A valid request URL is required to generate request examples{
"id": "<string>",
"action_communications": [
{
"id": "<string>",
"analysis_results": {
"rep_name": "<string>",
"reference_number": "<string>"
},
"channel": "phone",
"completed_at": "<string>",
"content": "<string>",
"created_at": "<string>",
"direction": "outbound",
"external_id": "<string>",
"initiated_at": "<string>",
"metadata": {
"parsed": {
"rep_name": "<string>",
"reference_number": "<string>"
},
"duration_seconds": 123
},
"return_address_suite": "<string>",
"status": "initiated",
"updated_at": "<string>"
}
],
"action_type": "call",
"approved_at": "<string>",
"call_context": {
"greeting": "<string>",
"objective_summary": "<string>",
"objectives": [
{
"text": "<string>",
"priority": 123
}
],
"decision_branches": [
{
"scenario": "<string>",
"action": "<string>",
"capture": [
"<string>"
]
}
],
"extraction_schema": {
"reference_number": {
"type": "<string>",
"description": "<string>"
},
"rep_name": {
"type": "<string>",
"description": "<string>"
},
"rep_extension": {
"type": "<string>",
"description": "<string>"
},
"call_outcome": {
"type": "<string>",
"enum": [
"<string>"
],
"description": "<string>"
},
"next_steps_described": {
"type": "<string>",
"description": "<string>"
},
"callback_promised": {
"type": "<string>",
"description": "<string>"
},
"callback_within_days": {
"type": "<string>",
"description": "<string>"
},
"resolution_status": {
"type": "<string>",
"enum": [
"<string>"
],
"description": "<string>"
},
"appeal_address": {
"type": "<string>",
"description": "<string>"
},
"documentation_requirements": {
"type": "<string>",
"description": "<string>"
},
"appeal_deadline_confirmed": {
"type": "<string>",
"description": "<string>"
}
},
"claim_summary": {
"claim_id": "<string>",
"denial_count": 123,
"total_denied_amount": "<string>",
"denials": [
{
"id": "<string>",
"procedure_code": "<string>",
"description": "<string>",
"denied_amount": "<string>",
"service_date": "<string>",
"denial_code": "<string>",
"reason": "<string>",
"reason_code_description": "<string>"
}
]
},
"reference_data": {
"patient_name": "<string>",
"member_id": "<string>",
"date_of_birth": "<string>",
"claim_id": "<string>",
"denials": [
{
"id": "<string>",
"procedure_code": "<string>",
"description": "<string>",
"denied_amount": "<string>",
"service_date": "<string>",
"denial_code": "<string>",
"reason": "<string>",
"reason_code_description": "<string>"
}
],
"total_denied_amount": "<string>",
"prior_reference_numbers": [
"<string>"
],
"prior_rep_names": [
"<string>"
],
"promise_details": [
{
"type": "<string>",
"expected_by": "<string>",
"days_overdue": 123,
"promise_text": "<string>"
}
],
"authorization_status": "<string>",
"ivr_steps": true,
"insurer_tips": true,
"overturn_reasoning": "<string>"
},
"prior_interactions": [
{
"type": "<string>",
"date": "<string>",
"outcome": "<string>",
"reference_number": "<string>",
"notes": "<string>"
}
],
"data_completeness": {
"completeness_percent": 123,
"missing_fields": [
{
"field": "<string>",
"tier": "<string>"
}
],
"field_availability": {
"patient_name": true,
"member_id": true,
"claim_id": true,
"phone_number": true,
"date_of_birth": true,
"authorization_status": true,
"denial_code": true,
"service_date": true,
"denied_amount": true,
"ivr_steps": true,
"insurer_tips": true,
"prior_reference_numbers": true,
"policy_number": true
}
},
"state_signals": {
"is_first_contact": true,
"has_pending_promises": true,
"escalation_warranted": true,
"forms_pending_confirmation": true,
"denial_count": 123,
"prior_call_count": 123
},
"overturn_arguments": {
"reasoning": "<string>",
"confidence_score": 123,
"denial_type": "<string>",
"recommended_strategy": "<string>"
},
"call_config": {
