Look Up Insurance Policy

Use in a workflow

Copy the discovered node config and fill its params from the input contract. Validate the complete graph before publishing. Integration results use {{node_id.default.field}}. Check business success before dependent writes; completion alone does not prove success.

{
  "_group": "athenahealth",
  "params": {
    "max_results": 25,
    "check_eligibility": false
  },
  "handler": "athena_policy_lookup"
}

Action contracts and connections · Run recovery

Inputs

• patient_id

  expressionrequired
  Patient Id

  Required literal value or workflow expression.

• insurance_names

  expressionrequired
  Insurance Names

  Required literal value or workflow expression.

• member_id

  expressionrequired
  Member Id

  Required literal value or workflow expression.

• state

  expression
  State

  Optional literal value or workflow expression.

• check_eligibility

  boolean
  Check Eligibility

  Optional true-or-false value.

  Default: false

• max_results

  number
  Max Results

  Optional numeric value.

  Default: 25

Outputs

• successSuccess
• patient_idPatient Id
• insurance_namesInsurance Names
• search_termsSearch Terms
• eligibility_checkedEligibility Checked
• eligibility_confirmedEligibility Confirmed
• eligibility_statusEligibility Status
• eligibilityEligibility
• identified_attributesIdentified Attributes
• member_id_entitiesMember Id Entities
• result_countResult Count
• total_result_countTotal Result Count
• truncatedTruncated
• resultsResults
• top_resultTop Result
• errorError
• error_messageError Message

Output schema completeness: best_effort_declared

Safety

External effect

write

Confirmation recommended

No

Retry safe

No

Dry run supported

No

Schemas

These schemas are first-pass authoring guidance. Runtime validation remains authoritative.

{
  "type": "object",
  "required": [
    "patient_id",
    "insurance_names",
    "member_id"
  ],
  "properties": {
    "state": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "member_id": {
      "description": "Required literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "patient_id": {
      "description": "Required literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "max_results": {
      "type": "number",
      "default": 25,
      "description": "Optional numeric value.",
      "x-workflow-field-type": "number"
    },
    "insurance_names": {
      "description": "Required literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "check_eligibility": {
      "type": "boolean",
      "default": false,
      "description": "Optional true-or-false value.",
      "x-workflow-field-type": "boolean"
    }
  },
  "additionalProperties": false
}

{
  "type": "object",
  "properties": {
    "error": {},
    "results": {},
    "success": {},
    "truncated": {},
    "patient_id": {},
    "top_result": {},
    "eligibility": {},
    "result_count": {},
    "search_terms": {},
    "error_message": {},
    "insurance_names": {},
    "eligibility_status": {},
    "member_id_entities": {},
    "total_result_count": {},
    "eligibility_checked": {},
    "eligibility_confirmed": {},
    "identified_attributes": {}
  },
  "additionalProperties": true
}