Resolve Claim.MD Payer Discovery
Perform Resolve Claim.MD Payer Discovery through Consignment Intake.
resolve_consignment_claimmd_payer_discoverywrite
Inputs
- Policy Data
policy_datajsonrequiredRequired JSON value.
- Eligibility Success
eligibility_successexpressionOptional literal value or workflow expression.
- Active Insurance Type Codes
active_insurance_type_codesjsonOptional JSON value.
- Eligibility Result
eligibility_resultjsonOptional JSON value.
- Existing Payer Code Source
existing_payer_code_sourceexpressionOptional literal value or workflow expression.
- Discovery Enabled
discovery_enabledexpressionOptional literal value or workflow expression.
- Preparation Reason
preparation_reasonexpressionOptional literal value or workflow expression.
- Preparation Eligibility Reason
preparation_eligibility_reasonexpressionOptional literal value or workflow expression.
Outputs
successSuccessappliedAppliedreasonReasonline_of_businessLine Of Businesspolicy_dataPolicy Datapayer_code_sourcePayer Code Sourceeligibility_reasonEligibility ReasonerrorError
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": [
"policy_data"
],
"properties": {
"policy_data": {
"description": "Required JSON value.",
"x-workflow-field-type": "json"
},
"discovery_enabled": {
"description": "Optional literal value or workflow expression.",
"x-workflow-field-type": "expression"
},
"eligibility_result": {
"description": "Optional JSON value.",
"x-workflow-field-type": "json"
},
"preparation_reason": {
"description": "Optional literal value or workflow expression.",
"x-workflow-field-type": "expression"
},
"eligibility_success": {
"description": "Optional literal value or workflow expression.",
"x-workflow-field-type": "expression"
},
"existing_payer_code_source": {
"description": "Optional literal value or workflow expression.",
"x-workflow-field-type": "expression"
},
"active_insurance_type_codes": {
"description": "Optional JSON value.",
"x-workflow-field-type": "json"
},
"preparation_eligibility_reason": {
"description": "Optional literal value or workflow expression.",
"x-workflow-field-type": "expression"
}
},
"additionalProperties": false
}Output schema
{
"type": "object",
"properties": {
"error": {},
"reason": {},
"applied": {},
"success": {},
"policy_data": {},
"line_of_business": {},
"payer_code_source": {},
"eligibility_reason": {}
},
"additionalProperties": true
}