Read Eligibility Payer

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": {},
  "handler": "claimsoft_read_eligibility_payer"
}

Action contracts and connections · Run recovery

Inputs

• eligibility_id

  expressionrequired
  Eligibility Id

  Required literal value or workflow expression.

• current_payer_id

  expressionrequired
  Current Payer Id

  Required literal value or workflow expression.

Outputs

• successSuccess
• eligibility_idEligibility Id
• payer_actionPayer Action
• switch_payer_idSwitch Payer Id
• switch_payer_nameSwitch Payer Name
• review_reasonReview Reason
• candidate_countCandidate Count
• reported_payer_nameReported Payer Name
• reported_po_boxReported Po Box
• reported_zip5Reported Zip5
• plan_namePlan Name
• policy_typePolicy Type
• is_hmo_planIs Hmo Plan
• deductibles_all_zeroDeductibles All Zero
• errorError
• error_kindError Kind

Output schema completeness: best_effort_declared

Safety

External effect

read

Confirmation recommended

No

Retry safe

Yes

Dry run supported

No

Schemas

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

{
  "type": "object",
  "required": [
    "eligibility_id",
    "current_payer_id"
  ],
  "properties": {
    "eligibility_id": {
      "description": "Required literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "current_payer_id": {
      "description": "Required literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    }
  },
  "additionalProperties": false
}

{
  "type": "object",
  "properties": {
    "error": {},
    "success": {},
    "plan_name": {},
    "error_kind": {},
    "is_hmo_plan": {},
    "policy_type": {},
    "payer_action": {},
    "reported_zip5": {},
    "review_reason": {},
    "eligibility_id": {},
    "candidate_count": {},
    "reported_po_box": {},
    "switch_payer_id": {},
    "switch_payer_name": {},
    "reported_payer_name": {},
    "deductibles_all_zero": {}
  },
  "additionalProperties": true
}