network-decision-example-out-of-network

NetworkDecision Example (out of network)

{
    "status": "OUT_OF_NETWORK",
    "rules": [
        {
            "uuid": "ea703d40-a073-454e-ae3e-3931e8e2cf5a",
            "name": "Rule 2: UnitedHealthcare | HMO | Hooli Health - OON",
            "status": "OUT_OF_NETWORK",
            "conditions": [
                {
                    "key": "payerName",
                    "operator": "INCLUDE",
                    "values": ["UnitedHealthcare", "United Healthcare"]
                },
                {
                    "key": "insuranceTypeCodes",
                    "operator": "NOT_INCLUDE",
                    "values": ["HM"]
                },
                {
                    "key": "relatedEntites",
                    "operator": "INCLUDE",
                    "values": ["Hooli Health"]
                }
            ]
        }
    ]
}