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GenHealth - Eligibility integration

Evaluate VOB Outcome

Perform Evaluate VOB Outcome through GenHealth - Eligibility.

View as Markdown
eligibility_evaluate_vob_outcome
write

Inputs

  • primary_outcome
    expression
    Primary Outcome

    Optional literal value or workflow expression.

  • fallback_outcome
    expression
    Fallback Outcome

    Optional literal value or workflow expression.

  • portal_outcome
    expression
    Portal Outcome

    Optional literal value or workflow expression.

  • fallback_guard
    expression
    Fallback Guard

    Optional literal value or workflow expression.

  • portal_context
    expression
    Portal Context

    Optional literal value or workflow expression.

  • candidate
    expression
    Candidate

    Optional literal value or workflow expression.

  • patient_resolution_failed
    boolean
    Patient Resolution Failed

    Optional true-or-false value.

    Default: false

Outputs

  • successSuccess
  • statusStatus
  • categoryCategory
  • resolutionResolution
  • public_conclusionPublic Conclusion
  • terminalTerminal
  • retryRetry
  • documentableDocumentable
  • submittedSubmitted
  • report_availableReport Available
  • reasonReason
  • sourceSource
  • insurance_sourceInsurance Source
  • attempt_historyAttempt History
  • fallback_attemptedFallback Attempted
  • payer_conflictPayer Conflict
  • member_id_conflictMember Id Conflict
  • insurance_discrepancyInsurance Discrepancy
  • discrepancy_messageDiscrepancy Message
  • report_document_idReport Document Id
  • report_s3_pathReport S3 Path
  • report_pdf_pathReport Pdf Path
  • errorError
  • error_messageError Message

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",
  "properties": {
    "candidate": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "fallback_guard": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "portal_context": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "portal_outcome": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "primary_outcome": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "fallback_outcome": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "patient_resolution_failed": {
      "type": "boolean",
      "default": false,
      "description": "Optional true-or-false value.",
      "x-workflow-field-type": "boolean"
    }
  },
  "additionalProperties": false
}
Output schema
{
  "type": "object",
  "properties": {
    "error": {},
    "retry": {},
    "reason": {},
    "source": {},
    "status": {},
    "success": {},
    "category": {},
    "terminal": {},
    "submitted": {},
    "resolution": {},
    "documentable": {},
    "error_message": {},
    "payer_conflict": {},
    "report_s3_path": {},
    "attempt_history": {},
    "report_pdf_path": {},
    "insurance_source": {},
    "report_available": {},
    "public_conclusion": {},
    "fallback_attempted": {},
    "member_id_conflict": {},
    "report_document_id": {},
    "discrepancy_message": {},
    "insurance_discrepancy": {}
  },
  "additionalProperties": true
}
View all GenHealth - Eligibility actions