{
  "$result_object_key": {
    "benefits_information": [
      {
        "additional_information": [
          {
            "description": "Description"
          }
        ],
        "auth_or_cert_indicator": "Y",
        "benefit_amount": "1000",
        "benefit_percent": "80",
        "benefit_quantity": "10",
        "benefits_additional_information": {
          "alternative_list_id": "AL12345",
          "coverage_list_id": "CL12345",
          "drug_formulary_number": "DF12345",
          "family_unit_number": "F12345",
          "group_number": "G12345",
          "hic_number": "HIC12345",
          "insurance_policy_number": "IP12345",
          "medicaid_recipient_id_number": "MRID12345",
          "medical_assistance_category": "MAC123",
          "member_id": "M12345",
          "plan_network_id_number": "PNI12345",
          "plan_number": "P12345",
          "policy_number": "POL12345",
          "prior_authorization_number": "PA12345",
          "referral_number": "R12345"
        },
        "benefits_date_information": {
          "added": "2023-01-01",
          "admission": [
            {
              "date": "2023-01-01",
              "end_date": "2023-01-31",
              "start_date": "2023-01-01"
            }
          ],
          "benefit": "2023-01-01",
          "benefit_begin": "2023-01-01",
          "benefit_end": "2023-01-31",
          "certification": "2023-01-01",
          "cobra_begin": "2023-01-01",
          "cobra_end": "2023-01-31",
          "completion": "2023-01-31",
          "coordination_of_benefits": "2023-01-01",
          "date_of_death": "2023-01-01",
          "date_of_last_update": "2023-01-01",
          "discharges": [
            {
              "date": "2023-01-01",
              "end_date": "2023-01-31",
              "start_date": "2023-01-01"
            }
          ],
          "effective_date_of_change": "2023-01-01",
          "eligibility": "2023-01-01",
          "eligibility_begin": "2023-01-01",
          "eligibility_end": "2023-01-31",
          "enrollment": "2023-01-01",
          "issue": "2023-01-01",
          "latest_visit_or_consultation": "2023-01-01",
          "period_end": "2023-01-31",
          "period_start": "2023-01-01",
          "plan": "2023-01-01",
          "plan_begin": "2023-01-01",
          "plan_end": "2023-01-31",
          "policy_effective": "2023-01-01",
          "policy_expiration": "2023-01-31",
          "premium_paid_to_date_begin": "2023-01-01",
          "premium_paid_to_date_end": "2023-01-31",
          "primary_care_provider": "2023-01-01",
          "service": "2023-01-01",
          "status": "2023-01-01"
        },
        "benefits_related_entities": [
          {
            "address": {
              "address1": "123 Main St",
              "address2": "Apt 4B",
              "city": "New York",
              "country_code": "US",
              "country_sub_division_code": "NYC",
              "postal_code": "10001",
              "state": "NY"
            },
            "contact_information": {
              "contacts": [
                {
                  "communication_mode": "Phone",
                  "communication_number": "123-456-7890"
                }
              ],
              "name": "Jane Doe"
            },
            "entity_first_name": "John",
            "entity_identification": {
              "code": "ID123",
              "value": "Value123"
            },
            "entity_identifier": "EI123",
            "entity_middle_name": "A",
            "entity_name": "Entity Name",
            "entity_relationship": "Relationship",
            "entity_suffix": "Jr.",
            "entity_type": "ET123",
            "provider_information": {
              "provider_code": "PC123",
              "reference_identification": "RI123"
            }
          }
        ],
        "benefits_related_entity": {
          "address": {
            "address1": "123 Main St",
            "address2": "Apt 4B",
            "city": "New York",
            "country_code": "US",
            "country_sub_division_code": "NYC",
            "postal_code": "10001",
            "state": "NY"
          },
          "contact_information": {
            "contacts": [
              {
                "communication_mode": "Phone",
                "communication_number": "123-456-7890"
              }
            ],
            "name": "Jane Doe"
          },
          "entity_first_name": "John",
          "entity_identification": {
            "code": "ID123",
            "value": "Value123"
          },
          "entity_identifier": "EI123",
          "entity_middle_name": "A",
          "entity_name": "Entity Name",
          "entity_relationship": "Relationship",
          "entity_suffix": "Jr.",
          "entity_type": "ET123",
          "provider_information": {
            "provider_code": "PC123",
            "reference_identification": "RI123"
          }
        },
        "benefits_service_delivery": [
          {
            "delivery_or_calendar_pattern_code": "DCPC123",
            "delivery_or_calendar_pattern_qualifier": "Pattern Qualifier",
            "delivery_or_calendar_pattern_qualifier_code": "DCQC123",
            "delivery_pattern_time_code": "DPTC123",
            "delivery_pattern_time_qualifier": "Time Qualifier",
            "delivery_pattern_time_qualifier_code": "DPTQC123",
            "num_of_periods": "5",
            "quantity": "10",
            "quantity_qualifier": "Quantity Qualifier",
            "quantity_qualifier_code": "QQC123",
            "sample_selection_modulus": "SSM123",
            "time_period_qualifier": "Time Qualifier",
