> ## Documentation Index
> Fetch the complete documentation index at: https://trust.denialbase.com/llms.txt
> Use this file to discover all available pages before exploring further.

# Execute next action

> Triggers execution of the next pending action in the plan.



## OpenAPI

````yaml /api-reference/openapi.yaml post /api/v1/action_plans/{id}/execute_next
openapi: 3.1.1
info:
  title: Denialbase API
  version: 1.0.0
  description: >-
    The Denialbase API is organized around REST. Our API accepts JSON-encoded
    request bodies, returns JSON-encoded responses, and uses standard HTTP
    response codes, authentication, and verbs.


    ## Base URL


    ```

    /api/v1

    ```


    ## Authentication


    Denialbase uses **httpOnly cookie-based JWT** authentication. Authenticate
    by sending a `POST /api/v1/auth/session` request with your credentials. The
    server sets a secure session cookie that is automatically included in
    subsequent requests.


    All API requests must be made over HTTPS in production. Requests without
    valid authentication return a `401 Unauthorized` error.


    Two-factor authentication (TOTP), passkeys (WebAuthn), magic links, and
    Google OAuth are also supported.


    ## Errors


    Denialbase uses conventional HTTP response codes to indicate the success or
    failure of an API request. Codes in the `2xx` range indicate success. Codes
    in the `4xx` range indicate an error with the information provided. Codes in
    the `5xx` range indicate a server error.


    | Code | Description |

    |------|-------------|

    | 200 | OK — Request succeeded |

    | 201 | Created — Resource successfully created |

    | 400 | Bad Request — Invalid parameters |

    | 401 | Unauthorized — Invalid or missing authentication |

    | 403 | Forbidden — Insufficient permissions |

    | 404 | Not Found — Resource does not exist |

    | 422 | Unprocessable Entity — Validation failed |

    | 429 | Too Many Requests — Rate limit exceeded |

    | 500 | Internal Server Error — Something went wrong on our end |


    ## Pagination


    List endpoints return paginated results. Use `page` and `per_page` query
    parameters to control pagination. Responses include pagination metadata in
    the response body.


    ## Rate Limiting


    API requests are rate limited per IP address and per authenticated user.
    When rate limited, you will receive a `429 Too Many Requests` response. Back
    off and retry after a brief delay.
servers:
  - url: /api/v1
security: []
tags:
  - name: WellKnown
    x-displayName: JWKS & Discovery
    description: JSON Web Key Set (JWKS) and OpenID Connect discovery endpoints.
  - name: Api::V1::ActionPlan
    x-displayName: Action Plans
    description: AI-generated appeal action plans with approval and execution workflows.
  - name: Api::V1::Action
    x-displayName: Actions
    description: Individual appeal actions (calls, faxes, letters) within action plans.
  - name: Api::V1::Confirmation
    x-displayName: Email Confirmation
    description: >-
      Action confirmation workflow — review, confirm, modify, or cancel pending
      actions.
  - name: Api::V1::Admin::AuditLog
    x-displayName: Audit Logs
    description: HIPAA-aligned audit logs with resource history and user activity tracking.
  - name: Api::V1::Admin::BetaSignup
    x-displayName: Beta Signups
    description: Admin management of beta signup requests (approve or reject).
  - name: Api::V1::Admin::Denial
    x-displayName: Denial Management
    description: Admin denial management — insurer and provider assignment.
  - name: Api::V1::Admin::EobReview
    x-displayName: EobReview
  - name: Api::V1::Admin::Feedback
    x-displayName: User Feedback (Admin)
    description: Admin feedback management — view, respond to, and update feedback status.
  - name: Api::V1::Admin::FormTemplate
    x-displayName: Form Templates (Admin)
    description: Admin form template management with DocuSeal field mapping.
  - name: Api::V1::Admin::HealthcareCode
    x-displayName: Healthcare Codes
    description: Admin healthcare code management (CPT, CARC/RARC) with external sync.
  - name: Api::V1::Admin::InsurerLearningPattern
    x-displayName: Learning Patterns
    description: >-
      Insurer-specific learning patterns discovered by AI, with approval
      workflow.
  - name: Api::V1::Admin::Insurer
    x-displayName: Insurers
    description: Admin insurer configuration, intelligence, and analytics.
  - name: Api::V1::Admin::InvestorCredential
    x-displayName: InvestorCredential
  - name: Api::V1::Admin::LearningInsight
    x-displayName: Learning Insights
    description: AI learning insights — trends, strategies, and operational metrics.
