GenHealth - Eligibility integration

Aggregate VOB Benefits

Perform Aggregate VOB Benefits through GenHealth - Eligibility.

View as Markdown

eligibility_aggregate_vob_benefits

write

Inputs

primary_summary
expressionrequired
Primary Summary
Required literal value or workflow expression.
dme_purchase_submission
expression
Dme Purchase Submission
Optional literal value or workflow expression.
dme_purchase_summary
expression
Dme Purchase Summary
Optional literal value or workflow expression.
dme_purchase_service_type
expression
Dme Purchase Service Type
Optional literal value or workflow expression.
dme_rental_submission
expression
Dme Rental Submission
Optional literal value or workflow expression.
dme_rental_summary
expression
Dme Rental Summary
Optional literal value or workflow expression.
dme_rental_service_type
expression
Dme Rental Service Type
Optional literal value or workflow expression.
office_visit_submission
expression
Office Visit Submission
Optional literal value or workflow expression.
office_visit_summary
expression
Office Visit Summary
Optional literal value or workflow expression.
office_visit_service_type
expression
Office Visit Service Type
Optional literal value or workflow expression.
sleep_study_submission
expression
Sleep Study Submission
Optional literal value or workflow expression.
sleep_study_summary
expression
Sleep Study Summary
Optional literal value or workflow expression.
sleep_study_service_type
expression
Sleep Study Service Type
Optional literal value or workflow expression.

Outputs

successSuccess
coverage_summaryCoverage Summary
vob_fieldsVob Fields
vob_field_sourcesVob Field Sources
vob_field_provenanceVob Field Provenance
service_probe_summariesService Probe Summaries
probe_reference_numbersProbe Reference Numbers
manual_review_requiredManual Review Required
manual_review_reasonManual Review Reason
field_conflictsField Conflicts
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": [
    "primary_summary"
  ],
  "properties": {
    "primary_summary": {
      "description": "Required literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "dme_rental_summary": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "sleep_study_summary": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "dme_purchase_summary": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "office_visit_summary": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "dme_rental_submission": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "sleep_study_submission": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "dme_purchase_submission": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "dme_rental_service_type": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "office_visit_submission": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "sleep_study_service_type": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "dme_purchase_service_type": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "office_visit_service_type": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    }
  },
  "additionalProperties": false
}

Output schema

{
  "type": "object",
  "properties": {
    "error": {},
    "success": {},
    "vob_fields": {},
    "field_conflicts": {},
    "coverage_summary": {},
    "vob_field_sources": {},
    "manual_review_reason": {},
    "vob_field_provenance": {},
    "manual_review_required": {},
    "probe_reference_numbers": {},
    "service_probe_summaries": {}
  },
  "additionalProperties": true
}

View all GenHealth - Eligibility actions