            "time_period_qualifier_code": "TPQC123",
            "unit_for_measurement_code": "UMC123",
            "unit_for_measurement_qualifier": "Unit Qualifier",
            "unit_for_measurement_qualifier_code": "UMQC123"
          }
        ],
        "code": "BC123",
        "composite_medical_procedure_identifier": {
          "diagnosis_code_pointer": [
            "DCP1",
            "DCP2"
          ],
          "procedure_code": "PROC123",
          "procedure_modifiers": [
            "MOD1",
            "MOD2"
          ],
          "product_or_service_id": [
            "PSID123",
            "PSID456"
          ],
          "product_or_service_id_qualifier": "HC"
        },
        "coverage_level": "Coverage Level",
        "coverage_level_code": "CLC123",
        "eligibility_additional_information": {
          "code_category": "Category",
          "code_list_qualifier": "Code List Qualifier",
          "code_list_qualifier_code": "CLQC123",
          "industry": "Industry",
          "industry_code": "IC123",
          "injured_body_part_name": "Arm"
        },
        "eligibility_additional_information_list": [
          {
            "code_category": "Category",
            "code_list_qualifier": "Code List Qualifier",
            "code_list_qualifier_code": "CLQC123",
            "industry": "Industry",
            "industry_code": "IC123",
            "injured_body_part_name": "Arm"
          }
        ],
        "header_loop_identifier": "HLI123",
        "in_plan_network_indicator": "Y",
        "insurance_type": "Insurance Type",
        "insurance_type_code": "ITC123",
        "name": "Benefit Name",
        "plan_coverage": "Plan Coverage",
        "quantity_qualifier": "Quantity Qualifier",
        "quantity_qualifier_code": "QQC123",
        "service_type_codes": [
          "STC123",
          "STC456"
        ],
        "time_qualifier": "Time Qualifier",
        "time_qualifier_code": "TQC123",
        "trailer_loop_identifier": "TLI123"
      }
    ],
    "control_number": "123456",
    "dependents": [
      {
        "additional_identification": {
          "agency_claim_number": "AC12345",
          "contract_number": "C12345",
          "health_insurance_claim_number": "HIC12345",
          "identification_card_serial_number": "IDCS12345",
          "insurance_policy_number": "IP12345",
          "medical_record_identification_number": "MR12345",
          "member_identification_number": "M12345",
          "patient_account_number": "PA12345",
          "plan_network_identification_number": "PNI12345",
          "plan_number": "P12345",
          "policy_number": "POL12345"
        },
        "address": {
          "address1": "123 Main St",
          "address2": "Apt 4B",
          "city": "New York",
          "country_code": "US",
          "country_sub_division_code": "NYC",
          "postal_code": "10001",
          "state": "NY"
        },
        "birth_sequence_number": "1",
        "case_number": "C12345",
        "coverage_level_code": "N/A",
        "date_of_birth": "19800101",
        "first_name": "John",
        "gender": "M",
        "group_number": "G12345",
        "health_care_code_information": [
          {
            "diagnosis_code": "12345",
            "diagnosis_type_code": "BK"
          }
        ],
        "id_card": "ID12345",
        "last_name": "Doe",
        "medicaid_recipient_identification_number": "M12345",
        "member_id": "123456",
        "middle_name": "A",
        "provider_code": "AD",
        "provider_identifier": "P12345",
        "reference_identification_qualifier": "9K",
        "spend_down_amount": 100,
        "spend_down_total_billed_amount": 200,
        "ssn": "123-45-6789",
        "suffix": "Jr."
      }
    ],
    "errors": [
      {
        "code": "ERR123",
        "description": "Invalid request",
        "followup_action": "Resubmit",
        "location": "Segment N3",
        "possible_resolutions": "Check the request format"
      }
    ],
    "implementation_transaction_set_syntax_error": "ERR",
    "in_network_eligibility_summary": {
      "co_pay_dollars": 100,
      "coinsurance_percentage": 20,
      "family_deductible_dollars": 2000,
      "family_deductible_remaining_dollars": 842.21,
      "individual_deductible_dollars": 1000,
      "individual_deductible_remaining_dollars": 1000,
      "insurance_type": "Point of Service (POS)",
      "is_active_and_covered": true,
      "limitations": [
        "COMMERCIAL",
        "20 sessions per year"
      ],
      "plan_name": "OA Managed Choice POS"
    },
    "meta": {
      "application_mode": "Production",
      "biller_id": "B12345",
      "outbound_trace_id": "OT12345",
      "sender_id": "S12345",
      "submitter_id": "SUB12345",
      "trace_id": "T12345"
    },
    "payer": {
      "aaa_errors": [
        {
          "code": "ERR123",
          "description": "Invalid request",
          "followup_action": "Resubmit",
          "location": "Segment N3",
          "possible_resolutions": "Check the request format"
        }
      ],
      "centers_for_medicare_and_medicaid_plan_id": "CMS12345",
      "contact_information": {
        "contacts": [
          {
            "communication_mode": "Phone",
            "communication_number": "123-456-7890"
          }
        ],
        "name": "Jane Doe"
      },
      "entity_identifier": "EI123",
      "entity_type": "ET123",
      "etin": "ETIN12345",
      "federal_taxpayers_id_number": "FTIN12345",
      "first_name": "John",
      "last_name": "Doe",
      "middle_name": "A",
      "naic": "NAIC12345",
      "name": "Payer Inc.",
      "npi": "NPI12345",
      "payor_identification": "PID12345",
      "suffix": "Jr."
