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Copy pathaudit_pack.json
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95 lines (95 loc) · 2.54 KB
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{
"plan": {
"id": "plan_7f3a2e91",
"patient": "PT-4827",
"provider": "Dr. Sarah Patel — NPI 1234567890",
"procedure": "CPT 72148 — MRI lumbar spine w/o contrast",
"diagnosis": "ICD-10 M51.36 — Lumbar disc degeneration",
"payer": "Aetna PPO — Policy CPB-0451",
"scope": [
"read:PT-4827:clinical-note",
"read:PT-4827:eligibility",
"read:PT-4827:payer-policy",
"submit:PT-4827:auth-request",
"write:PT-4827:ehr-approval"
],
"checkpoints": [
"submit:*"
],
"delegates": [
"prior-auth-agent"
],
"ttl": 3600
},
"attestations": [
{
"receipt": "c9e84564",
"note": "physician sign-off"
}
],
"receipts": [
{
"id": "990aa4a3",
"action": "read:PT-4827:clinical-note",
"in_policy": true,
"reason": "matched read:PT-4827:clinical-note",
"prev": null,
"ts": "2026-06-27T16:15:57.200318+00:00",
"sig": "8b23e7675ebdcee1"
},
{
"id": "b90b71e8",
"action": "read:PT-4827:eligibility",
"in_policy": true,
"reason": "matched read:PT-4827:eligibility",
"prev": "7e5dfd31af6a98b5",
"ts": "2026-06-27T16:15:57.800672+00:00",
"sig": "a03d6e6a3e47763f"
},
{
"id": "ddf41447",
"action": "read:PT-4827:payer-policy",
"in_policy": true,
"reason": "matched read:PT-4827:payer-policy",
"prev": "c7cb9af63cc4a2e7",
"ts": "2026-06-27T16:15:58.400981+00:00",
"sig": "a6119034c7232a1c"
},
{
"id": "eb781d39",
"action": "read:PT-9914:clinical-note",
"in_policy": false,
"reason": "out of scope",
"prev": "bbf636880996135f",
"ts": "2026-06-27T16:15:59.001305+00:00",
"sig": "7f7a341070fda04d"
},
{
"id": "674a333e",
"action": "read:PT-4827:behavioral-health",
"in_policy": false,
"reason": "out of scope",
"prev": "903b3fcbd50aa5da",
"ts": "2026-06-27T16:16:02.001630+00:00",
"sig": "3d346bb92551c970"
},
{
"id": "c9e84564",
"action": "submit:PT-4827:auth-request",
"in_policy": true,
"reason": "checkpoint: submit:* | attested",
"prev": "faef566829ff7296",
"ts": "2026-06-27T16:16:05.002006+00:00",
"sig": "a9012117d110bbbf"
},
{
"id": "591dec58",
"action": "write:PT-4827:ehr-approval",
"in_policy": true,
"reason": "matched write:PT-4827:ehr-approval",
"prev": "3841ac57a7ad2be6",
"ts": "2026-06-27T16:16:06.502318+00:00",
"sig": "3d49dea2dbca97ce"
}
]
}