"voice": "<string>",
"model": "<string>",
"language": "<string>",
"wait_for_greeting": true,
"record": true
},
"max_duration": 123,
"voice": "<string>",
"phone_number": "<string>",
"insurer_name": "<string>",
"department": "<string>",
"deadline_urgency": {
"days_remaining": 123,
"urgency_level": "normal"
}
},
"completed_at": "<string>",
"created_at": "<string>",
"error_message": "<string>",
"executed_at": "<string>",
"metadata": {
"appeal_type": "<string>",
"include_documents": [
"<string>"
],
"purpose": "<string>",
"objectives": [
"<string>"
],
"llm_call_context": {
"greeting": "<string>",
"objectives": [
{
"text": "<string>",
"priority": 123
}
],
"decision_branches": [
{
"scenario": "<string>",
"action": "<string>",
"capture": [
"<string>"
]
}
],
"objective_summary": "<string>"
}
},
"prerequisite_action_ids": [
"<string>"
],
"prerequisites_check": {
"satisfied": true,
"missing_forms": [
"<string>"
],
"missing_deliveries": [
"<string>"
],
"missing_confirmations": [
"<string>"
],
"missing_actions": [
"<string>"
],
"forms_needed": [
{
"form_type": "<string>",
"template_id": "<string>",
"template_name": "<string>",
"status": "pending_prereqs",
"message": "<string>"
}
]
},
"result": {
"summary": "<string>"
},
"retry_count": 123,
"scheduled_for": "<string>",
"sequence_order": 123,
"status": "pending_prereqs",
"supported": true,
"target_denial_ids": [
"<string>"
],
"target_denials": [
{
"id": "<string>",
"procedure_code": "<string>",
"procedure_description": "<string>"
}
],
"target_entity_matched": true,
"target_name": "<string>",
"target_party": "insurer",
"unsupported_reasons": [
"<string>"
],
"updated_at": "<string>"
}Returns details for an action.
A valid request URL is required to generate request examples{
"id": "<string>",
"action_communications": [
{
"id": "<string>",
"analysis_results": {
"rep_name": "<string>",
"reference_number": "<string>"
},
"channel": "phone",
"completed_at": "<string>",
"content": "<string>",
"created_at": "<string>",
"direction": "outbound",
"external_id": "<string>",
"initiated_at": "<string>",
"metadata": {
"parsed": {
"rep_name": "<string>",
"reference_number": "<string>"
},
"duration_seconds": 123
},
"return_address_suite": "<string>",
"status": "initiated",
"updated_at": "<string>"
}
],
"action_type": "call",
"approved_at": "<string>",
"call_context": {
"greeting": "<string>",
"objective_summary": "<string>",
"objectives": [
{
"text": "<string>",
"priority": 123
}
],
"decision_branches": [
{
"scenario": "<string>",
"action": "<string>",
"capture": [
"<string>"
]
}
],
"extraction_schema": {
"reference_number": {
"type": "<string>",
"description": "<string>"
},
"rep_name": {
"type": "<string>",
"description": "<string>"
},
"rep_extension": {
"type": "<string>",
"description": "<string>"
},
"call_outcome": {
"type": "<string>",
"enum": [
"<string>"
],
"description": "<string>"
},
"next_steps_described": {
"type": "<string>",
"description": "<string>"
},
"callback_promised": {
"type": "<string>",
"description": "<string>"
},
"callback_within_days": {
"type": "<string>",
"description": "<string>"
},
"resolution_status": {
"type": "<string>",
"enum": [
"<string>"
],
"description": "<string>"
},
"appeal_address": {
"type": "<string>",
"description": "<string>"
},
"documentation_requirements": {
"type": "<string>",
"description": "<string>"
},
"appeal_deadline_confirmed": {
"type": "<string>",
"description": "<string>"
}
},
"claim_summary": {
"claim_id": "<string>",
"denial_count": 123,
"total_denied_amount": "<string>",
"denials": [
{
"id": "<string>",
"procedure_code": "<string>",
"description": "<string>",
"denied_amount": "<string>",
"service_date": "<string>",
"denial_code": "<string>",
"reason": "<string>",
"reason_code_description": "<string>"
