Prepare Claim.MD Eligibility
Perform Prepare Claim.MD Eligibility through Consignment Intake.
prepare_consignment_claimmd_eligibilitywrite
Inputs
- Patient Data
patient_datajsonrequiredRequired JSON value.
- Policy Data
policy_datajsonrequiredRequired JSON value.
- Policyholder Name
policyholder_nameexpressionOptional literal value or workflow expression.
- Policyholder Date Of Birth
policyholder_date_of_birthexpressionOptional literal value or workflow expression.
- Policyholder Relationship
policyholder_relationshipexpressionOptional literal value or workflow expression.
- Patient State
patient_stateexpressionOptional literal value or workflow expression.
Outputs
successSuccesspreparedPreparedreasonReasonpayer_search_namePayer Search Namemember_idMember Idinsured_first_nameInsured First Nameinsured_last_nameInsured Last Nameinsured_date_of_birthInsured Date Of Birthpatient_relationshipPatient Relationshippatient_first_namePatient First Namepatient_last_namePatient Last Namepatient_date_of_birthPatient Date Of BirtherrorError
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
{
"type": "object",
"required": [
"patient_data",
"policy_data"
],
"properties": {
"policy_data": {
"description": "Required JSON value.",
"x-workflow-field-type": "json"
},
"patient_data": {
"description": "Required JSON value.",
"x-workflow-field-type": "json"
},
"patient_state": {
"description": "Optional literal value or workflow expression.",
"x-workflow-field-type": "expression"
},
"policyholder_name": {
"description": "Optional literal value or workflow expression.",
"x-workflow-field-type": "expression"
},
"policyholder_relationship": {
"description": "Optional literal value or workflow expression.",
"x-workflow-field-type": "expression"
},
"policyholder_date_of_birth": {
"description": "Optional literal value or workflow expression.",
"x-workflow-field-type": "expression"
}
},
"additionalProperties": false
}Output schema
{
"type": "object",
"properties": {
"error": {},
"reason": {},
"success": {},
"prepared": {},
"member_id": {},
"insured_last_name": {},
"patient_last_name": {},
"payer_search_name": {},
"insured_first_name": {},
"patient_first_name": {},
"patient_relationship": {},
"insured_date_of_birth": {},
"patient_date_of_birth": {}
},
"additionalProperties": true
}