  - name: Api::V1::Admin::Operational
    x-displayName: Operational Monitoring
    description: Admin operational monitoring — escalations, costs, and external events.
  - name: Api::V1::Admin::Organization
    x-displayName: Organization
  - name: Api::V1::Admin::ProviderOnboarding
    x-displayName: ProviderOnboarding
  - name: Api::V1::Admin::Provider
    x-displayName: Providers
    description: Admin healthcare provider management and request tracking.
  - name: Api::V1::Admin::SsoConnection
    x-displayName: SsoConnection
  - name: Api::V1::Admin::SupportGap
    x-displayName: Support Gaps
    description: Identified gaps in platform support coverage for denial types or insurers.
  - name: Api::V1::Admin::UserStat
    x-displayName: User Statistics
    description: Aggregate user statistics and platform usage metrics.
  - name: Api::V1::Admin::User
    x-displayName: User Management
    description: >-
      Admin user management — view details, block, unblock, and set spending
      limits.
  - name: Api::V1::Admin::UserJourney
    x-displayName: User Journeys
    description: Admin view of user journey timelines and activity history.
  - name: Api::V1::OmniauthCallback
    x-displayName: OAuth Callbacks
    description: OAuth callback handlers for third-party login providers.
  - name: Api::V1::Auth::Session
    x-displayName: Sessions
    description: User login and session management via httpOnly cookie-based JWT.
  - name: Api::V1::Auth::Sso
    x-displayName: Sso
  - name: Api::V1::AuthorizationForm
    x-displayName: Authorization Forms
    description: HIPAA authorization forms with DocuSeal e-signature integration.
  - name: Api::V1::AuthorizationGrant
    x-displayName: AuthorizationGrant
  - name: Api::V1::AuthorizationGrants::GrantedScope
    x-displayName: GrantedScope
  - name: Api::V1::AuthorizationGrants::Revoke
    x-displayName: Revoke
  - name: Api::V1::BetaSignup
    x-displayName: Beta Signup
    description: Beta signup requests for early access to the platform.
  - name: Api::V1::Conversation
    x-displayName: Conversations
    description: AI-powered conversations for appeal guidance and support.
  - name: Api::V1::Cost
    x-displayName: Costs
    description: Cost tracking and financial summaries for appeal-related actions.
  - name: Api::V1::DataExport
    x-displayName: Data Export
    description: User data exports in various formats for portability.
  - name: Api::V1::DelegationScope
    x-displayName: DelegationScope
  - name: Api::V1::Document
    x-displayName: Documents
    description: User-uploaded documents such as EOBs, medical records, and correspondence.
  - name: Api::V1::Feedback
    x-displayName: Feedback
    description: User feedback submissions for features and support requests.
  - name: Api::V1::FormDelivery
    x-displayName: Form Deliveries
    description: Form delivery tracking (fax, email, portal) with confirmation workflows.
  - name: Api::V1::FormTemplate
    x-displayName: Form Templates
    description: Reusable form templates for insurer-specific submissions.
  - name: Api::V1::Health
    x-displayName: Health
  - name: Api::V1::Help
    x-displayName: Help & Support
    description: Help articles and contextual assistance for platform pages.
  - name: Api::V1::InsuranceCard
    x-displayName: Insurance Cards
    description: Insurance card image uploads with OCR-based data extraction.
  - name: Api::V1::InsuranceProfile
    x-displayName: Insurance Profiles
    description: Insurance plan profiles with coverage and plan details.
  - name: Api::V1::InsuranceProfileMember
    x-displayName: Profile Members
    description: Members and dependents on insurance profiles.
  - name: Api::V1::Integration
    x-displayName: Integrations
    description: Third-party integrations (EHR, patient portals) via OAuth.
  - name: Api::V1::InvestorSession
    x-displayName: InvestorSession
  - name: Api::V1::Invitation
    x-displayName: Invitation
  - name: Api::V1::Lookup
    x-displayName: Lookup
  - name: Api::V1::MySponsorship
    x-displayName: MySponsorship
  - name: Api::V1::Notification
    x-displayName: Notifications
    description: In-app notification inbox with read and dismiss controls.
  - name: Api::V1::Npi
    x-displayName: Npi
  - name: Api::V1::Onboarding
    x-displayName: Onboarding
    description: Guided onboarding wizard steps and progress tracking.
