# Check Eligibility

> Perform Check Eligibility through Availity.

Source: [https://genhealth.ai/docs/workflows/integrations/availity/availity_check_eligibility](https://genhealth.ai/docs/workflows/integrations/availity/availity_check_eligibility)

Integration: [Availity](https://genhealth.ai/docs/workflows/integrations/availity.md)

- Handler: `availity_check_eligibility`

- Connection type: `availity`

## Inputs

- `enabled` — Enabled (boolean)
  Optional true-or-false value.
  Default: `true`
- `skip_reason` — Skip Reason (expression)
  Optional literal value or workflow expression.
- `password_expiration_slack_channel` — Password Expiration Slack Channel (text)
  Optional text value.
  Default: `"#feed-alerts"`
- `payer_id` — Payer Id (expression)
  Optional literal value or workflow expression.
- `payer_name` — Payer Name (expression)
  Optional literal value or workflow expression.
- `member_id` — Member Id (expression, required)
  Required literal value or workflow expression.
- `patient_first_name` — Patient First Name (expression, required)
  Required literal value or workflow expression.
- `patient_middle_name` — Patient Middle Name (expression)
  Optional literal value or workflow expression.
- `patient_last_name` — Patient Last Name (expression, required)
  Required literal value or workflow expression.
- `patient_birth_date` — Patient Birth Date (date, required)
  Required date in YYYY-MM-DD format.
- `patient_state` — Patient State (expression)
  Optional literal value or workflow expression.
- `as_of_date` — As Of Date (date)
  Optional date in YYYY-MM-DD format.
- `group_number` — Group Number (expression)
  Optional literal value or workflow expression.
- `provider_npi` — Provider Npi (expression)
  Optional literal value or workflow expression.
- `provider_last_name` — Provider Last Name (expression)
  Optional literal value or workflow expression.
- `provider_tax_id` — Provider Tax Id (expression)
  Optional literal value or workflow expression.
- `customer_id` — Customer Id (text)
  Optional text value.
- `service_types` — Service Types (text)
  Optional text value.
  Default: `"30"`
- `service_type_mode` — Service Type Mode (select)
  Optional selected identifier or value.
  Options: Use org mapping/default (""), Explicit service types ("explicit"), All service types ("all")
- `procedure_codes` — Procedure Codes (expression)
  Optional literal value or workflow expression.
- `subscriber_relationship` — Subscriber Relationship (text)
  Optional text value.
  Default: `"18"`
- `patient_search_option` — Patient Search Option (text)
  Optional text value.
- `provider_type` — Provider Type (text)
  Optional text value.
- `place_of_service` — Place Of Service (text)
  Optional text value.
- `extra_form_fields` — Extra Form Fields (json)
  Optional JSON value.
- `field_label_overrides` — Field Label Overrides (json)
  Optional JSON value.
- `insurance_policy_id` — Insurance Policy Id (expression)
  Optional literal value or workflow expression.
- `source_document_id` — Source Document Id (expression)
  Optional literal value or workflow expression.
- `use_org_mapping` — Use Org Mapping (boolean)
  Optional true-or-false value.
  Default: `true`
- `include_linked_coverage_response_messages` — Include Linked Coverage Response Messages (boolean)
  Optional true-or-false value.
  Default: `false`

## Outputs

- `success` — Success
- `skipped` — Skipped
- `coverage_id` — Coverage Id
- `status_code` — Status Code
- `status` — Status
- `has_active_coverage` — Has Active Coverage
- `has_coverage_determination` — Has Coverage Determination
- `requested_procedure_codes` — Requested Procedure Codes
- `submitted_procedure_codes` — Submitted Procedure Codes
- `procedure_code_support` — Procedure Code Support
- `procedure_code_support_detail` — Procedure Code Support Detail
- `subscriber` — Subscriber
- `patient` — Patient
- `payer` — Payer
- `requesting_provider` — Requesting Provider
- `plans` — Plans
- `raw_response` — Raw Response
- `customer_message` — Customer Message
- `payer_rejection_reason` — Payer Rejection Reason
- `payer_rejection_category` — Payer Rejection Category
- `is_coverage_data_issue` — Is Coverage Data Issue
- `error` — Error
- `error_message` — Error 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.

