# ClaimMD integration

> Build workflow automations with 2 public ClaimMD actions.

Source: [https://genhealth.ai/docs/workflows/integrations/claim-md](https://genhealth.ai/docs/workflows/integrations/claim-md)

## Available actions

2 actions. Connection types: claimmd.

### [Check Eligibility (270/271)](https://genhealth.ai/docs/workflows/integrations/claim-md/claimmd_check_eligibility.md)

- Handler: `claimmd_check_eligibility`
- Connection type: `claimmd`
- External effect: `write`
- Inputs: `enabled`, `payer_id`, `insured_last_name`, `insured_first_name`, `insured_middle_name`, `member_id`, `insured_date_of_birth`, `insured_sex`, `patient_relationship`, `patient_last_name`, `patient_first_name`, `patient_middle_name`, `patient_date_of_birth`, `patient_sex`, `provider_npi`, `provider_tax_id`, `provider_tax_id_type`, `provider_name`, `provider_first_name`, `provider_taxonomy`, `service_date`, `service_type_codes`, `procedure_code`, `use_raw_x12`, `service_date_lookback_days`, `payer_name`, `generate_pdf`, `pdf_document_title`, `pdf_patient_id`, `pdf_source_document_id`, `other_insurance_history`, `skip_reason`
- Outputs: `success`, `status`, `is_eligible`, `is_capitated`, `has_non_covered_benefit`, `payer_cannot_process`, `managed_care_organizations`, `plan_assignments`, `contracted_service_providers`, `plan_name`, `plan_number`, `group_name`, `group_number`, `coverage_start`, `coverage_end`, `payer_names`, `payer_program_identifier`, `related_entities`, `other_insurance`, `has_other_insurance`, `coverage_codes`, `coverage_descriptions`, `service_type_codes`, `service_type_descriptions`, `insurance_plans`, `insurance_type_codes`, `insurance_type_descriptions`, `network_statuses`, `network_status_descriptions`, `benefit_coverage_windows`, `plan_begin_date`, `plan_end_date`, `eligibility_begin_date`, `eligibility_end_date`, `benefit_count`, `relevant_benefit_count`, `eligibility_id`, `result_date`, `document_id`, `pdf_path`, `pdf_error`, `payer_errors`, `retryable`, `error`, `skipped`, `skip_reason`

Perform Check Eligibility (270/271) through ClaimMD.

### [Search Payers](https://genhealth.ai/docs/workflows/integrations/claim-md/claimmd_search_payers.md)

- Handler: `claimmd_search_payers`
- Connection type: `claimmd`
- External effect: `read`
- Inputs: `enabled`, `payer_id`, `payer_name`, `skip_reason`
- Outputs: `success`, `status`, `payers`, `payer_count`, `eligibility_payers`, `eligibility_payer_count`, `payers_truncated`, `top_payer_id`, `top_payer_name`, `requires_payer_selection`, `payer_errors`, `retryable`, `error`, `skipped`, `skip_reason`

Perform Search Payers through ClaimMD.