    },
    "plan_date_information": {
      "added": "2023-01-01",
      "admission": "2023-01-01",
      "certification": "2023-01-01",
      "cobra_begin": "2023-01-01",
      "cobra_end": "2023-01-31",
      "date_of_death": "2023-01-01",
      "date_of_last_update": "2023-01-01",
      "discharge": "2023-01-01",
      "effective_date_of_change": "2023-01-01",
      "eligibility": "2023-01-01",
      "eligibility_begin": "2023-01-01",
      "eligibility_end": "2023-01-31",
      "enrollment": "2023-01-01",
      "issue": "2023-01-01",
      "plan": "2023-01-01",
      "plan_begin": "2023-01-01",
      "plan_end": "2023-01-31",
      "policy_effective": "2023-01-01",
      "policy_expiration": "2023-01-31",
      "premium_paid_to_date_begin": "2023-01-01",
      "premium_paid_to_date_end": "2023-01-31",
      "service": "2023-01-01",
      "status": "2023-01-01"
    },
    "plan_information": {
      "agency_claim_number": "AC12345",
      "alternative_list_id": "AL12345",
      "case_number": "C12345",
      "centers_for_medicare_and_medicaid_services_npi": "CMSNPI12345",
      "class_of_contract_code": "CC123",
      "contract_number": "C12345",
      "coverage_list_id": "CL12345",
      "drug_formulary_number": "DF12345",
      "electronic_device_pin": "EDP12345",
      "eligibility_category": "EC123",
      "facility_id_number": "FID12345",
      "facility_network_identification_number": "FNI12345",
      "family_unit_number": "F12345",
      "federal_taxpayers_identification_number": "FTIN12345",
      "group_description": "Group Plan",
      "group_number": "G12345",
      "hic_number": "HIC12345",
      "id_card_number": "ID12345",
      "id_card_serial_number": "IDCS12345",
      "insurance_policy_number": "IP12345",
      "issue_number": "IN12345",
      "medicaid_provider_number": "MD12345",
      "medicaid_recipient_id_number": "MRID12345",
      "medical_assistance_category": "MAC123",
      "medical_record_identification_number": "MR12345",
      "medicare_provider_number": "MP12345",
      "member_id": "MID12345",
      "patient_account_number": "PA12345",
      "personal_identification_number": "PIN12345",
      "plan_description": "Health Plan",
      "plan_network_id_description": "Plan Network",
      "plan_network_id_number": "PNI12345",
      "plan_number": "PL12345",
      "policy_number": "POL12345",
      "prior_authorization_number": "PA12345",
      "prior_id_number": "PID12345",
      "referral_number": "R12345",
      "social_security_number": "SSN12345",
      "state_license_number": "SL12345",
      "submitter_identification_number": "SID12345",
      "user_identification": "UID12345"
    },
    "provider": {
      "address": {
        "address1": "123 Main St",
        "address2": "Apt 4B",
        "city": "New York",
        "country_code": "US",
        "country_sub_division_code": "NYC",
        "postal_code": "10001",
        "state": "NY"
      },
      "contract_number": "C12345",
      "device_pin_number": "DPN12345",
      "facility_id_number": "FID12345",
      "facility_network_id_number": "FN12345",
      "first_name": "John",
      "information_receiver_additional_identifier_state": "NY",
      "last_name": "Doe",
      "medicaid_provider_number": "MD12345",
      "medicare_provider_number": "MP12345",
      "npi": "1234567890",
      "organization_name": "HealthCare Inc.",
      "payor_id": "P12345",
      "pharmacy_processor_number": "PP12345",
      "prior_identifier_number": "PIN12345",
      "provider_code": "AD",
      "provider_plan_network_id_number": "PPN12345",
      "provider_type": "Individual",
      "reference_identification": "123456",
      "service_provider_number": "SP12345",
      "ssn": "123-45-6789",
      "state_licence_number": "SL12345",
      "submitter_id_number": "SID12345",
      "tax_id": "12-3456789"
    },
    "status": "Error",
    "subscriber": {
      "additional_identification": {
        "agency_claim_number": "AC12345",
        "contract_number": "C12345",
        "health_insurance_claim_number": "HIC12345",
        "identification_card_serial_number": "IDCS12345",
        "insurance_policy_number": "IP12345",
        "medical_record_identification_number": "MR12345",
        "member_identification_number": "M12345",
        "patient_account_number": "PA12345",
        "plan_network_identification_number": "PNI12345",
        "plan_number": "P12345",
        "policy_number": "POL12345"
      },
      "address": {
        "address1": "123 Main St",
        "address2": "Apt 4B",
        "city": "New York",
        "country_code": "US",
        "country_sub_division_code": "NYC",
        "postal_code": "10001",
        "state": "NY"
      },
      "birth_sequence_number": "1",
      "case_number": "C12345",
      "coverage_level_code": "N/A",
      "date_of_birth": "19800101",
      "first_name": "John",
      "gender": "M",
      "group_number": "G12345",
      "health_care_code_information": [
        {
          "diagnosis_code": "12345",
          "diagnosis_type_code": "BK"
        }
      ],
      "id_card": "ID12345",
      "last_name": "Doe",
      "medicaid_recipient_identification_number": "M12345",
      "member_id": "123456",
      "middle_name": "A",
      "provider_code": "AD",
      "provider_identifier": "P12345",
      "reference_identification_qualifier": "9K",
      "spend_down_amount": 100,
      "spend_down_total_billed_amount": 200,
      "ssn": "123-45-6789",
      "suffix": "Jr."
