P822:[{"_852":853,"_912":33,"_913":33},"inferences",[854],{"_11":12,"_51":249,"_855":201,"_70":856,"_73":865,"_880":881,"_882":883,"_819":820,"_884":885,"_81":886,"_904":905,"_179":906,"_907":908,"_910":911,"_188":-5},"variant_name",{"_857":858},"messages",[859],{"_860":17,"_93":861},"role",[862],{"_11":863,"_863":864},"text","Extract insurance certificate information from the following document.\ninsured_name must be the PERSON name of the physician/medic (beneficiary), NOT the institution or practice name.\n\nMarkdown content:\n**==> picture [364 x 43] intentionally omitted <==**\n\n**----- Start of picture text -----**
\nGy OMIC 7
= i OPHTHALMIC MUTUAL :
Ven INSURANCE COMPANY
S A Risk Retention Group
**----- End of picture text -----**
\n\n\n# CERTIFICATE OF PROFESSIONAL LIABILITY INSURANCE \n\nCertificate Issued to: \n\nSani Surgery Center 1315 Tablas Rd Templeton, CA 93465 \n\nName and Address of Insured: \n\n**==> picture [143 x 35] intentionally omitted <==**\n\n**----- Start of picture text -----**
\nSharon McCaffery Theodore, MD
5660 Tamarisk Way
San Luis Obispo, CA 93401
**----- End of picture text -----**
\n\n\n**==> picture [203 x 71] intentionally omitted <==**\n\n**----- Start of picture text -----**
\nPolicy Number: OMC0015290
Retroactive Date: 05/20/2019
Insured Since: 03/01/2022
Policy Period: 03/01/2025 to 03/01/2026
Class: Surgery Class 3
Insured Type: Ophthalmologist
**----- End of picture text -----**
\n\n\n**==> picture [322 x 58] intentionally omitted <==**\n\n**----- Start of picture text -----**
\nPrimary Limits of Liability: [x] Separate CL) Shared
$1,000,000 each Claim
$3,000,000 aggregate
**----- End of picture text -----**
\n\n\n## Coverage is issued on a claims-made and reported basis. \n\nThis Certificate of Insurance is issued as a matter of information only and confers no rights upon the holder. By its issuance, OMIC does not modify or extend the provisions of its policy and does not waive any of its rights thereunder. In the event this coverage is terminated, OMIC will attempt to give written notice to the party listed above to whom this Certificate is issued, but failure to give notice will impose no obligation upon OMIC. Notice of termination will be given to the Insured as provided in the policy. \n\n## Certificate Issued by: \n\n**==> picture [408 x 72] intentionally omitted <==**\n\n**----- Start of picture text -----**
\nOphthalmic Mutual Insurance Company Date: 01/16/2025
655 Beach Street
San Francisco CA 94109-1336 |Renna
Authorized Representative
**----- End of picture text -----**
\n\n\nCertificate Holder Copy \n\n\n\nPre-extracted NER entities:\n- COVERAGE_AMOUNT: $1,000,000, $3,000,000\n- COVERAGE_TYPE: PROFESSIONAL LIABILITY\n- EFFECTIVE_DATE: 05/20/2019, 03/01/2022, 03/01/2025, 03/01/2026, 01/16/2025\n- POLICY_NUMBER: OMC0015290, Policy N, Policy P\n\nReturn ONLY a valid JSON object with: insured_name, insurance_company, policy_number, coverages (array of {coverage_type, limit_per_occurrence, limit_per_occurrence_units, aggregate_limit, aggregate_limit_units}), effective_date, expiration_date, is_signed (boolean). For limits: extract BOTH - limit_per_occurrence (per claim) AND aggregate_limit (look for \"Aggregate\", \"Each Calendar Year Aggregate\" - amount often in same table row). Units: ONLY short words (million, thousand, dollars, M, K) or null - no explanations. Use EXACT numbers. No scientific notation. No other text or markdown.",{"_866":867,"_868":869},"raw","{\n \"insured_name\": \"Sharon McCaffery Theodore, MD\",\n \"insurance_company\": \"Ophthalmic Mutual Insurance Company\",\n \"policy_number\": \"OMC0015290\",\n \"coverages\": [\n {\n \"coverage_type\": \"PROFESSIONAL LIABILITY\",\n \"aggregate_limit\": 3000000,\n \"aggregate_limit_units\": \"null\",\n \"limit_per_occurrence\": 1000000,\n \"limit_per_occurrence_units\": \"null\"\n }\n ],\n \"effective_date\": \"03/01/2025\",\n \"expiration_date\": \"03/01/2026\",\n \"is_signed\": true\n}","parsed",{"_288":870,"_291":871,"_293":872,"_295":873,"_315":878,"_317":879,"_319":80},"Sharon McCaffery Theodore, MD","Ophthalmic Mutual Insurance Company","OMC0015290",[874],{"_299":875,"_308":876,"_311":42,"_301":877,"_305":42},"PROFESSIONAL LIABILITY",3000000,1000000,"03/01/2025","03/01/2026","dispreferred_outputs",[],"timestamp","2026-03-05T19:19:11Z","inference_id","019cbf70-90f3-7001-a21a-b6107a3a8a1e",{"_23":24,"_11":25,"_34":887,"_26":903,"_32":33},{"_288":888,"_291":889,"_293":890,"_295":891,"_315":900,"_317":901,"_319":902},{"_11":53,"_37":290},{"_11":53},{"_11":53},{"_11":58,"_60":892},{"_11":25,"_34":893,"_26":899,"_32":33},{"_299":894,"_301":895,"_305":896,"_308":897,"_311":898},{"_11":53},{"_11":303,"_37":304},{"_11":53,"_37":307},{"_11":303,"_37":310},{"_11":53,"_37":313},[299],{"_11":53},{"_11":53},{"_11":321,"_37":322},[288,291,293,295],"tags",{},[],"inference_params",{"_148":909},{},"processing_time_ms",11736,"hasNextPage","hasPreviousPage"]

ID	Function	Variant	Time	Preview

ID	Metric	Value	Tags	Time

019cbf70-90f3-7001-a21a-b6274dd2b924

Inferences1

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