  - name: Api::V1::Org::Appeal
    x-displayName: Appeal
  - name: Api::V1::Org::Approval
    x-displayName: Approval
  - name: Api::V1::Org::Authorization
    x-displayName: Authorization
  - name: Api::V1::Org::Caseload
    x-displayName: Caseload
  - name: Api::V1::Org::Client
    x-displayName: Client
  - name: Api::V1::Org::PatientInsuranceProfile
    x-displayName: PatientInsuranceProfile
  - name: Api::V1::Org::Dashboard
    x-displayName: Dashboard
  - name: Api::V1::Org::DenialSubmission
    x-displayName: DenialSubmission
  - name: Api::V1::Org::FormRequirement
    x-displayName: FormRequirement
  - name: Api::V1::Org::Insurer
    x-displayName: Insurer
  - name: Api::V1::Org::Intake
    x-displayName: Intake
  - name: Api::V1::Org::Invoice
    x-displayName: Invoice
  - name: Api::V1::Org::Logo
    x-displayName: Logo
  - name: Api::V1::Org::Notification
    x-displayName: Notification
  - name: Api::V1::Org::Onboarding
    x-displayName: Onboarding
  - name: Api::V1::Org::PartnerApiKey
    x-displayName: PartnerApiKey
  - name: Api::V1::Org::Provider
    x-displayName: Provider
  - name: Api::V1::Org::PublicInfo
    x-displayName: PublicInfo
  - name: Api::V1::Org::Report
    x-displayName: Report
  - name: Api::V1::Org::Session
    x-displayName: Session
  - name: Api::V1::Org::Setting
    x-displayName: Setting
  - name: Api::V1::Org::SsoConnection
    x-displayName: SsoConnection
  - name: Api::V1::Org::SupportedInsurer
    x-displayName: SupportedInsurer
  - name: Api::V1::OrgIntake
    x-displayName: OrgIntake
  - name: Api::V1::Organization
    x-displayName: Organization
  - name: Api::V1::Organizations::ClientSponsorship
    x-displayName: ClientSponsorship
  - name: Api::V1::Organizations::Invitation
    x-displayName: Invitation
  - name: Api::V1::Organizations::Membership
    x-displayName: Membership
  - name: Api::V1::OverturnableDenial
    x-displayName: Denials
    description: Insurance claim denials eligible for appeal, with AI-powered analysis.
  - name: Api::V1::CallbackPromise
    x-displayName: Callback Promises
    description: Scheduled callback promises from insurers with follow-up tracking.
  - name: Api::V1::Deadline
    x-displayName: Deadlines
    description: Appeal deadline tracking and urgency management.
  - name: Api::V1::Evidence
    x-displayName: Evidence
    description: Evidence documents and confidence tracking for denial appeals.
  - name: Api::V1::ExternalEvent
    x-displayName: External Events
    description: >-
      External events related to denials, such as insurer responses and status
      changes.
  - name: Api::V1::Partner::EmbedToken
    x-displayName: EmbedToken
  - name: Api::V1::Passkey
    x-displayName: Passkeys (WebAuthn)
    description: Passkey (WebAuthn) registration and authentication for passwordless login.
  - name: Api::V1::ProductFeedback
    x-displayName: ProductFeedback
  - name: Api::V1::ReasonCode
    x-displayName: Reason Codes
    description: CARC and RARC reason code lookup and search.
  - name: Api::V1::Scan
    x-displayName: Document Scans
    description: Document scanning and OCR-based data extraction from uploaded images.
  - name: Api::V1::Search
    x-displayName: Search
    description: Global search across denials, documents, and actions.
  - name: Api::V1::SecurityPreference
    x-displayName: Security Preferences
    description: >-
      Security and privacy settings including data sharing consent and
      verification.
  - name: Api::V1::ServiceCode
    x-displayName: Service Codes
    description: CPT and HCPCS service code lookup and search.
  - name: Api::V1::TaskCredential
    x-displayName: TaskCredential
  - name: Api::V1::TwoFactor
    x-displayName: Two-Factor Auth
    description: >-
      TOTP-based two-factor authentication setup, verification, and backup
      codes.
  - name: Api::V1::Unsubscribe
    x-displayName: Unsubscribe
    description: Email notification unsubscribe management via token-based links.
  - name: Api::V1::User
    x-displayName: User Profile
    description: Current user profile, password management, and account deletion.
  - name: Api::V1::Webhooks::BlandAi
    x-displayName: Bland AI (Calls)
    description: Bland AI webhook callbacks for automated phone call results.
  - name: Api::V1::DeckWebhook
    x-displayName: DeckWebhook
  - name: Api::V1::Webhooks::Docuseal
    x-displayName: DocuSeal (Signatures)
    description: DocuSeal webhook callbacks for e-signature completion events.
  - name: Api::V1::Webhooks::InboundEmail
    x-displayName: Inbound Email
    description: Inbound email webhook callbacks for insurer correspondence.
  - name: Api::V1::Webhooks::Lob
    x-displayName: Lob
  - name: Api::V1::Webhooks::Phaxio
    x-displayName: Phaxio (Fax)
    description: Phaxio webhook callbacks for fax delivery status updates.