    },
    "subscriber_trace_numbers": [
      {
        "originating_company_identifier": "OCI12345",
        "reference_identification": "RI12345",
        "secondary_reference_identification": "SRI12345",
        "trace_type": "Trace Type",
        "trace_type_code": "TT123"
      }
    ],
    "trading_partner_service_id": "123456",
    "transaction_set_acknowledgement": "ACK",
    "warnings": [
      {
        "code": "WARN123",
        "description": "This is a warning"
      }
    ]
  }
}

{
  "$result_object_key": {
    "benefits_information": {
      "additional_information": {
        "description": "The additional information description."
      },
      "auth_or_cert_indicator": "The authorization or certification indicator.",
      "benefit_amount": "The benefit amount.",
      "benefit_percent": "The benefit percent.",
      "benefit_quantity": "The benefit quantity.",
      "benefits_additional_information": {
        "alternative_list_id": "The alternative list ID - identifies a list of alternative drugs with the associated formulary status for the patient.",
        "coverage_list_id": "The coverage list ID - identifies a list of drugs that have coverage limitations for the patient.",
        "drug_formulary_number": "The drug formulary number.",
        "family_unit_number": "The family unit number.",
        "group_number": "The group number.",
        "hic_number": "The health insurance claim number.",
        "insurance_policy_number": "The insurance policy number.",
        "medicaid_recipient_id_number": "The Medicaid recipient identification number.",
        "medical_assistance_category": "The medical assistance category.",
        "member_id": "The member identification number.",
        "plan_network_id_number": "The plan network identification number.",
        "plan_number": "The insurance plan number.",
        "policy_number": "The insurance group or policy number.",
        "prior_authorization_number": "The prior authorization number.",
        "referral_number": "The referral number."
      },
      "benefits_date_information": {
        "added": "The date added.",
        "admission": {
          "date": "The admission date.",
          "end_date": "The admission end date.",
          "start_date": "The admission start date."
        },
        "benefit": "The benefit date.",
        "benefit_begin": "The benefit begin date.",
        "benefit_end": "The benefit end date.",
        "certification": "The certification date.",
        "cobra_begin": "The COBRA begin date.",
        "cobra_end": "The COBRA end date.",
        "completion": "The completion date.",
        "coordination_of_benefits": "The coordination of benefits date.",
        "date_of_death": "The date of death.",
        "date_of_last_update": "The date of last update.",
        "discharges": {
          "date": "The discharge date.",
          "end_date": "The discharge end date.",
          "start_date": "The discharge start date."
        },
        "effective_date_of_change": "The effective date of change.",
        "eligibility": "The eligibility date.",
        "eligibility_begin": "The eligibility begin date.",
        "eligibility_end": "The eligibility end date.",
        "enrollment": "The enrollment date.",
        "issue": "The issue date.",
        "latest_visit_or_consultation": "The latest visit or consultation date.",
        "period_end": "The end date of the period.",
        "period_start": "The start date of the period.",
        "plan": "The plan date.",
        "plan_begin": "The plan begin date.",
        "plan_end": "The plan end date.",
        "policy_effective": "The policy effective date.",
        "policy_expiration": "The policy expiration date.",
        "premium_paid_to_date_begin": "The premium paid to date begin.",
        "premium_paid_to_date_end": "The premium paid to date end.",
        "primary_care_provider": "The primary care provider date.",
        "service": "The service date.",
        "status": "The status date."
      },
      "benefits_related_entities": {
        "address": {
          "address1": "The first line of the address.",
          "address2": "The second line of the address.",
          "city": "The city.",
          "country_code": "The two-letter country code.",
          "country_sub_division_code": "The country subdivision code.",
          "postal_code": "The United States or Canadian postal code.",
          "state": "The US state or Canadian province code."
