Ask Availity When Eligibility Is Undetermined

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_consignment_availity_eligibility_fallback"
}

Action contracts and connections · Run recovery

Inputs

• eligibility

  jsonrequired
  Eligibility

  Required JSON value.

• extracted_fields

  json
  Extracted Fields

  Optional JSON value.

• packet_document_id

  expression
  Packet Document Id

  Optional literal value or workflow expression.

• policyholder_coverage_verdict

  expression
  Policyholder Coverage Verdict

  Optional literal value or workflow expression.

• policyholder_coverage_id

  expression
  Policyholder Coverage Id

  Optional literal value or workflow expression.

• reviewed_payer_id

  expression
  Reviewed Payer Id

  Optional literal value or workflow expression.

• claimmd_generic_plan_outcome

  expression
  Claimmd Generic Plan Outcome

  Optional literal value or workflow expression.

Outputs

• successSuccess
• outcomeOutcome
• triggerTrigger
• verdict_sourceVerdict Source
• availity_coverage_verdictAvaility Coverage Verdict
• availity_coverage_idAvaility Coverage Id
• report_coverage_idReport Coverage Id

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": [
    "eligibility"
  ],
  "properties": {
    "eligibility": {
      "description": "Required JSON value.",
      "x-workflow-field-type": "json"
    },
    "extracted_fields": {
      "description": "Optional JSON value.",
      "x-workflow-field-type": "json"
    },
    "reviewed_payer_id": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "packet_document_id": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "policyholder_coverage_id": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "claimmd_generic_plan_outcome": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "policyholder_coverage_verdict": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    }
  },
  "additionalProperties": false
}

{
  "type": "object",
  "properties": {
    "outcome": {},
    "success": {},
    "trigger": {},
    "verdict_source": {},
    "report_coverage_id": {},
    "availity_coverage_id": {},
    "availity_coverage_verdict": {}
  },
  "additionalProperties": true
}