              outOfPocket:
                - networkType: In-Network
                  benefitValue: "1500"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Calendar Year
                - networkType: In-Network
                  benefitValue: "3000"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Family
                  timeQualifier: Calendar Year
            providerEntities:
              ipa:
                name: RIVERSIDE MEDICAL CLINIC INC
                address:
                  zip: "925063912"
                  city: RIVERSIDE
                  line1: 3660 ARLINGTON AVE
                  state: CA
                contact:
                  - type: Telephone
                    value: "9516836370"
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        commentInformation:
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            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
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    EligibilityBenefits-PriorAuthWebhookSample-Peer_Review:
      summary: Eligibility Benefits Prior Auth - Peer Review
      description: Example payload for Eligibility Benefits Prior Authorization
      value:
        appointmentId: PAP-EXT-TEST-PA_EB-001
        caseNumber: ipa-218603
        caseId: 192759
        caseStatus: Peer Review
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        contact: 999-999-9999
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: TEST0001
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          patientId: P0001
          patientDateOfBirth: 12/16/1964
          note: Test Notes
          lastName: Doe
          gender: Male
          address: 123 Test Street
          firstName: John
        facilityInformation:
          facilityZip: "10001"
          facilityCode: PV
          facilityContact: 123-456-7890
          facilityFax: "9999994444"
          facilityAddress: 123456 Test Street
          facilityNPI: "1891925582"
          facilityState: NY
          facilityCity: New York
        physicianInformation:
          lastName: DOEHRING
          address: 1234 Test Street
          physicianAddressId: null
          npi: "1841243912"
          physicianState: NY
          physicianExternalId: "1001"
          physicianTaxonomyCode: 2085R0202X
          physicianZip: "10001"
          fullName: Tom DOEHRING
          physicianCity: New York
          physicianTaxonomyLicense: G50925
          firstName: Tom
          physicianTaxonomyState: CA
          faxNo: "9999991111"
          taxId: null
          physicianTaxonomyDescription: Radiology, Diagnostic Radiology
          contact: 999-999-9999
          enrolled: false
          physicianTin: "123456789"
        diagnosisInformation:
          - description: Other specified
            icd_10Code: M51.04
        procedureAuthorizationInformation:
          - unitsAuthorizedType: Units
            unitsAuthorized: "10"
            peerReviewDate: 1761609600000
            callReferenceNumber: "784389438943"
            procedureId: 261066
            expiryDate: null
            omJobNumber: ipa-218603J1
            denialReason: Existing Denial with same Facility and Provider and Procedure.
            insuranceId: 202736
            authNumber: null
            id: 482424
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: Peer Review
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: TEST 001
            payerName: Humana
            id: 202736
            networkType: In Network
            groupNumber: Commercial
            memberId: TEST1234567
        orderingFacilityInformation:
          orderingFacilityZip: "10001"
          orderingFacility: BLR- ELK GROVE NEW
          orderingFacilityNPI: "1891925582"
          orderingFacilityState: NY
          orderingFacilityAddress: 123456 Test Street
          orderingFacilityCode: PV
          orderingFacilityCity: New York
          orderingFacilityFax: 999-999-5555
          orderingFacilityContact: 999-999-6666
        orderingPhysicianInformation:
          lastName: DOEPKER
          address: 12345 Test Street
          npi: "1760466460"
          physicianState: WI
          physicianExternalId: "10002"
          physicianTaxonomyCode: null
          physicianZip: "53538"
          fullName: Tim DOEPKER
          physicianCity: FORT ATKINSON
          physicianTaxonomyLicense: null
          firstName: Tim
          physicianTaxonomyState: null
          faxNo: 999-999-3333
          taxId: null
          physicianTaxonomyDescription: null
          contact: 999-999-2222
          enrolled: false
          physicianTin: "123123123"
        procedureInformation:
          - serviceType: "4"
            quantityType: Visits
            testCode: T1
            modifier: TC
            description: X-ray of shoulder, minimum of 2 views
            id: 261066
            testGroupName: Test Group
            placeOfService: Home
            cptCode: "73030"
            bodyPart: Shoulder
            testName: Test
        eligiblityBenefitsInformation:
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            coIns: 10
            coPayPlaceOfService: Specialist
            networkStatus: General
            ptUsed: 10
            outOfPocketRemainingCoverageType: Spouse and Children
            medicareCapAmount: 10
            planStart: 1761609600000
            omJobNumber: ipa-218604J1
            procedureAuthorizationId: 482424
            coordinationOfBenefitsDate: 1761696000000
            deductibleCoverageType: Children
            additionalPlanName: MADICARE
            deductibleRemaining: 90
            OutofPocketMaxRemaining: 900
            insuranceId: 202736
            ptLimit: 10
            plan: HMO
            outOfPocketCoverageType: Spouse and Children
            planType: MEDICAID
            coInsurancePlaceOfService: Specialist
            additionalPayerName: Payer
            outofPocketMax: 1000
            ptUsedType: Units
            deductibleNetworkType: General
            procedureId: 261066
            annualDeductible: 100
            coInsuranceNetworkType: General
            eligibilityStatus: Eligible
            ptLimitType: Units
            coverageType: Spouse and Children
            outOfPocketNetworkType: General
            outOfPocketRemainingNetworkType: General
            authorizationRequired: "No"
            deductibleRemainingNetworkType: General
            deductibleRemainingCoverageType: Spouse and Children
            coPayNetworkType: General
            coPay: 120
            referralRequired: "No"
            additionalPayerType: Primary
            planEnd: 1761696000000
        eligibilityDetails:
          - eligibilitySource: EB_WAVELAND
            plan:
              planName: CALPERS ACTIVE ACCESS HMO GROUP BILL
              planType: null
              groupNumber: W0051411
              planEndDate: "9999-12-31T00:00:00Z"
              planStartDate: "2026-01-01T00:00:00Z"
            planStatus:
              status: Active Coverage
              networkType: In-Network
              coverageType: Family
              serviceTypes:
                code: "30"
                name: Plan Coverage and General Benefits
              coverageStatus: Eligible
            benefits:
              coPay:
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                  benefitValue: "0"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: Yes
                  authorizationRequired: No
                - networkType: In-Network
                  benefitValue: "15"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT REHABILITATIVE THERAPY OUTPATIENT FACILITY REHABILITATION PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: No
                  authorizationRequired: Yes
              deductible:
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Calendar Year
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Family
                  timeQualifier: Calendar Year
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                  benefitValue: "10"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT REHABILITATIVE THERAPY OUTPATIENT FACILITY REHABILITATION PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: "No"
                  authorizationRequired: "No"
              limitations:
                - description:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  benefitQuantity: "100"
                  quantityQualifier: "100"
              outOfPocket:
                - networkType: In-Network
                  benefitValue: "1500"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Calendar Year
                - networkType: In-Network
                  benefitValue: "3000"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Family
                  timeQualifier: Calendar Year
            providerEntities:
              ipa:
                name: RIVERSIDE MEDICAL CLINIC INC
                address:
                  zip: "925063912"
                  city: RIVERSIDE
                  line1: 3660 ARLINGTON AVE
                  state: CA
                contact:
                  - type: Telephone
                    value: "9516836370"
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            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    EligibilityBenefits-PriorAuthWebhookSample-Denied:
      summary: Eligibility Benefits Prior Auth - Denied
      description: Example payload for Eligibility Benefits Prior Authorization
      value:
        appointmentId: PAP-EXT-TEST-PA_EB-001
        caseNumber: ipa-218603
        caseId: 192759
        caseStatus: Denied
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        contact: 999-999-9999
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: TEST0001
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          patientId: P0001
          patientDateOfBirth: 12/16/1964
          note: Test Notes
          lastName: Doe
          gender: Male
          address: 123 Test Street
          firstName: John
        facilityInformation:
          facilityZip: "10001"
          facilityCode: PV
          facilityContact: 123-456-7890
          facilityFax: "9999994444"
          facilityAddress: 123456 Test Street
          facilityNPI: "1891925582"
          facilityState: NY
          facilityCity: New York
        physicianInformation:
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          address: 1234 Test Street
          physicianAddressId: null
          npi: "1841243912"
          physicianState: NY
          physicianExternalId: "1001"
          physicianTaxonomyCode: 2085R0202X
          physicianZip: "10001"
          fullName: Tom DOEHRING
          physicianCity: New York
          physicianTaxonomyLicense: G50925
          firstName: Tom
          physicianTaxonomyState: CA
          faxNo: "9999991111"
          taxId: null
          physicianTaxonomyDescription: Radiology, Diagnostic Radiology
          contact: 999-999-9999
          enrolled: false
          physicianTin: "123456789"
        diagnosisInformation:
          - description: Other specified
            icd_10Code: M51.04
        procedureAuthorizationInformation:
          - unitsAuthorizedType: Units
            unitsAuthorized: "10"
            peerReviewDate: null
            callReferenceNumber: "784389438943"
            procedureId: 261066
            expiryDate: null
            omJobNumber: ipa-218603J1
            denialReason: Existing Denial with either same Facility or provider or Procedure.
            insuranceId: 202736
            authNumber: null
            id: 482424
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: Denied
        insuranceInformation:
          - groupName:
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: TEST 001
            payerName: Humana
            id: 202736
            networkType: In Network
            groupNumber: Commercial
            memberId: TEST1234567
        orderingFacilityInformation:
          orderingFacilityZip: "10001"
          orderingFacility: BLR- ELK GROVE NEW
          orderingFacilityNPI: "1891925582"
          orderingFacilityState: NY
          orderingFacilityAddress: 123456 Test Street
          orderingFacilityCode: PV
          orderingFacilityCity: New York
          orderingFacilityFax: 999-999-5555
          orderingFacilityContact: 999-999-6666
        orderingPhysicianInformation:
          lastName: DOEPKER
          address: 12345 Test Street
          npi: "1760466460"
          physicianState: WI
          physicianExternalId: "10002"
          physicianTaxonomyCode: null
          physicianZip: "53538"
          fullName: Tim DOEPKER
          physicianCity: FORT ATKINSON
          physicianTaxonomyLicense: null
          firstName: Tim
          physicianTaxonomyState: null
          faxNo: 999-999-3333
          taxId: null
          physicianTaxonomyDescription: null
          contact: 999-999-2222
          enrolled: false
          physicianTin: "123123123"
        procedureInformation:
          - serviceType: "4"
            quantityType: Visits
            testCode: T1
            modifier: TC
            description: X-ray of shoulder, minimum of 2 views
            id: 261066
            testGroupName: Test Group
            placeOfService: Home
            cptCode: "73030"
            bodyPart: Shoulder
            testName: Test
        eligiblityBenefitsInformation:
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            coIns: 10
            coPayPlaceOfService: Specialist
            networkStatus: General
            ptUsed: 10
            outOfPocketRemainingCoverageType: Spouse and Children
            medicareCapAmount: 10
            planStart: 1761609600000
            omJobNumber: ipa-218604J1
            procedureAuthorizationId: 482424
            coordinationOfBenefitsDate: 1761696000000
            deductibleCoverageType: Children
            additionalPlanName: MADICARE
            deductibleRemaining: 90
            OutofPocketMaxRemaining: 900
            insuranceId: 202736
            ptLimit: 10
            plan: HMO
            outOfPocketCoverageType: Spouse and Children
            planType: MEDICAID
            coInsurancePlaceOfService: Specialist
            additionalPayerName: Payer
            outofPocketMax: 1000
            ptUsedType: Units
            deductibleNetworkType: General
            procedureId: 261066
            annualDeductible: 100
            coInsuranceNetworkType: General
            eligibilityStatus: Eligible
            ptLimitType: Units
            coverageType: Spouse and Children
            outOfPocketNetworkType: General
            outOfPocketRemainingNetworkType: General
            authorizationRequired: "No"
            deductibleRemainingNetworkType: General
            deductibleRemainingCoverageType: Spouse and Children
            coPayNetworkType: General
            coPay: 120
            referralRequired: "No"
            additionalPayerType: Primary
            planEnd: 1761696000000
        eligibilityDetails:
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            plan:
              planName: CALPERS ACTIVE ACCESS HMO GROUP BILL
              planType: null
              groupNumber: W0051411
              planEndDate: "9999-12-31T00:00:00Z"
              planStartDate: "2026-01-01T00:00:00Z"
            planStatus:
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              networkType: In-Network
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              serviceTypes:
                code: "30"
                name: Plan Coverage and General Benefits
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            benefits:
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                  serviceTypes:
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                    name: Physical Therapy
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                    code: PT
                    name: Physical Therapy
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                  timeQualifier: Visit
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                    name: Plan Coverage and General Benefits
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                    name: Plan Coverage and General Benefits
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                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: "No"
                  authorizationRequired: "No"
              limitations:
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                  coverageLevel: Family
                  timeQualifier: Calendar Year
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                address:
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                  city: RIVERSIDE
                  line1: 3660 ARLINGTON AVE
                  state: CA
                contact:
                  - type: Telephone
                    value: "9516836370"
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            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    EligibilityBenefits-PriorAuthWebhookSample-Pending_Review:
      summary: Eligibility Benefits Prior Auth - Pending Review
      description: Example payload for Eligibility Benefits Prior Authorization
      value:
        appointmentId: PAP-EXT-TEST-PA_EB-003
        caseNumber: ipa-218604
        caseId: 192760
        caseStatus: Pending Review
        subStatus: null
        statusReason: Info Submitted to payer
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        contact: 999-999-9999
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: TEST0001
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          patientId: P0001
          patientDateOfBirth: 12/16/1964
          note: Test Notes
          lastName: Doe
          gender: Male
          address: 123 Test Street
          firstName: John
        facilityInformation:
          facilityZip: "10001"
          facilityCode: PV
          facilityContact: 123-456-7890
          facilityFax: "9999994444"
          facilityAddress: 123456 Test Street
          facilityNPI: "1891925582"
          facilityState: NY
          facilityCity: New York
        physicianInformation:
          lastName: DOEHRING
          address: 1234 Test Street
          physicianAddressId: null
          npi: "1841243912"
          physicianState: NY
          physicianExternalId: "1001"
          physicianTaxonomyCode: 2085R0202X
          physicianZip: "10001"
          fullName: Tom DOEHRING
          physicianCity: New York
          physicianTaxonomyLicense: G50925
          firstName: Tom
          physicianTaxonomyState: CA
          faxNo: "9999991111"
          taxId: null
          physicianTaxonomyDescription: Radiology, Diagnostic Radiology
          contact: 999-999-9999
          enrolled: false
          physicianTin: "123456789"
        diagnosisInformation:
          - description: Other specified
            icd_10Code: M51.04
        procedureAuthorizationInformation:
          - unitsAuthorizedType: null
            unitsAuthorized: null
            peerReviewDate: null
            callReferenceNumber: "74389438934"
            procedureId: 261067
            expiryDate: null
            omJobNumber: ipa-218604J1
            denialReason: null
            insuranceId: 202737
            authNumber: null
            id: 482429
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: null
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: TEST 001
            payerName: Humana
            id: 202737
            networkType: In Network
            groupNumber: Commercial
            memberId: TEST1234567
        orderingFacilityInformation:
          orderingFacilityZip: "10001"
          orderingFacility: BLR- ELK GROVE NEW
          orderingFacilityNPI: "1891925582"
          orderingFacilityState: NY
          orderingFacilityAddress: 123456 Test Street
          orderingFacilityCode: PV
          orderingFacilityCity: New York
          orderingFacilityFax: 999-999-5555
          orderingFacilityContact: 999-999-6666
        orderingPhysicianInformation:
          lastName: DOEPKER
          address: 12345 Test Street
          npi: "1760466460"
          physicianState: WI
          physicianExternalId: "10002"
          physicianTaxonomyCode: null
          physicianZip: "53538"
          fullName: Tim DOEPKER
          physicianCity: FORT ATKINSON
          physicianTaxonomyLicense: null
          firstName: Tim
          physicianTaxonomyState: null
          faxNo: 999-999-3333
          taxId: null
          physicianTaxonomyDescription: null
          contact: 999-999-2222
          enrolled: false
          physicianTin: "123123123"
        procedureInformation:
          - serviceType: "4"
            quantityType: Visits
            testCode: T1
            modifier: TC
            description: X-ray of shoulder, minimum of 2 views
            id: 261067
            testGroupName: Test Group
            placeOfService: Home
            cptCode: "73030"
            bodyPart: Shoulder
            testName: Test
        ppeInformation:
          totalPatientRepsonsibiliy: null
          payerPPESummary:
            - omJobNumber: ipa-218604J1
              procedureAuthorizationId: 482429
              cptPatientEstimateAmount: null
              payerDueAmount: null
              insuranceId: 202737
              benefitsApplied: null
              procedureId: 261067
              allowedAmount: null
              allowedAmountSource: null
          ppeDisclaimer:
            This is an estimate and not a guarantee of payment. It is based on an estimate of
            negotiated rates and not actual contracts.It does not consider a medical necessity,
            limitation or exclusion
        eligiblityBenefitsInformation:
          - medicareAmountUsed: 10
            coIns: 10
            coPayPlaceOfService: Specialist
            networkStatus: General
            ptUsed: 10
            outOfPocketRemainingCoverageType: Spouse and Children
            medicareCapAmount: 10
            planStart: 1761609600000
            omJobNumber: ipa-218604J1
            procedureAuthorizationId: 482429
            coordinationOfBenefitsDate: 1761696000000
            deductibleCoverageType: Children
            additionalPlanName: MADICARE
            deductibleRemaining: 90
            OutofPocketMaxRemaining: 900
            insuranceId: 202737
            ptLimit: 10
            plan: HMO
            outOfPocketCoverageType: Spouse and Children
            planType: MEDICAID
            coInsurancePlaceOfService: Specialist
            additionalPayerName: Payer
            outofPocketMax: 1000
            ptUsedType: Units
            deductibleNetworkType: General
            procedureId: 261067
            annualDeductible: 100
            coInsuranceNetworkType: General
            eligibilityStatus: Eligible
            ptLimitType: Units
            coverageType: Spouse and Children
            outOfPocketNetworkType: General
            outOfPocketRemainingNetworkType: General
            authorizationRequired: "No"
            deductibleRemainingNetworkType: General
            deductibleRemainingCoverageType: Spouse and Children
            coPayNetworkType: General
            coPay: 120
            referralRequired: "No"
            additionalPayerType: Primary
            planEnd: 1761696000000
        eligibilityDetails:
          - eligibilitySource: EB_WAVELAND
            plan:
              planName: CALPERS ACTIVE ACCESS HMO GROUP BILL
              planType: null
              groupNumber: W0051411
              planEndDate: "9999-12-31T00:00:00Z"
              planStartDate: "2026-01-01T00:00:00Z"
            planStatus:
              status: Active Coverage
              networkType: In-Network
              coverageType: Family
              serviceTypes:
                code: "30"
                name: Plan Coverage and General Benefits
              coverageStatus: Eligible
            benefits:
              coPay:
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: Yes
                  authorizationRequired: No
                - networkType: In-Network
                  benefitValue: "15"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT REHABILITATIVE THERAPY OUTPATIENT FACILITY REHABILITATION PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: No
                  authorizationRequired: Yes
              deductible:
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Calendar Year
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Family
                  timeQualifier: Calendar Year
              coInsurance:
                - networkType: In-Network
                  benefitValue: "10"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT REHABILITATIVE THERAPY OUTPATIENT FACILITY REHABILITATION PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: "No"
                  authorizationRequired: "No"
              limitations:
                - description:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  benefitQuantity: "100"
                  quantityQualifier: "100"
              outOfPocket:
                - networkType: In-Network
                  benefitValue: "1500"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Calendar Year
                - networkType: In-Network
                  benefitValue: "3000"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Family
                  timeQualifier: Calendar Year
            providerEntities:
              ipa:
                name: RIVERSIDE MEDICAL CLINIC INC
                address:
                  zip: "925063912"
                  city: RIVERSIDE
                  line1: 3660 ARLINGTON AVE
                  state: CA
                contact:
                  - type: Telephone
                    value: "9516836370"
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    # ============================================================
    # Webhook Response SCHEMAS PriorAuthWebhookSample
    # ============================================================

