JSONB Schema Definitions (CL & PM)

{
  "purposes": ["treatment", "payment", "healthcare_operations", "other"],
  "entities_allowed": ["array of entity names or IDs"],
  "expiration_type": "date|event|none",
  "expiration_date": "ISO8601 date or null",
  "sud_notes_included": false
}

{
  "reason_code": "string",
  "revoked_at": "ISO8601",
  "revoked_by": "profile_id UUID"
}

{
  "mental_health_visits_per_year": 20,
  "substance_use_visits_per_year": 30,
  "deductible_met": 100.00,
  "copay_amount": 25.00,
  "prior_auth_required": true
}

{
  "response_raw": "string or truncated",
  "active": true,
  "service_type": "30",
  "coverage_level": "individual",
  "dates": { "effective": "ISO8601", "termination": "ISO8601" }
}

[
  {
    "carc": "CO-45",
    "rarc": "N362",
    "group_code": "CO",
    "amount": -25.00
  },
  {
    "carc": "PR-3",
    "rarc": null,
    "group_code": "PR",
    "amount": -15.00
  }
]

[
  {
    "group_code": "CO",
    "reason_code": "45",
    "amount": -10.00
  }
]

{
  "subjective": "string",
  "objective": "string",
  "assessment": "string",
  "plan": "string",
  "interventions": "string",
  "member_response": "string"
}

{
  "condition": { "field": "diagnosis", "operator": "includes", "value": ["F32.1"] },
  "action": "alert",
  "message_template": "string",
  "severity": "warning|error|info"
}