  - name: Api::V1::Webhooks::Telnyx
    x-displayName: Telnyx (SMS)
    description: Telnyx webhook callbacks for SMS delivery status updates.
  - name: Api::V1::WebsocketTicket
    x-displayName: WebSocket Tickets
    description: WebSocket authentication tickets for real-time update channels.
  - name: Api::V1::Whitelabel::Embed
    x-displayName: Embed
  - name: Api::V1::Whitelabel::Form
    x-displayName: Form
  - name: Api::V1::Whitelabel::Guest
    x-displayName: Guest
  - name: Api::V1::Whitelabel::Intake
    x-displayName: Intake
  - name: Api::V1::Whitelabel::ProviderIntake
    x-displayName: ProviderIntake
paths:
  /api/v1/action_plans/{id}/execute_next:
    post:
      tags:
        - Api::V1::ActionPlan
      summary: Execute next action
      description: Triggers execution of the next pending action in the plan.
      parameters:
        - name: id
          in: path
          required: true
          schema:
            type: string
      requestBody:
        content:
          application/x-www-form-urlencoded:
            schema:
              type: object
              properties: {}
      responses:
        '200':
          description: OK
          content:
            application/json:
              schema:
                type: object
                properties:
                  result:
                    type: object
                    properties:
                      status:
                        type: string
                        enum:
                          - draft
                          - pending_approval
                          - approved
                          - in_progress
                          - completed
                          - failed
                          - cancelled
                      action_id:
                        type: string
                      result:
                        type: object
                        properties:
                          status:
                            type: string
                            enum:
                              - draft
                              - pending_approval
                              - approved
                              - in_progress
                              - completed
                              - failed
                              - cancelled
                        required:
                          - status
                    required:
                      - action_id
                      - result
                      - status
                  plan:
                    type: object
                    properties:
                      id:
                        type: string
                      action_context:
                        type: object
                        properties:
                          action_types:
                            type: array
                            items:
                              type: string
                          has_insurance_card:
                            type: boolean
                          patient:
                            type: object
                            properties:
                              name:
                                type:
                                  - string
                                  - 'null'
                              name_source:
                                type:
                                  - string
                                  - 'null'
                              member_id:
                                type:
                                  - string
                                  - 'null'
                              member_id_source:
                                type:
                                  - string
                                  - 'null'
                              date_of_birth:
                                type:
                                  - string
                                  - 'null'
                              group_number:
                                type:
                                  - string
                                  - 'null'
                            required:
                              - date_of_birth
                              - group_number
                              - member_id
                              - member_id_source
                              - name
                              - name_source
                          claim:
                            type: object
                            properties:
                              claim_id:
                                type:
                                  - string
                                  - 'null'
                              service_dates:
                                type: array
                                items:
                                  type: string
                              provider_name:
                                type:
                                  - string
                                  - 'null'
                              provider_npi:
                                type:
                                  - string
                                  - 'null'
                            required:
                              - claim_id
                              - provider_name
                              - provider_npi
                              - service_dates
                          services:
                            type: array
                            items:
                              type: object
                              properties:
                                procedure_code:
                                  type: string
                                procedure_description:
                                  type: string
                                service_code:
                                  type:
                                    - string
                                    - 'null'
                                service_description:
                                  type:
                                    - string
                                    - 'null'
                                reason_code:
                                  type:
                                    - string
                                    - 'null'
                                reason_description:
                                  type:
                                    - string
                                    - 'null'
                                diagnosis_codes:
                                  type: array
                                  items:
                                    type: string
                                denied_amount:
                                  type: number
                                  format: float
                                service_date:
                                  type:
                                    - string
                                    - 'null'
                              required:
                                - denied_amount
                                - diagnosis_codes
                                - procedure_code
                                - procedure_description
                                - reason_code
                                - reason_description
                                - service_code
                                - service_date
                                - service_description
                          insurer:
                            type: object
                            properties:
                              name:
                                type:
                                  - string
                                  - 'null'
                              matched:
                                type: boolean
                              verified:
                                type: boolean
                              phone:
                                type:
                                  - string
                                  - 'null'
                              fax:
                                type:
                                  - string
                                  - 'null'
                              address:
                                type:
                                  - string
                                  - 'null'
                            required:
                              - address
                              - fax
                              - matched
                              - name
                              - phone
                              - verified
                          authorization:
                            type: object
                            properties:
                              status:
                                type: string
                                enum:
                                  - not_started
                                  - not_signed
                                  - signed
                                  - pending_delivery
                                  - delivered
                                  - confirmed
                              signed:
                                type: boolean
                            required:
                              - signed
                              - status
                          delegation_authorization:
                            type: object
                            properties:
                              status:
                                type: string
                                enum:
                                  - draft
                                  - pending_approval
                                  - approved
                                  - in_progress
                                  - completed
                                  - failed
                                  - cancelled
                              signed:
                                type: boolean
                            required:
                              - signed
                              - status
                          history:
                            type: array
                            items:
                              type: object
                          deadline:
                            type:
                              - object
                              - 'null'
                          data_quality:
                            type: object
                            properties:
                              blockers:
                                type: array
                                items:
                                  type: object
                                  properties:
                                    field:
                                      type: string
                                    message:
                                      type: string