### Input schema

```json
{
  "type": "object",
  "required": [
    "member_id",
    "patient_first_name",
    "patient_last_name",
    "patient_birth_date"
  ],
  "properties": {
    "enabled": {
      "type": "boolean",
      "default": true,
      "description": "Optional true-or-false value.",
      "x-workflow-field-type": "boolean"
    },
    "payer_id": {
      "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"
    },
    "as_of_date": {
      "type": "string",
      "format": "date",
      "description": "Optional date in YYYY-MM-DD format.",
      "x-workflow-field-type": "date"
    },
    "payer_name": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "customer_id": {
      "type": "string",
      "description": "Optional text value.",
      "x-workflow-field-type": "text"
    },
    "skip_reason": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "group_number": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "provider_npi": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "patient_state": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "provider_type": {
      "type": "string",
      "description": "Optional text value.",
      "x-workflow-field-type": "text"
    },
    "service_types": {
      "type": "string",
      "default": "30",
      "description": "Optional text value.",
      "x-workflow-field-type": "text"
    },
    "procedure_codes": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "provider_tax_id": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "use_org_mapping": {
      "type": "boolean",
      "default": true,
      "description": "Optional true-or-false value.",
      "x-workflow-field-type": "boolean"
    },
    "place_of_service": {
      "type": "string",
      "description": "Optional text value.",
      "x-workflow-field-type": "text"
    },
    "extra_form_fields": {
      "description": "Optional JSON value.",
      "x-workflow-field-type": "json"
    },
    "patient_last_name": {
      "description": "Required literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "service_type_mode": {
      "enum": [
        "",
        "explicit",
        "all"
      ],
      "type": "string",
      "description": "Optional selected identifier or value.",
      "x-workflow-field-type": "select"
    },
    "patient_birth_date": {
      "type": "string",
      "format": "date",
      "description": "Required date in YYYY-MM-DD format.",
      "x-workflow-field-type": "date"
    },
    "patient_first_name": {
      "description": "Required literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "provider_last_name": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "source_document_id": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "insurance_policy_id": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "patient_middle_name": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "field_label_overrides": {
      "description": "Optional JSON value.",
      "x-workflow-field-type": "json"
    },
    "patient_search_option": {
      "type": "string",
      "description": "Optional text value.",
      "x-workflow-field-type": "text"
    },
    "subscriber_relationship": {
      "type": "string",
      "default": "18",
      "description": "Optional text value.",
      "x-workflow-field-type": "text"
    },
    "password_expiration_slack_channel": {
      "type": "string",
      "default": "#feed-alerts",
      "description": "Optional text value.",
      "x-workflow-field-type": "text"
    },
    "include_linked_coverage_response_messages": {
      "type": "boolean",
      "default": false,
      "description": "Optional true-or-false value.",
      "x-workflow-field-type": "boolean"
    }
  },
  "additionalProperties": false
}
```

### Output schema

```json
{
  "type": "object",
  "properties": {
    "error": {},
    "payer": {},
    "plans": {},
    "status": {},
    "patient": {},
    "skipped": {},
    "success": {},
    "subscriber": {},
    "coverage_id": {},
    "status_code": {},
    "raw_response": {},
    "error_message": {},
    "customer_message": {},
    "has_active_coverage": {},
    "requesting_provider": {},
    "is_coverage_data_issue": {},
    "payer_rejection_reason": {},
    "procedure_code_support": {},
    "payer_rejection_category": {},
    "requested_procedure_codes": {},
    "submitted_procedure_codes": {},
    "has_coverage_determination": {},
    "procedure_code_support_detail": {}
  },
  "additionalProperties": true
}
```