    PriorAuthWebhookSample-Intake_Review:
      summary: Prior Auth - Intake Review
      description: Example payload for Prior Authorization
      value:
        appointmentId: TEST_PA_EXTERNAL_004
        caseNumber: ipa-218586
        caseId: 192742
        caseStatus: Intake Review
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: null
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          patientId: null
          patientDateOfBirth: 12/16/1964
          note: Test Notes
          lastName: Doe
          gender: Male
          address: 123 Test Street
          firstName: John
        facilityInformation:
          facilityZip: "37067"
          facilityCode: "1003"
          facilityContact: 615-324-1600
          facilityFax: "6152842003"
          facilityAddress: 7105 South Springs Drive, Ste 100
          facilityNPI: "1629311691"
          facilityState: TN
          facilityCity: FRANKLIN
        orderingFacilityInformation:
          orderingFacilityZip: "562107"
          orderingFacility: BLR- ELK GROVE NEW
          orderingFacilityNPI: "1891925582"
          orderingFacilityState: KA
          orderingFacilityAddress: INFX-Test blr
          orderingFacilityCode: PV
          orderingFacilityCity: Bengaluru
          orderingFacilityFax: 789-654-3211
          orderingFacilityContact: 999-888-7778
        physicianInformation:
          lastName: AANESTAD
          address: 499 RICHLAND AVE ATHENS, OH 45701-3704 United States
          physicianAddressId: null
          npi: "1982633566"
          physicianState: OH
          physicianExternalId: "1792029874"
          physicianTaxonomyCode: 231H00000X
          physicianZip: "45701"
          fullName: JANE AANESTAD
          physicianCity: ATHENS
          physicianTaxonomyLicense: A-00385
          firstName: JANE
          physicianTaxonomyState: OH
          faxNo: "7405922103"
          taxId: 0357191
          physicianTaxonomyDescription: Audiologist
          contact: 740-594-6333
          enrolled: true
          physicianTin: 0357191
        diagnosisInformation:
          - description: Retrovirus infections, not elsewhere classified
            icd_10Code: B33.3
        orderingPhysicianInformation:
          lastName: AANESTAD
          address: 499 RICHLAND AVE ATHENS, OH 45701-3704 United States
          npi: "1982633566"
          physicianState: AZ
          physicianExternalId: "1792029874"
          physicianTaxonomyCode: null
          physicianZip: "45701"
          fullName: NAME1 AANESTAD
          physicianCity: New York
          physicianTaxonomyLicense: null
          firstName: NAME1
          physicianTaxonomyState: null
          faxNo: 740-592-2103
          taxId: "123456789"
          physicianTaxonomyDescription: null
          contact: 740-594-6333
          enrolled: false
          physicianTin: 0357191
        procedureInformation:
          - serviceType: "4"
            quantityType: null
            testCode: HORDMD
            modifier: null
            description: X-ray of shoulder, minimum of 2 views
            id: 261050
            testGroupName: Horizon_East_Coast
            placeOfService: Home
            cptCode: "73030"
            bodyPart: null
            testName: Horizon-DMD
        procedureAuthorizationInformation:
          - unitsAuthorizedType: null
            unitsAuthorized: null
            peerReviewDate: null
            callReferenceNumber: null
            procedureId: 261050
            expiryDate: null
            omJobNumber: ipa-218586J1
            denialReason: null
            insuranceId: 202718
            authNumber: null
            id: 482383
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: null
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: null
            payerName: Humana
            id: 202718
            networkType: null
            groupNumber: null
            memberId: 09900943
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    PriorAuthWebhookSample-Pending_Determination:
      summary: Prior Auth - Pending Determination
      description: Example payload for Prior Authorization
      value:
        appointmentId: TEST_PA_EXTERNAL_004
        caseNumber: ipa-218586
        caseId: 192742
        caseStatus: Pending Determination
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: null
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          patientId: "749889343"
          patientDateOfBirth: 09/28/2025
          note: Test Notes
          lastName: Doe
          gender: Male
          address: 123 Test Street
          firstName: John
        facilityInformation:
          facilityZip: "37067"
          facilityCode: "1003"
          facilityContact: 615-324-1600
          facilityFax: "6152842003"
          facilityAddress: 7105 South Springs Drive, Ste 100
          facilityNPI: "1629311691"
          facilityState: TN
          facilityCity: FRANKLIN
        orderingFacilityInformation:
          orderingFacilityZip: "562107"
          orderingFacility: BLR- ELK GROVE NEW
          orderingFacilityNPI: "1891925582"
          orderingFacilityState: KA
          orderingFacilityAddress: INFX-Test blr
          orderingFacilityCode: PV
          orderingFacilityCity: Bengaluru
          orderingFacilityFax: 789-654-3211
          orderingFacilityContact: 999-888-7778
        physicianInformation:
          lastName: AANESTAD
          address: 499 RICHLAND AVE ATHENS, OH 45701-3704 United States
          physicianAddressId: null
          npi: "1982633566"
          physicianState: OH
          physicianExternalId: "1792029874"
          physicianTaxonomyCode: 231H00000X
          physicianZip: "45701"
          fullName: JANE AANESTAD
          physicianCity: ATHENS
          physicianTaxonomyLicense: A-00385
          firstName: JANE
          physicianTaxonomyState: OH
          faxNo: "7405922103"
          taxId: 0357191
          physicianTaxonomyDescription: Audiologist
          contact: 740-594-6333
          enrolled: true
          physicianTin: 0357191
        diagnosisInformation:
          - description: Retrovirus infections, not elsewhere classified
            icd_10Code: B33.3
        orderingPhysicianInformation:
          lastName: AANESTAD
          address: 499 RICHLAND AVE ATHENS, OH 45701-3704 United States
          npi: "1982633566"
          physicianState: AZ
          physicianExternalId: "1792029874"
          physicianTaxonomyCode: null
          physicianZip: "45701"
          fullName: NAME1 AANESTAD
          physicianCity: New York
          physicianTaxonomyLicense: null
          firstName: NAME1
          physicianTaxonomyState: null
          faxNo: 740-592-2103
          taxId: "123456789"
          physicianTaxonomyDescription: null
          contact: 740-594-6333
          enrolled: false
          physicianTin: 0357191
        procedureInformation:
          - serviceType: "4"
            quantityType: null
            testCode: HORDMD
            modifier: null
            description: X-ray of shoulder, minimum of 2 views
            id: 261050
            testGroupName: Horizon_East_Coast
            placeOfService: Home
            cptCode: "73030"
            bodyPart: null
            testName: Horizon-DMD
        procedureAuthorizationInformation:
          - unitsAuthorizedType: null
            unitsAuthorized: null
            peerReviewDate: null
            callReferenceNumber: null
            procedureId: 261050
            expiryDate: null
            omJobNumber: ipa-218586J1
            denialReason: null
            insuranceId: 202718
            authNumber: null
            id: 482384
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: null
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: null
            payerName: Humana
            id: 202718
            networkType: null
            groupNumber: null
            memberId: 09900943
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    PriorAuthWebhookSample-Uninitiated:
      summary: Prior Auth - Uninitiated
      description: Example payload for Prior Authorization
      value:
        appointmentId: TEST_PA_EXTERNAL_003
        caseNumber: ipa-218585
        caseId: 192741
        caseStatus: Uninitiated
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: null
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          patientId: "87498489439"
          patientDateOfBirth: 09/28/2025
          note: Test Notes
          lastName: Doe
          gender: Male
          address: 123 Test Street
          firstName: John
        facilityInformation:
          facilityZip: "37067"
          facilityCode: "1003"
          facilityContact: 615-324-1600
          facilityFax: "6152842003"
          facilityAddress: 7105 South Springs Drive, Ste 100
          facilityNPI: "1629311691"
          facilityState: TN
          facilityCity: FRANKLIN
        orderingFacilityInformation:
          orderingFacilityZip: "562107"
          orderingFacility: BLR- ELK GROVE NEW
          orderingFacilityNPI: "1891925582"
          orderingFacilityState: KA
          orderingFacilityAddress: INFX-Test blr
          orderingFacilityCode: PV
          orderingFacilityCity: Bengaluru
          orderingFacilityFax: 789-654-3211
          orderingFacilityContact: 999-888-7778
        physicianInformation:
          lastName: AANESTAD
          address: 499 RICHLAND AVE ATHENS, OH 45701-3704 United States
          physicianAddressId: null
          npi: "1982633566"
          physicianState: OH
          physicianExternalId: "1792029874"
          physicianTaxonomyCode: null
          physicianZip: "45701"
          fullName: JANE AANESTAD
          physicianCity: ATHENS
          physicianTaxonomyLicense: null
          firstName: JANE
          physicianTaxonomyState: null
          faxNo: "7405922103"
          taxId: 0357191
          physicianTaxonomyDescription: null
          contact: 740-594-6333
          enrolled: true
          physicianTin: 0357191
        diagnosisInformation:
          - description: Retrovirus infections, not elsewhere classified
            icd_10Code: B33.3
        orderingPhysicianInformation:
          lastName: AANESTAD
          address: 499 RICHLAND AVE ATHENS, OH 45701-3704 United States
          npi: "1982633566"
          physicianState: AZ
          physicianExternalId: "1792029874"
          physicianTaxonomyCode: null
          physicianZip: "45701"
          fullName: NAME1 AANESTAD
          physicianCity: New York
          physicianTaxonomyLicense: null
          firstName: NAME1
          physicianTaxonomyState: null
          faxNo: 740-592-2103
          taxId: "123456789"
          physicianTaxonomyDescription: null
          contact: 740-594-6333
          enrolled: false
          physicianTin: 0357191
        procedureInformation:
          - serviceType: "4"
            quantityType: null
            testCode: HORDMD
            modifier: null
            description: X-ray of shoulder, minimum of 2 views
            id: 261049
            testGroupName: Horizon_East_Coast
            placeOfService: Home
            cptCode: "73030"
            bodyPart: null
            testName: Horizon-DMD
        procedureAuthorizationInformation:
          - unitsAuthorizedType: null
            unitsAuthorized: null
            peerReviewDate: null
            callReferenceNumber: null
            procedureId: 261049
            expiryDate: null
            omJobNumber: ipa-218585J1
            denialReason: null
            insuranceId: 202717
            authNumber: null
            id: 482378
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: null
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: null
            payerName: Humana
            id: 202717
            networkType: null
            groupNumber: null
            memberId: 09900943
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    PriorAuthWebhookSample-No_Authorization_Required:
      summary: Prior Auth - No Authorization Required
      description: Example payload for Prior Authorization
      value:
        appointmentId: TEST_PA_EXTERNAL_003
        caseNumber: ipa-218585
        caseId: 192741
        caseStatus: No Authorization Required
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: null
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          patientId: "87498489439"
          patientDateOfBirth: 09/28/2025
          note: Test Notes
          lastName: Doe
          gender: Male
          address: 123 Test Street
          firstName: John
        facilityInformation:
          facilityZip: "37067"
          facilityCode: "1003"
          facilityContact: 615-324-1600
          facilityFax: "6152842003"
          facilityAddress: 7105 South Springs Drive, Ste 100
          facilityNPI: "1629311691"
          facilityState: TN
          facilityCity: FRANKLIN
        orderingFacilityInformation:
          orderingFacilityZip: "562107"
          orderingFacility: BLR- ELK GROVE NEW
          orderingFacilityNPI: "1891925582"
          orderingFacilityState: KA
          orderingFacilityAddress: INFX-Test blr
          orderingFacilityCode: PV
          orderingFacilityCity: Bengaluru
          orderingFacilityFax: 789-654-3211
          orderingFacilityContact: 999-888-7778
        physicianInformation:
          lastName: AANESTAD
          address: 499 RICHLAND AVE ATHENS, OH 45701-3704 United States
          physicianAddressId: null
          npi: "1982633566"
          physicianState: OH
          physicianExternalId: "1792029874"
          physicianTaxonomyCode: null
          physicianZip: "45701"
          fullName: JANE AANESTAD
          physicianCity: ATHENS
          physicianTaxonomyLicense: null
          firstName: JANE
          physicianTaxonomyState: null
          faxNo: "7405922103"
          taxId: 0357191
          physicianTaxonomyDescription: null
          contact: 740-594-6333
          enrolled: true
          physicianTin: 0357191
        diagnosisInformation:
          - description: Retrovirus infections, not elsewhere classified
            icd_10Code: B33.3
        orderingPhysicianInformation:
          lastName: AANESTAD
          address: 499 RICHLAND AVE ATHENS, OH 45701-3704 United States
          npi: "1982633566"
          physicianState: AZ
          physicianExternalId: "1792029874"
          physicianTaxonomyCode: null
          physicianZip: "45701"
          fullName: NAME1 AANESTAD
          physicianCity: New York
          physicianTaxonomyLicense: null
          firstName: NAME1
          physicianTaxonomyState: null
          faxNo: 740-592-2103
          taxId: "123456789"
          physicianTaxonomyDescription: null
          contact: 740-594-6333
          enrolled: false
          physicianTin: 0357191
        procedureInformation:
          - serviceType: "4"
            quantityType: null
            testCode: HORDMD
            modifier: null
            description: X-ray of shoulder, minimum of 2 views
            id: 261049
            testGroupName: Horizon_East_Coast
            placeOfService: Home
            cptCode: "73030"
            bodyPart: null
            testName: Horizon-DMD
        procedureAuthorizationInformation:
          - unitsAuthorizedType: Units
            unitsAuthorized: "12"
            peerReviewDate: null
            callReferenceNumber: "74378438943934"
            procedureId: 261049
            expiryDate: null
            omJobNumber: ipa-218585J1
            denialReason: null
            insuranceId: 202717
            authNumber: null
            id: 482378
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: No Authorization Required
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: null
            payerName: Humana
            id: 202717
            networkType: null
            groupNumber: null
            memberId: 09900943
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    PriorAuthWebhookSample-Pending_Information:
      summary: Prior Auth - Pending Information
      description: Example payload for Prior Authorization
      value:
        appointmentId: TEST_PA_EXTERNAL_003
        caseNumber: ipa-218585
        caseId: 192741
        caseStatus: Pending Information
        subStatus: In Review
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        informationType: Other
        informationTypeOther: clinicals Required
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: null
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          patientId: "87498489439"
          patientDateOfBirth: 09/28/2025
          note: Test Notes
          lastName: Doe
          gender: Male
          address: 123 Test Street
          firstName: John
        facilityInformation:
          facilityZip: "37067"
          facilityCode: "1003"
          facilityContact: 615-324-1600
          facilityFax: "6152842003"
          facilityAddress: 7105 South Springs Drive, Ste 100
          facilityNPI: "1629311691"
          facilityState: TN
          facilityCity: FRANKLIN
        orderingFacilityInformation:
          orderingFacilityZip: "562107"
          orderingFacility: BLR- ELK GROVE NEW
          orderingFacilityNPI: "1891925582"
          orderingFacilityState: KA
          orderingFacilityAddress: INFX-Test blr
          orderingFacilityCode: PV
          orderingFacilityCity: Bengaluru
          orderingFacilityFax: 789-654-3211
          orderingFacilityContact: 999-888-7778
        physicianInformation:
          lastName: AANESTAD
          address: 499 RICHLAND AVE ATHENS, OH 45701-3704 United States
          physicianAddressId: null
          npi: "1982633566"
          physicianState: OH
          physicianExternalId: "1792029874"
          physicianTaxonomyCode: null
          physicianZip: "45701"
          fullName: JANE AANESTAD
          physicianCity: ATHENS
          physicianTaxonomyLicense: null
          firstName: JANE
          physicianTaxonomyState: null
          faxNo: "7405922103"
          taxId: 0357191
          physicianTaxonomyDescription: null
          contact: 740-594-6333
          enrolled: true
          physicianTin: 0357191
        diagnosisInformation:
          - description: Retrovirus infections, not elsewhere classified
            icd_10Code: B33.3
        orderingPhysicianInformation:
          lastName: AANESTAD
          address: 499 RICHLAND AVE ATHENS, OH 45701-3704 United States
          npi: "1982633566"
          physicianState: AZ
          physicianExternalId: "1792029874"
          physicianTaxonomyCode: null
          physicianZip: "45701"
          fullName: NAME1 AANESTAD
          physicianCity: New York
          physicianTaxonomyLicense: null
          firstName: NAME1
          physicianTaxonomyState: null
          faxNo: 740-592-2103
          taxId: "123456789"
          physicianTaxonomyDescription: null
          contact: 740-594-6333
          enrolled: false
          physicianTin: 0357191
        procedureInformation:
          - serviceType: "4"
            quantityType: null
            testCode: HORDMD
            modifier: null
            description: X-ray of shoulder, minimum of 2 views
            id: 261049
            testGroupName: Horizon_East_Coast
            placeOfService: Home
            cptCode: "73030"
            bodyPart: null
            testName: Horizon-DMD
        procedureAuthorizationInformation:
          - unitsAuthorizedType: null
            unitsAuthorized: null
            peerReviewDate: null
            callReferenceNumber: null
            procedureId: 261049
            expiryDate: null
            omJobNumber: ipa-218585J1
            denialReason: null
            insuranceId: 202717
            authNumber: null
            id: 482378
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: null
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: null
            payerName: Humana
            id: 202717
            networkType: null
            groupNumber: null
            memberId: 09900943
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    PriorAuthWebhookSample-Pending_Review:
      summary: Prior Auth - Pending Review
      description: Example payload for Prior Authorization
      value:
        appointmentId: TEST_PA_EXTERNAL_003
        caseNumber: ipa-218585
        caseId: 192741
        caseStatus: Pending Review
        subStatus: null
        statusReason: Other
        statusReasonOther: Manual Followup required
        statusUpdatedAt: 2025-01-01T00:00:00Z
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: null
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          patientId: "87498489439"
          patientDateOfBirth: 09/28/2025
          note: Test Notes
          lastName: Doe
          gender: Male
          address: 123 Test Street
          firstName: John
        facilityInformation:
          facilityZip: "37067"
          facilityCode: "1003"
          facilityContact: 615-324-1600
          facilityFax: "6152842003"
          facilityAddress: 7105 South Springs Drive, Ste 100
          facilityNPI: "1629311691"
          facilityState: TN
          facilityCity: FRANKLIN
        orderingFacilityInformation:
          orderingFacilityZip: "562107"
          orderingFacility: BLR- ELK GROVE NEW
          orderingFacilityNPI: "1891925582"
          orderingFacilityState: KA
          orderingFacilityAddress: INFX-Test blr
          orderingFacilityCode: PV
          orderingFacilityCity: Bengaluru
          orderingFacilityFax: 789-654-3211
          orderingFacilityContact: 999-888-7778
        physicianInformation:
          lastName: AANESTAD
          address: 499 RICHLAND AVE ATHENS, OH 45701-3704 United States
          physicianAddressId: null
          npi: "1982633566"
          physicianState: OH
          physicianExternalId: "1792029874"
          physicianTaxonomyCode: null
          physicianZip: "45701"
          fullName: JANE AANESTAD
          physicianCity: ATHENS
          physicianTaxonomyLicense: null
          firstName: JANE
          physicianTaxonomyState: null
          faxNo: "7405922103"
          taxId: 0357191
          physicianTaxonomyDescription: null
          contact: 740-594-6333
          enrolled: true
          physicianTin: 0357191
        diagnosisInformation:
          - description: Retrovirus infections, not elsewhere classified
            icd_10Code: B33.3
        orderingPhysicianInformation:
          lastName: AANESTAD
          address: 499 RICHLAND AVE ATHENS, OH 45701-3704 United States
          npi: "1982633566"
          physicianState: AZ
          physicianExternalId: "1792029874"
          physicianTaxonomyCode: null
          physicianZip: "45701"
          fullName: NAME1 AANESTAD
          physicianCity: New York
          physicianTaxonomyLicense: null
          firstName: NAME1
          physicianTaxonomyState: null
          faxNo: 740-592-2103
          taxId: "123456789"
          physicianTaxonomyDescription: null
          contact: 740-594-6333
          enrolled: false
          physicianTin: 0357191
        procedureInformation:
          - serviceType: "4"
            quantityType: null
            testCode: HORDMD
            modifier: null
            description: X-ray of shoulder, minimum of 2 views
            id: 261049
            testGroupName: Horizon_East_Coast
            placeOfService: Home
            cptCode: "73030"
            bodyPart: null
            testName: Horizon-DMD
        procedureAuthorizationInformation:
          - unitsAuthorizedType: null
            unitsAuthorized: null
            peerReviewDate: null
            callReferenceNumber: "74378438943934"
            procedureId: 261049
            expiryDate: null
            omJobNumber: ipa-218585J1
            denialReason: null
            insuranceId: 202717
            authNumber: null
            id: 482378
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: null
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: null
            payerName: Humana
            id: 202717
            networkType: null
            groupNumber: null
            memberId: 09900943
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    PriorAuthWebhookSample-Approved:
      summary: Prior Auth - Approved
      description: Example payload for Prior Authorization
      value:
        appointmentId: TEST_PA_EXTERNAL_003
        caseNumber: ipa-218585
        caseId: 192741
        caseStatus: Approved
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: null
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          patientId: "87498489439"
          patientDateOfBirth: 09/28/2025
          note: Test Notes
          lastName: Doe
          gender: Male
          address: 123 Test Street
          firstName: John
        facilityInformation:
          facilityZip: "37067"
          facilityCode: "1003"
          facilityContact: 615-324-1600
          facilityFax: "6152842003"
          facilityAddress: 7105 South Springs Drive, Ste 100
          facilityNPI: "1629311691"
          facilityState: TN
          facilityCity: FRANKLIN
        orderingFacilityInformation:
          orderingFacilityZip: "562107"
          orderingFacility: BLR- ELK GROVE NEW
          orderingFacilityNPI: "1891925582"
          orderingFacilityState: KA
          orderingFacilityAddress: INFX-Test blr
          orderingFacilityCode: PV
          orderingFacilityCity: Bengaluru
          orderingFacilityFax: 789-654-3211
          orderingFacilityContact: 999-888-7778
        physicianInformation:
          lastName: AANESTAD
          address: 499 RICHLAND AVE ATHENS, OH 45701-3704 United States
          physicianAddressId: null
          npi: "1982633566"
          physicianState: OH
          physicianExternalId: "1792029874"
          physicianTaxonomyCode: null
          physicianZip: "45701"
          fullName: JANE AANESTAD
          physicianCity: ATHENS
          physicianTaxonomyLicense: null
          firstName: JANE
          physicianTaxonomyState: null
          faxNo: "7405922103"
          taxId: 0357191
          physicianTaxonomyDescription: null
          contact: 740-594-6333
          enrolled: true
          physicianTin: 0357191
        diagnosisInformation:
          - description: Retrovirus infections, not elsewhere classified
            icd_10Code: B33.3
        orderingPhysicianInformation:
          lastName: AANESTAD
          address: 499 RICHLAND AVE ATHENS, OH 45701-3704 United States
          npi: "1982633566"
          physicianState: AZ
          physicianExternalId: "1792029874"
          physicianTaxonomyCode: null
          physicianZip: "45701"
          fullName: NAME1 AANESTAD
          physicianCity: New York
          physicianTaxonomyLicense: null
          firstName: NAME1
          physicianTaxonomyState: null
          faxNo: 740-592-2103
          taxId: "123456789"
          physicianTaxonomyDescription: null
          contact: 740-594-6333
          enrolled: false
          physicianTin: 0357191
        procedureInformation:
          - serviceType: "4"
            quantityType: null
            testCode: HORDMD
            modifier: null
            description: X-ray of shoulder, minimum of 2 views
            id: 261049
            testGroupName: Horizon_East_Coast
            placeOfService: Home
            cptCode: "73030"
            bodyPart: null
            testName: Horizon-DMD
        procedureAuthorizationInformation:
          - unitsAuthorizedType: Units
            unitsAuthorized: "12"
            peerReviewDate: null
            callReferenceNumber: "74378438943934"
            procedureId: 261049
            expiryDate: 2025-10-27T00:00:00.000+0000
            omJobNumber: ipa-218585J1
            denialReason: null
            insuranceId: 202717
            authNumber: "73893893"
            id: 482378
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: 2025-10-21T00:00:00.000+0000
            status: Approved
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: null
            payerName: Humana
            id: 202717
            networkType: null
            groupNumber: null
            memberId: 09900943
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    PriorAuthWebhookSample-Peer_Review:
      summary: Prior Auth - Peer Review
      description: Example payload for Prior Authorization
      value:
        appointmentId: TEST_PA_EXTERNAL_003
        caseNumber: ipa-218585
        caseId: 192741
        caseStatus: Peer Review
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: null
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          patientId: "87498489439"
          patientDateOfBirth: 09/28/2025
          note: Test Notes
          lastName: Doe
          gender: Male
          address: 123 Test Street
          firstName: John
        facilityInformation:
          facilityZip: "37067"
          facilityCode: "1003"
          facilityContact: 615-324-1600
          facilityFax: "6152842003"
          facilityAddress: 7105 South Springs Drive, Ste 100
          facilityNPI: "1629311691"
          facilityState: TN
          facilityCity: FRANKLIN
        orderingFacilityInformation:
          orderingFacilityZip: "562107"
          orderingFacility: BLR- ELK GROVE NEW
          orderingFacilityNPI: "1891925582"
          orderingFacilityState: KA
          orderingFacilityAddress: INFX-Test blr
          orderingFacilityCode: PV
          orderingFacilityCity: Bengaluru
          orderingFacilityFax: 789-654-3211
          orderingFacilityContact: 999-888-7778
        physicianInformation:
          lastName: AANESTAD
          address: 499 RICHLAND AVE ATHENS, OH 45701-3704 United States
          physicianAddressId: null
          npi: "1982633566"
          physicianState: OH
          physicianExternalId: "1792029874"
          physicianTaxonomyCode: null
          physicianZip: "45701"
          fullName: JANE AANESTAD
          physicianCity: ATHENS
          physicianTaxonomyLicense: null
          firstName: JANE
          physicianTaxonomyState: null
          faxNo: "7405922103"
          taxId: 0357191
          physicianTaxonomyDescription: null
          contact: 740-594-6333
          enrolled: true
          physicianTin: 0357191
        diagnosisInformation:
          - description: Retrovirus infections, not elsewhere classified
            icd_10Code: B33.3
        orderingPhysicianInformation:
          lastName: AANESTAD
          address: 499 RICHLAND AVE ATHENS, OH 45701-3704 United States
          npi: "1982633566"
          physicianState: AZ
          physicianExternalId: "1792029874"
          physicianTaxonomyCode: null
          physicianZip: "45701"
          fullName: NAME1 AANESTAD
          physicianCity: New York
          physicianTaxonomyLicense: null
          firstName: NAME1
          physicianTaxonomyState: null
          faxNo: 740-592-2103
          taxId: "123456789"
          physicianTaxonomyDescription: null
          contact: 740-594-6333
          enrolled: false
          physicianTin: 0357191
        procedureInformation:
          - serviceType: "4"
            quantityType: null
            testCode: HORDMD
            modifier: null
            description: X-ray of shoulder, minimum of 2 views
            id: 261049
            testGroupName: Horizon_East_Coast
            placeOfService: Home
            cptCode: "73030"
            bodyPart: null
            testName: Horizon-DMD
        procedureAuthorizationInformation:
          - unitsAuthorizedType: Units
            unitsAuthorized: "12"
            peerReviewDate: 1760486400000
            callReferenceNumber: "74378438943934"
            procedureId: 261049
            expiryDate: null
            omJobNumber: ipa-218585J1
            denialReason: Existing Denial with either same Facility or provider or Procedure.
            insuranceId: 202717
            authNumber: null
            id: 482378
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: Peer Review
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: null
            payerName: Humana
            id: 202717
            networkType: null
            groupNumber: null
            memberId: 09900943
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    PriorAuthWebhookSample-Denied:
      summary: Prior Auth - Denied
      description: Example payload for Prior Authorization
      value:
        appointmentId: TEST_PA_EXTERNAL_003
        caseNumber: ipa-218585
        caseId: 192741
        caseStatus: Denied
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: null
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          patientId: "87498489439"
          patientDateOfBirth: 09/28/2025
          note: Test Notes
          lastName: Doe
          gender: Male
          address: 123 Test Street
          firstName: John
        facilityInformation:
          facilityZip: "37067"
          facilityCode: "1003"
          facilityContact: 615-324-1600
          facilityFax: "6152842003"
          facilityAddress: 7105 South Springs Drive, Ste 100
          facilityNPI: "1629311691"
          facilityState: TN
          facilityCity: FRANKLIN
        orderingFacilityInformation:
          orderingFacilityZip: "562107"
          orderingFacility: BLR- ELK GROVE NEW
          orderingFacilityNPI: "1891925582"
          orderingFacilityState: KA
          orderingFacilityAddress: INFX-Test blr
          orderingFacilityCode: PV
          orderingFacilityCity: Bengaluru
          orderingFacilityFax: 789-654-3211
          orderingFacilityContact: 999-888-7778
        physicianInformation:
          lastName: AANESTAD
          address: 499 RICHLAND AVE ATHENS, OH 45701-3704 United States
          physicianAddressId: null
          npi: "1982633566"
          physicianState: OH
          physicianExternalId: "1792029874"
          physicianTaxonomyCode: null
          physicianZip: "45701"
          fullName: JANE AANESTAD
          physicianCity: ATHENS
          physicianTaxonomyLicense: null
          firstName: JANE
          physicianTaxonomyState: null
          faxNo: "7405922103"
          taxId: 0357191
          physicianTaxonomyDescription: null
          contact: 740-594-6333
          enrolled: true
          physicianTin: 0357191
        diagnosisInformation:
          - description: Retrovirus infections, not elsewhere classified
            icd_10Code: B33.3
        orderingPhysicianInformation:
          lastName: AANESTAD
          address: 499 RICHLAND AVE ATHENS, OH 45701-3704 United States
          npi: "1982633566"
          physicianState: AZ
          physicianExternalId: "1792029874"
          physicianTaxonomyCode: null
          physicianZip: "45701"
          fullName: NAME1 AANESTAD
          physicianCity: New York
          physicianTaxonomyLicense: null
          firstName: NAME1
          physicianTaxonomyState: null
          faxNo: 740-592-2103
          taxId: "123456789"
          physicianTaxonomyDescription: null
          contact: 740-594-6333
          enrolled: false
          physicianTin: 0357191
        procedureInformation:
          - serviceType: "4"
            quantityType: null
            testCode: HORDMD
            modifier: null
            description: X-ray of shoulder, minimum of 2 views
            id: 261049
            testGroupName: Horizon_East_Coast
            placeOfService: Home
            cptCode: "73030"
            bodyPart: null
            testName: Horizon-DMD
        procedureAuthorizationInformation:
          - unitsAuthorizedType: Units
            unitsAuthorized: "12"
            peerReviewDate: null
            callReferenceNumber: "74378438943934"
            procedureId: 261049
            expiryDate: null
            omJobNumber: ipa-218585J1
            denialReason: Existing Denial with same Facility and Provider and Procedure.
            insuranceId: 202717
            authNumber: null
            id: 482378
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: Denied
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: null
            payerName: Humana
            id: 202717
            networkType: null
            groupNumber: null
            memberId: 09900943
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    PriorAuthWebhookSample-Canceled:
      summary: Prior Auth - Canceled
      description: Example payload for Prior Authorization
      value:
        appointmentId: TEST_PA_EXTERNAL_003
        caseNumber: ipa-218585
        caseId: 192741
        caseStatus: Canceled
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: null
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          patientId: "87498489439"
          patientDateOfBirth: 09/28/2025
          note: Test Notes
          lastName: Doe
          gender: Male
          address: 123 Test Street
          firstName: John
        facilityInformation:
          facilityZip: "37067"
          facilityCode: "1003"
          facilityContact: 615-324-1600
          facilityFax: "6152842003"
          facilityAddress: 7105 South Springs Drive, Ste 100
          facilityNPI: "1629311691"
          facilityState: TN
          facilityCity: FRANKLIN
        orderingFacilityInformation:
          orderingFacilityZip: "562107"
          orderingFacility: BLR- ELK GROVE NEW
          orderingFacilityNPI: "1891925582"
          orderingFacilityState: KA
          orderingFacilityAddress: INFX-Test blr
          orderingFacilityCode: PV
          orderingFacilityCity: Bengaluru
          orderingFacilityFax: 789-654-3211
          orderingFacilityContact: 999-888-7778
        physicianInformation:
          lastName: AANESTAD
          address: 499 RICHLAND AVE ATHENS, OH 45701-3704 United States
          physicianAddressId: null
          npi: "1982633566"
          physicianState: OH
          physicianExternalId: "1792029874"
          physicianTaxonomyCode: null
          physicianZip: "45701"
          fullName: JANE AANESTAD
          physicianCity: ATHENS
          physicianTaxonomyLicense: null
          firstName: JANE
          physicianTaxonomyState: null
          faxNo: "7405922103"
          taxId: 0357191
          physicianTaxonomyDescription: null
          contact: 740-594-6333
          enrolled: true
          physicianTin: 0357191
        diagnosisInformation:
          - description: Retrovirus infections, not elsewhere classified
            icd_10Code: B33.3
        orderingPhysicianInformation:
          lastName: AANESTAD
          address: 499 RICHLAND AVE ATHENS, OH 45701-3704 United States
          npi: "1982633566"
          physicianState: AZ
          physicianExternalId: "1792029874"
          physicianTaxonomyCode: null
          physicianZip: "45701"
          fullName: NAME1 AANESTAD
          physicianCity: New York
          physicianTaxonomyLicense: null
          firstName: NAME1
          physicianTaxonomyState: null
          faxNo: 740-592-2103
          taxId: "123456789"
          physicianTaxonomyDescription: null
          contact: 740-594-6333
          enrolled: false
          physicianTin: 0357191
        procedureInformation:
          - serviceType: "4"
            quantityType: null
            testCode: HORDMD
            modifier: null
            description: X-ray of shoulder, minimum of 2 views
            id: 261049
            testGroupName: Horizon_East_Coast
            placeOfService: Home
            cptCode: "73030"
            bodyPart: null
            testName: Horizon-DMD
        procedureAuthorizationInformation:
          - unitsAuthorizedType: Units
            unitsAuthorized: "12"
            peerReviewDate: null
            callReferenceNumber: "74378438943934"
            procedureId: 261049
            expiryDate: null
            omJobNumber: ipa-218585J1
            denialReason: Existing Denial with same Facility and Provider and Procedure.
            insuranceId: 202717
            authNumber: null
            id: 482378
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: Denied
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: null
            payerName: Humana
            id: 202717
            networkType: null
            groupNumber: null
            memberId: 09900943
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    # ============================================================
    # Webhook Response SCHEMAS Eligibility/Benefits and Prior Authorization Verification
    # ============================================================

