A valid request URL is required to generate request examples

{
  "id": "<string>",
  "action_context": {
    "action_types": [
      "<string>"
    ],
    "has_insurance_card": true,
    "patient": {
      "name": "<string>",
      "name_source": "<string>",
      "member_id": "<string>",
      "member_id_source": "<string>",
      "date_of_birth": "<string>",
      "group_number": "<string>"
    },
    "claim": {
      "claim_id": "<string>",
      "service_dates": [
        "<string>"
      ],
      "provider_name": "<string>",
      "provider_npi": "<string>"
    },
    "services": [
      {
        "procedure_code": "<string>",
        "procedure_description": "<string>",
        "service_code": "<string>",
        "service_description": "<string>",
        "reason_code": "<string>",
        "reason_description": "<string>",
        "diagnosis_codes": [
          "<string>"
        ],
        "denied_amount": 123,
        "service_date": "<string>"
      }
    ],
    "insurer": {
      "name": "<string>",
      "matched": true,
      "verified": true,
      "phone": "<string>",
      "fax": "<string>",
      "address": "<string>"
    },
    "authorization": {
      "status": "not_started",
      "signed": true
    },
    "delegation_authorization": {
      "status": "draft",
      "signed": true
    },
    "history": [
      {}
    ],
    "deadline": {},
    "data_quality": {
      "blockers": [
        {
          "field": "<string>",
          "message": "<string>",
          "action": "<string>",
          "input_type": "<string>",
          "placeholder": "<string>"
        }
      ],
      "warnings": [
        {
          "field": "<string>",
          "message": "<string>"
        }
      ],
      "missing_fields": [
        "<string>"
      ],
      "user_actions_needed": [
        {
          "field": "<string>",
          "action_type": "<string>",
          "prompt": "<string>",
          "required": true,
          "input_type": "<string>",
          "placeholder": "<string>"
        }
      ],
      "completeness_percent": 123
    }
  },
  "actions": [
    {
      "id": "<string>",
      "action_communications": [
        {}
      ],
      "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": [
            {}
          ],
          "authorization_status": "<string>",
          "ivr_steps": true,
          "insurer_tips": true,
          "overturn_reasoning": "<string>"
        },
        "prior_interactions": [
          {}
        ],
        "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": {}
      },
      "completed_at": "<string>",
      "created_at": "<string>",
      "error_message": "<string>",
      "executed_at": "<string>",
      "metadata": {
        "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>"
        ]
      },
      "result": {},
      "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>"
    }
  ],
  "ai_reasoning": "<string>",
  "approved_at": "<string>",
  "claim_id": "<string>",
  "completed_at": "<string>",
  "created_at": "<string>",
  "denial_count": 123,
  "insurer_matched": true,
  "insurer_name": "<string>",
  "narrative": {},
  "overturnable_denial_id": "<string>",
  "overturnable_denial_ids": [
    "<string>"
  ],
  "overturnable_denials": [
    {
      "id": "<string>",
      "action_plan_generating": true,
      "assessment_count": 123,
      "claim_denial_count": 123,
      "claim_id": "<string>",
      "claim_insurer_name": "<string>",
      "claim_patient_name": "<string>",
      "claim_provider_name": "<string>",
      "claim_total_denied": 123,
      "denial_code": "<string>",
      "denial_reason": "<string>",
      "denied_amount": 123,
      "detected_at": "<string>",
      "formatted_reference_code": "<string>",
      "needs_reassessment": true,
      "organization_name": "<string>",
      "policy_document_id": "<string>",
      "procedure_code": "<string>",
      "procedure_description": "<string>",
      "reason_code_description": "<string>",
      "reference_code": "<string>",
      "reviewed_at": "<string>",
      "service_date": "<string>",
      "source_document_id": "<string>",
      "status": "new",
      "summary_title": "<string>"
    }
  ],
  "status": "draft",
  "total_denied_amount": 123,
  "updated_at": "<string>",
  "version": 123
}