{
  "name": "Claim settlement statement capture",
  "description": "Extract claim reference, payee name, statement date from settlement statement. Start with an editable schema, inspect JSON and review exceptions before your system handoff.",
  "prompt_additions": "Extract only information explicitly present in this document. Do not infer missing values, verify authenticity, make business decisions, or compare other documents. Preserve identifiers as strings. Return amounts as numbers and dates as YYYY-MM-DD. Review and set required fields for your process before using this schema in production.",
  "fields": [
    {
      "key": "claim_reference",
      "label": "Claim Reference",
      "type": "string",
      "required": false,
      "description": "Claim reference exactly as printed in this settlement statement. Preserve identifiers and qualifiers; do not look up or infer missing information."
    },
    {
      "key": "payee_name",
      "label": "Payee Name",
      "type": "string",
      "required": false,
      "description": "Payee name exactly as printed in this settlement statement. Preserve identifiers and qualifiers; do not look up or infer missing information."
    },
    {
      "key": "statement_date",
      "label": "Statement Date",
      "type": "date",
      "required": false,
      "description": "Statement date explicitly printed in this settlement statement. Keep it distinct from other dates; leave it empty if no calendar date is stated."
    },
    {
      "key": "gross_settlement",
      "label": "Gross Settlement",
      "type": "currency",
      "required": false,
      "description": "Gross settlement explicitly labeled in this settlement statement. Preserve its sign and stated currency; do not calculate a missing amount."
    },
    {
      "key": "deduction_rows",
      "label": "Deduction Rows",
      "type": "array",
      "required": false,
      "description": "Every visible deduction rows row in this settlement statement. Preserve separate rows, labels and qualifiers; do not merge entries or reconstruct missing ones.",
      "items": {
        "type": "object",
        "fields": [
          {
            "key": "reference",
            "label": "Reference",
            "type": "string",
            "required": false,
            "description": "Reference exactly as printed in this settlement statement. Preserve identifiers and qualifiers; do not look up or infer missing information."
          },
          {
            "key": "description",
            "label": "Description",
            "type": "string",
            "required": false,
            "description": "Description exactly as printed in this settlement statement. Preserve identifiers and qualifiers; do not look up or infer missing information."
          },
          {
            "key": "amount",
            "label": "Amount",
            "type": "currency",
            "required": false,
            "description": "Amount explicitly labeled in this settlement statement. Preserve its sign and stated currency; do not calculate a missing amount."
          }
        ]
      }
    },
    {
      "key": "stated_net_payment",
      "label": "Stated Net Payment",
      "type": "currency",
      "required": false,
      "description": "Stated net payment explicitly labeled in this settlement statement. Preserve its sign and stated currency; do not calculate a missing amount."
    }
  ]
}