        },
        "contact_information": {
          "contacts": {
            "communication_mode": "The type of communication number provided.",
            "communication_number": "The communication number referenced in communicationMode."
          },
          "name": "The name of the contact person."
        },
        "entity_first_name": "The entity's first name.",
        "entity_identification": {
          "code": "The identification code.",
          "value": "The identification value."
        },
        "entity_identifier": "The entity identifier code.",
        "entity_middle_name": "The entity's middle name or initial.",
        "entity_name": "The entity name.",
        "entity_relationship": "The entity's relationship.",
        "entity_suffix": "The entity's name suffix, such as Jr. or III.",
        "entity_type": "The entity type qualifier.",
        "provider_information": {
          "provider_code": "The provider code.",
          "reference_identification": "The reference identification."
        }
      },
      "benefits_related_entity": {
        "address": {
          "address1": "The first line of the address.",
          "address2": "The second line of the address.",
          "city": "The city.",
          "country_code": "The two-letter country code.",
          "country_sub_division_code": "The country subdivision code.",
          "postal_code": "The United States or Canadian postal code.",
          "state": "The US state or Canadian province code."
        },
        "contact_information": {
          "contacts": {
            "communication_mode": "The type of communication number provided.",
            "communication_number": "The communication number referenced in communicationMode."
          },
          "name": "The name of the contact person."
        },
        "entity_first_name": "The entity's first name.",
        "entity_identification": {
          "code": "The identification code.",
          "value": "The identification value."
        },
        "entity_identifier": "The entity identifier code.",
        "entity_middle_name": "The entity's middle name or initial.",
        "entity_name": "The entity name.",
        "entity_relationship": "The entity's relationship.",
        "entity_suffix": "The entity's name suffix, such as Jr. or III.",
        "entity_type": "The entity type qualifier.",
        "provider_information": {
          "provider_code": "The provider code.",
          "reference_identification": "The reference identification."
        }
      },
      "benefits_service_delivery": {
        "delivery_or_calendar_pattern_code": "The delivery or calendar pattern code.",
        "delivery_or_calendar_pattern_qualifier": "The delivery or calendar pattern qualifier.",
        "delivery_or_calendar_pattern_qualifier_code": "The delivery or calendar pattern qualifier code.",
        "delivery_pattern_time_code": "The delivery pattern time code.",
        "delivery_pattern_time_qualifier": "The delivery pattern time qualifier.",
        "delivery_pattern_time_qualifier_code": "The delivery pattern time qualifier code.",
        "num_of_periods": "The number of periods.",
        "quantity": "The quantity.",
        "quantity_qualifier": "The quantity qualifier.",
        "quantity_qualifier_code": "The quantity qualifier code.",
        "sample_selection_modulus": "The sample selection modulus.",
        "time_period_qualifier": "The time period qualifier.",
        "time_period_qualifier_code": "The time period qualifier code.",
        "unit_for_measurement_code": "The unit for measurement code.",
        "unit_for_measurement_qualifier": "The unit for measurement qualifier.",
        "unit_for_measurement_qualifier_code": "The unit for measurement qualifier code."
      },
      "code": "The benefit code.",
      "composite_medical_procedure_identifier": {
        "diagnosis_code_pointer": "The diagnosis code pointer.",
        "procedure_code": "The procedure code.",
        "procedure_modifiers": "Procedure modifiers that provide additional information.",
        "product_or_service_id": "The product or service ID.",
        "product_or_service_id_qualifier": "Code identifying the type/source of the procedureCode."
      },
      "coverage_level": "The coverage level.",
      "coverage_level_code": "The coverage level code.",
      "eligibility_additional_information": {
        "code_category": "The code category.",
        "code_list_qualifier": "The code list qualifier.",
        "code_list_qualifier_code": "The code list qualifier code.",
        "industry": "The industry.",
        "industry_code": "The industry code.",
        "injured_body_part_name": "The injured body part name."
      },
      "eligibility_additional_information_list": {
        "code_category": "The code category.",
        "code_list_qualifier": "The code list qualifier.",
        "code_list_qualifier_code": "The code list qualifier code.",
        "industry": "The industry.",
        "industry_code": "The industry code.",
        "injured_body_part_name": "The injured body part name."
      },
      "header_loop_identifier": "The header loop identifier.",
      "in_plan_network_indicator": "The in-plan network indicator.",
      "insurance_type": "The insurance type.",
      "insurance_type_code": "The insurance type code.",
      "name": "The benefit name.",
      "plan_coverage": "The plan coverage.",
      "quantity_qualifier": "The quantity qualifier.",
      "quantity_qualifier_code": "The quantity qualifier code.",
      "service_type_codes": "The service type codes.",
      "time_qualifier": "The time qualifier.",
      "time_qualifier_code": "The time qualifier code.",
      "trailer_loop_identifier": "The trailer loop identifier."