    EligibilityBenefits-PriorAuthVerificationWebhookSample-Intake_Review:
      summary: Eligibility/Benefits and Prior Authorization Verification webhook payload Intake Review
      description: Example payload for Eligibility/Benefits and Prior Authorization Verification
      value:
        appointmentId: PAP-EXT-TEST-PAV_EB-001
        caseNumber: ipa-218603
        caseId: 192759
        caseStatus: Intake Review
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        contact: 999-999-9999
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: TEST0001
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          patientId: P0001
          patientDateOfBirth: 12/16/1964
          note: Test Notes
          lastName: Doe
          gender: Male
          address: 123 Test Street
          firstName: John
        facilityInformation:
          facilityZip: "10001"
          facilityCode: PV
          facilityContact: 123-456-7890
          facilityFax: "9999994444"
          facilityAddress: 123456 Test Street
          facilityNPI: "1891925582"
          facilityState: NY
          facilityCity: New York
        physicianInformation:
          lastName: DOEHRING
          address: 1234 Test Street
          physicianAddressId: null
          npi: "1841243912"
          physicianState: NY
          physicianExternalId: "1001"
          physicianTaxonomyCode: 2085R0202X
          physicianZip: "10001"
          fullName: Tom DOEHRING
          physicianCity: New York
          physicianTaxonomyLicense: G50925
          firstName: Tom
          physicianTaxonomyState: CA
          faxNo: "9999991111"
          taxId: null
          physicianTaxonomyDescription: Radiology, Diagnostic Radiology
          contact: 999-999-9999
          enrolled: false
          physicianTin: "123456789"
        diagnosisInformation:
          - description: Other specified
            icd_10Code: M51.04
        procedureAuthorizationInformation:
          - unitsAuthorizedType: null
            unitsAuthorized: null
            peerReviewDate: null
            callReferenceNumber: null
            procedureId: 261066
            expiryDate: null
            omJobNumber: ipa-218603J1
            denialReason: null
            insuranceId: 202735
            authNumber: null
            id: 482423
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: null
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: null
            contact: null
            policyNumber: TEST 001
            payerName: INFINX
            id: 202735
            networkType: In Network
            groupNumber: Commercial
            memberId: TEST1234567
        orderingFacilityInformation:
          orderingFacilityZip: "10001"
          orderingFacility: BLR- ELK GROVE NEW
          orderingFacilityNPI: "1891925582"
          orderingFacilityState: NY
          orderingFacilityAddress: 123456 Test Street
          orderingFacilityCode: PV
          orderingFacilityCity: New York
          orderingFacilityFax: 999-999-5555
          orderingFacilityContact: 999-999-6666
        orderingPhysicianInformation:
          lastName: DOEPKER
          address: 12345 Test Street
          npi: "1760466460"
          physicianState: WI
          physicianExternalId: "10002"
          physicianTaxonomyCode: null
          physicianZip: "53538"
          fullName: Tim DOEPKER
          physicianCity: FORT ATKINSON
          physicianTaxonomyLicense: null
          firstName: Tim
          physicianTaxonomyState: null
          faxNo: 999-999-3333
          taxId: null
          physicianTaxonomyDescription: null
          contact: 999-999-2222
          enrolled: false
          physicianTin: "123123123"
        procedureInformation:
          - serviceType: "4"
            quantityType: Visits
            testCode: T1
            modifier: TC
            description: X-ray of shoulder, minimum of 2 views
            id: 261066
            testGroupName: Test Group
            placeOfService: Home
            cptCode: "73030"
            bodyPart: Shoulder
            testName: Test
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    EligibilityBenefits-PriorAuthVerificationWebhookSample-Pending_Determination:
      summary: Eligibility/Benefits and Prior Authorization Verification webhook payload Pending Determination
      description: Example payload for Eligibility/Benefits and Prior Authorization Verification
      value:
        appointmentId: PAP-EXT-TEST-PA_EB-001
        caseNumber: ipa-218603
        caseId: 192759
        caseStatus: Pending Determination
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        contact: 999-999-9999
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: TEST0001
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          patientId: P0001
          patientDateOfBirth: 12/16/1964
          note: Test Notes
          lastName: Doe
          gender: Male
          address: 123 Test Street
          firstName: John
        facilityInformation:
          facilityZip: "10001"
          facilityCode: PV
          facilityContact: 123-456-7890
          facilityFax: "9999994444"
          facilityAddress: 123456 Test Street
          facilityNPI: "1891925582"
          facilityState: NY
          facilityCity: New York
        physicianInformation:
          lastName: DOEHRING
          address: 1234 Test Street
          physicianAddressId: null
          npi: "1841243912"
          physicianState: NY
          physicianExternalId: "1001"
          physicianTaxonomyCode: 2085R0202X
          physicianZip: "10001"
          fullName: Tom DOEHRING
          physicianCity: New York
          physicianTaxonomyLicense: G50925
          firstName: Tom
          physicianTaxonomyState: CA
          faxNo: "9999991111"
          taxId: null
          physicianTaxonomyDescription: Radiology, Diagnostic Radiology
          contact: 999-999-9999
          enrolled: false
          physicianTin: "123456789"
        diagnosisInformation:
          - description: Other specified
            icd_10Code: M51.04
        procedureAuthorizationInformation:
          - unitsAuthorizedType: null
            unitsAuthorized: null
            peerReviewDate: null
            callReferenceNumber: null
            procedureId: 261066
            expiryDate: null
            omJobNumber: ipa-218603J1
            denialReason: null
            insuranceId: 202736
            authNumber: null
            id: 482424
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: null
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: TEST 001
            payerName: Humana
            id: 202736
            networkType: In Network
            groupNumber: Commercial
            memberId: TEST1234567
        orderingFacilityInformation:
          orderingFacilityZip: "10001"
          orderingFacility: BLR- ELK GROVE NEW
          orderingFacilityNPI: "1891925582"
          orderingFacilityState: NY
          orderingFacilityAddress: 123456 Test Street
          orderingFacilityCode: PV
          orderingFacilityCity: New York
          orderingFacilityFax: 999-999-5555
          orderingFacilityContact: 999-999-6666
        orderingPhysicianInformation:
          lastName: DOEPKER
          address: 12345 Test Street
          npi: "1760466460"
          physicianState: WI
          physicianExternalId: "10002"
          physicianTaxonomyCode: null
          physicianZip: "53538"
          fullName: Tim DOEPKER
          physicianCity: FORT ATKINSON
          physicianTaxonomyLicense: null
          firstName: Tim
          physicianTaxonomyState: null
          faxNo: 999-999-3333
          taxId: null
          physicianTaxonomyDescription: null
          contact: 999-999-2222
          enrolled: false
          physicianTin: "123123123"
        procedureInformation:
          - serviceType: "4"
            quantityType: Visits
            testCode: T1
            modifier: TC
            description: X-ray of shoulder, minimum of 2 views
            id: 261066
            testGroupName: Test Group
            placeOfService: Home
            cptCode: "73030"
            bodyPart: Shoulder
            testName: Test
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    EligibilityBenefits-PriorAuthVerificationWebhookSample-Pending_Verification:
      summary: Eligibility/Benefits and Prior Authorization Verification webhook payload Pending Verification
      description: Example payload for Eligibility/Benefits and Prior Authorization Verification
      value:
        appointmentId: PAP-EXT-TEST-PA_EB-001
        caseNumber: ipa-218603
        caseId: 192759
        caseStatus: Pending Verification
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        contact: 999-999-9999
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: TEST0001
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          patientId: P0001
          patientDateOfBirth: 12/16/1964
          note: Test Notes
          lastName: Doe
          gender: Male
          address: 123 Test Street
          firstName: John
        facilityInformation:
          facilityZip: "10001"
          facilityCode: PV
          facilityContact: 123-456-7890
          facilityFax: "9999994444"
          facilityAddress: 123456 Test Street
          facilityNPI: "1891925582"
          facilityState: NY
          facilityCity: New York
        physicianInformation:
          lastName: DOEHRING
          address: 1234 Test Street
          physicianAddressId: null
          npi: "1841243912"
          physicianState: NY
          physicianExternalId: "1001"
          physicianTaxonomyCode: 2085R0202X
          physicianZip: "10001"
          fullName: Tom DOEHRING
          physicianCity: New York
          physicianTaxonomyLicense: G50925
          firstName: Tom
          physicianTaxonomyState: CA
          faxNo: "9999991111"
          taxId: null
          physicianTaxonomyDescription: Radiology, Diagnostic Radiology
          contact: 999-999-9999
          enrolled: false
          physicianTin: "123456789"
        diagnosisInformation:
          - description: Other specified
            icd_10Code: M51.04
        procedureAuthorizationInformation:
          - unitsAuthorizedType:
            unitsAuthorized: null
            peerReviewDate: null
            callReferenceNumber: null
            procedureId: 261066
            expiryDate: null
            omJobNumber: ipa-218603J1
            denialReason: null
            insuranceId: 202736
            authNumber: null
            id: 482424
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: null
        insuranceInformation:
          - groupName:
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: TEST 001
            payerName: Humana
            id: 202736
            networkType: In Network
            groupNumber: Commercial
            memberId: TEST1234567
        orderingFacilityInformation:
          orderingFacilityZip: "10001"
          orderingFacility: BLR- ELK GROVE NEW
          orderingFacilityNPI: "1891925582"
          orderingFacilityState: NY
          orderingFacilityAddress: 123456 Test Street
          orderingFacilityCode: PV
          orderingFacilityCity: New York
          orderingFacilityFax: 999-999-5555
          orderingFacilityContact: 999-999-6666
        orderingPhysicianInformation:
          lastName: DOEPKER
          address: 12345 Test Street
          npi: "1760466460"
          physicianState: WI
          physicianExternalId: "10002"
          physicianTaxonomyCode: null
          physicianZip: "53538"
          fullName: Tim DOEPKER
          physicianCity: FORT ATKINSON
          physicianTaxonomyLicense: null
          firstName: Tim
          physicianTaxonomyState: null
          faxNo: 999-999-3333
          taxId: null
          physicianTaxonomyDescription: null
          contact: 999-999-2222
          enrolled: false
          physicianTin: "123123123"
        procedureInformation:
          - serviceType: "4"
            quantityType: Visits
            testCode: T1
            modifier: TC
            description: X-ray of shoulder, minimum of 2 views
            id: 261066
            testGroupName: Test Group
            placeOfService: Home
            cptCode: "73030"
            bodyPart: Shoulder
            testName: Test
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    EligibilityBenefits-PriorAuthVerificationWebhookSample-InEligible:
      summary: Eligibility/Benefits and Prior Authorization Verification webhook payload InEligible
      description: Example payload for Eligibility/Benefits and Prior Authorization Verification
      value:
        appointmentId: PAP-EXT-TEST-PA_EB-001
        caseNumber: ipa-218603
        caseId: 192759
        caseStatus: Finalized
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        contact: 999-999-9999
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: TEST0001
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          patientId: P0001
          patientDateOfBirth: 12/16/1964
          note: Test Notes
          lastName: Doe
          gender: Male
          address: 123 Test Street
          firstName: John
        facilityInformation:
          facilityZip: "10001"
          facilityCode: PV
          facilityContact: 123-456-7890
          facilityFax: "9999994444"
          facilityAddress: 123456 Test Street
          facilityNPI: "1891925582"
          facilityState: NY
          facilityCity: New York
        physicianInformation:
          lastName: DOEHRING
          address: 1234 Test Street
          physicianAddressId: null
          npi: "1841243912"
          physicianState: NY
          physicianExternalId: "1001"
          physicianTaxonomyCode: 2085R0202X
          physicianZip: "10001"
          fullName: Tom DOEHRING
          physicianCity: New York
          physicianTaxonomyLicense: G50925
          firstName: Tom
          physicianTaxonomyState: CA
          faxNo: "9999991111"
          taxId: null
          physicianTaxonomyDescription: Radiology, Diagnostic Radiology
          contact: 999-999-9999
          enrolled: false
          physicianTin: "123456789"
        diagnosisInformation:
          - description: Other specified
            icd_10Code: M51.04
        procedureAuthorizationInformation:
          - unitsAuthorizedType: null
            unitsAuthorized: null
            peerReviewDate: null
            callReferenceNumber: null
            procedureId: 261066
            expiryDate: null
            omJobNumber: ipa-218603J1
            denialReason: null
            insuranceId: 202736
            authNumber: null
            id: 482424
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: Ineligible
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: TEST 001
            payerName: Humana
            id: 202736
            networkType: In Network
            groupNumber: Commercial
            memberId: TEST1234567
        orderingFacilityInformation:
          orderingFacilityZip: "10001"
          orderingFacility: BLR- ELK GROVE NEW
          orderingFacilityNPI: "1891925582"
          orderingFacilityState: NY
          orderingFacilityAddress: 123456 Test Street
          orderingFacilityCode: PV
          orderingFacilityCity: New York
          orderingFacilityFax: 999-999-5555
          orderingFacilityContact: 999-999-6666
        orderingPhysicianInformation:
          lastName: DOEPKER
          address: 12345 Test Street
          npi: "1760466460"
          physicianState: WI
          physicianExternalId: "10002"
          physicianTaxonomyCode: null
          physicianZip: "53538"
          fullName: Tim DOEPKER
          physicianCity: FORT ATKINSON
          physicianTaxonomyLicense: null
          firstName: Tim
          physicianTaxonomyState: null
          faxNo: 999-999-3333
          taxId: null
          physicianTaxonomyDescription: null
          contact: 999-999-2222
          enrolled: false
          physicianTin: "123123123"
        procedureInformation:
          - serviceType: "4"
            quantityType: Visits
            testCode: T1
            modifier: TC
            description: X-ray of shoulder, minimum of 2 views
            id: 261066
            testGroupName: Test Group
            placeOfService: Home
            cptCode: "73030"
            bodyPart: Shoulder
            testName: Test
        eligiblityBenefitsInformation:
          - planType: null
            additionalPayerName: null
            procedureId: 261066
            eligibilityStatus: Ineligible
            planStart: null
            omJobNumber: ipa-218603J1
            procedureAuthorizationId: 482424
            coordinationOfBenefitsDate: null
            additionalPlanName: null
            insuranceId: 202736
            additionalPayerType: null
            plan: null
            planEnd: 1761609600000
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    EligibilityBenefits-PriorAuthVerificationWebhookSample-Pending_Information:
      summary: Eligibility/Benefits and Prior Authorization Verification webhook payload Pending Information
      description: Example payload for Eligibility/Benefits and Prior Authorization Verification
      value:
        appointmentId: PAP-EXT-TEST-PA_EB-001
        caseNumber: ipa-218603
        caseId: 192759
        caseStatus: Pending Information
        subStatus: In Review
        statusReason: Clinicals Required
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        contact: 999-999-9999
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: TEST0001
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          patientId: P0001
          patientDateOfBirth: 12/16/1964
          note: Test Notes
          lastName: Doe
          gender: Male
          address: 123 Test Street
          firstName: John
        facilityInformation:
          facilityZip: "10001"
          facilityCode: PV
          facilityContact: 123-456-7890
          facilityFax: "9999994444"
          facilityAddress: 123456 Test Street
          facilityNPI: "1891925582"
          facilityState: NY
          facilityCity: New York
        physicianInformation:
          lastName: DOEHRING
          address: 1234 Test Street
          physicianAddressId: null
          npi: "1841243912"
          physicianState: NY
          physicianExternalId: "1001"
          physicianTaxonomyCode: 2085R0202X
          physicianZip: "10001"
          fullName: Tom DOEHRING
          physicianCity: New York
          physicianTaxonomyLicense: G50925
          firstName: Tom
          physicianTaxonomyState: CA
          faxNo: "9999991111"
          taxId: null
          physicianTaxonomyDescription: Radiology, Diagnostic Radiology
          contact: 999-999-9999
          enrolled: false
          physicianTin: "123456789"
        diagnosisInformation:
          - description: Other specified
            icd_10Code: M51.04
        procedureAuthorizationInformation:
          - unitsAuthorizedType: null
            unitsAuthorized: null
            peerReviewDate: null
            callReferenceNumber: null
            procedureId: 261066
            expiryDate: null
            omJobNumber: ipa-218603J1
            denialReason: null
            insuranceId: 202736
            authNumber: null
            id: 482424
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: null
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: TEST 001
            payerName: Humana
            id: 202736
            networkType: In Network
            groupNumber: Commercial
            memberId: TEST1234567
        orderingFacilityInformation:
          orderingFacilityZip: "10001"
          orderingFacility: BLR- ELK GROVE NEW
          orderingFacilityNPI: "1891925582"
          orderingFacilityState: NY
          orderingFacilityAddress: 123456 Test Street
          orderingFacilityCode: PV
          orderingFacilityCity: New York
          orderingFacilityFax: 999-999-5555
          orderingFacilityContact: 999-999-6666
        orderingPhysicianInformation:
          lastName: DOEPKER
          address: 12345 Test Street
          npi: "1760466460"
          physicianState: WI
          physicianExternalId: "10002"
          physicianTaxonomyCode: null
          physicianZip: "53538"
          fullName: Tim DOEPKER
          physicianCity: FORT ATKINSON
          physicianTaxonomyLicense: null
          firstName: Tim
          physicianTaxonomyState: null
          faxNo: 999-999-3333
          taxId: null
          physicianTaxonomyDescription: null
          contact: 999-999-2222
          enrolled: false
          physicianTin: "123123123"
        procedureInformation:
          - serviceType: "4"
            quantityType: Visits
            testCode: T1
            modifier: TC
            description: X-ray of shoulder, minimum of 2 views
            id: 261066
            testGroupName: Test Group
            placeOfService: Home
            cptCode: "73030"
            bodyPart: Shoulder
            testName: Test
        eligiblityBenefitsInformation:
          - planStart: null
            omJobNumber: ipa-218603J1
            procedureAuthorizationId: 482424
            eligibilityStatus: null
            planType: null
            coordinationOfBenefitsDate: null
            additionalPlanName: null
            additionalPayerName: null
            insuranceId: 202736
            additionalPayerType: null
            plan: null
            planEnd: null
            procedureId: 261066
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    EligibilityBenefits-PriorAuthVerificationWebhookSample-Eligible-Triage:
      summary: Eligibility/Benefits and Prior Authorization Verification webhook payload Eligible/Triage
      description: Example payload for Eligibility/Benefits and Prior Authorization Verification
      value:
        appointmentId: PAP-EXT-TEST-PAV_EB-003
        caseNumber: ipa-218604
        caseId: 192760
        caseStatus: Triage
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        contact: 999-999-9999
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: TEST0001
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          patientId: P0001
          patientDateOfBirth: 12/16/1964
          note: Test Notes
          lastName: Doe
          gender: Male
          address: 123 Test Street
          firstName: John
        facilityInformation:
          facilityZip: "10001"
          facilityCode: PV
          facilityContact: 123-456-7890
          facilityFax: "9999994444"
          facilityAddress: 123456 Test Street
          facilityNPI: "1891925582"
          facilityState: NY
          facilityCity: New York
        physicianInformation:
          lastName: DOEHRING
          address: 1234 Test Street
          physicianAddressId: null
          npi: "1841243912"
          physicianState: NY
          physicianExternalId: "1001"
          physicianTaxonomyCode: 2085R0202X
          physicianZip: "10001"
          fullName: Tom DOEHRING
          physicianCity: New York
          physicianTaxonomyLicense: G50925
          firstName: Tom
          physicianTaxonomyState: CA
          faxNo: "9999991111"
          taxId: null
          physicianTaxonomyDescription: Radiology, Diagnostic Radiology
          contact: 999-999-9999
          enrolled: false
          physicianTin: "123456789"
        diagnosisInformation:
          - description: Other specified
            icd_10Code: M51.04
        procedureAuthorizationInformation:
          - unitsAuthorizedType: null
            unitsAuthorized: null
            peerReviewDate: null
            callReferenceNumber: "74389438934"
            procedureId: 261067
            expiryDate: null
            omJobNumber: ipa-218604J1
            denialReason: null
            insuranceId: 202737
            authNumber: null
            id: 482429
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: null
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: TEST 001
            payerName: Humana
            id: 202737
            networkType: In Network
            groupNumber: Commercial
            memberId: TEST1234567
        orderingFacilityInformation:
          orderingFacilityZip: "10001"
          orderingFacility: BLR- ELK GROVE NEW
          orderingFacilityNPI: "1891925582"
          orderingFacilityState: NY
          orderingFacilityAddress: 123456 Test Street
          orderingFacilityCode: PV
          orderingFacilityCity: New York
          orderingFacilityFax: 999-999-5555
          orderingFacilityContact: 999-999-6666
        orderingPhysicianInformation:
          lastName: DOEPKER
          address: 12345 Test Street
          npi: "1760466460"
          physicianState: WI
          physicianExternalId: "10002"
          physicianTaxonomyCode: null
          physicianZip: "53538"
          fullName: Tim DOEPKER
          physicianCity: FORT ATKINSON
          physicianTaxonomyLicense: null
          firstName: Tim
          physicianTaxonomyState: null
          faxNo: 999-999-3333
          taxId: null
          physicianTaxonomyDescription: null
          contact: 999-999-2222
          enrolled: false
          physicianTin: "123123123"
        procedureInformation:
          - serviceType: "4"
            quantityType: Visits
            testCode: T1
            modifier: TC
            description: X-ray of shoulder, minimum of 2 views
            id: 261067
            testGroupName: Test Group
            placeOfService: Home
            cptCode: "73030"
            bodyPart: Shoulder
            testName: Test
        ppeInformation:
          totalPatientRepsonsibiliy: null
          payerPPESummary:
            - omJobNumber: ipa-218604J1
              procedureAuthorizationId: 482429
              cptPatientEstimateAmount: null
              payerDueAmount: null
              insuranceId: 202737
              benefitsApplied: null
              procedureId: 261067
              allowedAmount: null
              allowedAmountSource: null
          ppeDisclaimer:
            This is an estimate and not a guarantee of payment. It is based on an estimate of
            negotiated rates and not actual contracts.It does not consider a medical necessity,
            limitation or exclusion
        eligiblityBenefitsInformation:
          - medicareAmountUsed: 10
            coIns: 10
            coPayPlaceOfService: Specialist
            networkStatus: General
            ptUsed: 10
            outOfPocketRemainingCoverageType: Spouse and Children
            medicareCapAmount: 10
            planStart: 1761609600000
            omJobNumber: ipa-218604J1
            procedureAuthorizationId: 482429
            coordinationOfBenefitsDate: 1761696000000
            deductibleCoverageType: Children
            additionalPlanName: MADICARE
            deductibleRemaining: 90
            OutofPocketMaxRemaining: 900
            insuranceId: 202737
            ptLimit: 10
            plan: HMO
            outOfPocketCoverageType: Spouse and Children
            planType: MEDICAID
            coInsurancePlaceOfService: Specialist
            additionalPayerName: Payer
            outofPocketMax: 1000
            ptUsedType: Units
            deductibleNetworkType: General
            procedureId: 261067
            annualDeductible: 100
            coInsuranceNetworkType: General
            eligibilityStatus: Eligible
            ptLimitType: Units
            coverageType: Spouse and Children
            outOfPocketNetworkType: General
            outOfPocketRemainingNetworkType: General
            authorizationRequired: "No"
            deductibleRemainingNetworkType: General
            deductibleRemainingCoverageType: Spouse and Children
            coPayNetworkType: General
            coPay: 120
            referralRequired: "No"
            additionalPayerType: Primary
            planEnd: 1761696000000
        eligibilityDetails:
          - eligibilitySource: EB_WAVELAND
            plan:
              planName: CALPERS ACTIVE ACCESS HMO GROUP BILL
              planType: null
              groupNumber: W0051411
              planEndDate: "9999-12-31T00:00:00Z"
              planStartDate: "2026-01-01T00:00:00Z"
            planStatus:
              status: Active Coverage
              networkType: In-Network
              coverageType: Family
              serviceTypes:
                code: "30"
                name: Plan Coverage and General Benefits
              coverageStatus: Eligible
            benefits:
              coPay:
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: Yes
                  authorizationRequired: No
                - networkType: In-Network
                  benefitValue: "15"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT REHABILITATIVE THERAPY OUTPATIENT FACILITY REHABILITATION PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: No
                  authorizationRequired: Yes
              deductible:
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Calendar Year
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Family
                  timeQualifier: Calendar Year
              coInsurance:
                - networkType: In-Network
                  benefitValue: "10"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT REHABILITATIVE THERAPY OUTPATIENT FACILITY REHABILITATION PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: "No"
                  authorizationRequired: "No"
              limitations:
                - description:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  benefitQuantity: "100"
                  quantityQualifier: "100"
              outOfPocket:
                - networkType: In-Network
                  benefitValue: "1500"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Calendar Year
                - networkType: In-Network
                  benefitValue: "3000"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Family
                  timeQualifier: Calendar Year
            providerEntities:
              ipa:
                name: RIVERSIDE MEDICAL CLINIC INC
                address:
                  zip: "925063912"
                  city: RIVERSIDE
                  line1: 3660 ARLINGTON AVE
                  state: CA
                contact:
                  - type: Telephone
                    value: "9516836370"
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    EligibilityBenefits-PriorAuthVerificationWebhookSample-Canceled:
      summary: Eligibility/Benefits and Prior Authorization Verification webhook payload Canceled
      description: Example payload for Eligibility/Benefits and Prior Authorization Verification
      value:
        appointmentId: PAP-EXT-TEST-PA_EB-001
        caseNumber: ipa-218603
        caseId: 192759
        caseStatus: Canceled
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        contact: 999-999-9999
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: TEST0001
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          patientId: P0001
          patientDateOfBirth: 12/16/1964
          note: Test Notes
          lastName: Doe
          gender: Male
          address: 123 Test Street
          firstName: John
        facilityInformation:
          facilityZip: "10001"
          facilityCode: PV
          facilityContact: 123-456-7890
          facilityFax: "9999994444"
          facilityAddress: 123456 Test Street
          facilityNPI: "1891925582"
          facilityState: NY
          facilityCity: New York
        physicianInformation:
          lastName: DOEHRING
          address: 1234 Test Street
          physicianAddressId: null
          npi: "1841243912"
          physicianState: NY
          physicianExternalId: "1001"
          physicianTaxonomyCode: 2085R0202X
          physicianZip: "10001"
          fullName: Tom DOEHRING
          physicianCity: New York
          physicianTaxonomyLicense: G50925
          firstName: Tom
          physicianTaxonomyState: CA
          faxNo: "9999991111"
          taxId: null
          physicianTaxonomyDescription: Radiology, Diagnostic Radiology
          contact: 999-999-9999
          enrolled: false
          physicianTin: "123456789"
        diagnosisInformation:
          - description: Other specified
            icd_10Code: M51.04
        procedureAuthorizationInformation:
          - unitsAuthorizedType: null
            unitsAuthorized: null
            peerReviewDate: null
            callReferenceNumber: null
            procedureId: 261066
            expiryDate: null
            omJobNumber: ipa-218603J1
            denialReason: null
            insuranceId: 202736
            authNumber: null
            id: 482424
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: null
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: TEST 001
            payerName: Humana
            id: 202736
            networkType: In Network
            groupNumber: Commercial
            memberId: TEST1234567
        orderingFacilityInformation:
          orderingFacilityZip: "10001"
          orderingFacility: BLR- ELK GROVE NEW
          orderingFacilityNPI: "1891925582"
          orderingFacilityState: NY
          orderingFacilityAddress: 123456 Test Street
          orderingFacilityCode: PV
          orderingFacilityCity: New York
          orderingFacilityFax: 999-999-5555
          orderingFacilityContact: 999-999-6666
        orderingPhysicianInformation:
          lastName: DOEPKER
          address: 12345 Test Street
          npi: "1760466460"
          physicianState: WI
          physicianExternalId: "10002"
          physicianTaxonomyCode: null
          physicianZip: "53538"
          fullName: Tim DOEPKER
          physicianCity: FORT ATKINSON
          physicianTaxonomyLicense: null
          firstName: Tim
          physicianTaxonomyState: null
          faxNo: 999-999-3333
          taxId: null
          physicianTaxonomyDescription: null
          contact: 999-999-2222
          enrolled: false
          physicianTin: "123123123"
        procedureInformation:
          - serviceType: "4"
            quantityType: Visits
            testCode: T1
            modifier: TC
            description: X-ray of shoulder, minimum of 2 views
            id: 261066
            testGroupName: Test Group
            placeOfService: Home
            cptCode: "73030"
            bodyPart: Shoulder
            testName: Test
        eligiblityBenefitsInformation:
          - planType:
            additionalPayerName: null
            procedureId: 261066
            eligibilityStatus: Ineligible
            planStart: null
            omJobNumber: ipa-218603J1
            procedureAuthorizationId: 482424
            coordinationOfBenefitsDate: null
            additionalPlanName: null
            insuranceId: 202736
            additionalPayerType: null
            plan: null
            planEnd: 1761609600000
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    EligibilityBenefits-PriorAuthVerificationWebhookSample-No_Authorization_Required:
      summary: Eligibility/Benefits and Prior Authorization Verification webhook payload No Authorization Required
      description: Example payload for Eligibility/Benefits and Prior Authorization Verification
      value:
        appointmentId: PAP-EXT-TEST-PAV_EB-001
        caseNumber: ipa-218603
        caseId: 192759
        caseStatus: Finalized
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        contact: 999-999-9999
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: TEST0001
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          patientId: P0001
          patientDateOfBirth: 12/16/1964
          note: Test Notes
          lastName: Doe
          gender: Male
          address: 123 Test Street
          firstName: John
        facilityInformation:
          facilityZip: "10001"
          facilityCode: PV
          facilityContact: 123-456-7890
          facilityFax: "9999994444"
          facilityAddress: 123456 Test Street
          facilityNPI: "1891925582"
          facilityState: NY
          facilityCity: New York
        physicianInformation:
          lastName: DOEHRING
          address: 1234 Test Street
          physicianAddressId: null
          npi: "1841243912"
          physicianState: NY
          physicianExternalId: "1001"
          physicianTaxonomyCode: 2085R0202X
          physicianZip: "10001"
          fullName: Tom DOEHRING
          physicianCity: New York
          physicianTaxonomyLicense: G50925
          firstName: Tom
          physicianTaxonomyState: CA
          faxNo: "9999991111"
          taxId: null
          physicianTaxonomyDescription: Radiology, Diagnostic Radiology
          contact: 999-999-9999
          enrolled: false
          physicianTin: "123456789"
        diagnosisInformation:
          - description: Other specified
            icd_10Code: M51.04
        procedureAuthorizationInformation:
          - unitsAuthorizedType: null
            unitsAuthorized: null
            peerReviewDate: null
            callReferenceNumber: "784389438943"
            procedureId: 261066
            expiryDate: null
            omJobNumber: ipa-218603J1
            denialReason: null
            insuranceId: 202736
            authNumber: null
            id: 482424
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: No Authorization Required
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: TEST 001
            payerName: Humana
            id: 202736
            networkType: In Network
            groupNumber: Commercial
            memberId: TEST1234567
        orderingFacilityInformation:
          orderingFacilityZip: "10001"
          orderingFacility: BLR- ELK GROVE NEW
          orderingFacilityNPI: "1891925582"
          orderingFacilityState: NY
          orderingFacilityAddress: 123456 Test Street
          orderingFacilityCode: PV
          orderingFacilityCity: New York
          orderingFacilityFax: 999-999-5555
          orderingFacilityContact: 999-999-6666
        orderingPhysicianInformation:
          lastName: DOEPKER
          address: 12345 Test Street
          npi: "1760466460"
          physicianState: WI
          physicianExternalId: "10002"
          physicianTaxonomyCode: null
          physicianZip: "53538"
          fullName: Tim DOEPKER
          physicianCity: FORT ATKINSON
          physicianTaxonomyLicense: null
          firstName: Tim
          physicianTaxonomyState: null
          faxNo: 999-999-3333
          taxId: null
          physicianTaxonomyDescription: null
          contact: 999-999-2222
          enrolled: false
          physicianTin: "123123123"
        procedureInformation:
          - serviceType: "4"
            quantityType: Visits
            testCode: T1
            modifier: TC
            description: X-ray of shoulder, minimum of 2 views
            id: 261066
            testGroupName: Test Group
            placeOfService: Home
            cptCode: "73030"
            bodyPart: Shoulder
            testName: Test
        eligiblityBenefitsInformation:
          - medicareAmountUsed: 10
            coIns: 10
            coPayPlaceOfService: Specialist
            networkStatus: General
            ptUsed: 10
            outOfPocketRemainingCoverageType: Spouse and Children
            medicareCapAmount: 10
            planStart: 1761609600000
            omJobNumber: ipa-218604J1
            procedureAuthorizationId: 482424
            coordinationOfBenefitsDate: 1761696000000
            deductibleCoverageType: Children
            additionalPlanName: MADICARE
            deductibleRemaining: 90
            OutofPocketMaxRemaining: 900
            insuranceId: 202736
            ptLimit: 10
            plan: HMO
            outOfPocketCoverageType: Spouse and Children
            planType: MEDICAID
            coInsurancePlaceOfService: Specialist
            additionalPayerName: Payer
            outofPocketMax: 1000
            ptUsedType: Units
            deductibleNetworkType: General
            procedureId: 261066
            annualDeductible: 100
            coInsuranceNetworkType: General
            eligibilityStatus: Eligible
            ptLimitType: Units
            coverageType: Spouse and Children
            outOfPocketNetworkType: General
            outOfPocketRemainingNetworkType: General
            authorizationRequired: "No"
            deductibleRemainingNetworkType: General
            deductibleRemainingCoverageType: Spouse and Children
            coPayNetworkType: General
            coPay: 120
            referralRequired: "No"
            additionalPayerType: Primary
            planEnd: 1761696000000
        eligibilityDetails:
          - eligibilitySource: EB_WAVELAND
            plan:
              planName: CALPERS ACTIVE ACCESS HMO GROUP BILL
              planType: null
              groupNumber: W0051411
              planEndDate: "9999-12-31T00:00:00Z"
              planStartDate: "2026-01-01T00:00:00Z"
            planStatus:
              status: Active Coverage
              networkType: In-Network
              coverageType: Family
              serviceTypes:
                code: "30"
                name: Plan Coverage and General Benefits
              coverageStatus: Eligible
            benefits:
              coPay:
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: Yes
                  authorizationRequired: No
                - networkType: In-Network
                  benefitValue: "15"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT REHABILITATIVE THERAPY OUTPATIENT FACILITY REHABILITATION PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: No
                  authorizationRequired: Yes
              deductible:
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Calendar Year
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Family
                  timeQualifier: Calendar Year
              coInsurance:
                - networkType: In-Network
                  benefitValue: "10"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT REHABILITATIVE THERAPY OUTPATIENT FACILITY REHABILITATION PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: "No"
                  authorizationRequired: "No"
              limitations:
                - description:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  benefitQuantity: "100"
                  quantityQualifier: "100"
              outOfPocket:
                - networkType: In-Network
                  benefitValue: "1500"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Calendar Year
                - networkType: In-Network
                  benefitValue: "3000"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Family
                  timeQualifier: Calendar Year
            providerEntities:
              ipa:
                name: RIVERSIDE MEDICAL CLINIC INC
                address:
                  zip: "925063912"
                  city: RIVERSIDE
                  line1: 3660 ARLINGTON AVE
                  state: CA
                contact:
                  - type: Telephone
                    value: "9516836370"
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    EligibilityBenefits-PriorAuthVerificationWebhookSample-Approved:
      summary: Eligibility/Benefits and Prior Authorization Verification webhook payload Approved
      description: Example payload for Eligibility/Benefits and Prior Authorization Verification
      value:
        appointmentId: PAP-EXT-TEST-PAV_EB-001
        caseNumber: ipa-218603
        caseId: 192759
        caseStatus: Finalized
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        contact: 999-999-9999
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: TEST0001
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          patientId: P0001
          patientDateOfBirth: 12/16/1964
          note: Test Notes
          lastName: Doe
          gender: Male
          address: 123 Test Street
          firstName: John
        facilityInformation:
          facilityZip: "10001"
          facilityCode: PV
          facilityContact: 123-456-7890
          facilityFax: "9999994444"
          facilityAddress: 123456 Test Street
          facilityNPI: "1891925582"
          facilityState: NY
          facilityCity: New York
        physicianInformation:
          lastName: DOEHRING
          address: 1234 Test Street
          physicianAddressId: null
          npi: "1841243912"
          physicianState: NY
          physicianExternalId: "1001"
          physicianTaxonomyCode: 2085R0202X
          physicianZip: "10001"
          fullName: Tom DOEHRING
          physicianCity: New York
          physicianTaxonomyLicense: G50925
          firstName: Tom
          physicianTaxonomyState: CA
          faxNo: "9999991111"
          taxId: null
          physicianTaxonomyDescription: Radiology, Diagnostic Radiology
          contact: 999-999-9999
          enrolled: false
          physicianTin: "123456789"
        diagnosisInformation:
          - description: Other specified
            icd_10Code: M51.04
        procedureAuthorizationInformation:
          - unitsAuthorizedType: Units
            unitsAuthorized: "10"
            peerReviewDate: null
            callReferenceNumber: "784389438943"
            procedureId: 261066
            expiryDate: 2025-10-29T00:00:00.000+0000
            omJobNumber: ipa-218603J1
            denialReason: null
            insuranceId: 202736
            authNumber: "2877822"
            id: 482424
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: 2025-10-22T00:00:00.000+0000
            status: Approved
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: TEST 001
            payerName: Humana
            id: 202736
            networkType: In Network
            groupNumber: Commercial
            memberId: TEST1234567
        orderingFacilityInformation:
          orderingFacilityZip: "10001"
          orderingFacility: BLR- ELK GROVE NEW
          orderingFacilityNPI: "1891925582"
          orderingFacilityState: NY
          orderingFacilityAddress: 123456 Test Street
          orderingFacilityCode: PV
          orderingFacilityCity: New York
          orderingFacilityFax: 999-999-5555
          orderingFacilityContact: 999-999-6666
        orderingPhysicianInformation:
          lastName: DOEPKER
          address: 12345 Test Street
          npi: "1760466460"
          physicianState: WI
          physicianExternalId: "10002"
          physicianTaxonomyCode: null
          physicianZip: "53538"
          fullName: Tim DOEPKER
          physicianCity: FORT ATKINSON
          physicianTaxonomyLicense: null
          firstName: Tim
          physicianTaxonomyState: null
          faxNo: 999-999-3333
          taxId: null
          physicianTaxonomyDescription: null
          contact: 999-999-2222
          enrolled: false
          physicianTin: "123123123"
        procedureInformation:
          - serviceType: "4"
            quantityType: Visits
            testCode: T1
            modifier: TC
            description: X-ray of shoulder, minimum of 2 views
            id: 261066
            testGroupName: Test Group
            placeOfService: Home
            cptCode: "73030"
            bodyPart: Shoulder
            testName: Test
        eligiblityBenefitsInformation:
          - medicareAmountUsed: 10
            coIns: 10
            coPayPlaceOfService: Specialist
            networkStatus: General
            ptUsed: 10
            outOfPocketRemainingCoverageType: Spouse and Children
            medicareCapAmount: 10
            planStart: 1761609600000
            omJobNumber: ipa-218604J1
            procedureAuthorizationId: 482424
            coordinationOfBenefitsDate: 1761696000000
            deductibleCoverageType: Children
            additionalPlanName: MADICARE
            deductibleRemaining: 90
            OutofPocketMaxRemaining: 900
            insuranceId: 202736
            ptLimit: 10
            plan: HMO
            outOfPocketCoverageType: Spouse and Children
            planType: MEDICAID
            coInsurancePlaceOfService: Specialist
            additionalPayerName: Payer
            outofPocketMax: 1000
            ptUsedType: Units
            deductibleNetworkType: General
            procedureId: 261066
            annualDeductible: 100
            coInsuranceNetworkType: General
            eligibilityStatus: Eligible
            ptLimitType: Units
            coverageType: Spouse and Children
            outOfPocketNetworkType: General
            outOfPocketRemainingNetworkType: General
            authorizationRequired: "No"
            deductibleRemainingNetworkType: General
            deductibleRemainingCoverageType: Spouse and Children
            coPayNetworkType: General
            coPay: 120
            referralRequired: "No"
            additionalPayerType: Primary
            planEnd: 1761696000000
        eligibilityDetails:
          - eligibilitySource: EB_WAVELAND
            plan:
              planName: CALPERS ACTIVE ACCESS HMO GROUP BILL
              planType: null
              groupNumber: W0051411
              planEndDate: "9999-12-31T00:00:00Z"
              planStartDate: "2026-01-01T00:00:00Z"
            planStatus:
              status: Active Coverage
              networkType: In-Network
              coverageType: Family
              serviceTypes:
                code: "30"
                name: Plan Coverage and General Benefits
              coverageStatus: Eligible
            benefits:
              coPay:
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: Yes
                  authorizationRequired: No
                - networkType: In-Network
                  benefitValue: "15"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT REHABILITATIVE THERAPY OUTPATIENT FACILITY REHABILITATION PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: No
                  authorizationRequired: Yes
              deductible:
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Calendar Year
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Family
                  timeQualifier: Calendar Year
              coInsurance:
                - networkType: In-Network
                  benefitValue: "10"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT REHABILITATIVE THERAPY OUTPATIENT FACILITY REHABILITATION PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: "No"
                  authorizationRequired: "No"
              limitations:
                - description:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  benefitQuantity: "100"
                  quantityQualifier: "100"
              outOfPocket:
                - networkType: In-Network
                  benefitValue: "1500"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Calendar Year
                - networkType: In-Network
                  benefitValue: "3000"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Family
                  timeQualifier: Calendar Year
            providerEntities:
              ipa:
                name: RIVERSIDE MEDICAL CLINIC INC
                address:
                  zip: "925063912"
                  city: RIVERSIDE
                  line1: 3660 ARLINGTON AVE
                  state: CA
                contact:
                  - type: Telephone
                    value: "9516836370"
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    EligibilityBenefits-PriorAuthVerificationWebhookSample-Peer_Review:
      summary: Eligibility/Benefits and Prior Authorization Verification webhook payload Peer Review
      description: Example payload for Eligibility/Benefits and Prior Authorization Verification
      value:
        appointmentId: PAP-EXT-TEST-PA_EB-001
        caseNumber: ipa-218603
        caseId: 192759
        caseStatus: Finalized
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        contact: 999-999-9999
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: TEST0001
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          patientId: P0001
          patientDateOfBirth: 12/16/1964
          note: Test Notes
          lastName: Doe
          gender: Male
          address: 123 Test Street
          firstName: John
        facilityInformation:
          facilityZip: "10001"
          facilityCode: PV
          facilityContact: 123-456-7890
          facilityFax: "9999994444"
          facilityAddress: 123456 Test Street
          facilityNPI: "1891925582"
          facilityState: NY
          facilityCity: New York
        physicianInformation:
          lastName: DOEHRING
          address: 1234 Test Street
          physicianAddressId: null
          npi: "1841243912"
          physicianState: NY
          physicianExternalId: "1001"
          physicianTaxonomyCode: 2085R0202X
          physicianZip: "10001"
          fullName: Tom DOEHRING
          physicianCity: New York
          physicianTaxonomyLicense: G50925
          firstName: Tom
          physicianTaxonomyState: CA
          faxNo: "9999991111"
          taxId: null
          physicianTaxonomyDescription: Radiology, Diagnostic Radiology
          contact: 999-999-9999
          enrolled: false
          physicianTin: "123456789"
        diagnosisInformation:
          - description: Other specified
            icd_10Code: M51.04
        procedureAuthorizationInformation:
          - unitsAuthorizedType: Units
            unitsAuthorized: "10"
            peerReviewDate: 1761609600000
            callReferenceNumber: "784389438943"
            procedureId: 261066
            expiryDate: null
            omJobNumber: ipa-218603J1
            denialReason: Existing Denial with same Facility and Provider and Procedure.
            insuranceId: 202736
            authNumber: null
            id: 482424
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: Peer Review
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: TEST 001
            payerName: Humana
            id: 202736
            networkType: In Network
            groupNumber: Commercial
            memberId: TEST1234567
        orderingFacilityInformation:
          orderingFacilityZip: "10001"
          orderingFacility: BLR- ELK GROVE NEW
          orderingFacilityNPI: "1891925582"
          orderingFacilityState: NY
          orderingFacilityAddress: 123456 Test Street
          orderingFacilityCode: PV
          orderingFacilityCity: New York
          orderingFacilityFax: 999-999-5555
          orderingFacilityContact: 999-999-6666
        orderingPhysicianInformation:
          lastName: DOEPKER
          address: 12345 Test Street
          npi: "1760466460"
          physicianState: WI
          physicianExternalId: "10002"
          physicianTaxonomyCode: null
          physicianZip: "53538"
          fullName: Tim DOEPKER
          physicianCity: FORT ATKINSON
          physicianTaxonomyLicense: null
          firstName: Tim
          physicianTaxonomyState: null
          faxNo: 999-999-3333
          taxId: null
          physicianTaxonomyDescription: null
          contact: 999-999-2222
          enrolled: false
          physicianTin: "123123123"
        procedureInformation:
          - serviceType: "4"
            quantityType: Visits
            testCode: T1
            modifier: TC
            description: X-ray of shoulder, minimum of 2 views
            id: 261066
            testGroupName: Test Group
            placeOfService: Home
            cptCode: "73030"
            bodyPart: Shoulder
            testName: Test
        eligiblityBenefitsInformation:
          - medicareAmountUsed: 10
            coIns: 10
            coPayPlaceOfService: Specialist
            networkStatus: General
            ptUsed: 10
            outOfPocketRemainingCoverageType: Spouse and Children
            medicareCapAmount: 10
            planStart: 1761609600000
            omJobNumber: ipa-218604J1
            procedureAuthorizationId: 482424
            coordinationOfBenefitsDate: 1761696000000
            deductibleCoverageType: Children
            additionalPlanName: MADICARE
            deductibleRemaining: 90
            OutofPocketMaxRemaining: 900
            insuranceId: 202736
            ptLimit: 10
            plan: HMO
            outOfPocketCoverageType: Spouse and Children
            planType: MEDICAID
            coInsurancePlaceOfService: Specialist
            additionalPayerName: Payer
            outofPocketMax: 1000
            ptUsedType: Units
            deductibleNetworkType: General
            procedureId: 261066
            annualDeductible: 100
            coInsuranceNetworkType: General
            eligibilityStatus: Eligible
            ptLimitType: Units
            coverageType: Spouse and Children
            outOfPocketNetworkType: General
            outOfPocketRemainingNetworkType: General
            authorizationRequired: "No"
            deductibleRemainingNetworkType: General
            deductibleRemainingCoverageType: Spouse and Children
            coPayNetworkType: General
            coPay: 120
            referralRequired: "No"
            additionalPayerType: Primary
            planEnd: 1761696000000
        eligibilityDetails:
          - eligibilitySource: EB_WAVELAND
            plan:
              planName: CALPERS ACTIVE ACCESS HMO GROUP BILL
              planType: null
              groupNumber: W0051411
              planEndDate: "9999-12-31T00:00:00Z"
              planStartDate: "2026-01-01T00:00:00Z"
            planStatus:
              status: Active Coverage
              networkType: In-Network
              coverageType: Family
              serviceTypes:
                code: "30"
                name: Plan Coverage and General Benefits
              coverageStatus: Eligible
            benefits:
              coPay:
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: Yes
                  authorizationRequired: No
                - networkType: In-Network
                  benefitValue: "15"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT REHABILITATIVE THERAPY OUTPATIENT FACILITY REHABILITATION PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: No
                  authorizationRequired: Yes
              deductible:
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Calendar Year
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Family
                  timeQualifier: Calendar Year
              coInsurance:
                - networkType: In-Network
                  benefitValue: "10"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT REHABILITATIVE THERAPY OUTPATIENT FACILITY REHABILITATION PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: "No"
                  authorizationRequired: "No"
              limitations:
                - description:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  benefitQuantity: "100"
                  quantityQualifier: "100"
              outOfPocket:
                - networkType: In-Network
                  benefitValue: "1500"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Calendar Year
                - networkType: In-Network
                  benefitValue: "3000"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Family
                  timeQualifier: Calendar Year
            providerEntities:
              ipa:
                name: RIVERSIDE MEDICAL CLINIC INC
                address:
                  zip: "925063912"
                  city: RIVERSIDE
                  line1: 3660 ARLINGTON AVE
                  state: CA
                contact:
                  - type: Telephone
                    value: "9516836370"
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    EligibilityBenefits-PriorAuthVerificationWebhookSample-Denied:
      summary: Eligibility/Benefits and Prior Authorization Verification webhook payload Denied
      description: Example payload for Eligibility/Benefits and Prior Authorization Verification
      value:
        appointmentId: PAP-EXT-TEST-PA_EB-001
        caseNumber: ipa-218603
        caseId: 192759
        caseStatus: Finalized
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        contact: 999-999-9999
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: TEST0001
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          patientId: P0001
          patientDateOfBirth: 12/16/1964
          note: Test Notes
          lastName: Doe
          gender: Male
          address: 123 Test Street
          firstName: John
        facilityInformation:
          facilityZip: "10001"
          facilityCode: PV
          facilityContact: 123-456-7890
          facilityFax: "9999994444"
          facilityAddress: 123456 Test Street
          facilityNPI: "1891925582"
          facilityState: NY
          facilityCity: New York
        physicianInformation:
          lastName: DOEHRING
          address: 1234 Test Street
          physicianAddressId: null
          npi: "1841243912"
          physicianState: NY
          physicianExternalId: "1001"
          physicianTaxonomyCode: 2085R0202X
          physicianZip: "10001"
          fullName: Tom DOEHRING
          physicianCity: New York
          physicianTaxonomyLicense: G50925
          firstName: Tom
          physicianTaxonomyState: CA
          faxNo: "9999991111"
          taxId: null
          physicianTaxonomyDescription: Radiology, Diagnostic Radiology
          contact: 999-999-9999
          enrolled: false
          physicianTin: "123456789"
        diagnosisInformation:
          - description: Other specified
            icd_10Code: M51.04
        procedureAuthorizationInformation:
          - unitsAuthorizedType: Units
            unitsAuthorized: "10"
            peerReviewDate: null
            callReferenceNumber: "784389438943"
            procedureId: 261066
            expiryDate: null
            omJobNumber: ipa-218603J1
            denialReason: Existing Denial with either same Facility or provider or Procedure.
            insuranceId: 202736
            authNumber: null
            id: 482424
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: Denied
        insuranceInformation:
          - groupName:
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: TEST 001
            payerName: Humana
            id: 202736
            networkType: In Network
            groupNumber: Commercial
            memberId: TEST1234567
        orderingFacilityInformation:
          orderingFacilityZip: "10001"
          orderingFacility: BLR- ELK GROVE NEW
          orderingFacilityNPI: "1891925582"
          orderingFacilityState: NY
          orderingFacilityAddress: 123456 Test Street
          orderingFacilityCode: PV
          orderingFacilityCity: New York
          orderingFacilityFax: 999-999-5555
          orderingFacilityContact: 999-999-6666
        orderingPhysicianInformation:
          lastName: DOEPKER
          address: 12345 Test Street
          npi: "1760466460"
          physicianState: WI
          physicianExternalId: "10002"
          physicianTaxonomyCode: null
          physicianZip: "53538"
          fullName: Tim DOEPKER
          physicianCity: FORT ATKINSON
          physicianTaxonomyLicense: null
          firstName: Tim
          physicianTaxonomyState: null
          faxNo: 999-999-3333
          taxId: null
          physicianTaxonomyDescription: null
          contact: 999-999-2222
          enrolled: false
          physicianTin: "123123123"
        procedureInformation:
          - serviceType: "4"
            quantityType: Visits
            testCode: T1
            modifier: TC
            description: X-ray of shoulder, minimum of 2 views
            id: 261066
            testGroupName: Test Group
            placeOfService: Home
            cptCode: "73030"
            bodyPart: Shoulder
            testName: Test
        eligiblityBenefitsInformation:
          - medicareAmountUsed: 10
            coIns: 10
            coPayPlaceOfService: Specialist
            networkStatus: General
            ptUsed: 10
            outOfPocketRemainingCoverageType: Spouse and Children
            medicareCapAmount: 10
            planStart: 1761609600000
            omJobNumber: ipa-218604J1
            procedureAuthorizationId: 482424
            coordinationOfBenefitsDate: 1761696000000
            deductibleCoverageType: Children
            additionalPlanName: MADICARE
            deductibleRemaining: 90
            OutofPocketMaxRemaining: 900
            insuranceId: 202736
            ptLimit: 10
            plan: HMO
            outOfPocketCoverageType: Spouse and Children
            planType: MEDICAID
            coInsurancePlaceOfService: Specialist
            additionalPayerName: Payer
            outofPocketMax: 1000
            ptUsedType: Units
            deductibleNetworkType: General
            procedureId: 261066
            annualDeductible: 100
            coInsuranceNetworkType: General
            eligibilityStatus: Eligible
            ptLimitType: Units
            coverageType: Spouse and Children
            outOfPocketNetworkType: General
            outOfPocketRemainingNetworkType: General
            authorizationRequired: "No"
            deductibleRemainingNetworkType: General
            deductibleRemainingCoverageType: Spouse and Children
            coPayNetworkType: General
            coPay: 120
            referralRequired: "No"
            additionalPayerType: Primary
            planEnd: 1761696000000
        eligibilityDetails:
          - eligibilitySource: EB_WAVELAND
            plan:
              planName: CALPERS ACTIVE ACCESS HMO GROUP BILL
              planType: null
              groupNumber: W0051411
              planEndDate: "9999-12-31T00:00:00Z"
              planStartDate: "2026-01-01T00:00:00Z"
            planStatus:
              status: Active Coverage
              networkType: In-Network
              coverageType: Family
              serviceTypes:
                code: "30"
                name: Plan Coverage and General Benefits
              coverageStatus: Eligible
            benefits:
              coPay:
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: Yes
                  authorizationRequired: No
                - networkType: In-Network
                  benefitValue: "15"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT REHABILITATIVE THERAPY OUTPATIENT FACILITY REHABILITATION PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: No
                  authorizationRequired: Yes
              deductible:
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Calendar Year
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Family
                  timeQualifier: Calendar Year
              coInsurance:
                - networkType: In-Network
                  benefitValue: "10"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT REHABILITATIVE THERAPY OUTPATIENT FACILITY REHABILITATION PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: "No"
                  authorizationRequired: "No"
              limitations:
                - description:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  benefitQuantity: "100"
                  quantityQualifier: "100"
              outOfPocket:
                - networkType: In-Network
                  benefitValue: "1500"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Calendar Year
                - networkType: In-Network
                  benefitValue: "3000"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Family
                  timeQualifier: Calendar Year
            providerEntities:
              ipa:
                name: RIVERSIDE MEDICAL CLINIC INC
                address:
                  zip: "925063912"
                  city: RIVERSIDE
                  line1: 3660 ARLINGTON AVE
                  state: CA
                contact:
                  - type: Telephone
                    value: "9516836370"
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    EligibilityBenefits-PriorAuthVerificationWebhookSample-Payer_Review:
      summary: Eligibility/Benefits and Prior Authorization Verification webhook payload Payer Review
      description: Example payload for Eligibility/Benefits and Prior Authorization Verification
      value:
        appointmentId: PAP-EXT-TEST-PAV_EB-003
        caseNumber: ipa-218604
        caseId: 192760
        caseStatus: Payer Review
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        contact: 999-999-9999
        informationType: null
        informationTypeOther: null
        nextFollowupDate: 01/11/2026
        executionMode: HITL
        systemIdentifier: TEST0001
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          patientId: P0001
          patientDateOfBirth: 12/16/1964
          note: Test Notes
          lastName: Doe
          gender: Male
          address: 123 Test Street
          firstName: John
        facilityInformation:
          facilityZip: "10001"
          facilityCode: PV
          facilityContact: 123-456-7890
          facilityFax: "9999994444"
          facilityAddress: 123456 Test Street
          facilityNPI: "1891925582"
          facilityState: NY
          facilityCity: New York
        physicianInformation:
          lastName: DOEHRING
          address: 1234 Test Street
          physicianAddressId: null
          npi: "1841243912"
          physicianState: NY
          physicianExternalId: "1001"
          physicianTaxonomyCode: 2085R0202X
          physicianZip: "10001"
          fullName: Tom DOEHRING
          physicianCity: New York
          physicianTaxonomyLicense: G50925
          firstName: Tom
          physicianTaxonomyState: CA
          faxNo: "9999991111"
          taxId: null
          physicianTaxonomyDescription: Radiology, Diagnostic Radiology
          contact: 999-999-9999
          enrolled: false
          physicianTin: "123456789"
        diagnosisInformation:
          - description: Other specified
            icd_10Code: M51.04
        procedureAuthorizationInformation:
          - unitsAuthorizedType: null
            unitsAuthorized: null
            peerReviewDate: null
            callReferenceNumber: "74389438934"
            procedureId: 261067
            expiryDate: null
            omJobNumber: ipa-218604J1
            denialReason: null
            insuranceId: 202737
            authNumber: null
            id: 482429
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: null
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: TEST 001
            payerName: Humana
            id: 202737
            networkType: In Network
            groupNumber: Commercial
            memberId: TEST1234567
        orderingFacilityInformation:
          orderingFacilityZip: "10001"
          orderingFacility: BLR- ELK GROVE NEW
          orderingFacilityNPI: "1891925582"
          orderingFacilityState: NY
          orderingFacilityAddress: 123456 Test Street
          orderingFacilityCode: PV
          orderingFacilityCity: New York
          orderingFacilityFax: 999-999-5555
          orderingFacilityContact: 999-999-6666
        orderingPhysicianInformation:
          lastName: DOEPKER
          address: 12345 Test Street
          npi: "1760466460"
          physicianState: WI
          physicianExternalId: "10002"
          physicianTaxonomyCode: null
          physicianZip: "53538"
          fullName: Tim DOEPKER
          physicianCity: FORT ATKINSON
          physicianTaxonomyLicense: null
          firstName: Tim
          physicianTaxonomyState: null
          faxNo: 999-999-3333
          taxId: null
          physicianTaxonomyDescription: null
          contact: 999-999-2222
          enrolled: false
          physicianTin: "123123123"
        procedureInformation:
          - serviceType: "4"
            quantityType: Visits
            testCode: T1
            modifier: TC
            description: X-ray of shoulder, minimum of 2 views
            id: 261067
            testGroupName: Test Group
            placeOfService: Home
            cptCode: "73030"
            bodyPart: Shoulder
            testName: Test
        ppeInformation:
          totalPatientRepsonsibiliy: null
          payerPPESummary:
            - omJobNumber: ipa-218604J1
              procedureAuthorizationId: 482429
              cptPatientEstimateAmount: null
              payerDueAmount: null
              insuranceId: 202737
              benefitsApplied: null
              procedureId: 261067
              allowedAmount: null
              allowedAmountSource: null
          ppeDisclaimer:
            This is an estimate and not a guarantee of payment. It is based on an estimate of
            negotiated rates and not actual contracts.It does not consider a medical necessity,
            limitation or exclusion
        eligiblityBenefitsInformation:
          - medicareAmountUsed: 10
            coIns: 10
            coPayPlaceOfService: Specialist
            networkStatus: General
            ptUsed: 10
            outOfPocketRemainingCoverageType: Spouse and Children
            medicareCapAmount: 10
            planStart: 1761609600000
            omJobNumber: ipa-218604J1
            procedureAuthorizationId: 482429
            coordinationOfBenefitsDate: 1761696000000
            deductibleCoverageType: Children
            additionalPlanName: MADICARE
            deductibleRemaining: 90
            OutofPocketMaxRemaining: 900
            insuranceId: 202737
            ptLimit: 10
            plan: HMO
            outOfPocketCoverageType: Spouse and Children
            planType: MEDICAID
            coInsurancePlaceOfService: Specialist
            additionalPayerName: Payer
            outofPocketMax: 1000
            ptUsedType: Units
            deductibleNetworkType: General
            procedureId: 261067
            annualDeductible: 100
            coInsuranceNetworkType: General
            eligibilityStatus: Eligible
            ptLimitType: Units
            coverageType: Spouse and Children
            outOfPocketNetworkType: General
            outOfPocketRemainingNetworkType: General
            authorizationRequired: "No"
            deductibleRemainingNetworkType: General
            deductibleRemainingCoverageType: Spouse and Children
            coPayNetworkType: General
            coPay: 120
            referralRequired: "No"
            additionalPayerType: Primary
            planEnd: 1761696000000
        eligibilityDetails:
          - eligibilitySource: EB_WAVELAND
            plan:
              planName: CALPERS ACTIVE ACCESS HMO GROUP BILL
              planType: null
              groupNumber: W0051411
              planEndDate: "9999-12-31T00:00:00Z"
              planStartDate: "2026-01-01T00:00:00Z"
            planStatus:
              status: Active Coverage
              networkType: In-Network
              coverageType: Family
              serviceTypes:
                code: "30"
                name: Plan Coverage and General Benefits
              coverageStatus: Eligible
            benefits:
              coPay:
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: Yes
                  authorizationRequired: No
                - networkType: In-Network
                  benefitValue: "15"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT REHABILITATIVE THERAPY OUTPATIENT FACILITY REHABILITATION PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: No
                  authorizationRequired: Yes
              deductible:
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Calendar Year
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Family
                  timeQualifier: Calendar Year
              coInsurance:
                - networkType: In-Network
                  benefitValue: "10"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT REHABILITATIVE THERAPY OUTPATIENT FACILITY REHABILITATION PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: "No"
                  authorizationRequired: "No"
              limitations:
                - description:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  benefitQuantity: "100"
                  quantityQualifier: "100"
              outOfPocket:
                - networkType: In-Network
                  benefitValue: "1500"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Calendar Year
                - networkType: In-Network
                  benefitValue: "3000"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Family
                  timeQualifier: Calendar Year
            providerEntities:
              ipa:
                name: RIVERSIDE MEDICAL CLINIC INC
                address:
                  zip: "925063912"
                  city: RIVERSIDE
                  line1: 3660 ARLINGTON AVE
                  state: CA
                contact:
                  - type: Telephone
                    value: "9516836370"
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    EligibilityBenefits-PriorAuthVerificationWebhookSample-Expired:
      summary: Eligibility/Benefits and Prior Authorization Verification webhook payload Expired
      description: Example payload for Eligibility/Benefits and Prior Authorization Verification
      value:
        appointmentId: PAP-EXT-TEST-PAV_EB-001
        caseNumber: ipa-218603
        caseId: 192759
        caseStatus: Expired
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        contact: 999-999-9999
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: TEST0001
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          patientId: P0001
          patientDateOfBirth: 12/16/1964
          note: Test Notes
          lastName: Doe
          gender: Male
          address: 123 Test Street
          firstName: John
        facilityInformation:
          facilityZip: "10001"
          facilityCode: PV
          facilityContact: 123-456-7890
          facilityFax: "9999994444"
          facilityAddress: 123456 Test Street
          facilityNPI: "1891925582"
          facilityState: NY
          facilityCity: New York
        physicianInformation:
          lastName: DOEHRING
          address: 1234 Test Street
          physicianAddressId: null
          npi: "1841243912"
          physicianState: NY
          physicianExternalId: "1001"
          physicianTaxonomyCode: 2085R0202X
          physicianZip: "10001"
          fullName: Tom DOEHRING
          physicianCity: New York
          physicianTaxonomyLicense: G50925
          firstName: Tom
          physicianTaxonomyState: CA
          faxNo: "9999991111"
          taxId: null
          physicianTaxonomyDescription: Radiology, Diagnostic Radiology
          contact: 999-999-9999
          enrolled: false
          physicianTin: "123456789"
        diagnosisInformation:
          - description: Other specified
            icd_10Code: M51.04
        procedureAuthorizationInformation:
          - unitsAuthorizedType:
            unitsAuthorized: null
            peerReviewDate: null
            callReferenceNumber: null
            procedureId: 261066
            expiryDate: null
            omJobNumber: ipa-218603J1
            denialReason: null
            insuranceId: 202736
            authNumber: null
            id: 482424
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: null
        insuranceInformation:
          - groupName:
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: TEST 001
            payerName: Humana
            id: 202736
            networkType: In Network
            groupNumber: Commercial
            memberId: TEST1234567
        orderingFacilityInformation:
          orderingFacilityZip: "10001"
          orderingFacility: BLR- ELK GROVE NEW
          orderingFacilityNPI: "1891925582"
          orderingFacilityState: NY
          orderingFacilityAddress: 123456 Test Street
          orderingFacilityCode: PV
          orderingFacilityCity: New York
          orderingFacilityFax: 999-999-5555
          orderingFacilityContact: 999-999-6666
        orderingPhysicianInformation:
          lastName: DOEPKER
          address: 12345 Test Street
          npi: "1760466460"
          physicianState: WI
          physicianExternalId: "10002"
          physicianTaxonomyCode: null
          physicianZip: "53538"
          fullName: Tim DOEPKER
          physicianCity: FORT ATKINSON
          physicianTaxonomyLicense: null
          firstName: Tim
          physicianTaxonomyState: null
          faxNo: 999-999-3333
          taxId: null
          physicianTaxonomyDescription: null
          contact: 999-999-2222
          enrolled: false
          physicianTin: "123123123"
        procedureInformation:
          - serviceType: "4"
            quantityType: Visits
            testCode: T1
            modifier: TC
            description: X-ray of shoulder, minimum of 2 views
            id: 261066
            testGroupName: Test Group
            placeOfService: Home
            cptCode: "73030"
            bodyPart: Shoulder
            testName: Test
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

