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GenHealth - Eligibility integration

Reconcile athenahealth VOB Payer

Perform Reconcile athenahealth VOB Payer through GenHealth - Eligibility.

View as Markdown
eligibility_reconcile_athena_vob_payer
write

Inputs

  • candidate
    expression
    Candidate

    Optional literal value or workflow expression.

  • athena_reconciliation
    expression
    Athena Reconciliation

    Optional literal value or workflow expression.

  • selected_policy
    expression
    Selected Policy

    Optional literal value or workflow expression.

  • athena_payer_resolution
    expression
    Athena Payer Resolution

    Optional literal value or workflow expression.

  • require_match
    expression
    Require Match

    Optional literal value or workflow expression.

  • manual_review_payer_terms
    expression
    Manual Review Payer Terms

    Optional literal value or workflow expression.

Outputs

  • successSuccess
  • statusStatus
  • should_allow_availityShould Allow Availity
  • payer_matchPayer Match
  • reasonsReasons
  • selected_policySelected Policy
  • resolved_availity_payerResolved Availity Payer
  • sourceSource
  • 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",
  "properties": {
    "candidate": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "require_match": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "selected_policy": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "athena_reconciliation": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "athena_payer_resolution": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "manual_review_payer_terms": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    }
  },
  "additionalProperties": false
}
Output schema
{
  "type": "object",
  "properties": {
    "error": {},
    "source": {},
    "status": {},
    "reasons": {},
    "success": {},
    "payer_match": {},
    "selected_policy": {},
    "should_allow_availity": {},
    "resolved_availity_payer": {}
  },
  "additionalProperties": true
}
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