ClaimSoft integration

Advance Reviewed Orders

Perform Advance Reviewed Orders through ClaimSoft.

claimsoft_advance_reviewed_orders

writeclaimsoft

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": "ClaimSoft",
  "params": {
    "dry_run": true,
    "max_orders": 25,
    "max_evaluations": 150,
    "backlog_lookback_days": 7,
    "mark_reviews_complete": true
  },
  "handler": "claimsoft_advance_reviewed_orders"
}

Action contracts and connections · Run recovery

Inputs

selected_items
json
Selected Items
Optional JSON value.
supported_hcpcs
jsonrequired
Supported Hcpcs
Required JSON value.
from_alert_type_id
textrequired
From Alert Type Id
Required text value.
to_alert_type_id
textrequired
To Alert Type Id
Required text value.
comment_text
textrequired
Comment Text
Required text value.
approve_recommendations
jsonrequired
Approve Recommendations
Required JSON value.
blocked_comment_patterns
json
Blocked Comment Patterns
Optional JSON value.
blocked_hcpcs
json
Blocked Hcpcs
Optional JSON value.
held_order_ids
json
Held Order Ids
Optional JSON value.
required_order_status
numberrequired
Required Order Status
Required numeric value.
required_responsible_party
numberrequired
Required Responsible Party
Required numeric value.
dry_run
boolean
Dry Run
Optional true-or-false value.
Default: true
max_orders
number
Max Orders
Optional numeric value.
Default: 25
max_evaluations
number
Max Evaluations
Optional numeric value.
Default: 150
backlog_lookback_days
number
Backlog Lookback Days
Optional numeric value.
Default: 7
mark_reviews_complete
boolean
Mark Reviews Complete
Optional true-or-false value.
Default: true

Outputs

successSuccess
dry_runDry Run
evaluated_countEvaluated Count
advanced_countAdvanced Count
would_advance_countWould Advance Count
completed_existing_countCompleted Existing Count
would_complete_existing_countWould Complete Existing Count
skipped_countSkipped Count
deferred_countDeferred Count
completed_document_countCompleted Document Count
budget_exhaustedBudget Exhausted
ordersOrders
errorError

Output schema completeness: best_effort_declared

Safety

External effect: write
Confirmation recommended: No
Retry safe: No
Dry run supported: Yes

Schemas

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

Input schema

{
  "type": "object",
  "required": [
    "supported_hcpcs",
    "from_alert_type_id",
    "to_alert_type_id",
    "comment_text",
    "approve_recommendations",
    "required_order_status",
    "required_responsible_party"
  ],
  "properties": {
    "dry_run": {
      "type": "boolean",
      "default": true,
      "description": "Optional true-or-false value.",
      "x-workflow-field-type": "boolean"
    },
    "max_orders": {
      "type": "number",
      "default": 25,
      "description": "Optional numeric value.",
      "x-workflow-field-type": "number"
    },
    "comment_text": {
      "type": "string",
      "description": "Required text value.",
      "x-workflow-field-type": "text"
    },
    "blocked_hcpcs": {
      "description": "Optional JSON value.",
      "x-workflow-field-type": "json"
    },
    "held_order_ids": {
      "description": "Optional JSON value.",
      "x-workflow-field-type": "json"
    },
    "selected_items": {
      "description": "Optional JSON value.",
      "x-workflow-field-type": "json"
    },
    "max_evaluations": {
      "type": "number",
      "default": 150,
      "description": "Optional numeric value.",
      "x-workflow-field-type": "number"
    },
    "supported_hcpcs": {
      "description": "Required JSON value.",
      "x-workflow-field-type": "json"
    },
    "to_alert_type_id": {
      "type": "string",
      "description": "Required text value.",
      "x-workflow-field-type": "text"
    },
    "from_alert_type_id": {
      "type": "string",
      "description": "Required text value.",
      "x-workflow-field-type": "text"
    },
    "backlog_lookback_days": {
      "type": "number",
      "default": 7,
      "description": "Optional numeric value.",
      "x-workflow-field-type": "number"
    },
    "mark_reviews_complete": {
      "type": "boolean",
      "default": true,
      "description": "Optional true-or-false value.",
      "x-workflow-field-type": "boolean"
    },
    "required_order_status": {
      "type": "number",
      "description": "Required numeric value.",
      "x-workflow-field-type": "number"
    },
    "approve_recommendations": {
      "description": "Required JSON value.",
      "x-workflow-field-type": "json"
    },
    "blocked_comment_patterns": {
      "description": "Optional JSON value.",
      "x-workflow-field-type": "json"
    },
    "required_responsible_party": {
      "type": "number",
      "description": "Required numeric value.",
      "x-workflow-field-type": "number"
    }
  },
  "additionalProperties": false
}

Output schema

{
  "type": "object",
  "properties": {
    "error": {},
    "orders": {},
    "dry_run": {},
    "success": {},
    "skipped_count": {},
    "advanced_count": {},
    "deferred_count": {},
    "evaluated_count": {},
    "budget_exhausted": {},
    "would_advance_count": {},
    "completed_document_count": {},
    "completed_existing_count": {},
    "would_complete_existing_count": {}
  },
  "additionalProperties": true
}

View all ClaimSoft actions