    EligibilityBenefits-PriorAuthVerificationWebhookSample-Pending_Initiation:
      summary: Eligibility/Benefits and Prior Authorization Verification webhook payload Pending Initiation
      description: Example payload for Eligibility/Benefits and Prior Authorization Verification
      value:
        appointmentId: PAP-EXT-TEST-PAV_EB-003
        caseNumber: ipa-218604
        caseId: 192760
        caseStatus: Pending Initiation
        subStatus: null
        statusReason: null
        statusReasonOther: null
        statusUpdatedAt: 2025-01-01T00:00:00Z
        contact: 999-999-9999
        informationType: null
        informationTypeOther: null
        nextFollowupDate: null
        executionMode: HITL
        systemIdentifier: TEST0001
        customFieldInformation:
          customField1: Field 1
          customField2: Field 2
        patientInformation:
          patientId: P0001
          patientDateOfBirth: 12/16/1964
          note: Test Notes
          lastName: Doe
          gender: Male
          address: 123 Test Street
          firstName: John
        facilityInformation:
          facilityZip: "10001"
          facilityCode: PV
          facilityContact: 123-456-7890
          facilityFax: "9999994444"
          facilityAddress: 123456 Test Street
          facilityNPI: "1891925582"
          facilityState: NY
          facilityCity: New York
        physicianInformation:
          lastName: DOEHRING
          address: 1234 Test Street
          physicianAddressId: null
          npi: "1841243912"
          physicianState: NY
          physicianExternalId: "1001"
          physicianTaxonomyCode: 2085R0202X
          physicianZip: "10001"
          fullName: Tom DOEHRING
          physicianCity: New York
          physicianTaxonomyLicense: G50925
          firstName: Tom
          physicianTaxonomyState: CA
          faxNo: "9999991111"
          taxId: null
          physicianTaxonomyDescription: Radiology, Diagnostic Radiology
          contact: 999-999-9999
          enrolled: false
          physicianTin: "123456789"
        diagnosisInformation:
          - description: Other specified
            icd_10Code: M51.04
        procedureAuthorizationInformation:
          - unitsAuthorizedType: null
            unitsAuthorized: null
            peerReviewDate: null
            callReferenceNumber: "74389438934"
            procedureId: 261067
            expiryDate: null
            omJobNumber: ipa-218604J1
            denialReason: null
            insuranceId: 202737
            authNumber: null
            id: 482429
            trackingNumber: null
            caseReferenceNumber: null
            effectiveDate: null
            status: null
        insuranceInformation:
          - groupName: null
            payerType: PRIMARY
            masterPayerCode: CWJOSLHN
            contact: null
            policyNumber: TEST 001
            payerName: Humana
            id: 202737
            networkType: In Network
            groupNumber: Commercial
            memberId: TEST1234567
        orderingFacilityInformation:
          orderingFacilityZip: "10001"
          orderingFacility: BLR- ELK GROVE NEW
          orderingFacilityNPI: "1891925582"
          orderingFacilityState: NY
          orderingFacilityAddress: 123456 Test Street
          orderingFacilityCode: PV
          orderingFacilityCity: New York
          orderingFacilityFax: 999-999-5555
          orderingFacilityContact: 999-999-6666
        orderingPhysicianInformation:
          lastName: DOEPKER
          address: 12345 Test Street
          npi: "1760466460"
          physicianState: WI
          physicianExternalId: "10002"
          physicianTaxonomyCode: null
          physicianZip: "53538"
          fullName: Tim DOEPKER
          physicianCity: FORT ATKINSON
          physicianTaxonomyLicense: null
          firstName: Tim
          physicianTaxonomyState: null
          faxNo: 999-999-3333
          taxId: null
          physicianTaxonomyDescription: null
          contact: 999-999-2222
          enrolled: false
          physicianTin: "123123123"
        procedureInformation:
          - serviceType: "4"
            quantityType: Visits
            testCode: T1
            modifier: TC
            description: X-ray of shoulder, minimum of 2 views
            id: 261067
            testGroupName: Test Group
            placeOfService: Home
            cptCode: "73030"
            bodyPart: Shoulder
            testName: Test
        ppeInformation:
          totalPatientRepsonsibiliy: null
          payerPPESummary:
            - omJobNumber: ipa-218604J1
              procedureAuthorizationId: 482429
              cptPatientEstimateAmount: null
              payerDueAmount: null
              insuranceId: 202737
              benefitsApplied: null
              procedureId: 261067
              allowedAmount: null
              allowedAmountSource: null
          ppeDisclaimer:
            This is an estimate and not a guarantee of payment. It is based on an estimate of
            negotiated rates and not actual contracts.It does not consider a medical necessity,
            limitation or exclusion
        eligiblityBenefitsInformation:
          - medicareAmountUsed: 10
            coIns: 10
            coPayPlaceOfService: Specialist
            networkStatus: General
            ptUsed: 10
            outOfPocketRemainingCoverageType: Spouse and Children
            medicareCapAmount: 10
            planStart: 1761609600000
            omJobNumber: ipa-218604J1
            procedureAuthorizationId: 482429
            coordinationOfBenefitsDate: 1761696000000
            deductibleCoverageType: Children
            additionalPlanName: MADICARE
            deductibleRemaining: 90
            OutofPocketMaxRemaining: 900
            insuranceId: 202737
            ptLimit: 10
            plan: HMO
            outOfPocketCoverageType: Spouse and Children
            planType: MEDICAID
            coInsurancePlaceOfService: Specialist
            additionalPayerName: Payer
            outofPocketMax: 1000
            ptUsedType: Units
            deductibleNetworkType: General
            procedureId: 261067
            annualDeductible: 100
            coInsuranceNetworkType: General
            eligibilityStatus: Eligible
            ptLimitType: Units
            coverageType: Spouse and Children
            outOfPocketNetworkType: General
            outOfPocketRemainingNetworkType: General
            authorizationRequired: "No"
            deductibleRemainingNetworkType: General
            deductibleRemainingCoverageType: Spouse and Children
            coPayNetworkType: General
            coPay: 120
            referralRequired: "No"
            additionalPayerType: Primary
            planEnd: 1761696000000
        eligibilityDetails:
          - eligibilitySource: EB_WAVELAND
            plan:
              planName: CALPERS ACTIVE ACCESS HMO GROUP BILL
              planType: null
              groupNumber: W0051411
              planEndDate: "9999-12-31T00:00:00Z"
              planStartDate: "2026-01-01T00:00:00Z"
            planStatus:
              status: Active Coverage
              networkType: In-Network
              coverageType: Family
              serviceTypes:
                code: "30"
                name: Plan Coverage and General Benefits
              coverageStatus: Eligible
            benefits:
              coPay:
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: Yes
                  authorizationRequired: No
                - networkType: In-Network
                  benefitValue: "15"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT REHABILITATIVE THERAPY OUTPATIENT FACILITY REHABILITATION PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: No
                  authorizationRequired: Yes
              deductible:
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Calendar Year
                - networkType: In-Network
                  benefitValue: "0"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Family
                  timeQualifier: Calendar Year
              coInsurance:
                - networkType: In-Network
                  benefitValue: "10"
                  serviceTypes:
                    code: PT
                    name: Physical Therapy
                  applicableFor:
                    - FACILITY BENEFIT REHABILITATIVE THERAPY OUTPATIENT FACILITY REHABILITATION PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Visit
                  referralRequired: "No"
                  authorizationRequired: "No"
              limitations:
                - description:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  benefitQuantity: "100"
                  quantityQualifier: "100"
              outOfPocket:
                - networkType: In-Network
                  benefitValue: "1500"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Individual
                  timeQualifier: Calendar Year
                - networkType: In-Network
                  benefitValue: "3000"
                  serviceTypes:
                    code: "30"
                    name: Plan Coverage and General Benefits
                  applicableFor:
                    - FACILITY BENEFIT SKILLED NURSING FACILITY THERAPY IN A SKILLED NURSING FACILITY PHYSICAL THERAPY
                  coverageLevel: Family
                  timeQualifier: Calendar Year
            providerEntities:
              ipa:
                name: RIVERSIDE MEDICAL CLINIC INC
                address:
                  zip: "925063912"
                  city: RIVERSIDE
                  line1: 3660 ARLINGTON AVE
                  state: CA
                contact:
                  - type: Telephone
                    value: "9516836370"
        attachmentInformation:
          - fileName: tenant/2026/Apr/ipa126372/contract/Doc_testing_200420260306430754821ipa126372.pdf
            mimeType: application/pdf
            id: 7947
            data: "JVBERi0xLjMKJcTl8ujU4ODNlZmJiZDA0MzI+Cjw1MDg3N2Q3MzI5OTRlMDU1ZjViNTg4M2VmYmJkMDQzMj4gXSA+PgpzdGFydHhyZWYKMjM1MTg4CiUlRU9GCg=="
            fileExtension: pdf
        commentInformation:
          - id: 42247
            comments: "Manual Review Required."
            userName: "infinx.auth.agent"
            createdOn: "2026-04-20T15:06:51.305+0000"

