{
  "schemaVersion": "1.0",
  "batchReference": "ELIGIBILITY-BATCH-001",
  "informationSource": {
    "organizationName": "Example Health Plan",
    "payerId": "842610001"
  },
  "informationReceiver": {
    "organizationName": "Example Health Clinic",
    "npi": "1234567893",
    "taxonomyCode": "207Q00000X"
  },
  "inquiries": [
    {
      "referenceId": "ELIGIBILITY-001",
      "subscriber": {
        "firstName": "Jane",
        "lastName": "Doe",
        "memberId": "SYNTHETIC123",
        "groupNumber": "SYNTHETIC42",
        "dateOfBirth": "1980-04-23",
        "gender": "F"
      },
      "serviceDate": "2026-09-07",
      "serviceTypeCodes": ["30"]
    },
    {
      "referenceId": "ELIGIBILITY-002",
      "subscriber": {
        "firstName": "Robert",
        "lastName": "Smith",
        "memberId": "SYNTHETIC456",
        "dateOfBirth": "1975-11-08",
        "gender": "M"
      },
      "dependent": {
        "firstName": "Mary",
        "lastName": "Smith",
        "dateOfBirth": "2015-10-14",
        "gender": "F"
      },
      "serviceDate": "2026-09-07",
      "serviceTypeCodes": ["1", "30"]
    }
  ]
}
