{ "$schema": "https://json-schema.org/draft/2020-12/schema", "$id": "https://raw.githubusercontent.com/api-evangelist/lynx/main/json-schema/lynx-get-claim-detail-response-schema.json", "title": "GetClaimDetailResponse", "x-generated": "2026-10-14", "x-method": "derived", "x-generator": "derive-json-schema.py", "x-source": "openapi/lynx-claims-service-api-openapi.yml#/components/schemas/GetClaimDetailResponse", "type": "object", "properties": { "memberClaim": { "$ref": "#/$defs/MemberClaimDetailDto" } }, "$defs": { "AiAdjudicationResultDTO": { "type": "object", "properties": { "aiValidAmount": { "type": "number", "description": "Amount that the AI partner validated for the submitted claimdence." }, "aiDenyReason": { "type": "string", "description": "Reason for the denial. Null if not denied." }, "aiRecommendation": { "type": "string", "description": "The AI'd recommendation for the claim." }, "confidence": { "type": "number" }, "suggestion": { "type": "string" }, "flags": { "type": "array", "items": { "type": "string" } }, "merchant": { "type": "string" }, "expenseDate": { "type": "string", "format": "date-time" }, "claimAmount": { "type": "number" }, "receiptTotal": { "type": "number" }, "receiptMerchant": { "type": "string" }, "receiptDate": { "type": "string", "format": "date-time" } } }, "ClaimDetailItem": { "type": "object", "properties": { "id": { "type": "string", "format": "uuid", "description": "Unique identifier of the claim detail record" }, "itemDescription": { "type": "string", "description": "Text description of the item or service" }, "amount": { "type": "number", "description": "Amount for the individual item" } } }, "MemberAccountDto": { "type": "object", "properties": { "id": { "type": "string", "format": "uuid", "description": "Unique identifier of the bank account" }, "type": { "type": "string", "description": "Type of account" }, "availableAmount": { "type": "number", "description": "Available balance to spend for the account" } }, "required": [ "availableAmount", "id", "type" ] }, "MemberBankAccountDto": { "type": "object", "properties": { "id": { "type": "string", "format": "uuid", "description": "UUID of the Member's external bank account" } }, "required": [ "id" ] }, "MemberClaimDetailDto": { "type": "object", "properties": { "id": { "type": "string", "format": "uuid", "description": "The unique identifier of the claim" }, "claimNumber": { "type": "string", "description": "The claim number" }, "memberAccount": { "$ref": "#/$defs/MemberAccountDto" }, "memberBankAccount": { "$ref": "#/$defs/MemberBankAccountDto" }, "status": { "type": "string", "description": "The status of the claim" }, "claimAmount": { "type": "number", "description": "Total amount of the claim" }, "approvedAmount": { "type": "number", "description": "The Approved Claim Amount" }, "expenseDate": { "type": "string", "description": "Date of Expense" }, "statusReason": { "type": "string", "description": "Reason for the current status of the claim" }, "reimbursementType": { "type": "string", "description": " Method of reimbursement (ACH or CHECK)." }, "merchantName": { "type": "string", "description": "Name of the merchant related to the claim" }, "addDateTime": { "type": "string", "description": "Date and time of add" }, "category": { "type": "string", "description": "The category for the Claim", "enum": [ "OverTheCounter", "Wellness", "HealthyFood", "RentPayment", "UtilityPayment", "MortgagePayment", "Other", "FitnessFacility", "FitnessClass" ] }, "description": { "type": "string", "description": "The short description for the claim" }, "items": { "type": "array", "items": { "$ref": "#/$defs/ClaimDetailItem" } }, "receipt": { "$ref": "#/$defs/ReceiptDto" }, "member": { "$ref": "#/$defs/MemberDto" }, "aiAdjudicationResult": { "$ref": "#/$defs/AiAdjudicationResultDTO" } }, "required": [ "addDateTime", "approvedAmount", "claimAmount", "claimNumber", "expenseDate", "id", "memberAccount", "reimbursementType", "status", "statusReason" ] }, "MemberDto": { "type": "object", "properties": { "clientMemberId": { "type": "string", "description": "Unique client-side identifier for the member" }, "firstName": { "type": "string", "description": "First name" }, "lastName": { "type": "string", "description": "Last name" } }, "required": [ "clientMemberId" ] }, "ReceiptDto": { "type": "object", "properties": { "receiptId": { "type": "string", "description": "The ID of the receipt" }, "receiptUrl": { "type": "string", "description": "The ID of the receipt" } }, "required": [ "receiptId", "receiptUrl" ] } } }