# Resolve Payer

> Perform Resolve Payer through ClaimSoft.

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

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

- Handler: `claimsoft_resolve_payer`

- Connection type: `claimsoft`

## Inputs

- `policy_data` — Policy Data (expression, required)
  Required literal value or workflow expression.
- `patient_state` — Patient State (expression)
  Optional literal value or workflow expression.
- `billing_location` — Billing Location (expression)
  Optional literal value or workflow expression.
- `payer_code_source` — Payer Code Source (expression)
  Optional literal value or workflow expression.
- `payer_plan` — Payer Plan (expression)
  Optional literal value or workflow expression.
- `payer_card_state` — Payer Card State (expression)
  Optional literal value or workflow expression.
- `payer_name_truncated` — Payer Name Truncated (expression)
  Optional literal value or workflow expression.
- `card_insurance_type` — Card Insurance Type (expression)
  Optional literal value or workflow expression.
- `member_number` — Member Number (expression)
  Optional literal value or workflow expression.
- `reviewed_payer_id` — Reviewed Payer Id (expression)
  Optional literal value or workflow expression.
- `reviewed_payer_confirmed` — Reviewed Payer Confirmed (expression)
  Optional literal value or workflow expression.

## Outputs

- `success` — Success
- `payer_id` — Payer Id
- `payer_name` — Payer Name
- `confidence` — Confidence
- `reasoning` — Reasoning
- `policy_data` — Policy Data
- `error` — Error
- `failure_reason` — Failure Reason
- `candidate_count` — Candidate Count
- `match_method` — Match Method

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.

### Input schema

```json
{
  "type": "object",
  "required": [
    "policy_data"
  ],
  "properties": {
    "payer_plan": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "policy_data": {
      "description": "Required literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "member_number": {
      "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"
    },
    "billing_location": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "payer_card_state": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "payer_code_source": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "reviewed_payer_id": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "card_insurance_type": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "payer_name_truncated": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "reviewed_payer_confirmed": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    }
  },
  "additionalProperties": false
}
```

### Output schema

```json
{
  "type": "object",
  "properties": {
    "error": {},
    "success": {},
    "payer_id": {},
    "reasoning": {},
    "confidence": {},
    "payer_name": {},
    "policy_data": {},
    "match_method": {},
    "failure_reason": {},
    "candidate_count": {}
  },
  "additionalProperties": true
}
```