    },
    "control_number": "An identifier for the payer's response.",
    "dependents": {
      "additional_identification": {
        "agency_claim_number": "The Property and Casualty Claim Number.",
        "contract_number": "The contract number.",
        "health_insurance_claim_number": "The health insurance claim number.",
        "identification_card_serial_number": "The identification card serial number.",
        "insurance_policy_number": "The insurance policy number.",
        "medical_record_identification_number": "The medical record identification number.",
        "member_identification_number": "The member identification number.",
        "patient_account_number": "The patient account number.",
        "plan_network_identification_number": "The plan network identification number.",
        "plan_number": "The insurance plan number.",
        "policy_number": "The insurance group or policy number."
      },
      "address": {
        "address1": "The first line of the address.",
        "address2": "The second line of the address.",
        "city": "The city.",
        "country_code": "The two-letter country code.",
        "country_sub_division_code": "The country subdivision code.",
        "postal_code": "The United States or Canadian postal code.",
        "state": "The US state or Canadian province code."
      },
      "birth_sequence_number": "The number assigned to each family member born with the same birth date.",
      "case_number": "The case number associated with the dependent.",
      "coverage_level_code": "This property is no longer used.",
      "date_of_birth": "The dependent's date of birth.",
      "first_name": "The dependent's first name.",
      "gender": "Code indicating the dependent's gender. Available options: M, F",
      "group_number": "The group number associated with the dependent's insurance policy.",
      "health_care_code_information": {
        "diagnosis_code": "The diagnosis code.",
        "diagnosis_type_code": "The type of diagnosis code. Available options: BK, ABK, BF, ABF"
      },
      "id_card": "The dependent's identification card number.",
      "last_name": "The dependent's last name.",
      "medicaid_recipient_identification_number": "The Medicaid Recipient Identification Number.",
      "member_id": "The member ID for the dependent's insurance policy.",
      "middle_name": "The dependent's middle name or middle initial.",
      "provider_code": "The provider code. Available options: AD, AT, BI, CO, CV, H, HH, LA, OT, P1, P2, PC, PE, R, RF, SB, SK, SU",
      "provider_identifier": "The provider identifier.",
      "reference_identification_qualifier": "The reference identification qualifier. Available options: 9K, D3, EI, HPI, PXC, SY, TJ",
      "spend_down_amount": "The dollar amount the dependent will apply toward their spend down amount.",
      "spend_down_total_billed_amount": "The dependent's spend down total billed amount.",
      "ssn": "The dependent's Social Security Number (SSN).",
      "suffix": "The name suffix, such as Jr., Sr., or III."
    },
    "errors": {
      "code": "The error code.",
      "description": "The error description.",
      "followup_action": "Allowed actions you can take, based on the rejection reason code.",
      "location": "The location of the error within the original X12 EDI response.",
      "possible_resolutions": "Information to help you correct the error."
    },
    "implementation_transaction_set_syntax_error": "The implementation transaction set error code provided in IK502 of the 999 transaction.",
    "in_network_eligibility_summary": {
      "co_pay_dollars": "The co-pay for the requested service type code",
      "coinsurance_percentage": "The coinsurance percentage for the requested service type code",
      "family_deductible_dollars": "The family deductible for the requested service type code for the calendar year",
      "family_deductible_remaining_dollars": "The family deductible remaining for the requested service type code for the remaining insurance period",
      "individual_deductible_dollars": "The individual deductible for the requested service type code for the calendar year",
      "individual_deductible_remaining_dollars": "The individual deductible remaining for the requested service type code for the remaining insurance period",
      "insurance_type": "The type of insurance for the requested service type code",
      "is_active_and_covered": "The subscriber (or dependent) is actively covered by the insurance payer",
      "limitations": "The limitations for the requested service type code",
      "plan_name": "The plan name for the insurance"
    },
    "meta": {
      "application_mode": "The type of data in the request.",
      "biller_id": "The biller ID Stedi assigns to this request.",
      "outbound_trace_id": "The value provided in the submitterTransactionIdentifier property in the original eligibility check request.",
      "sender_id": "The sender ID Stedi assigns to this request.",
      "submitter_id": "The submitter ID Stedi assigns to this request.",
      "trace_id": "The unique ID Stedi assigns to this request."
    },
    "payer": {
      "aaa_errors": {
        "code": "The error code.",
        "description": "The error description.",
        "followup_action": "Allowed actions you can take, based on the rejection reason code.",
        "location": "The location of the error within the original X12 EDI response.",
        "possible_resolutions": "Information to help you correct the error."
      },
      "centers_for_medicare_and_medicaid_plan_id": "The payer's Centers for Medicare and Medicaid Services PlanID.",
      "contact_information": {
        "contacts": {
          "communication_mode": "The type of communication number provided.",
          "communication_number": "The communication number referenced in communicationMode."
        },
        "name": "The name of the contact person."