  requestBodies:
    CreateOrUpdateCasePA:
      required: true
      content:
        application/json:
          schema:
            $ref: "#/components/schemas/CreateCasePriorAuthorizationRequest"
          example:
            caseInformation:
              dateOfService: "2025-10-11T10:30:55Z"
              dateOfServiceEndDate: null
              appointmentId: "PAP-EXT-TEST-PA-INFX111"
              priority: "STAT"
              patientClass: "I - Inpatient"
              caseProductInformation:
                productGroupId: 1
                productId: 1
              admissionType: "E - Emergency"
              orderId: "00012"
              appointmentType: "New Patient(New Pt)"
              appointmentTypeCode: null
              executionMode: HITL
            patientInformation:
              firstName: "John"
              lastName: "Doe"
              patientId: "P0001"
              dob: "1964-12-16"
              gender: "M"
              note: "Test Notes"
              address: "123 Test Street"
              city: "New York"
              state: "NY"
              zipCode: "90001"
              phone: "999-999-9999"
            physicianInformation:
              firstName: "Tom"
              lastName: "DOEHRING"
              npi: "1841243912"
              physicianExternalId: "1001"
              contact: "999-999-9999"
              address: "1234 Test Street"
              faxNo: "999-999-1111"
              physicianTin: "123456789"
              physicianCity: "New York"
              physicianState: "NY"
              physicianZip: "10001"
            orderingPhysicianInformation:
              firstName: "Tim"
              lastName: "DOEPKER"
              npi: "1760466460"
              physicianExternalId: "10002"
              contact: "999-999-2222"
              address: "12345 Test Street"
              faxNo: "999-999-3333"
              physicianTin: "123123123"
              physicianCity: "FORT ATKINSON"
              physicianState: "WI"
              physicianZip: "53538"
            facilityInformation:
              code: "PV"
              name: "INFINX- ELK GROVE NEW"
              npi: "1234567890"
              facilityFax: "999-999-4444"
              facilityTin: "123456789"
              facilityAddress: "123456 Test Street"
              facilityCity: "New York"
              facilityZip: "10001"
              facilityState: "NY"
              facilityContact: "999-999-5555"
            orderingFacilityInformation:
              code: "PV"
              name: "INFINX- ELK GROVE NEW1"
              npi: "1234567890"
              facilityFax: "999-999-5555"
              facilityTin: "123456789"
              facilityAddress: "123456 Test Street"
              facilityCity: "New York"
              facilityZip: "10001"
              facilityState: "NY"
              facilityContact: "999-999-6666"
            insuranceInformation:
              - type: "PRIMARY"
                name: "INFINX"
                groupNumber: "Commercial"
                planId: "TEST 001"
                memberId: "TEST1234567"
                networkType: "In Network"
            procedureInformation:
              - cptCode: "73030"
                modifier: "TC"
                requestedQuantity: 5
                quantityType: "Visits"
                placeOfService: "Home"
                bodyPart: "Shoulder"
                description: "X-ray of shoulder, minimum of 2 views"
                testName: "Test"
                testCode: "T1"
                testGroupName: "Test Group"
            diagnosisInformation:
              - icdCode: "M51.04"
                description: "Other specified"
            customFieldInformation:
              customField1: "Field 1"
              customField2: "Field 2"
            systemIdentifier: "TEST0001"
    UpdateCasePA:
      required: true
      content:
        application/json:
          schema:
            $ref: "#/components/schemas/UpdateCasePriorAuthorizationRequest"
          example:
            caseInformation:
              dateOfService: "2025-10-14T10:30:55.035Z"
              dateOfServiceEndDate: null
              appointmentId: "PAP-EXT-TEST-PA-INFX001"
              priority: "STAT"
              patientClass: "I - Inpatient"
              caseProductInformation:
                productGroupId: 1
                productId: 1
              admissionType: "E - Emergency"
              orderId: "00012"
              appointmentType: "New Patient(New Pt)"
              appointmentTypeCode: null
              executionMode: HITL
            patientInformation:
              firstName: "John"
              lastName: "Doe"
              patientId: "P0001"
              dob: "1964-12-16"
              gender: "M"
              note: "Test Notes"
              address: "123 Test Street"
              city: "New York"
              state: "NY"
              zipCode: "90001"
              phone: "999-999-9999"
            physicianInformation:
              firstName: "Tom"
              lastName: "DOEHRING"
              npi: "1841243912"
              physicianExternalId: "1001"
              contact: "999-999-9999"
              address: "1234 Test Street"
              faxNo: "999-999-1111"
              physicianTin: "123456789"
              physicianCity: "New York"
              physicianState: "NY"
              physicianZip: "10001"
            orderingPhysicianInformation:
              firstName: "Tim"
              lastName: "DOEPKER"
              npi: "1760466460"
              physicianExternalId: "10002"
              contact: "999-999-2222"
              address: "12345 Test Street"
              faxNo: "999-999-3333"
              physicianTin: "123123123"
              physicianCity: "FORT ATKINSON"
              physicianState: "WI"
              physicianZip: "53538"
            facilityInformation:
              code: "PV"
              name: "INFINX- ELK GROVE NEW"
              npi: "1234567890"
              facilityFax: "999-999-4444"
              facilityTin: "123456789"
              facilityAddress: "123456 Test Street"
              facilityCity: "New York"
              facilityZip: "10001"
              facilityState: "NY"
              facilityContact: "999-999-5555"
            orderingFacilityInformation:
              code: "PV"
              name: "INFINX- ELK GROVE NEW1"
              npi: "1234567890"
              facilityFax: "999-999-5555"
              facilityTin: "123456789"
              facilityAddress: "123456 Test Street"
              facilityCity: "New York"
              facilityZip: "10001"
              facilityState: "NY"
              facilityContact: "999-999-6666"
            insuranceInformation:
              - type: "PRIMARY"
                name: "INFINX"
                groupNumber: "Commercial"
                planId: "TEST 001"
                memberId: "TEST123456701"
                networkType: "In Network"
            procedureInformation:
              - cptCode: "73030"
                modifier: "TC"
                requestedQuantity: 5
                quantityType: "Visits"
                placeOfService: "Home"
                bodyPart: "Shoulder"
                description: "X-ray of shoulder, minimum of 2 views"
                testName: "Test"
                testCode: "T1"
                testGroupName: "Test Group"
            diagnosisInformation:
              - icdCode: "M51.04"
                description: "Other specified"
            customFieldInformation:
              customField1: "Field 1"
              customField2: "Field 2"
            systemIdentifier: "TEST0001"
    AdditionalInformation:
      required: true
      content:
        application/json:
          schema:
            $ref: "#/components/schemas/CommentsInformationRequest"
          example:
            additionalInformation:
              - "Test Comment 1"
    CancelReasons:
      required: true
      content:
        application/json:
          schema:
            $ref: "#/components/schemas/CancelReasonsRequest"
          example:
            - reasonType: Manual
              reasons:
                - Critical Information Unavailable
    CreateOrUpdateCaseEB:
      required: true
      content:
        application/json:
          schema:
            $ref: "#/components/schemas/CreateCaseEligibilityBenefitsRequest"
          example:
            caseInformation:
              dateOfService: "2025-10-15T10:30:55Z"
              dateOfServiceEndDate: null
              accessionNumber: "PAP-EXT-TEST-EB-INFX001"
              priority: "STAT"
              patientClass: "I - Inpatient"
              caseProductInformation:
                productGroupId: 1
                productId: 2
              admissionType: "E - Emergency"
              orderId: "00013"
              appointmentType: "New Patient(New Pt)"
              appointmentTypeCode: null
              executionMode: HITL
            patientInformation:
              patientMRN: "P0001"
              dateOfBirth: "01/01/1980"
              firstName: "John"
              middleName: "m"
              lastName: "Doe"
              gender: "M"
              contact: "999-999-1111"
              address: "123 Test Street"
              city: "New York"
              state: "NY"
              zipCode: "90001"
              note: "Some notes 1"
            insuranceInformation:
              - payerName: "INFINX"
                payerType: "PRIMARY"
                groupNumber: "INFINX0001"
                groupName: "INFINX Group"
                contact: "999-999-2222"
                memberId: "TEST1234567"
                networkType: "In Network"
                employerName: "INF"
                mailingAddress: "infinx@infinx.com"
            procedureInformation:
              - cptCode: "73030"
                description: "X-ray of shoulder, minimum of 2 views"
                testGroupName: "Test Group1"
                testName: "Test"
                testCode: "T1"
                modifier: "TC1"
                bodyPart: "Shoulder"
                serviceType: "4"
                placeOfService: "Home"
            diagnosisInformation:
              - icd_10Code: "M51.04"
                description: "Other specified"
            providerInformation:
              providerCode: "PV"
              providerName: "INFINX- ELK GROVE NEW1"
              providerNPI: "1234567890"
              providerState: "NY"
              providerCity: "New York"
              providerZip: "10001"
              providerContact: "999-999-5555"
              providerFax: "999-999-5556"
              providerTin: "123123123"
              providerAddress: "ABC"
            orderingFacilityInformation:
              orderingFacilityCode: "PV"
              orderingFacility: "INFINX- ELK GROVE NEW1"
              orderingFacilityAddress: "123456 Test Street"
              orderingFacilityState: "NY"
              orderingFacilityCity: "New York"
              orderingFacilityZip: "10001"
              orderingFacilityNPI: "1234567890"
              orderingFacilityContact: "999-999-5555"
              orderingFacilityFax: "999-999-5556"
            orderingPhysicianInformation:
              firstName: "Tim"
              lastName: "DOEPKER"
              physicianExternalId: "10002"
              npi: "1760466460"
              contact: "999-999-2222"
              address: "12345 Test Street"
              faxNo: "999-999-3333"
              physicianCity: "FORT ATKINSON"
              physicianState: "WI"
              physicianZip: "53538"
              physicianTin: "123123123"
            customFieldInformation:
              customField1: "Field 1"
              customField2: "Field 2"
            systemIdentifier: "0002"
    UpdateCaseEB:
      required: true
      content:
        application/json:
          schema:
            $ref: "#/components/schemas/UpdateCaseEligibilityBenefitsRequest"
          example:
            caseInformation:
              dateOfService: "2025-10-20T10:30:55Z"
              dateOfServiceEndDate: null
              accessionNumber: "PAP-EXT-TEST-EB-INFX001"
              priority: "STAT"
              patientClass: "I - Inpatient"
              caseProductInformation:
                productGroupId: 1
                productId: 2
              admissionType: "E - Emergency"
              orderId: "00013"
              appointmentType: "New Patient(New Pt)"
              appointmentTypeCode: null
              executionMode: HITL
            patientInformation:
              patientMRN: "P0001"
              dateOfBirth: "01/01/1980"
              firstName: "John"
              middleName: "m"
              lastName: "Doe"
              gender: "M"
              contact: "999-999-1111"
              address: "123 Test Street"
              city: "New York"
              state: "NY"
              zipCode: "90001"
              note: "Some notes 1"
            insuranceInformation:
              - payerName: "INFINX"
                payerType: "PRIMARY"
                groupNumber: "INFINX0001"
                groupName: "INFINX Group"
                contact: "999-999-2222"
                memberId: "TEST1234567"
                networkType: "In Network"
                employerName: "INF"
                mailingAddress: "infinx@infinx.com"
            procedureInformation:
              - cptCode: "73030"
                description: "X-ray of shoulder, minimum of 2 views"
                testGroupName: "Test Group1"
                testName: "Test"
                testCode: "T1"
                modifier: "TC1"
                bodyPart: "Shoulder"
                serviceType: "4"
                placeOfService: "Home"
            diagnosisInformation:
              - icd_10Code: "M51.04"
                description: "Other specified"
            providerInformation:
              providerCode: "PV"
              providerName: "INFINX- ELK GROVE NEW1"
              providerNPI: "1234567890"
              providerState: "NY"
              providerCity: "New York"
              providerZip: "10001"
              providerContact: "999-999-5555"
              providerFax: "999-999-5556"
              providerTin: "123123123"
              providerAddress: "ABC"
            orderingFacilityInformation:
              orderingFacilityCode: "PV"
              orderingFacility: "INFINX- ELK GROVE NEW1"
              orderingFacilityAddress: "123456 Test Street"
              orderingFacilityState: "NY"
              orderingFacilityCity: "New York"
              orderingFacilityZip: "10001"
              orderingFacilityNPI: "1234567890"
              orderingFacilityContact: "999-999-5555"
              orderingFacilityFax: "999-999-5556"
            orderingPhysicianInformation:
              firstName: "Tim"
              lastName: "DOEPKER"
              physicianExternalId: "10002"
              npi: "1760466460"
              contact: "999-999-2222"
              address: "12345 Test Street"
              faxNo: "999-999-3333"
              physicianCity: "FORT ATKINSON"
              physicianState: "WI"
              physicianZip: "53538"
              physicianTin: "123123123"
            customFieldInformation:
              customField1: "Field 1"
              customField2: "Field 2"
            systemIdentifier: "0002"
    CreateCaseWithAttachmentPA:
      required: true
      content:
        multipart/form-data:
          schema:
            $ref: "#/components/schemas/CreateCaseWithAttachmentRequest"
    CreateCaseWithAttachmentEB:
      required: true
      content:
        multipart/form-data:
          schema:
            $ref: "#/components/schemas/CreateCaseWithAttachmentRequest"
paths:
  /webhook-priorauth:
    get:
      x-internal: true
      x-readme:
        explorer: false
      x-swagger-ui:
        tryItOutEnabled: false
      x-hideTryItOut: true
      x-readOnly: true
      #deprecated: true
      tags:
        - Webhooks
      summary: Prior Auth Webhook Sample Payload
      description: Returns a sample Prior Authorization webhook payload for reference.
      responses:
        "200":
          description: Sample webhook payload
          content:
            application/json:
              examples:
                PriorAuthWebhookSample-Intake_Review:
                  $ref: "#/components/examples/PriorAuthWebhookSample-Intake_Review"
                PriorAuthWebhookSample-Pending_Determination:
                  $ref: "#/components/examples/PriorAuthWebhookSample-Pending_Determination"
                PriorAuthWebhookSample-Uninitiated:
                  $ref: "#/components/examples/PriorAuthWebhookSample-Uninitiated"
                PriorAuthWebhookSample-No_Authorization_Required:
                  $ref: "#/components/examples/PriorAuthWebhookSample-No_Authorization_Required"
                PriorAuthWebhookSample-Pending_Information:
                  $ref: "#/components/examples/PriorAuthWebhookSample-Pending_Information"
                PriorAuthWebhookSample-Pending_Review:
                  $ref: "#/components/examples/PriorAuthWebhookSample-Pending_Review"
                PriorAuthWebhookSample-Approved:
                  $ref: "#/components/examples/PriorAuthWebhookSample-Approved"
                PriorAuthWebhookSample-Peer_Review:
                  $ref: "#/components/examples/PriorAuthWebhookSample-Peer_Review"
                PriorAuthWebhookSample-Denied:
                  $ref: "#/components/examples/PriorAuthWebhookSample-Denied"
                PriorAuthWebhookSample-Canceled:
                  $ref: "#/components/examples/PriorAuthWebhookSample-Canceled"
  /webhook-eligibility-benefits:
    get:
      x-internal: true
      x-readme:
        explorer: false
      x-swagger-ui:
        tryItOutEnabled: false
      x-hideTryItOut: true
      x-readOnly: true
      #deprecated: true
      tags:
        - Webhooks
      summary: Eligibility Benefits Webhook Sample Payload
      description: Returns a sample Eligibility Benefits webhook payload for reference.
      responses:
        "200":
          description: Sample webhook payload
          content:
            application/json:
              examples:
                EligibilityBenefitsWebhookSample-Intake_Review:
                  $ref: "#/components/examples/EligibilityBenefitsWebhookSample-Intake_Review"
                EligibilityBenefitsWebhookSample-Pending_Determination:
                  $ref: "#/components/examples/EligibilityBenefitsWebhookSample-Pending_Determination"
                EligibilityBenefitsWebhookSample-Pending_verification:
                  $ref: "#/components/examples/EligibilityBenefitsWebhookSample-Pending_Verification"
                EligibilityBenefitsWebhookSample-InEligible:
                  $ref: "#/components/examples/EligibilityBenefitsWebhookSample-InEligible"
                EligibilityBenefitsWebhookSample-Pending_Information:
                  $ref: "#/components/examples/EligibilityBenefitsWebhookSample-Pending_Information"
                EligibilityBenefitsWebhookSample-Eligible:
                  $ref: "#/components/examples/EligibilityBenefitsWebhookSample-Eligible"
                EligibilityBenefitsWebhookSample-Canceled:
                  $ref: "#/components/examples/EligibilityBenefitsWebhookSample-Canceled"
  /webhook-eligibility-benefits-priorauth:
    get:
      x-internal: true
      x-readme:
        explorer: false
      x-swagger-ui:
        tryItOutEnabled: false
      x-hideTryItOut: true
      x-readOnly: true
      #deprecated: true
      tags:
        - Webhooks
      summary: Eligibility Benefits and Prior Auth Webhook Sample Payload
      description:
        Returns a sample Eligibility Benefits and Prior Authorization webhook payload for reference.
      responses:
        "200":
          description: Sample webhook payload
          content:
            application/json:
              examples:
                EligibilityBenefits-PriorAuthWebhookSample-Intake_Review:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthWebhookSample-Intake_Review"
                EligibilityBenefits-PriorAuthWebhookSample-Pending_Determination:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthWebhookSample-Pending_Determination"
                EligibilityBenefits-PriorAuthWebhookSample-Pending_Verification:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthWebhookSample-Pending_Verification"
                EligibilityBenefits-PriorAuthWebhookSample-InEligible:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthWebhookSample-InEligible"
                EligibilityBenefits-PriorAuthWebhookSample-Pending_Information:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthWebhookSample-Pending_Information"
                EligibilityBenefits-PriorAuthWebhookSample-Eligible-Uninitiated:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthWebhookSample-Eligible-Uninitiated"
                EligibilityBenefits-PriorAuthWebhookSample-Canceled:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthWebhookSample-Canceled"
                EligibilityBenefits-PriorAuthWebhookSample-No_Authorization_Required:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthWebhookSample-No_Authorization_Required"
                EligibilityBenefits-PriorAuthWebhookSample-Approved:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthWebhookSample-Approved"
                EligibilityBenefits-PriorAuthWebhookSample-Peer_Review:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthWebhookSample-Peer_Review"
                EligibilityBenefits-PriorAuthWebhookSample-Denied:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthWebhookSample-Denied"
                EligibilityBenefits-PriorAuthWebhookSample-Pending_Review:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthWebhookSample-Pending_Review"
  /webhook-eligibility-benefits-prior_authorization_verification:
    get:
      x-internal: true
      x-readme:
        explorer: false
      x-swagger-ui:
        tryItOutEnabled: false
      x-hideTryItOut: true
      x-readOnly: true
      #deprecated: true
      tags:
        - Webhooks
      summary: Eligibility/Benefits and Prior Authorization Verification Webhook Sample Payload
      description:
        Returns a sample Eligibility/Benefits and Prior Authorization Verification webhook payload for reference.
      responses:
        "200":
          description: Sample webhook payload
          content:
            application/json:
              examples:
                EligibilityBenefits-PriorAuthVerificationWebhookSample-Intake_Review:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthVerificationWebhookSample-Intake_Review"
                EligibilityBenefits-PriorAuthVerificationWebhookSample-Pending_Determination:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthVerificationWebhookSample-Pending_Determination"
                EligibilityBenefits-PriorAuthVerificationWebhookSample-Pending_Verification:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthVerificationWebhookSample-Pending_Verification"
                EligibilityBenefits-PriorAuthVerificationWebhookSample-InEligible:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthVerificationWebhookSample-InEligible"
                EligibilityBenefits-PriorAuthVerificationWebhookSample-Pending_Information:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthVerificationWebhookSample-Pending_Information"
                EligibilityBenefits-PriorAuthVerificationWebhookSample-Eligible-Triage:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthVerificationWebhookSample-Eligible-Triage"
                EligibilityBenefits-PriorAuthVerificationWebhookSample-Canceled:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthVerificationWebhookSample-Canceled"
                EligibilityBenefits-PriorAuthVerificationWebhookSample-No_Authorization_Required:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthVerificationWebhookSample-No_Authorization_Required"
                EligibilityBenefits-PriorAuthVerificationWebhookSample-Approved:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthVerificationWebhookSample-Approved"
                EligibilityBenefits-PriorAuthVerificationWebhookSample-Expired:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthVerificationWebhookSample-Expired"
                EligibilityBenefits-PriorAuthVerificationWebhookSample-Peer_Review:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthVerificationWebhookSample-Peer_Review"
                EligibilityBenefits-PriorAuthVerificationWebhookSample-Denied:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthVerificationWebhookSample-Denied"
                EligibilityBenefits-PriorAuthVerificationWebhookSample-Payer_Review:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthVerificationWebhookSample-Payer_Review"
                EligibilityBenefits-PriorAuthVerificationWebhookSample-Pending_Initiation:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthVerificationWebhookSample-Pending_Initiation"

