{
  "schemaVersion": "2.0",
  "requestReference": "AUTH-BATCH-001",
  "payer": {
    "organizationName": "Example Health Plan",
    "identifier": "842610001"
  },
  "requester": {
    "organizationName": "Example Health Clinic",
    "npi": "1234567893"
  },
  "reviews": [
    {
      "traceNumber": "AUTH-TRACE-001",
      "subscriber": {
        "firstName": "Robert",
        "lastName": "Smith",
        "memberId": "SYNTHETIC456",
        "dateOfBirth": "1975-11-08",
        "gender": "M"
      },
      "patient": {
        "firstName": "Mary",
        "lastName": "Smith",
        "dateOfBirth": "2015-10-14",
        "gender": "F",
        "relationshipCode": "19"
      },
      "certificationTypeCode": "I",
      "reviewTypeCode": "HS",
      "serviceTypeCode": "1",
      "placeOfServiceCode": "11",
      "serviceDate": "2026-09-15",
      "serviceDateEnd": "2026-10-15",
      "diagnosisCodes": ["M5450"],
      "attachments": [
        {
          "reportTypeCode": "OZ",
          "transmissionCode": "BM",
          "controlNumber": "ATTACH-001"
        }
      ],
      "services": [
        {
          "procedureCode": "97110",
          "modifiers": ["GP"],
          "unitCount": "4"
        },
        {
          "procedureCode": "99213",
          "serviceDate": "2026-09-20",
          "unitCount": "1"
        }
      ]
    }
  ]
}