Resolve Policyholder Eligibility

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": "Consignment Intake",
  "params": {},
  "handler": "resolve_befitting_policyholder"
}

Action contracts and connections · Run recovery

Inputs

• extracted_fields

  jsonrequired
  Extracted Fields

  Required JSON value.

• packet_document_id

  expression
  Packet Document Id

  Optional literal value or workflow expression.

Outputs

• policyholder_outcomePolicyholder Outcome
• guarantorGuarantor
• subscriber_identity_sourceSubscriber Identity Source
• medicaid_minor_selfMedicaid Minor Self
• medicaid_payer_outcomeMedicaid Payer Outcome
• northwood_tpa_outcomeNorthwood Tpa Outcome
• eligibility_rejection_categoryEligibility Rejection Category
• derived_payer_codeDerived Payer Code
• payer_mapping_idPayer Mapping Id
• payer_code_sourcePayer Code Source
• subscriber_directorySubscriber Directory
• availity_coverage_verdictAvaility Coverage Verdict
• eligibility_sourceEligibility Source
• availity_coverage_idAvaility Coverage Id
• as_of_date_sourceAs Of Date Source

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.

{
  "type": "object",
  "required": [
    "extracted_fields"
  ],
  "properties": {
    "extracted_fields": {
      "description": "Required JSON value.",
      "x-workflow-field-type": "json"
    },
    "packet_document_id": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    }
  },
  "additionalProperties": false
}

{
  "type": "object",
  "properties": {
    "guarantor": {},
    "payer_mapping_id": {},
    "as_of_date_source": {},
    "payer_code_source": {},
    "derived_payer_code": {},
    "eligibility_source": {},
    "medicaid_minor_self": {},
    "availity_coverage_id": {},
    "policyholder_outcome": {},
    "subscriber_directory": {},
    "northwood_tpa_outcome": {},
    "medicaid_payer_outcome": {},
    "availity_coverage_verdict": {},
    "subscriber_identity_source": {},
    "eligibility_rejection_category": {}
  },
  "additionalProperties": true
}