{
  "external_id": "ENC-2026-001",
  "date_of_service": "2026-06-12",
  "patient_authorized_release": true,
  "benefits_assigned_to_provider": true,
  "provider_accepts_assignment": true,
  "diagnoses": [
    {
      "code_type": "ABK",
      "code": "Z00.00",
      "name": "Encounter for general adult medical examination without abnormal findings"
    }
  ],
  "place_of_service_code": "11",
  "service_lines": [
    {
      "procedure_code": "99213",
      "quantity": "1",
      "units": "UN",
      "charge_amount_cents": 15000,
      "diagnosis_pointers": [
        0
      ]
    }
  ],
  "billing_provider": {
    "npi": "1234567890",
    "tax_id": "123456789",
    "first_name": "John",
    "last_name": "Smith",
    "organization_name": "Primary Care Clinic"
  },
  "subscriber_primary": {
    "first_name": "Jane",
    "last_name": "Doe",
    "date_of_birth": "1985-04-15",
    "gender": "female",
    "member_id": "ABC123456789",
    "payer_id": "00019",
    "payer_name": "United Healthcare"
  }
}