}
]
},
"reference_data": {
"patient_name": "<string>",
"member_id": "<string>",
"date_of_birth": "<string>",
"claim_id": "<string>",
"denials": [
{
"id": "<string>",
"procedure_code": "<string>",
"description": "<string>",
"denied_amount": "<string>",
"service_date": "<string>",
"denial_code": "<string>",
"reason": "<string>",
"reason_code_description": "<string>"
}
],
"total_denied_amount": "<string>",
"prior_reference_numbers": [
"<string>"
],
"prior_rep_names": [
"<string>"
],
"promise_details": [
{
"type": "<string>",
"expected_by": "<string>",
"days_overdue": 123,
"promise_text": "<string>"
}
],
"authorization_status": "<string>",
"ivr_steps": true,
"insurer_tips": true,
"overturn_reasoning": "<string>"
},
"prior_interactions": [
{
"type": "<string>",
"date": "<string>",
"outcome": "<string>",
"reference_number": "<string>",
"notes": "<string>"
}
],
"data_completeness": {
"completeness_percent": 123,
"missing_fields": [
{
"field": "<string>",
"tier": "<string>"
}
],
"field_availability": {
"patient_name": true,
"member_id": true,
"claim_id": true,
"phone_number": true,
"date_of_birth": true,
"authorization_status": true,
"denial_code": true,
"service_date": true,
"denied_amount": true,
"ivr_steps": true,
"insurer_tips": true,
"prior_reference_numbers": true,
"policy_number": true
}
},
"state_signals": {
"is_first_contact": true,
"has_pending_promises": true,
"escalation_warranted": true,
"forms_pending_confirmation": true,
"denial_count": 123,
"prior_call_count": 123
},
"overturn_arguments": {
"reasoning": "<string>",
"confidence_score": 123,
"denial_type": "<string>",
"recommended_strategy": "<string>"
},
"call_config": {
"voice": "<string>",
"model": "<string>",
"language": "<string>",
"wait_for_greeting": true,
"record": true
},
"max_duration": 123,
"voice": "<string>",
"phone_number": "<string>",
"insurer_name": "<string>",
"department": "<string>",
"deadline_urgency": {
"days_remaining": 123,
"urgency_level": "normal"
}
},
"completed_at": "<string>",
"created_at": "<string>",
"error_message": "<string>",
"executed_at": "<string>",
"metadata": {
"appeal_type": "<string>",
"include_documents": [
"<string>"
],
"purpose": "<string>",
"objectives": [
"<string>"
],
"llm_call_context": {
"greeting": "<string>",
"objectives": [
{
"text": "<string>",
"priority": 123
}
],
"decision_branches": [
{
"scenario": "<string>",
"action": "<string>",
"capture": [
"<string>"
]
}
],
"objective_summary": "<string>"
}
},
"prerequisite_action_ids": [
"<string>"
],
"prerequisites_check": {
"satisfied": true,
"missing_forms": [
"<string>"
],
"missing_deliveries": [
"<string>"
],
"missing_confirmations": [
"<string>"
],
"missing_actions": [
"<string>"
],
"forms_needed": [
{
"form_type": "<string>",
"template_id": "<string>",
"template_name": "<string>",
"status": "pending_prereqs",
"message": "<string>"
}
]
},
"result": {
"summary": "<string>"
},
"retry_count": 123,
"scheduled_for": "<string>",
"sequence_order": 123,
"status": "pending_prereqs",
"supported": true,
"target_denial_ids": [
"<string>"
],
"target_denials": [
{
"id": "<string>",
"procedure_code": "<string>",
"procedure_description": "<string>"
}
],
"target_entity_matched": true,
"target_name": "<string>",
"target_party": "insurer",
"unsupported_reasons": [
"<string>"
],
"updated_at": "<string>"
}OK
Show child attributes
call, fax, email, file_appeal, request_info, sign_form, wait, request_external_review, confirm_form_on_file, renew_authorization, deliver_form Show child attributes
Show child attributes
Show child attributes
Show child attributes
pending_prereqs, ready, pending_approval, pending_confirmation, approved, executing, completed, failed, cancelled Show child attributes
insurer, provider, patient, pharmacy, other