  /webhook-prior_authorization_verification:
    get:
      x-internal: true
      x-readme:
        explorer: false
      x-swagger-ui:
        tryItOutEnabled: false
      x-hideTryItOut: true
      x-readOnly: true
      #deprecated: true
      tags:
        - Webhooks
      summary: Prior Authorization Verification Webhook Sample Payload
      description:
        Returns sample Prior Authorization Verification webhook payloads for reference.
      responses:
        "200":
          description: Sample webhook payload
          content:
            application/json:
              examples:
                EligibilityBenefits-PriorAuthVerificationWebhookSample-Intake_Review:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthVerificationWebhookSample-Intake_Review"
                EligibilityBenefits-PriorAuthVerificationWebhookSample-Pending_Determination:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthVerificationWebhookSample-Pending_Determination"
                EligibilityBenefits-PriorAuthVerificationWebhookSample-Pending_Information:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthVerificationWebhookSample-Pending_Information"
                EligibilityBenefits-PriorAuthVerificationWebhookSample-Eligible-Triage:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthVerificationWebhookSample-Eligible-Triage"
                EligibilityBenefits-PriorAuthVerificationWebhookSample-Canceled:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthVerificationWebhookSample-Canceled"
                EligibilityBenefits-PriorAuthVerificationWebhookSample-No_Authorization_Required:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthVerificationWebhookSample-No_Authorization_Required"
                EligibilityBenefits-PriorAuthVerificationWebhookSample-Approved:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthVerificationWebhookSample-Approved"
                EligibilityBenefits-PriorAuthVerificationWebhookSample-Expired:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthVerificationWebhookSample-Expired"
                EligibilityBenefits-PriorAuthVerificationWebhookSample-Peer_Review:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthVerificationWebhookSample-Peer_Review"
                EligibilityBenefits-PriorAuthVerificationWebhookSample-Denied:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthVerificationWebhookSample-Denied"
                EligibilityBenefits-PriorAuthVerificationWebhookSample-Payer_Review:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthVerificationWebhookSample-Payer_Review"
                EligibilityBenefits-PriorAuthVerificationWebhookSample-Pending_Initiation:
                  $ref: "#/components/examples/EligibilityBenefits-PriorAuthVerificationWebhookSample-Pending_Initiation"

  /papusersrvc/oauth/token:
    post:
      tags:
        - Authentication
      summary: Authentication
      description: Obtain OAuth token using client credentials.
      requestBody:
        required: true
        content:
          application/x-www-form-urlencoded:
            schema:
              type: object
              properties:
                grant_type:
                  type: string
                  default: client_credentials
                client_id:
                  type: string
                client_secret:
                  type: string
                ifx-security-realm:
                  type: string
              required:
                - grant_type
                - client_id
                - client_secret
                - ifx-security-realm
            examples:
              default:
                value:
                  grant_type: client_credentials
                  client_id: ipa-tenant-app
                  client_secret: rUfP
                  ifx-security-realm: ipa
      responses:
        "200":
          description: Access token response
          content:
            application/json:
              schema:
                type: object
                properties:
                  access_token:
                    type: string
                    description: The issued access token (JWT or opaque string).
                  expires_in:
                    type: integer
                    description: Lifetime of the access token in seconds.
                  refresh_token:
                    type: string
                    nullable: true
                    description:
                      Token to refresh the access token (may be null for client_credentials flow).
                  refresh_expires_in:
                    type: integer
                    description: Lifetime of the refresh token in seconds (0 if not applicable).
                  token_type:
                    type: string
                    description: Type of token issued, typically "Bearer".
                  scope:
                    type: string
                    description: Space-separated list of granted scopes.
              example:
                access_token: eyJhbGciOiJSUzI1NiIsInR5cCI6IkpXVCJ9...
                expires_in: 72000
                refresh_token: eyJhbGciOiJSUzI1NiIsInR5c....
                refresh_expires_in: 0
                token_type: Bearer
                scope: profile email

        "400":
          description: Invalid request parameters
          content:
            application/json:
              schema:
                type: object
                properties:
                  error:
                    type: string
                    description: Short error code identifier.
                    example: invalid_request
                  error_description:
                    type: string
                    description: Human-readable description of the error.
                    example: Invalid request parameters
              example:
                error: invalid_request
                error_description: Invalid request parameters

        "401":
          description: Invalid client credentials or unauthorized request
          content:
            application/json:
              schema:
                type: object
                properties:
                  error:
                    type: string
                    description: Short error code identifier.
                    example: invalid_request
                  error_description:
                    type: string
                    description: Human-readable description of the error.
                    example: Invalid client credentials
              example:
                error: invalid_request
                error_description: Invalid client credentials

  /papapiinterface/priorauth/case/:
    post:
      tags:
        - Prior Authorization APIs
      summary: Create Case (PA/PA_EB/PAV_EB/FU)
      security:
        - bearerAuth: []
      parameters:
        - $ref: "#/components/parameters/IfxSecurityRealm"
        - $ref: "#/components/parameters/AuthorizationHeader"
      requestBody:
        $ref: "#/components/requestBodies/CreateOrUpdateCasePA"
      responses:
        "200":
          description: Case created successfully
          content:
            application/json:
              schema:
                type: object
                properties:
                  caseNumber:
                    type: string
                    description: Unique identifier assigned to the case.
                    example: ipa-218569
                  caseUrl:
                    type: string
                    format: uri
                    description: Direct URL to view the case in the Infinx portal.
                    example: https://ipas.infinx.com/papui/ipa/caseListing/current/reviewCase/ipa-218569
                  message:
                    type: string
                    description: Confirmation message for successful case creation.
                    example: Case Received
                  systemIdentifier:
                    type: string
                    description: Unique identifier used for source system tracking.
                    example: TEST0001
              example:
                caseNumber: ipa-218569
                caseUrl: https://ipas.infinx.com/papui/ipa/caseListing/current/reviewCase/ipa-218569
                message: Case Received
                systemIdentifier: TEST0001

        "400":
          description: Bad Request - Validation errors in request payload
          content:
            application/json:
              schema:
                type: object
                properties:
                  status:
                    type: string
                    example: "400"
                  timestamp:
                    type: integer
                    format: int64
                    description: Epoch timestamp of the error occurrence.
                    example: 1759875665556
                  path:
                    type: string
                    description: API endpoint that generated the error.
                    example: uri=/papapiinterface/priorauth/case/
                  errors:
                    type: array
                    items:
                      type: object
                      properties:
                        field:
                          type: string
                          description: Field that caused the validation error.
                          example: caseInformation.appointmentId
                        errorCode:
                          type: string
                          description: Code corresponding to the specific validation failure.
                          example: NotBlank.priorAuthCaseDto.caseInformation.appointmentId
                        errorMessage:
                          type: string
                          description: Error message associated with the failed validation.
                          example: "{appointmentId}"
                        errorCodeDescription:
                          type: string
                          description: Description of the error category.
                          example: Validation Error
              example:
                status: "400"
                timestamp: 1759875665556
                path: uri=/papapiinterface/priorauth/case/
                errors:
                  - field: caseInformation.appointmentId
                    errorCode: NotBlank.priorAuthCaseDto.caseInformation.appointmentId
                    errorMessage: "{appointmentId}"
                    errorCodeDescription: Validation Error