                                    action:
                                      type: string
                                    input_type:
                                      type:
                                        - string
                                        - 'null'
                                    placeholder:
                                      type:
                                        - string
                                        - 'null'
                                  required:
                                    - action
                                    - field
                                    - message
                              warnings:
                                type: array
                                items:
                                  type: object
                                  properties:
                                    field:
                                      type: string
                                    message:
                                      type: string
                                  required:
                                    - field
                                    - message
                              missing_fields:
                                type: array
                                items:
                                  type: string
                              user_actions_needed:
                                type: array
                                items:
                                  type: object
                                  properties:
                                    field:
                                      type: string
                                    action_type:
                                      type: string
                                    prompt:
                                      type: string
                                    required:
                                      type: boolean
                                    input_type:
                                      type:
                                        - string
                                        - 'null'
                                    placeholder:
                                      type:
                                        - string
                                        - 'null'
                                  required:
                                    - action_type
                                    - field
                                    - prompt
                                    - required
                              completeness_percent:
                                type: integer
                            required:
                              - blockers
                              - completeness_percent
                              - missing_fields
                              - user_actions_needed
                              - warnings
                        required:
                          - action_types
                          - authorization
                          - claim
                          - data_quality
                          - deadline
                          - delegation_authorization
                          - has_insurance_card
                          - history
                          - insurer
                          - patient
                          - services
                      actions:
                        type: array
                        items:
                          type: object
                          properties:
                            id:
                              type: string
                            action_communications:
                              type: array
                              items:
                                type: object
                            action_type:
                              type: string
                              enum:
                                - call
                                - fax
                                - email
                                - file_appeal
                                - request_info
                                - sign_form
                                - wait
                                - request_external_review
                                - confirm_form_on_file
                                - renew_authorization
                                - deliver_form
                            approved_at:
                              type: string
                            call_context:
                              type: object
                              properties:
                                greeting:
                                  type: string
                                objective_summary:
                                  type: string
                                objectives:
                                  type: array
                                  items:
                                    type: object
                                    properties:
                                      text:
                                        type: string
                                      priority:
                                        type: integer
                                    required:
                                      - priority
                                      - text
                                decision_branches:
                                  type: array
                                  items:
                                    type: object
                                    properties:
                                      scenario:
                                        type: string
                                      action:
                                        type: string
                                      capture:
                                        type: array
                                        items:
                                          type: string
                                    required:
                                      - action
                                      - capture
                                      - scenario
                                extraction_schema:
                                  type: object
                                  properties:
                                    reference_number:
                                      type: object
                                      properties:
                                        type:
                                          type: string
                                        description:
                                          type: string
                                      required:
                                        - description
                                        - type
                                    rep_name:
                                      type: object
                                      properties:
                                        type:
                                          type: string
                                        description:
                                          type: string
                                      required:
                                        - description
                                        - type
                                    rep_extension:
                                      type: object
                                      properties:
                                        type:
                                          type: string
                                        description:
                                          type: string
                                      required:
                                        - description
                                        - type
                                    call_outcome:
                                      type: object
                                      properties:
                                        type:
                                          type: string
                                        enum:
                                          type: array
                                          items:
                                            type: string
                                        description:
                                          type: string
                                      required:
                                        - description
                                        - enum
                                        - type
                                    next_steps_described:
                                      type: object
                                      properties:
                                        type:
                                          type: string
                                        description:
                                          type: string
                                      required:
                                        - description
                                        - type
                                    callback_promised:
                                      type: object
                                      properties:
                                        type:
                                          type: string
                                        description:
                                          type: string
                                      required:
                                        - description
                                        - type
                                    callback_within_days:
                                      type: object
                                      properties:
                                        type:
                                          type: string
                                        description:
                                          type: string
                                      required:
                                        - description
                                        - type
                                    resolution_status:
                                      type: object
                                      properties:
                                        type:
                                          type: string
                                        enum:
                                          type: array
                                          items:
                                            type: string
                                        description:
                                          type: string
                                      required:
                                        - description
                                        - enum
                                        - type
                                    appeal_address:
                                      type: object