      },
      "entity_identifier": "The entity identifier code for the payer.",
      "entity_type": "The entity type qualifier for the payer.",
      "etin": "The payer's Electronic Transmitter Identification Number (ETIN).",
      "federal_taxpayers_id_number": "The payer's federal taxpayer's identification number.",
      "first_name": "The payer's first name, when the payer is an individual (not commonly used).",
      "last_name": "The payer's last name. Used when the payer is an individual (not commonly used).",
      "middle_name": "The payer's middle name or initial, when the payer is an individual (not commonly used).",
      "naic": "The payer's National Association of Insurance Commissioners (NAIC) identification number.",
      "name": "The payer's business name, when the payer is not a person.",
      "npi": "The payer's National Provider Identifier (NPI).",
      "payor_identification": "The payor identification.",
      "suffix": "The payer's name suffix, such as Jr. or III. Used when the payer is an individual (not commonly used)."
    },
    "plan_date_information": {
      "added": "The date added.",
      "admission": "The admission date.",
      "certification": "The certification date.",
      "cobra_begin": "The COBRA begin date.",
      "cobra_end": "The COBRA end date.",
      "date_of_death": "The date of death.",
      "date_of_last_update": "The date of last update.",
      "discharge": "The date of discharge.",
      "effective_date_of_change": "The effective date of change.",
      "eligibility": "The eligibility date.",
      "eligibility_begin": "The eligibility begin date.",
      "eligibility_end": "The eligibility end date.",
      "enrollment": "The enrollment date.",
      "issue": "The issue date.",
      "plan": "The plan date.",
      "plan_begin": "The plan begin date.",
      "plan_end": "The plan end date.",
      "policy_effective": "The policy effective date.",
      "policy_expiration": "The policy expiration date.",
      "premium_paid_to_date_begin": "The premium paid to date begin.",
      "premium_paid_to_date_end": "The premium paid to date end.",
      "service": "The service date.",
      "status": "The status date."
    },
    "plan_information": {
      "agency_claim_number": "The agency claim number, only used when the information source is a Property and Casualty payer.",
      "alternative_list_id": "The alternative list ID - identifies a list of alternative drugs with the associated formulary status for the patient.",
      "case_number": "The case number.",
      "centers_for_medicare_and_medicaid_services_npi": "The National Provider Identifier (NPI) assigned by the Centers for Medicare and Medicaid Services.",
      "class_of_contract_code": "The class of contract code - used to identify the applicable class of contract for claims processing.",
      "contract_number": "The contract number of a contract between the payer and the provider that requested the eligibility check.",
      "coverage_list_id": "The coverage list ID - identifies a list of drugs that have coverage limitations for the patient.",
      "drug_formulary_number": "The drug formulary number.",
      "electronic_device_pin": "The electronic device pin number.",
      "eligibility_category": "The eligibility category.",
      "facility_id_number": "The facility ID number.",
      "facility_network_identification_number": "The facility network identification number.",
      "family_unit_number": "The family unit number.",
      "federal_taxpayers_identification_number": "The federal taxpayer's identification number.",
      "group_description": "The group description.",
      "group_number": "The group number.",
      "hic_number": "The health insurance claim number.",
      "id_card_number": "The identity card number, used when the Identity Card Number is different than the Member Identification Number.",
      "id_card_serial_number": "The identification card serial number. The Identification Card Serial Number uniquely identifies the identification card when multiple cards have been or will be issued to a member, such as a replacement card.",
      "insurance_policy_number": "The insurance policy number.",
      "issue_number": "The issue number.",
      "medicaid_provider_number": "The Medicaid provider number.",
      "medicaid_recipient_id_number": "The Medicaid recipient identification number.",
      "medical_assistance_category": "The medical assistance category.",
      "medical_record_identification_number": "The medical record identification number.",
      "medicare_provider_number": "The Medicare provider number.",
      "member_id": "The member identification number - only used when checking eligibility with a Workers' Compensation or Property and Casualty insurer.",
      "patient_account_number": "The patient account number. If you included this value in the original eligibility request, the payer will return the same value here in the response.",
      "personal_identification_number": "The personal identification number (PIN).",
      "plan_description": "The plan description.",
      "plan_network_id_description": "The plan, group, or plan network name.",
      "plan_network_id_number": "The plan network identification number.",
      "plan_number": "The plan number.",
      "policy_number": "The group or policy number.",
      "prior_authorization_number": "The prior authorization number.",
      "prior_id_number": "The prior identifier number.",
      "referral_number": "The referral number.",
      "social_security_number": "The social security number.",
      "state_license_number": "The state license number.",
      "submitter_identification_number": "The submitter identification number.",
      "user_identification": "The user identification."
    },
    "provider": {
      "address": {
        "address1": "The first line of the address.",
        "address2": "The second line of the address.",
        "city": "The city.",
        "country_code": "The two-letter country code.",
        "country_sub_division_code": "The country subdivision code.",
        "postal_code": "The United States or Canadian postal code.",
        "state": "The US state or Canadian province code."
