Resolve Policyholder Eligibility

Inputs

• extracted_fields

  jsonrequired
  Extracted Fields

  Required JSON value.

Outputs

• policyholder_outcomePolicyholder Outcome
• guarantorGuarantor
• 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

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"
    }
  },
  "additionalProperties": false
}

{
  "type": "object",
  "properties": {
    "guarantor": {},
    "payer_mapping_id": {},
    "payer_code_source": {},
    "derived_payer_code": {},
    "policyholder_outcome": {},
    "northwood_tpa_outcome": {},
    "medicaid_payer_outcome": {},
    "eligibility_rejection_category": {}
  },
  "additionalProperties": true
}