        "401":
          description: Unauthorized - Invalid or missing authentication credentials
          content:
            text/html:
              schema:
                type: string
                example: |
                  <!doctype html><html lang="en"><head><title>HTTP Status 401 – Unauthorized</title></head><body><h1>HTTP Status 401 – Unauthorized</h1></body></html>

        "500":
          description: Internal Server Error - Unexpected application error occurred
          content:
            application/json:
              schema:
                type: object
                properties:
                  status:
                    type: string
                    example: "500"
                  timestamp:
                    type: integer
                    format: int64
                    description: Epoch timestamp of when the error occurred.
                    example: 1759896990737
                  path:
                    type: string
                    description: API endpoint that generated the error.
                    example: uri=/papapiinterface/priorauth/case/
                  errors:
                    type: array
                    items:
                      type: object
                      properties:
                        field:
                          type: string
                          nullable: true
                          description: Field related to the error, if applicable.
                          example: null
                        errorCode:
                          type: string
                          description: Application-specific error code.
                          example: INFINX-PAP-500
                        errorMessage:
                          type: string
                          description: Message describing the error.
                          example: "500 "
                        errorCodeDescription:
                          type: string
                          description: Description of the error type.
                          example: Application Error
              example:
                status: "500"
                timestamp: 1759896990737
                path: uri=/papapiinterface/priorauth/case/
                errors:
                  - field: null
                    errorCode: INFINX-PAP-500
                    errorMessage: "500 "
                    errorCodeDescription: Application Error

  /papapiinterface/priorauth/case/case-attachments:
    post:
      tags:
        - Prior Authorization APIs
      summary: Create Case with Attachment (PA/PA_EB/PAV_EB/FU)
      security:
        - bearerAuth: []
      parameters:
        - $ref: "#/components/parameters/IfxSecurityRealm"
        - $ref: "#/components/parameters/AuthorizationHeader"
      requestBody:
        $ref: "#/components/requestBodies/CreateCaseWithAttachmentPA"
      responses:
        "200":
          description: Case attachments uploaded successfully
          content:
            application/json:
              schema:
                type: object
                properties:
                  caseNumber:
                    type: string
                    description: Unique identifier assigned to the case.
                    example: ipa-218571
                  caseUrl:
                    type: string
                    format: uri
                    description: Direct URL to view the case in the Infinx portal.
                    example: https://ipas.infinx.com/papui/ipa/caseListing/current/reviewCase/ipa-218571
                  message:
                    type: string
                    description: Confirmation message indicating successful processing.
                    example: Case Received
                  systemIdentifier:
                    type: string
                    description: Unique identifier used for source system tracking.
                    example: TEST0002
              example:
                caseNumber: ipa-218571
                caseUrl: https://ipas.infinx.com/papui/ipa/caseListing/current/reviewCase/ipa-218571
                message: Case Received
                systemIdentifier: TEST0002

        "400":
          description: Bad Request - Application error during attachment upload
          content:
            application/json:
              schema:
                type: object
                properties:
                  status:
                    type: string
                    example: "400"
                  timestamp:
                    type: integer
                    format: int64
                    description: Epoch timestamp when the error occurred.
                    example: 1759897403394
                  path:
                    type: string
                    description: API endpoint that generated the error.
                    example: uri=/papapiinterface/priorauth/case/case-attachments
                  errors:
                    type: array
                    items:
                      type: object
                      properties:
                        field:
                          type: string
                          nullable: true
                          description: Field associated with the error, if applicable.
                          example: null
                        errorCode:
                          type: string
                          description: Application-specific error code.
                          example: INFINX-PAP-400
                        errorMessage:
                          type: string
                          description: Message describing the issue.
                          example: "400 "
                        errorCodeDescription:
                          type: string
                          description: Error category description.
                          example: Application Error
              example:
                status: "400"
                timestamp: 1759897403394
                path: uri=/papapiinterface/priorauth/case/case-attachments
                errors:
                  - field: null
                    errorCode: INFINX-PAP-400
                    errorMessage: "400 "
                    errorCodeDescription: Application Error

        "401":
          description: Unauthorized - Invalid or missing authentication credentials
          content:
            text/html:
              schema:
                type: string
                example: |
                  <!doctype html>
                  <html lang="en">
                    <head><title>HTTP Status 401 – Unauthorized</title></head>
                    <body><h1>HTTP Status 401 – Unauthorized</h1></body>
                  </html>

        "500":
          description:
            Internal Server Error - Application error occurred during attachment processing
          content:
            application/json:
              schema:
                type: object
                properties:
                  status:
                    type: string
                    example: "500"
                  timestamp:
                    type: integer
                    format: int64
                    description: Epoch timestamp of the error occurrence.
                    example: 1759897341887
                  path:
                    type: string
                    description: API endpoint that generated the error.
                    example: uri=/papapiinterface/priorauth/case/case-attachments
                  errors:
                    type: array
                    items:
                      type: object
                      properties:
                        field:
                          type: string
                          nullable: true
                          description: Field related to the error, if applicable.
                          example: null
                        errorCode:
                          type: string
                          description: Application-specific error code.
                          example: INFINX-PAP-500
                        errorMessage:
                          type: string
                          description: Message describing the error.
                          example: "500 "
                        errorCodeDescription:
                          type: string
                          description: Description of the error type.
                          example: Application Error
              example:
                status: "500"
                timestamp: 1759897341887
                path: uri=/papapiinterface/priorauth/case/case-attachments
                errors:
                  - field: null
                    errorCode: INFINX-PAP-500
                    errorMessage: "500 "
                    errorCodeDescription: Application Error

  /papapiinterface/priorauth/case/{caseNumber}:
    put:
      tags:
        - Prior Authorization APIs
      summary: Update Case (PA/PA_EB/PAV_EB/FU)
      security:
        - bearerAuth: []
      parameters:
        - name: caseNumber
          in: path
          required: true
          schema:
            type: string
        - $ref: "#/components/parameters/IfxSecurityRealm"
        - $ref: "#/components/parameters/AuthorizationHeader"
      requestBody:
        $ref: "#/components/requestBodies/UpdateCasePA"
      responses:
        "200":
          description: Case updated successfully
          content:
            application/json:
              schema:
                type: object
                properties:
                  caseNumber:
                    type: string
                    description: Unique identifier assigned to the case.
                    example: ipa-218569
                  caseUrl:
                    type: string
                    format: uri
                    description: Direct URL to view the updated case in the Infinx portal.
                    example: https://ipas.infinx.com/papui/ipa/caseListing/current/reviewCase/ipa-218569
                  message:
                    type: string
                    description: Confirmation message for successful update.
                    example: Updated
                  systemIdentifier:
                    type: string
                    description: Unique identifier used for source system tracking.
                    example: TEST0001
              examples:
                default:
                  summary: Default update response
                  value:
                    caseNumber: ipa-218569
                    caseUrl: https://ipas.infinx.com/papui/ipa/caseListing/current/reviewCase/ipa-218569
                    message: Updated
                    systemIdentifier: TEST0001

        "400":
          description: Bad Request - Validation errors in request payload
          content:
            application/json:
              schema:
                type: object
                properties:
                  status:
                    type: string
                    example: "400"
                  timestamp:
                    type: integer
                    format: int64
                    description: Epoch timestamp of the error occurrence.
                    example: 1759876152298
                  path:
                    type: string
                    description: API endpoint that generated the error.
                    example: uri=/papapiinterface/priorauth/case/ipa-218569
                  errors:
                    type: array
                    items:
                      type: object
                      properties:
                        field:
                          type: string
                          description: Field that caused the validation error.
                          example: caseInformation.appointmentId
                        errorCode:
                          type: string
                          description: Code corresponding to the specific validation failure.
                          example: NotBlank.priorAuthCaseDto.caseInformation.appointmentId
                        errorMessage:
                          type: string
                          description: Error message associated with the failed validation.
                          example: "{appointmentId}"
                        errorCodeDescription:
                          type: string
                          description: Description of the error category.
                          example: Validation Error
              example:
                status: "400"
                timestamp: 1759876152298
                path: uri=/papapiinterface/priorauth/case/ipa-218569
                errors:
                  - field: caseInformation.appointmentId
                    errorCode: NotBlank.priorAuthCaseDto.caseInformation.appointmentId
                    errorMessage: "{appointmentId}"
                    errorCodeDescription: Validation Error

        "401":
          description: Unauthorized - Invalid or missing authentication credentials
          content:
            text/html:
              schema:
                type: string
                example: |
                  <!doctype html>
                  <html lang="en">
                    <head><title>HTTP Status 401 – Unauthorized</title></head>
                    <body><h1>HTTP Status 401 – Unauthorized</h1></body>
                  </html>

        "500":
          description:
            Internal Server Error - Application error occurred while processing the request
          content:
            application/json:
              schema:
                type: object
                properties:
                  status:
                    type: string
                    example: "500"
                  timestamp:
                    type: integer
                    format: int64
                    description: Epoch timestamp of when the error occurred.
                    example: 1759897156987
                  path:
                    type: string
                    description: API endpoint that generated the error.
                    example: uri=/papapiinterface/priorauth/case/ipa-218569
                  errors:
                    type: array
                    items:
                      type: object
                      properties:
                        field:
                          type: string
                          nullable: true
                          description: Field related to the error, if applicable.
                          example: null
                        errorCode:
                          type: string
                          description: Application-specific error code.
                          example: INFINX-PAP-500
                        errorMessage:
                          type: string
                          description: Message describing the error.
                          example: "500 "
                        errorCodeDescription:
                          type: string
                          description: Description of the error type.
                          example: Application Error
              example:
                status: "500"
                timestamp: 1759897156987
                path: uri=/papapiinterface/priorauth/case/ipa-218569
                errors:
                  - field: null
                    errorCode: INFINX-PAP-500
                    errorMessage: "500 "
                    errorCodeDescription: Application Error
    delete:
      tags:
        - Prior Authorization APIs
      summary: Cancel Case (PA/PA_EB/PAV_EB/FU)
      security:
        - bearerAuth: []
      parameters:
        - name: caseNumber
          in: path
          required: true
          schema:
            type: string
        - $ref: "#/components/parameters/IfxSecurityRealm"
        - $ref: "#/components/parameters/AuthorizationHeader"
      requestBody:
        $ref: "#/components/requestBodies/CancelReasons"
      responses:
        "200":
          description: Case canceled successfully
          content:
            application/json:
              schema:
                type: object
                properties:
                  caseNumber:
                    type: string
                    description: Unique identifier of the canceled case.
                    example: ipa-218571
                  caseUrl:
                    type: string
                    format: uri
                    description: Direct URL to view the case in the Infinx portal.
                    example: https://ipas.infinx.com/papui/ipa/caseListing/current/reviewCase/ipa-218571
                  message:
                    type: string
                    description: Confirmation message for successful case cancellation.
                    example: Canceled
                  systemIdentifier:
                    type: string
                    description: Unique identifier used for source system tracking.
                    example: TEST0002
              example:
                caseNumber: ipa-218571
                caseUrl: https://ipas.infinx.com/papui/ipa/caseListing/current/reviewCase/ipa-218571
                message: Canceled
                systemIdentifier: TEST0002

        "401":
          description: Unauthorized - Invalid or missing authentication credentials
          content:
            text/html:
              schema:
                type: string
                example: |
                  <!doctype html>
                  <html lang="en">
                    <head><title>HTTP Status 401 – Unauthorized</title></head>
                    <body><h1>HTTP Status 401 – Unauthorized</h1></body>
                  </html>

        "404":
          description: Case not found - Invalid case number or case does not exist
          content:
            application/json:
              schema:
                type: object
                properties:
                  status:
                    type: string
                    example: "404"
                  timestamp:
                    type: integer
                    format: int64
                    example: 1759900618258
                  path:
                    type: string
                    example: uri=/papapiinterface/priorauth/case/ipa-21857133
                  errors:
                    type: array
                    items:
                      type: object
                      properties:
                        field:
                          type: string
                          nullable: true
                          example: null
                        errorCode:
                          type: string
                          example: INFINX-PAP-404
                        errorMessage:
                          type: string
                          example: "404 "
                        errorCodeDescription:
                          type: string
                          example: Application Error
              example:
                status: "404"
                timestamp: 1759900618258
                path: uri=/papapiinterface/priorauth/case/ipa-21857133
                errors:
                  - field: null
                    errorCode: INFINX-PAP-404
                    errorMessage: "404 "
                    errorCodeDescription: Application Error

        "500":
          description: Internal Server Error - Application error occurred during case cancellation
          content:
            application/json:
              schema:
                type: object
                properties:
                  status:
                    type: string
                    example: "500"
                  timestamp:
                    type: integer
                    format: int64
                    example: 1759900770605
                  path:
                    type: string
                    example: uri=/papapiinterface/priorauth/case/ipa-218571
                  errors:
                    type: array
                    items:
                      type: object
                      properties:
                        field:
                          type: string
                          nullable: true
                          example: null
                        errorCode:
                          type: string
                          example: INFINX-PAP-500
                        errorMessage:
                          type: string
                          example: "500 "
                        errorCodeDescription:
                          type: string
                          example: Application Error
              example:
                status: "500"
                timestamp: 1759900770605
                path: uri=/papapiinterface/priorauth/case/ipa-218571
                errors:
                  - field: null
                    errorCode: INFINX-PAP-500
                    errorMessage: "500 "
                    errorCodeDescription: Application Error
    get:
      tags:
        - Prior Authorization APIs
      summary: Get Case Details by Case Number (PA/PA_EB/PAV_EB/FU)
      security:
        - bearerAuth: []
      parameters:
        - name: caseNumber
          in: path
          required: true
          schema:
            type: string
        - $ref: "#/components/parameters/IfxSecurityRealm"
        - $ref: "#/components/parameters/AuthorizationHeader"
      responses:
        "200":
          description: Successfully retrieved Prior Authorization case details
          content:
            application/json:
              schema:
                $ref: "#/components/schemas/WebhookRequest"
              examples:
                PriorAuthWebhookSample-Approved:
                  $ref: "#/components/examples/PriorAuthWebhookSample-Approved"
        "401":
          description: Unauthorized - Invalid or missing authentication credentials
          content:
            text/html:
              schema:
                type: string
                example: |
                  <!doctype html>
                  <html lang="en">
                    <head><title>HTTP Status 401 – Unauthorized</title></head>
                    <body><h1>HTTP Status 401 – Unauthorized</h1></body>
                  </html>

        "500":
          description:
            Internal Server Error - Application error occurred while retrieving case details
          content:
            application/json:
              schema:
                type: object
                properties:
                  status:
                    type: string
                    example: "500"
                  timestamp:
                    type: integer
                    format: int64
                    example: 1759909002955
                  path:
                    type: string
                    example: uri=/papapiinterface/priorauth/case/ipa-218585123
                  errors:
                    type: array
                    items:
                      type: object
                      properties:
                        field:
                          type: string
                          nullable: true
                          example: null
                        errorCode:
                          type: string
                          example: INFINX-PAP-500
                        errorMessage:
                          type: string
                          example: "500 "
                        errorCodeDescription:
                          type: string
                          example: Application Error
              example:
                status: "500"
                timestamp: 1759909002955
                path: uri=/papapiinterface/priorauth/case/ipa-218585123
                errors:
                  - field: null
                    errorCode: INFINX-PAP-500
                    errorMessage: "500 "
                    errorCodeDescription: Application Error

  /papapiinterface/v2/priorauth/case/{caseNumber}/additionalinformation:
    post:
      tags:
        - Prior Authorization APIs
      summary: Add Comments to Case (PA/PA_EB/PAV_EB/FU)
      security:
        - bearerAuth: []
      parameters:
        - name: caseNumber
          in: path
          required: true
          schema:
            type: string
        - $ref: "#/components/parameters/ifxSecurityRealmLower"
        - $ref: "#/components/parameters/AuthorizationHeader"
      requestBody:
        $ref: "#/components/requestBodies/AdditionalInformation"
      responses:
        "200":
          description: Additional information successfully added
          content:
            application/json:
              schema:
                type: object
                properties:
                  caseNumber:
                    type: string
                    description: Unique identifier of the updated case.
                    example: ipa-218571
                  caseUrl:
                    type: string
                    format: uri
                    description: Direct URL to view the updated case in the Infinx portal.
                    example: https://ipas.infinx.com/papui/ipa/caseListing/current/reviewCase/ipa-218571
                  message:
                    type: string
                    description: Confirmation message for successful update.
                    example: Updated
                  systemIdentifier:
                    type: string
                    description: Unique identifier used for source system tracking.
                    example: TEST0002
              example:
                caseNumber: ipa-218571
                caseUrl: https://ipas.infinx.com/papui/ipa/caseListing/current/reviewCase/ipa-218571
                message: Updated
                systemIdentifier: TEST0002

        "400":
          description: Bad Request - Invalid or malformed input
          content:
            text/plain:
              schema:
                type: string
                example: Bad Request

        "401":
          description: Unauthorized - Invalid or missing authentication credentials
          content:
            text/html:
              schema:
                type: string
                example: |
                  <!doctype html>
                  <html lang="en">
                    <head><title>HTTP Status 401 – Unauthorized</title></head>
                    <body><h1>HTTP Status 401 – Unauthorized</h1></body>
                  </html>

        "500":
          description:
            Internal Server Error - Application error occurred while adding additional information
          content:
            application/json:
              schema:
                type: object
                properties:
                  status:
                    type: string
                    example: "500"
                  timestamp:
                    type: integer
                    format: int64
                    description: Epoch timestamp of when the error occurred.
                    example: 1759897341887
                  path:
                    type: string
                    description: API endpoint that generated the error.
                    example: uri=/papapiinterface/v2/priorauth/case/ipa-218571/additionalinformation
                  errors:
                    type: array
                    items:
                      type: object
                      properties:
                        field:
                          type: string
                          nullable: true
                          description: Field related to the error, if applicable.
                          example: null
                        errorCode:
                          type: string
                          description: Application-specific error code.
                          example: INFINX-PAP-500
                        errorMessage:
                          type: string
                          description: Message describing the error.
                          example: "500 "
                        errorCodeDescription:
                          type: string
                          description: Description of the error type.
                          example: Application Error
              example:
                status: "500"
                timestamp: 1759897341887
                path: uri=/papapiinterface/v2/priorauth/case/ipa-218571/additionalinformation
                errors:
                  - field: null
                    errorCode: INFINX-PAP-500
                    errorMessage: "500 "
                    errorCodeDescription: Application Error
  /papapiinterface/priorauth/case/{caseNumber}/attachment:
    post:
      tags:
        - Prior Authorization APIs
      summary: Upload Attachment by Case Number (PA/PA_EB/PAV_EB/FU)
      security:
        - bearerAuth: []
      parameters:
        - name: caseNumber
          in: path
          required: true
          schema:
            type: string
        - $ref: "#/components/parameters/ifxSecurityRealmLower"
        - $ref: "#/components/parameters/AuthorizationHeader"
        - name: attachmentType
          in: query
          required: true
          schema:
            type: string
      requestBody:
        required: true
        content:
          multipart/form-data:
            schema:
              type: object
              properties:
                files:
                  type: string
                  format: binary
      responses:
        "200":
          description: Attachment uploaded successfully
          content:
            application/json:
              schema:
                type: object
                properties:
                  caseNumber:
                    type: string
                    description: Unique identifier assigned to the case.
                    example: ipa-218571
                  caseUrl:
                    type: string
                    format: uri
                    description: Direct URL to view the case in the Infinx portal.
                    example: https://ipas.infinx.com/papui/ipa/caseListing/current/reviewCase/ipa-218571
                  message:
                    type: string
                    description: Confirmation message for successful upload.
                    example: Uploaded
                  systemIdentifier:
                    type: string
                    description: Unique identifier used for source system tracking.
                    example: TEST0002
              example:
                caseNumber: ipa-218571
                caseUrl: https://ipas.infinx.com/papui/ipa/caseListing/current/reviewCase/ipa-218571
                message: Uploaded
                systemIdentifier: TEST0002

        "400":
          description: Bad Request - Invalid file name or upload parameters
          content:
            application/json:
              schema:
                type: object
                properties:
                  status:
                    type: string
                    example: "400"
                  timestamp:
                    type: integer
                    format: int64
                    description: Epoch timestamp of the error occurrence.
                    example: 1759899137336
                  path:
                    type: string
                    description: API endpoint that generated the error.
                    example: uri=/papapiinterface/priorauth/case/ipa-218571/attachment
                  errors:
                    type: array
                    items:
                      type: object
                      properties:
                        field:
                          type: string
                          description: Field or parameter associated with the error.
                          example: File Name Null
                        errorCode:
                          type: string
                          description: Application-specific error code.
                          example: 0-0036-000e
                        errorMessage:
                          type: string
                          description: Message describing the issue.
                          example: File name should contain only 1 dot for extension
                        errorCodeDescription:
                          type: string
                          description: Error category or reason.
                          example: Error Application Exception caused on reason File Name Null
              example:
                status: "400"
                timestamp: 1759899137336
                path: uri=/papapiinterface/priorauth/case/ipa-218571/attachment
                errors:
                  - field: File Name Null
                    errorCode: 0-0036-000e
                    errorMessage: File name should contain only 1 dot for extension
                    errorCodeDescription:
                      Error Application Exception caused on reason File Name Null

        "401":
          description: Unauthorized - Invalid or missing authentication credentials
          content:
            text/html:
              schema:
                type: string
                example: |
                  <!doctype html>
                  <html lang="en">
                    <head><title>HTTP Status 401 – Unauthorized</title></head>
                    <body><h1>HTTP Status 401 – Unauthorized</h1></body>
                  </html>

        "403":
          description: Forbidden - Access denied for the current user or API client
          content:
            text/html:
              schema:
                type: string
                example: |
                  <!doctype html>
                  <html lang="en">
                    <head><title>HTTP Status 403 – Forbidden</title></head>
                    <body><h1>HTTP Status 403 – Forbidden</h1></body>
                  </html>

        "500":
          description: Internal Server Error - Unexpected application error during file upload
          content:
            application/json:
              schema:
                type: object
                properties:
                  status:
                    type: string
                    example: "500"
                  timestamp:
                    type: integer
                    format: int64
                    example: 1759897341887
                  path:
                    type: string
                    example: uri=/papapiinterface/priorauth/case/ipa-218571/attachment
                  errors:
                    type: array
                    items:
                      type: object
                      properties:
                        field:
                          type: string
                          nullable: true
                          example: null
                        errorCode:
                          type: string
                          example: INFINX-PAP-500
                        errorMessage:
                          type: string
                          example: "500 "
                        errorCodeDescription:
                          type: string
                          example: Application Error
              example:
                status: "500"
                timestamp: 1759897341887
                path: uri=/papapiinterface/priorauth/case/ipa-218571/attachment
                errors:
                  - field: null
                    errorCode: INFINX-PAP-500
                    errorMessage: "500 "
                    errorCodeDescription: Application Error
  /papapiinterface/priorauth/case/accession/{appointmentNumber}/attachment:
    post:
      tags:
        - Prior Authorization APIs
      summary: Upload Attachment by Appointment Number (PA/PA_EB/PAV_EB/FU)
      security:
        - bearerAuth: []
      parameters:
        - name: appointmentNumber
          in: path
          required: true
          schema:
            type: string
        - $ref: "#/components/parameters/ifxSecurityRealmLower"
        - $ref: "#/components/parameters/AuthorizationHeader"
        - name: attachmentType
          in: query
          required: true
          schema:
            type: string
      requestBody:
        required: true
        content:
          multipart/form-data:
            schema:
              type: object
              properties:
                files:
                  type: string
                  format: binary
      responses:
        "200":
          description: Attachment uploaded successfully
          content:
            application/json:
              schema:
                type: object
                properties:
                  caseNumber:
                    type: string
                    example: ipa-218572
                  caseUrl:
                    type: string
                    format: uri
                    example: https://ipas.infinx.com/papui/ipa/caseListing/current/reviewCase/ipa-218572
                  message:
                    type: string
                    example: Uploaded
                  systemIdentifier:
                    type: string
                    example: TEST0002
              example:
                caseNumber: ipa-218572
                caseUrl: https://ipas.infinx.com/papui/ipa/caseListing/current/reviewCase/ipa-218572
                message: Uploaded
                systemIdentifier: TEST0002

        "400":
          description: Bad Request - Invalid file format, naming, or upload parameter
          content:
            application/json:
              schema:
                type: object
                properties:
                  status:
                    type: string
                    example: "400"
                  timestamp:
                    type: integer
                    format: int64
                    example: 1759899137336
                  path:
                    type: string
                    example: uri=/papapiinterface/priorauth/case/accession/PAP-EXT-TEST-PA-INFX001/attachment
                  errors:
                    type: array
                    items:
                      type: object
                      properties:
                        field:
                          type: string
                          example: File Name Null
                        errorCode:
                          type: string
                          example: 0-0036-000e
                        errorMessage:
                          type: string
                          example: File name should contain only 1 dot for extension
                        errorCodeDescription:
                          type: string
                          example: Error Application Exception caused on reason File Name Null
              example:
                status: "400"
                timestamp: 1759899137336
                path: uri=/papapiinterface/priorauth/case/accession/PAP-EXT-TEST-PA-INFX001/attachment
                errors:
                  - field: File Name Null
                    errorCode: 0-0036-000e
                    errorMessage: File name should contain only 1 dot for extension
                    errorCodeDescription:
                      Error Application Exception caused on reason File Name Null

        "401":
          description: Unauthorized - Invalid or missing authentication credentials
          content:
            text/html:
              schema:
                type: string
                example: |
                  <!doctype html>
                  <html lang="en">
                    <head><title>HTTP Status 401 – Unauthorized</title></head>
                    <body><h1>HTTP Status 401 – Unauthorized</h1></body>
                  </html>

        "403":
          description: Forbidden - Access denied for the current user or client
          content:
            text/html:
              schema:
                type: string
                example: |
                  <!doctype html>
                  <html lang="en">
                    <head><title>HTTP Status 403 – Forbidden</title></head>
                    <body><h1>HTTP Status 403 – Forbidden</h1></body>
                  </html>