      },
      "contract_number": "The provider's contract number.",
      "device_pin_number": "The provider's electronic device pin number.",
      "facility_id_number": "The provider's facility ID number.",
      "facility_network_id_number": "The provider's facility network identification number.",
      "first_name": "The provider's first name. Required if the provider is an individual.",
      "information_receiver_additional_identifier_state": "The state that assigned the state license number.",
      "last_name": "The provider's last name. Required if the provider is an individual.",
      "medicaid_provider_number": "The provider's Medicaid provider number.",
      "medicare_provider_number": "The provider's Medicare provider number.",
      "npi": "The provider's National Provider Identifier (NPI).",
      "organization_name": "The provider's business name. Required if the provider is not a person.",
      "payor_id": "Only used for payer-to-payer transactions.",
      "pharmacy_processor_number": "The provider's pharmacy processor number.",
      "prior_identifier_number": "The provider's prior identifier number.",
      "provider_code": "The provider's role in the type of benefits specified in the request.",
      "provider_plan_network_id_number": "The provider's plan network identification number.",
      "provider_type": "The type of provider.",
      "reference_identification": "The provider's Taxonomy Code.",
      "service_provider_number": "The provider's service provider number.",
      "ssn": "The provider's Social Security Number (SSN).",
      "state_licence_number": "The provider's state license number.",
      "submitter_id_number": "The provider's submitter identification number.",
      "tax_id": "The provider's Federal Taxpayer Identification Number (EIN)."
    },
    "status": "Errors Stedi encountered when generating or sending the final X12 EDI transaction to the payer. These can include validation errors and payer unavailable errors that prevent delivery.",
    "subscriber": {
      "additional_identification": {
        "agency_claim_number": "The Property and Casualty Claim Number.",
        "contract_number": "The contract number.",
        "health_insurance_claim_number": "The health insurance claim number.",
        "identification_card_serial_number": "The identification card serial number.",
        "insurance_policy_number": "The insurance policy number.",
        "medical_record_identification_number": "The medical record identification number.",
        "member_identification_number": "The member identification number.",
        "patient_account_number": "The patient account number.",
        "plan_network_identification_number": "The plan network identification number.",
        "plan_number": "The insurance plan number.",
        "policy_number": "The insurance group or policy number."
      },
      "address": {
        "address1": "The first line of the address.",
        "address2": "The second line of the address.",
        "city": "The city.",
        "country_code": "The two-letter country code.",
        "country_sub_division_code": "The country subdivision code.",
        "postal_code": "The United States or Canadian postal code.",
        "state": "The US state or Canadian province code."
      },
      "birth_sequence_number": "The number assigned to each family member born with the same birth date.",
      "case_number": "The case number associated with the subscriber.",
      "coverage_level_code": "This property is no longer used.",
      "date_of_birth": "The subscriber's date of birth",
      "first_name": "The patient's first name.",
      "gender": "Code indicating the subscriber's gender. Available options: M, F",
      "group_number": "The group number associated with the subscriber's insurance policy.",
      "health_care_code_information": {
        "diagnosis_code": "The diagnosis code.",
        "diagnosis_type_code": "The type of diagnosis code. Available options: BK, ABK, BF, ABF"
      },
      "id_card": "The subscriber's identification card number.",
      "last_name": "The subscriber's last name.",
      "medicaid_recipient_identification_number": "The Medicaid Recipient Identification Number.",
      "member_id": "The member ID for the subscriber's insurance policy.",
      "middle_name": "The patient's middle name or middle initial.",
      "provider_code": "The provider code. Available options: AD, AT, BI, CO, CV, H, HH, LA, OT, P1, P2, PC, PE, R, RF, SB, SK, SU",
      "provider_identifier": "The provider identifier.",
      "reference_identification_qualifier": "The reference identification qualifier. Available options: 9K, D3, EI, HPI, PXC, SY, TJ",
      "spend_down_amount": "The dollar amount the subscriber will apply toward their spend down amount.",
      "spend_down_total_billed_amount": "The subscriber's spend down total billed amount.",
      "ssn": "The subscriber's Social Security Number (SSN).",
      "suffix": "The name suffix, such as Jr., Sr., or III."
    },
    "subscriber_trace_numbers": {
      "originating_company_identifier": "The identifier of the organization that assigned the trace number.",
      "reference_identification": "The unique trace number assigned to the transaction.",
      "secondary_reference_identification": "Identifies a subdivision within the organization that assigned the trace number.",
      "trace_type": "The full name of the traceTypeCode.",
      "trace_type_code": "The code that identifies the type of trace number."
    },
    "trading_partner_service_id": "An ID for the payer you identified in the original eligibility check request. This value may differ from the tradingPartnerServiceId you submitted in the original request because it reflects the payer's internal concept of their ID, not necessarily the ID Stedi uses to route requests to this payer.",
    "transaction_set_acknowledgement": "The transaction set acknowledgment code provided in in the X12 EDI 999 response.",
    "warnings": {
      "code": "The warning code.",
      "description": "The warning description."
    }
  }
}