{
  "scenario_id": "blue_cross_pt_benefits",
  "description": "Blue Cross member asks about remaining physical therapy benefit and coverage path.",
  "transcript": "This is Ella Brooks. I am a Blue Cross member and my ID is BCX-8822009.\nI am trying to continue physical therapy and need to know if I still have covered visits left.\nI do not have my date of birth in front of me if you need it.",
  "patient_metadata": {
    "patient_id": "PAT-1005"
  },
  "followup_qa": {
    "date of birth": "05/12/1974",
    "physical therapy": "physical therapy"
  },
  "expected": {
    "intent": "eligibility_verification",
    "required_entities": {
      "payer": "Blue Cross",
      "member_id": "BCX-8822009"
    },
    "required_tool_calls": [
      "insurance_eligibility_lookup"
    ],
    "required_resolution_elements": [
      "eligibility verified",
      "recommended next step"
    ],
    "expected_payer": "Blue Cross"
  },
  "gold": {
    "expected_next_step": "Confirm PT visit limits and advise on when additional review is needed."
  }
}