                                      properties:
                                        type:
                                          type: string
                                        description:
                                          type: string
                                      required:
                                        - description
                                        - type
                                    documentation_requirements:
                                      type: object
                                      properties:
                                        type:
                                          type: string
                                        description:
                                          type: string
                                      required:
                                        - description
                                        - type
                                    appeal_deadline_confirmed:
                                      type: object
                                      properties:
                                        type:
                                          type: string
                                        description:
                                          type: string
                                      required:
                                        - description
                                        - type
                                claim_summary:
                                  type: object
                                  properties:
                                    claim_id:
                                      type:
                                        - string
                                        - 'null'
                                    denial_count:
                                      type: integer
                                    total_denied_amount:
                                      type: string
                                    denials:
                                      type: array
                                      items:
                                        type: object
                                        properties:
                                          id:
                                            type: string
                                          procedure_code:
                                            type: string
                                          description:
                                            type: string
                                          denied_amount:
                                            type: string
                                          service_date:
                                            type:
                                              - string
                                              - 'null'
                                          denial_code:
                                            type: string
                                          reason:
                                            type:
                                              - string
                                              - 'null'
                                          reason_code_description:
                                            type:
                                              - string
                                              - 'null'
                                        required:
                                          - denial_code
                                          - denied_amount
                                          - description
                                          - id
                                          - procedure_code
                                          - reason
                                          - reason_code_description
                                          - service_date
                                  required:
                                    - claim_id
                                    - denial_count
                                    - denials
                                    - total_denied_amount
                                reference_data:
                                  type: object
                                  properties:
                                    patient_name:
                                      type:
                                        - string
                                        - 'null'
                                    member_id:
                                      type: string
                                    date_of_birth:
                                      type:
                                        - string
                                        - 'null'
                                    claim_id:
                                      type:
                                        - string
                                        - 'null'
                                    denials:
                                      type: array
                                      items:
                                        type: object
                                        properties:
                                          id:
                                            type: string
                                          procedure_code:
                                            type: string
                                          description:
                                            type: string
                                          denied_amount:
                                            type: string
                                          service_date:
                                            type:
                                              - string
                                              - 'null'
                                          denial_code:
                                            type: string
                                          reason:
                                            type:
                                              - string
                                              - 'null'
                                          reason_code_description:
                                            type:
                                              - string
                                              - 'null'
                                        required:
                                          - denial_code
                                          - denied_amount
                                          - description
                                          - id
                                          - procedure_code
                                          - reason
                                          - reason_code_description
                                          - service_date
                                    total_denied_amount:
                                      type: string
                                    prior_reference_numbers:
                                      type: array
                                      items:
                                        type: string
                                    prior_rep_names:
                                      type: array
                                      items:
                                        type: string
                                    promise_details:
                                      type: array
                                      items:
                                        type: object
                                    authorization_status:
                                      type: string
                                    ivr_steps:
                                      type:
                                        - boolean
                                        - 'null'
                                    insurer_tips:
                                      type:
                                        - boolean
                                        - 'null'
                                    overturn_reasoning:
                                      type: string
                                  required:
                                    - authorization_status
                                    - claim_id
                                    - date_of_birth
                                    - denials
                                    - insurer_tips
                                    - ivr_steps
                                    - member_id
                                    - overturn_reasoning
                                    - patient_name
                                    - prior_reference_numbers
                                    - prior_rep_names
                                    - promise_details
                                    - total_denied_amount
                                prior_interactions:
                                  type: array
                                  items:
                                    type: object
                                data_completeness:
                                  type: object
                                  properties:
                                    completeness_percent:
                                      type: integer
                                    missing_fields:
                                      type: array
                                      items:
                                        type: object
                                        properties:
                                          field:
                                            type: string
                                          tier:
                                            type: string
                                        required:
                                          - field
                                          - tier
                                    field_availability:
                                      type: object
                                      properties:
                                        patient_name:
                                          type: boolean
                                        member_id:
                                          type: boolean
                                        claim_id:
                                          type: boolean
                                        phone_number:
                                          type: boolean
                                        date_of_birth:
                                          type: boolean
                                        authorization_status:
                                          type: boolean
                                        denial_code:
                                          type: boolean
                                        service_date:
                                          type: boolean
