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Consignment Intake integration

Prepare Claim.MD Payer Discovery

Perform Prepare Claim.MD Payer Discovery through Consignment Intake.

View as Markdown
prepare_consignment_claimmd_payer_discovery
write

Inputs

  • patient_data
    jsonrequired
    Patient Data

    Required JSON value.

  • policy_data
    jsonrequired
    Policy Data

    Required JSON value.

  • policyholder_name
    expression
    Policyholder Name

    Optional literal value or workflow expression.

  • policyholder_date_of_birth
    expression
    Policyholder Date Of Birth

    Optional literal value or workflow expression.

  • policyholder_relationship
    expression
    Policyholder Relationship

    Optional literal value or workflow expression.

  • patient_state
    expression
    Patient State

    Optional literal value or workflow expression.

  • encounter_date
    expressionrequired
    Encounter Date

    Required literal value or workflow expression.

  • as_of_date
    expression
    As Of Date

    Optional literal value or workflow expression.

Outputs

  • successSuccess
  • should_probeShould Probe
  • reasonReason
  • eligibility_reasonEligibility Reason
  • payer_search_namePayer Search Name
  • member_idMember Id
  • insured_first_nameInsured First Name
  • insured_last_nameInsured Last Name
  • insured_date_of_birthInsured Date Of Birth
  • patient_relationshipPatient Relationship
  • patient_first_namePatient First Name
  • patient_last_namePatient Last Name
  • patient_date_of_birthPatient Date Of Birth
  • service_dateService Date
  • errorError

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",
    "encounter_date"
  ],
  "properties": {
    "as_of_date": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "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"
    },
    "encounter_date": {
      "description": "Required 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": {},
    "member_id": {},
    "service_date": {},
    "should_probe": {},
    "insured_last_name": {},
    "patient_last_name": {},
    "payer_search_name": {},
    "eligibility_reason": {},
    "insured_first_name": {},
    "patient_first_name": {},
    "patient_relationship": {},
    "insured_date_of_birth": {},
    "patient_date_of_birth": {}
  },
  "additionalProperties": true
}
View all Consignment Intake actions