        "500":
          description: Internal Server Error - Application error or invalid request type
          content:
            application/json:
              schema:
                type: object
                properties:
                  status:
                    type: string
                    example: "500"
                  timestamp:
                    type: integer
                    format: int64
                    example: 1759899658355
                  path:
                    type: string
                    example: uri=/papapiinterface/priorauth/case/accession/PAP-EXT-TEST-PA-INFX001/attachment
                  errors:
                    type: array
                    items:
                      type: object
                      properties:
                        field:
                          type: string
                          nullable: true
                          example: null
                        errorCode:
                          type: string
                          example: INFINX-PAP-500
                        errorMessage:
                          type: string
                          example: Current request is not a multipart request
                        errorCodeDescription:
                          type: string
                          example: Application Error
              example:
                status: "500"
                timestamp: 1759899658355
                path: uri=/papapiinterface/priorauth/case/accession/PAP-EXT-TEST-PA-INFX001/attachment
                errors:
                  - field: null
                    errorCode: INFINX-PAP-500
                    errorMessage: Current request is not a multipart request
                    errorCodeDescription: Application Error
  /papapiinterface/eligibilityandbenefits:
    post:
      tags:
        - Eligibility Benefits APIs
      summary: Create Case (EB)
      security:
        - bearerAuth: []
      parameters:
        - $ref: "#/components/parameters/ifxSecurityRealmLower"
        - $ref: "#/components/parameters/AuthorizationHeader"
      requestBody:
        $ref: "#/components/requestBodies/CreateOrUpdateCaseEB"
      responses:
        "200":
          description: Eligibility & Benefits case successfully created
          content:
            application/json:
              schema:
                type: object
                properties:
                  caseNumber:
                    type: string
                    description: Unique identifier of the created case.
                    example: ipa-218577
                  caseUrl:
                    type: string
                    format: uri
                    description: Direct URL to view the case in the Infinx portal.
                    example: https://ipas.infinx.com/papui/ipa/caseListing/current/reviewCase/ipa-218577
                  message:
                    type: string
                    description: Case creation status or message.
                    example: Uninitiated
                  systemIdentifier:
                    type: string
                    description: Source system identifier used for tracking.
                    example: 0003
              example:
                caseNumber: ipa-218577
                caseUrl: https://ipas.infinx.com/papui/ipa/caseListing/current/reviewCase/ipa-218577
                message: Uninitiated
                systemIdentifier: "0003"

        "400":
          description: Bad Request - Invalid or malformed case data
          content:
            application/json:
              schema:
                type: object
                properties:
                  status:
                    type: string
                    example: "400"
                  timestamp:
                    type: integer
                    format: int64
                    example: 1759904645300
                  path:
                    type: string
                    description: API endpoint that generated the error.
                    example: uri=/papapiinterface/eligibilityandbenefits
                  errors:
                    type: array
                    items:
                      type: object
                      properties:
                        field:
                          type: string
                          nullable: true
                          example: null
                        errorCode:
                          type: string
                          example: INFINX-PAP-400
                        errorMessage:
                          type: string
                          example: "400 "
                        errorCodeDescription:
                          type: string
                          example: Application Error
              example:
                status: "400"
                timestamp: 1759904645300
                path: uri=/papapiinterface/eligibilityandbenefits
                errors:
                  - field: null
                    errorCode: INFINX-PAP-400
                    errorMessage: "400 "
                    errorCodeDescription: Application Error

        "401":
          description: Unauthorized - Invalid or missing authentication credentials
          content:
            text/html:
              schema:
                type: string
                example: |
                  <!doctype html>
                  <html lang="en">
                    <head><title>HTTP Status 401 – Unauthorized</title></head>
                    <body><h1>HTTP Status 401 – Unauthorized</h1></body>
                  </html>

        "500":
          description: Internal Server Error - Application error occurred during case creation
          content:
            application/json:
              schema:
                type: object
                properties:
                  status:
                    type: string
                    example: "500"
                  timestamp:
                    type: integer
                    format: int64
                    example: 1759905174362
                  path:
                    type: string
                    description: API endpoint that generated the error.
                    example: uri=/papapiinterface/eligibilityandbenefits
                  errors:
                    type: array
                    items:
                      type: object
                      properties:
                        field:
                          type: string
                          nullable: true
                          example: null
                        errorCode:
                          type: string
                          example: INFINX-PAP-500
                        errorMessage:
                          type: string
                          example: "500 "
                        errorCodeDescription:
                          type: string
                          example: Application Error
              example:
                status: "500"
                timestamp: 1759905174362
                path: uri=/papapiinterface/eligibilityandbenefits
                errors:
                  - field: null
                    errorCode: INFINX-PAP-500
                    errorMessage: "500 "
                    errorCodeDescription: Application Error

  /papapiinterface/eligibilityandbenefits/case-attachments:
    post:
      tags:
        - Eligibility Benefits APIs
      summary: Create Case with Attachment (EB)
      security:
        - bearerAuth: []
      parameters:
        - $ref: "#/components/parameters/IfxSecurityRealm"
        - $ref: "#/components/parameters/AuthorizationHeader"
      requestBody:
        $ref: "#/components/requestBodies/CreateCaseWithAttachmentEB"
      responses:
        "200":
          description: Case processed successfully
          content:
            application/json:
              schema:
                type: object
                properties:
                  caseNumber:
                    type: string
                    description: Unique identifier of the case.
                    example: ipa-218578
                  caseUrl:
                    type: string
                    format: uri
                    description: Direct URL to view the case in the Infinx portal.
                    example: https://ipas.infinx.com/papui/ipa/caseListing/current/reviewCase/ipa-218578
                  message:
                    type: string
                    description: Status or outcome message of the operation.
                    example: Uninitiated
                  systemIdentifier:
                    type: string
                    description: Source system identifier.
                    example: 0003
              example:
                caseNumber: ipa-218578
                caseUrl: https://ipas.infinx.com/papui/ipa/caseListing/current/reviewCase/ipa-218578
                message: Uninitiated
                systemIdentifier: "0003"
        "400":
          description: Bad Request - Invalid or malformed upload request
          content:
            application/json:
              schema:
                type: object
                properties:
                  status:
                    type: string
                    example: "400"
                  timestamp:
                    type: integer
                    format: int64
                    description: Epoch timestamp when the error occurred.
                    example: 1759904504013
                  path:
                    type: string
                    description: API endpoint that generated the error.
                    example: uri=/papapiinterface/eligibilityandbenefits/case-attachments
                  errors:
                    type: array
                    items:
                      type: object
                      properties:
                        field:
                          type: string
                          nullable: true
                          example: null
                        errorCode:
                          type: string
                          description: Application-specific error code.
                          example: INFINX-PAP-400
                        errorMessage:
                          type: string
                          description: Description of the issue.
                          example: "400 "
                        errorCodeDescription:
                          type: string
                          description: Category or reason for the error.
                          example: Application Error
              example:
                status: "400"
                timestamp: 1759904504013
                path: uri=/papapiinterface/eligibilityandbenefits/case-attachments
                errors:
                  - field: null
                    errorCode: INFINX-PAP-400
                    errorMessage: "400 "
                    errorCodeDescription: Application Error
        "401":
          description: Unauthorized - Invalid or missing authentication credentials
          content:
            text/html:
              schema:
                type: string
                example: |
                  <!doctype html>
                  <html lang="en">
                    <head><title>HTTP Status 401 – Unauthorized</title></head>
                    <body><h1>HTTP Status 401 – Unauthorized</h1></body>
                  </html>

        "500":
          description:
            Internal Server Error - Application error occurred during attachment upload or parsing
          content:
            application/json:
              schema:
                type: object
                properties:
                  status:
                    type: string
                    example: "500"
                  timestamp:
                    type: integer
                    format: int64
                    description: Epoch timestamp when the error occurred.
                    example: 1759904334995
                  path:
                    type: string
                    description: API endpoint that generated the error.
                    example: uri=/papapiinterface/eligibilityandbenefits/case-attachments
                  errors:
                    type: array
                    items:
                      type: object
                      properties:
                        field:
                          type: string
                          nullable: true
                          description: Field associated with the error, if applicable.
                          example: null
                        errorCode:
                          type: string
                          description: Application-specific error code.
                          example: INFINX-PAP-500
                        errorMessage:
                          type: string
                          description: Description of the exception or failure.
                          example: |
                            No content to map due to end-of-input
                            at [Source: (String)""; line: 1, column: 0]
                        errorCodeDescription:
                          type: string
                          description: Category of the error.
                          example: Application Error
              example:
                status: "500"
                timestamp: 1759904334995
                path: uri=/papapiinterface/eligibilityandbenefits/case-attachments
                errors:
                  - field: null
                    errorCode: INFINX-PAP-500
                    errorMessage: |
                      No content to map due to end-of-input
                      at [Source: (String)""; line: 1, column: 0]
                    errorCodeDescription: Application Error

  /papapiinterface/eligibilityandbenefits/{caseNumber}:
    put:
      tags:
        - Eligibility Benefits APIs
      summary: Update Case (EB)
      security:
        - bearerAuth: []
      parameters:
        - name: caseNumber
          in: path
          required: true
          schema:
            type: string
        - $ref: "#/components/parameters/ifxSecurityRealmLower"
        - $ref: "#/components/parameters/AuthorizationHeader"
      requestBody:
        $ref: "#/components/requestBodies/UpdateCaseEB"
      responses:
        "200":
          description: Case updated successfully
          content:
            application/json:
              schema:
                type: object
                properties:
                  caseNumber:
                    type: string
                    description: Unique identifier of the updated case.
                    example: ipa-218577
                  caseUrl:
                    type: string
                    format: uri
                    description: Direct URL to view the case in the Infinx portal.
                    example: https://ipas.infinx.com/papui/ipa/caseListing/current/reviewCase/ipa-218577
                  message:
                    type: string
                    description: Confirmation message for successful update.
                    example: Update
                  systemIdentifier:
                    type: string
                    description: Identifier used for source system tracking.
                    example: "0002"
              example:
                caseNumber: ipa-218577
                caseUrl: https://ipas.infinx.com/papui/ipa/caseListing/current/reviewCase/ipa-218577
                message: Update
                systemIdentifier: "0002"

        "400":
          description: Bad Request - Invalid or malformed request payload
          content:
            application/json:
              schema:
                type: object
                properties:
                  status:
                    type: string
                    example: "400"
                  timestamp:
                    type: integer
                    format: int64
                    description: Epoch timestamp of the error occurrence.
                    example: 1759906171061
                  path:
                    type: string
                    description: API endpoint that generated the error.
                    example: uri=/papapiinterface/eligibilityandbenefits/ipa-218577
                  errors:
                    type: array
                    items:
                      type: object
                      properties:
                        field:
                          type: string
                          nullable: true
                          example: null
                        errorCode:
                          type: string
                          example: INFINX-PAP-400
                        errorMessage:
                          type: string
                          example: "400 "
                        errorCodeDescription:
                          type: string
                          example: Application Error
              example:
                status: "400"
                timestamp: 1759906171061
                path: uri=/papapiinterface/eligibilityandbenefits/ipa-218577
                errors:
                  - field: null
                    errorCode: INFINX-PAP-400
                    errorMessage: "400 "
                    errorCodeDescription: Application Error

        "401":
          description: Unauthorized - Invalid or missing authentication credentials
          content:
            text/html:
              schema:
                type: string
                example: |
                  <!doctype html>
                  <html lang="en">
                    <head><title>HTTP Status 401 – Unauthorized</title></head>
                    <body><h1>HTTP Status 401 – Unauthorized</h1></body>
                  </html>

        "500":
          description: Internal Server Error - Application error occurred during update processing
          content:
            application/json:
              schema:
                type: object
                properties:
                  status:
                    type: string
                    example: "500"
                  timestamp:
                    type: integer
                    format: int64
                    description: Epoch timestamp of the error occurrence.
                    example: 1759905589273
                  path:
                    type: string
                    description: API endpoint that generated the error.
                    example: uri=/papapiinterface/eligibilityandbenefits/ipa-218577
                  errors:
                    type: array
                    items:
                      type: object
                      properties:
                        field:
                          type: string
                          nullable: true
                          example: null
                        errorCode:
                          type: string
                          example: INFINX-PAP-500
                        errorMessage:
                          type: string
                          example: "500 "
                        errorCodeDescription:
                          type: string
                          example: Application Error
              example:
                status: "500"
                timestamp: 1759905589273
                path: uri=/papapiinterface/eligibilityandbenefits/ipa-218577
                errors:
                  - field: null
                    errorCode: INFINX-PAP-500
                    errorMessage: "500 "
                    errorCodeDescription: Application Error

    delete:
      tags:
        - Eligibility Benefits APIs
      summary: Cancel Case (EB)
      security:
        - bearerAuth: []
      parameters:
        - name: caseNumber
          in: path
          required: true
          schema:
            type: string
        - $ref: "#/components/parameters/ifxSecurityRealmLower"
        - $ref: "#/components/parameters/AuthorizationHeader"
      requestBody:
        $ref: "#/components/requestBodies/CancelReasons"
      responses:
        "204":
          description: Case cancelled

    get:
      tags:
        - Eligibility Benefits APIs
      summary: Get Case Details by Case Number (EB)
      security:
        - bearerAuth: []
      parameters:
        - name: caseNumber
          in: path
          required: true
          schema:
            type: string
        - $ref: "#/components/parameters/AuthorizationHeader"
        - $ref: "#/components/parameters/IfxSecurityRealm"
      responses:
        "200":
          description: Case details retrieved successfully
          content:
            application/json:
              schema:
                $ref: "#/components/schemas/WebhookRequest"
              examples:
                EligibilityBenefitsWebhookSample-Eligible:
                  $ref: "#/components/examples/EligibilityBenefitsWebhookSample-Eligible-without-eligibilityDetails"
        "401":
          description: Unauthorized – invalid or missing access token
          content:
            text/html:
              example: |
                <!doctype html>
                <html lang="en">
                <head><title>HTTP Status 401 – Unauthorized</title></head>
                <body><h1>HTTP Status 401 – Unauthorized</h1></body>
                </html>

        "500":
          description: Internal Server Error – unexpected application failure
          content:
            application/json:
              example:
                status: "500"
                timestamp: 1759921940963
                path: "uri=/papapiinterface/eligibilityandbenefits/ipa-2185771111"
                errors:
                  - field: null
                    errorCode: "INFINX-PAP-500"
                    errorMessage: "500 "
                    errorCodeDescription: "Application Error"

  /papapiinterface/v2/eligibilityandbenefits/{caseNumber}/additionalinformation:
    post:
      tags:
        - Eligibility Benefits APIs
      summary: Add Comments to Case (EB)
      security:
        - bearerAuth: []
      parameters:
        - name: caseNumber
          in: path
          required: true
          schema:
            type: string
        - $ref: "#/components/parameters/ifxSecurityRealmLower"
        - $ref: "#/components/parameters/AuthorizationHeader"
      requestBody:
        $ref: "#/components/requestBodies/AdditionalInformation"
      responses:
        "200":
          description: Additional information added successfully
          content:
            application/json:
              schema:
                type: object
                properties:
                  caseNumber:
                    type: string
                    description: Unique identifier of the updated case.
                    example: ipa-218577
                  caseUrl:
                    type: string
                    format: uri
                    description: Direct URL to view the updated case in the Infinx portal.
                    example: https://ipas.infinx.com/papui/ipa/caseListing/current/reviewCase/ipa-218577
                  message:
                    type: string
                    description: Confirmation message for successful update.
                    example: Updated
                  systemIdentifier:
                    type: string
                    nullable: true
                    description: Identifier used for source system tracking.
                    example: null
              example:
                caseNumber: ipa-218577
                caseUrl: https://ipas.infinx.com/papui/ipa/caseListing/current/reviewCase/ipa-218577
                message: Updated
                systemIdentifier: null

        "400":
          description: Bad Request - Invalid or malformed input request
          content:
            text/plain:
              schema:
                type: string
                example: Bad Request

        "401":
          description: Unauthorized - Invalid or missing authentication credentials
          content:
            text/html:
              schema:
                type: string
                example: |
                  <!doctype html>
                  <html lang="en">
                    <head><title>HTTP Status 401 – Unauthorized</title></head>
                    <body><h1>HTTP Status 401 – Unauthorized</h1></body>
                  </html>

        "500":
          description: Internal Server Error - Application error occurred while adding comments
          content:
            application/json:
              schema:
                type: object
                properties:
                  status:
                    type: string
                    example: "500"
                  timestamp:
                    type: integer
                    format: int64
                    example: 1759897341887
                  path:
                    type: string
                    description: API endpoint that generated the error.
                    example: uri=/papapiinterface/v2/eligibilityandbenefits/ipa-218577/additionalinformation
                  errors:
                    type: array
                    items:
                      type: object
                      properties:
                        field:
                          type: string
                          nullable: true
                          example: null
                        errorCode:
                          type: string
                          example: INFINX-PAP-500
                        errorMessage:
                          type: string
                          example: "500 "
                        errorCodeDescription:
                          type: string
                          example: Application Error
              example:
                status: "500"
                timestamp: 1759897341887
                path: uri=/papapiinterface/v2/eligibilityandbenefits/ipa-218577/additionalinformation
                errors:
                  - field: null
                    errorCode: INFINX-PAP-500
                    errorMessage: "500 "
                    errorCodeDescription: Application Error
  /papapiinterface/eligibilityandbenefits/{caseNumber}/attachment:
    post:
      tags:
        - Eligibility Benefits APIs
      summary: Upload Attachment by Case Number (EB)
      security:
        - bearerAuth: []
      parameters:
        - name: caseNumber
          in: path
          required: true
          schema:
            type: string
        - $ref: "#/components/parameters/ifxSecurityRealmLower"
        - $ref: "#/components/parameters/AuthorizationHeader"
        - name: attachmentType
          in: query
          required: true
          schema:
            type: string
      requestBody:
        required: true
        content:
          multipart/form-data:
            schema:
              type: object
              properties:
                files:
                  type: string
                  format: binary
      responses:
        "200":
          description: Attachment uploaded successfully
          content:
            application/json:
              schema:
                type: object
                properties:
                  caseNumber:
                    type: string
                    description: Unique identifier of the case.
                    example: ipa-218577
                  caseUrl:
                    type: string
                    format: uri
                    description: Direct URL to view the case in the Infinx portal.
                    example: https://ipas.infinx.com/papui/ipa/caseListing/current/reviewCase/ipa-218577
                  message:
                    type: string
                    description: Confirmation message for successful upload.
                    example: Uploaded
                  systemIdentifier:
                    type: string
                    nullable: true
                    description: Source system identifier if available.
                    example: null
              example:
                caseNumber: ipa-218577
                caseUrl: https://ipas.infinx.com/papui/ipa/caseListing/current/reviewCase/ipa-218577
                message: Uploaded
                systemIdentifier: null

        "400":
          description: Bad Request - Invalid file name or format
          content:
            application/json:
              schema:
                type: object
                properties:
                  status:
                    type: string
                    example: "400"
                  timestamp:
                    type: integer
                    format: int64
                    example: 1759899137336
                  path:
                    type: string
                    example: uri=/papapiinterface/eligibilityandbenefits/ipa-218577/attachment
                  errors:
                    type: array
                    items:
                      type: object
                      properties:
                        field:
                          type: string
                          description: Field or parameter causing the error.
                          example: File Name Null
                        errorCode:
                          type: string
                          description: Application-specific error code.
                          example: 0-0036-000e
                        errorMessage:
                          type: string
                          description: Description of the validation error.
                          example: File name should contain only 1 dot for extension
                        errorCodeDescription:
                          type: string
                          description: Explanation of the error type.
                          example: Error Application Exception caused on reason File Name Null
              example:
                status: "400"
                timestamp: 1759899137336
                path: uri=/papapiinterface/eligibilityandbenefits/ipa-218577/attachment
                errors:
                  - field: File Name Null
                    errorCode: 0-0036-000e
                    errorMessage: File name should contain only 1 dot for extension
                    errorCodeDescription:
                      Error Application Exception caused on reason File Name Null

        "401":
          description: Unauthorized - Invalid or missing authentication credentials
          content:
            text/html:
              schema:
                type: string
                example: |
                  <!doctype html>
                  <html lang="en">
                    <head><title>HTTP Status 401 – Unauthorized</title></head>
                    <body><h1>HTTP Status 401 – Unauthorized</h1></body>
                  </html>

        "500":
          description: Internal Server Error - Application error occurred during file upload
          content:
            application/json:
              schema:
                type: object
                properties:
                  status:
                    type: string
                    example: "500"
                  timestamp:
                    type: integer
                    format: int64
                    example: 1759907735510
                  path:
                    type: string
                    description: API endpoint that generated the error.
                    example: uri=/papapiinterface/eligibilityandbenefits/ipa-2185771123/attachment
                  errors:
                    type: array
                    items:
                      type: object
                      properties:
                        field:
                          type: string
                          nullable: true
                          example: null
                        errorCode:
                          type: string
                          example: INFINX-PAP-500
                        errorMessage:
                          type: string
                          description: Detailed application or I/O exception message.
                          example: >
                            I/O error on POST request for
                            "https://ipas.infinx.com/casemanager/api/eligibilityandbenefits/ipa-2185771123/attachment":
                            Is a directory; nested exception is java.io.IOException: Is a directory
                        errorCodeDescription:
                          type: string
                          example: Application Error
              example:
                status: "500"
                timestamp: 1759907735510
                path: uri=/papapiinterface/eligibilityandbenefits/ipa-218577/attachment
                errors:
                  - field: null
                    errorCode: INFINX-PAP-500
                    errorMessage: >
                      I/O error on POST request for
                      "https://ipas.infinx.com/casemanager/api/eligibilityandbenefits/ipa-218577/attachment":
                      Is a directory; nested exception is java.io.IOException: Is a directory
                    errorCodeDescription: Application Error

  /papapiinterface/eligibilityandbenefits/accession/{accessionNumber}/attachment:
    post:
      tags:
        - Eligibility Benefits APIs
      summary: Upload Attachment by Accession Number (EB)
      security:
        - bearerAuth: []
      parameters:
        - name: accessionNumber
          in: path
          required: true
          schema:
            type: string
        - $ref: "#/components/parameters/ifxSecurityRealmLower"
        - $ref: "#/components/parameters/AuthorizationHeader"
        - name: attachmentType
          in: query
          required: true
          schema:
            type: string
      requestBody:
        required: true
        content:
          multipart/form-data:
            schema:
              type: object
              properties:
                files:
                  type: string
                  format: binary
      responses:
        "200":
          description: Attachment uploaded successfully
          content:
            application/json:
              schema:
                type: object
                properties:
                  caseNumber:
                    type: string
                    description: Unique identifier assigned to the case.
                    example: ipa-218577
                  caseUrl:
                    type: string
                    format: uri
                    description: Direct URL to view the case in the Infinx portal.
                    example: https://ipas.infinx.com/papui/ipa/caseListing/current/reviewCase/ipa-218577
                  message:
                    type: string
                    description: Confirmation message for successful upload.
                    example: Uploaded
                  systemIdentifier:
                    type: string
                    nullable: true
                    description: System identifier if applicable.
                    example: null
              example:
                caseNumber: ipa-218577
                caseUrl: https://ipas.infinx.com/papui/ipa/caseListing/current/reviewCase/ipa-218577
                message: Uploaded
                systemIdentifier: null

        "400":
          description: Bad Request - Invalid file name or malformed request
          content:
            application/json:
              schema:
                type: object
                properties:
                  status:
                    type: string
                    example: "400"
                  timestamp:
                    type: integer
                    format: int64
                    example: 1759899137336
                  path:
                    type: string
                    description: API endpoint that generated the error.
                    example: uri=/papapiinterface/eligibilityandbenefits/accession/PAP-EXT-TEST-EB-INFX001_01000/attachment
                  errors:
                    type: array
                    items:
                      type: object
                      properties:
                        field:
                          type: string
                          example: File Name Null
                        errorCode:
                          type: string
                          example: 0-0036-000e
                        errorMessage:
                          type: string
                          example: File name should contain only 1 dot for extension
                        errorCodeDescription:
                          type: string
                          example: Error Application Exception caused on reason File Name Null
              example:
                status: "400"
                timestamp: 1759899137336
                path: uri=/papapiinterface/eligibilityandbenefits/accession/PAP-EXT-TEST-EB-INFX001_01000/attachment
                errors:
                  - field: File Name Null
                    errorCode: 0-0036-000e
                    errorMessage: File name should contain only 1 dot for extension
                    errorCodeDescription:
                      Error Application Exception caused on reason File Name Null

        "401":
          description: Unauthorized - Invalid or missing authentication credentials
          content:
            text/html:
              schema:
                type: string
                example: |
                  <!doctype html>
                  <html lang="en">
                    <head><title>HTTP Status 401 – Unauthorized</title></head>
                    <body><h1>HTTP Status 401 – Unauthorized</h1></body>
                  </html>

        "500":
          description: Internal Server Error - Application or I/O exception during file upload
          content:
            application/json:
              schema:
                type: object
                properties:
                  status:
                    type: string
                    example: "500"
                  timestamp:
                    type: integer
                    format: int64
                    example: 1759908081398
                  path:
                    type: string
                    example: uri=/papapiinterface/eligibilityandbenefits/accession/PAP-EXT-TEST-EB-INFX001_01000/attachment
                  errors:
                    type: array
                    items:
                      type: object
                      properties:
                        field:
                          type: string
                          nullable: true
                          example: null
                        errorCode:
                          type: string
                          example: INFINX-PAP-500
                        errorMessage:
                          type: string
                          description: Detailed exception message.
                          example: >
                            I/O error on POST request for
                            "https://ipas.infinx.com/casemanager/api/eligibilityandbenefits/accession/PAP-EXT-TEST-EB-INFX001_01000/attachment":
                            Is a directory; nested exception is java.io.IOException: Is a directory
                        errorCodeDescription:
                          type: string
                          example: Application Error
              example:
                status: "500"
                timestamp: 1759908081398
                path: uri=/papapiinterface/eligibilityandbenefits/accession/PAP-EXT-TEST-EB-INFX001_01000/attachment
                errors:
                  - field: null
                    errorCode: INFINX-PAP-500
                    errorMessage: >
                      I/O error on POST request for
                      "https://ipas.infinx.com/casemanager/api/eligibilityandbenefits/accession/PAP-EXT-TEST-EB-INFX001_01000/attachment":
                      Is a directory; nested exception is java.io.IOException: Is a directory
                    errorCodeDescription: Application Error