                                        denied_amount:
                                          type: boolean
                                        ivr_steps:
                                          type: boolean
                                        insurer_tips:
                                          type: boolean
                                        prior_reference_numbers:
                                          type: boolean
                                        policy_number:
                                          type: boolean
                                      required:
                                        - authorization_status
                                        - claim_id
                                        - date_of_birth
                                        - denial_code
                                        - denied_amount
                                        - insurer_tips
                                        - ivr_steps
                                        - member_id
                                        - patient_name
                                        - phone_number
                                        - policy_number
                                        - prior_reference_numbers
                                        - service_date
                                  required:
                                    - completeness_percent
                                    - field_availability
                                    - missing_fields
                                state_signals:
                                  type: object
                                  properties:
                                    is_first_contact:
                                      type: boolean
                                    has_pending_promises:
                                      type: boolean
                                    escalation_warranted:
                                      type: boolean
                                    forms_pending_confirmation:
                                      type: boolean
                                    denial_count:
                                      type: integer
                                    prior_call_count:
                                      type: integer
                                  required:
                                    - denial_count
                                    - escalation_warranted
                                    - forms_pending_confirmation
                                    - has_pending_promises
                                    - is_first_contact
                                    - prior_call_count
                                overturn_arguments:
                                  type: object
                                  properties:
                                    reasoning:
                                      type: string
                                    confidence_score:
                                      type: number
                                      format: float
                                    denial_type:
                                      type:
                                        - string
                                        - 'null'
                                    recommended_strategy:
                                      type: string
                                  required:
                                    - confidence_score
                                    - denial_type
                                    - reasoning
                                    - recommended_strategy
                                call_config:
                                  type: object
                                  properties:
                                    voice:
                                      type: string
                                    model:
                                      type: string
                                    language:
                                      type: string
                                    wait_for_greeting:
                                      type: boolean
                                    record:
                                      type: boolean
                                  required:
                                    - language
                                    - model
                                    - record
                                    - voice
                                    - wait_for_greeting
                                max_duration:
                                  type: integer
                                voice:
                                  type: string
                                phone_number:
                                  type:
                                    - string
                                    - 'null'
                                insurer_name:
                                  type:
                                    - string
                                    - 'null'
                                department:
                                  type: string
                                deadline_urgency:
                                  type:
                                    - object
                                    - 'null'
                              required:
                                - call_config
                                - claim_summary
                                - data_completeness
                                - deadline_urgency
                                - decision_branches
                                - department
                                - extraction_schema
                                - greeting
                                - insurer_name
                                - max_duration
                                - objective_summary
                                - objectives
                                - overturn_arguments
                                - phone_number
                                - prior_interactions
                                - reference_data
                                - state_signals
                                - voice
                            completed_at:
                              type:
                                - string
                                - 'null'
                            created_at:
                              type: string
                            error_message:
                              type:
                                - string
                                - 'null'
                            executed_at:
                              type:
                                - string
                                - 'null'
                            metadata:
                              type: object
                              properties:
                                purpose:
                                  type: string
                                objectives:
                                  type: array
                                  items:
                                    type: string
                                llm_call_context:
                                  type: object
                                  properties:
                                    greeting:
                                      type: string
                                    objectives:
                                      type: array
                                      items:
                                        type: object
                                        properties:
                                          text:
                                            type: string
                                          priority:
                                            type: integer
                                        required:
                                          - priority
                                          - text
                                    decision_branches:
                                      type: array
                                      items:
                                        type: object
                                        properties:
                                          scenario:
                                            type: string
                                          action:
                                            type: string
                                          capture:
                                            type: array
                                            items:
                                              type: string
                                        required:
                                          - action
                                          - capture
                                          - scenario
                                    objective_summary:
                                      type: string
                                  required:
                                    - decision_branches
                                    - greeting
                                    - objective_summary
                                    - objectives
                              required:
                                - llm_call_context
                                - objectives
                                - purpose
                            prerequisite_action_ids:
                              type: array
                              items:
                                type: string
                            prerequisites_check:
                              type: object
                              properties:
                                satisfied:
                                  type: boolean
                                missing_forms:
                                  type: array
                                  items:
                                    type: string
                                missing_deliveries:
                                  type: array
                                  items:
                                    type: string
                                missing_confirmations:
                                  type: array
                                  items:
                                    type: string
                                missing_actions:
                                  type: array
                                  items:
                                    type: string
                              required:
                                - missing_actions
                                - missing_confirmations
                                - missing_deliveries
                                - missing_forms
                                - satisfied
                            result:
                              type: object
                              properties: {}
                            retry_count:
                              type: integer
                            scheduled_for:
                              type:
                                - string
                                - 'null'
                            sequence_order:
                              type: integer
                            status:
                              type: string
                              enum:
                                - pending_prereqs
                                - ready
                                - pending_approval
                                - pending_confirmation
                                - approved
                                - executing
                                - completed
                                - failed
                                - cancelled
                            supported:
                              type: boolean
                            target_denial_ids:
                              type: array
                              items:
                                type: string
                            target_denials:
                              type: array
                              items:
                                type: object
                                properties:
                                  id:
                                    type: string
                                  procedure_code:
                                    type: string
                                  procedure_description:
                                    type: string
                                required:
                                  - id
                                  - procedure_code
                                  - procedure_description
                            target_entity_matched:
                              type: boolean
                            target_name:
                              type: string
                            target_party:
                              type: string
                              enum:
                                - insurer
                                - provider
                                - patient
                                - pharmacy
                                - other
                            unsupported_reasons:
                              type: array
                              items:
                                type: string
                            updated_at:
                              type: string
                          required:
                            - action_communications
                            - action_type
                            - approved_at
                            - call_context
                            - completed_at
                            - created_at
                            - error_message
                            - executed_at
                            - id
                            - metadata
                            - prerequisite_action_ids
                            - prerequisites_check
                            - result
                            - retry_count
                            - scheduled_for
                            - sequence_order
                            - status
                            - supported
                            - target_denial_ids
                            - target_denials
                            - target_entity_matched
                            - target_name
                            - target_party
                            - unsupported_reasons
                            - updated_at
                      ai_reasoning:
                        type: string
                      approved_at:
                        type:
                          - string
                          - 'null'
                      claim_id:
                        type:
                          - string
                          - 'null'
                      completed_at:
                        type:
                          - string
                          - 'null'
                      created_at:
                        type: string
                      denial_count:
                        type: integer
                      insurer_matched:
                        type: boolean
                      insurer_name:
                        type:
                          - string
                          - 'null'
                      narrative:
                        type:
                          - object
                          - 'null'
                      overturnable_denial_id:
                        type: string
                      overturnable_denial_ids:
                        type: array
                        items:
                          type: string
                      overturnable_denials:
                        type: array
                        items:
                          type: object
                          properties:
                            id:
                              type: string
                            action_plan_generating:
                              type: boolean
                            assessment_count:
                              type: integer
                            claim_denial_count:
                              type: integer
                            claim_id:
                              type:
                                - string
                                - 'null'
                            claim_insurer_name:
                              type:
                                - string
                                - 'null'
                            claim_patient_name:
                              type:
                                - string
                                - 'null'
                            claim_provider_name:
                              type:
                                - string
                                - 'null'
                            claim_total_denied:
                              type: number
                              format: float
                            denial_code:
                              type: string
                            denial_reason:
                              type:
                                - string
                                - 'null'
                            denied_amount:
                              type: number
                              format: float
                            detected_at:
                              type: string
                            formatted_reference_code:
                              type: string
                            needs_reassessment:
                              type: boolean
                            organization_name:
                              type:
                                - string
                                - 'null'
                            policy_document_id:
                              type:
                                - string
                                - 'null'
                            procedure_code:
                              type: string
                            procedure_description:
                              type: string
                            reason_code_description:
                              type:
                                - string
                                - 'null'
                            reference_code:
                              type: string
                            reviewed_at:
                              type:
                                - string
                                - 'null'
                            service_date:
                              type:
                                - string
                                - 'null'
                            source_document_id:
                              type: string
                            status:
                              type: string
                              enum:
                                - new
                                - reviewed
                                - dismissed
                            summary_title:
                              type:
                                - string
                                - 'null'
                          required:
                            - action_plan_generating
                            - assessment_count
                            - claim_denial_count
                            - claim_id
                            - claim_insurer_name
                            - claim_patient_name
                            - claim_provider_name
                            - claim_total_denied
                            - denial_code
                            - denial_reason
                            - denied_amount
                            - detected_at
                            - formatted_reference_code
                            - id
                            - needs_reassessment
                            - organization_name
                            - policy_document_id
                            - procedure_code
                            - procedure_description
                            - reason_code_description
                            - reference_code
                            - reviewed_at
                            - service_date
                            - source_document_id
                            - status
                            - summary_title
                      status:
                        type: string
                        enum:
                          - draft
                          - pending_approval
                          - approved
                          - in_progress
                          - completed
                          - failed
                          - cancelled
                      total_denied_amount:
                        type: number
                        format: float
                      updated_at:
                        type: string
                      version:
                        type: integer
                    required:
                      - action_context
                      - actions
                      - ai_reasoning
                      - approved_at
                      - claim_id
                      - completed_at
                      - created_at
                      - denial_count
                      - id
                      - insurer_matched
                      - insurer_name
                      - narrative
                      - overturnable_denial_id
                      - overturnable_denial_ids
                      - overturnable_denials
                      - status
                      - total_denied_amount
                      - updated_at
                      - version
                required:
                  - plan
                  - result

````