# Check Eligibility

> Perform Check Eligibility through GenHealth.

Source: [https://genhealth.ai/docs/workflows/integrations/gen-health/genhealth_check_eligibility](https://genhealth.ai/docs/workflows/integrations/gen-health/genhealth_check_eligibility)

Integration: [GenHealth](https://genhealth.ai/docs/workflows/integrations/gen-health.md)

- Handler: `genhealth_check_eligibility`

## Inputs

- `preferred_portal` — Preferred Portal (select, dynamic options)
  Optional selected identifier or value. Retrieve allowed values from the dynamic options endpoint.
  Default: `"auto"`
- `jurisdiction` — Jurisdiction (expression)
  Optional literal value or workflow expression.
  Default: `"C"`
- `insurance_policy_id` — Insurance Policy Id (expression)
  Optional literal value or workflow expression.
- `document_id` — Document Id (expression)
  Optional literal value or workflow expression.
- `carrier_id` — Carrier Id (expression)
  Optional literal value or workflow expression.
- `patient_first_name` — Patient First Name (expression)
  Optional literal value or workflow expression.
- `patient_last_name` — Patient Last Name (expression)
  Optional literal value or workflow expression.
- `patient_birth_date` — Patient Birth Date (date)
  Optional date in YYYY-MM-DD format.
- `patient_state` — Patient State (expression)
  Optional literal value or workflow expression.
- `patient_address` — Patient Address (expression)
  Optional literal value or workflow expression.
- `medicare_id` — Medicare Id (expression)
  Optional literal value or workflow expression.
- `member_id` — Member Id (expression)
  Optional literal value or workflow expression.
- `group_id` — Group Id (expression)
  Optional literal value or workflow expression.
- `provider_npi` — Provider Npi (expression)
  Optional literal value or workflow expression.
- `provider_last_name` — Provider Last Name (expression)
  Optional literal value or workflow expression.
- `provider_type` — Provider Type (expression)
  Optional literal value or workflow expression.
- `place_of_service` — Place Of Service (expression)
  Optional literal value or workflow expression.
- `as_of_date` — As Of Date (date)
  Optional date in YYYY-MM-DD format.
- `source_service_date` — Source Service Date (date)
  Optional date in YYYY-MM-DD format.
- `require_source_service_month_current` — Require Source Service Month Current (boolean)
  Optional true-or-false value.
  Default: `false`
- `source_service_month_timezone` — Source Service Month Timezone (text)
  Optional text value.
- `service_types` — Service Types (expression)
  Optional literal value or workflow expression.
- `service_type_mode` — Service Type Mode (select)
  Optional selected identifier or value.
  Options: Use carrier mapping/default (""), Explicit service types ("explicit"), All service types ("all")
- `include_availity_coverage_details` — Include Availity Coverage Details (boolean)
  Optional true-or-false value.
  Default: `true`
- `password_expiration_slack_channel` — Password Expiration Slack Channel (text)
  Optional text value.
  Default: `"#feed-alerts"`
- `service_type_descriptions` — Service Type Descriptions (expression)
  Optional literal value or workflow expression.
- `coverage_basis` — Coverage Basis (select)
  Optional selected identifier or value.
  Default: `"any"`
  Options: Any active coverage (default) ("any"), Medicare Part B only ("part_b")
- `fast_http_determination` — Fast Http Determination (boolean)
  Optional true-or-false value.
  Default: `false`
- `enabled` — Enabled (boolean)
  Optional true-or-false value.
  Default: `true`
- `skip_reason` — Skip Reason (expression)
  Optional literal value or workflow expression.
- `generate_pdf` — Generate Pdf (boolean)
  Optional true-or-false value.
  Default: `false`
- `persist_generated_pdf` — Persist Generated Pdf (boolean)
  Optional true-or-false value.
  Default: `false`
- `show_generated_document_in_inbox` — Show Generated Document In Inbox (boolean)
  Optional true-or-false value.
  Default: `false`
- `generated_pdf_filename` — Generated Pdf Filename (expression)
  Optional literal value or workflow expression.
- `generated_pdf_source` — Generated Pdf Source (text)
  Optional text value.
  Default: `"eligibility"`
- `generated_pdf_dedupe_key` — Generated Pdf Dedupe Key (expression)
  Optional literal value or workflow expression.

## Outputs

- `success` — Success
- `input_mode` — Input Mode
- `status` — Status
- `skipped` — Skipped
- `is_eligible` — Is Eligible
- `transaction_complete` — Transaction Complete
- `requested_service_types` — Requested Service Types
- `service_type_outcome` — Service Type Outcome
- `portal` — Portal
- `document_id` — Document Id
- `insurance_policy_id` — Insurance Policy Id
- `carrier_id` — Carrier Id
- `coverage_id` — Coverage Id
- `pdf_path` — Pdf Path
- `coverage_details` — Coverage Details
- `normalized_coverage_details` — Normalized Coverage Details
- `coverage_start_date` — Coverage Start Date
- `coverage_end_date` — Coverage End Date
- `is_medicare_advantage` — Is Medicare Advantage
- `has_msp` — Has Msp
- `other_payers` — Other Payers
- `coordination_of_benefits` — Coordination Of Benefits
- `settings_url` — Settings Url
- `eligibility_response` — Eligibility Response
- `generated_pdf_success` — Generated Pdf Success
- `generated_pdf_status` — Generated Pdf Status
- `generated_pdf_document_id` — Generated Pdf Document Id
- `generated_pdf_title` — Generated Pdf Title
- `generated_pdf_document_type` — Generated Pdf Document Type
- `generated_pdf_s3_key` — Generated Pdf S3 Key
- `generated_pdf_s3_uri` — Generated Pdf S3 Uri
- `generated_pdf_sha256` — Generated Pdf Sha256
- `generated_pdf_size` — Generated Pdf Size
- `generated_pdf_filename` — Generated Pdf Filename
- `generated_pdf_source` — Generated Pdf Source
- `generated_pdf_content_type` — Generated Pdf Content Type
- `generated_pdf_external_id` — Generated Pdf External Id
- `generated_pdf_was_existing` — Generated Pdf Was Existing
- `generated_pdf_error` — Generated Pdf Error
- `generated_pdf_error_message` — Generated Pdf Error Message
- `error_message` — Error Message
- `error` — Error

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

```json
{
  "type": "object",
  "properties": {
    "enabled": {
      "type": "boolean",
      "default": true,
      "description": "Optional true-or-false value.",
      "x-workflow-field-type": "boolean"
    },
    "group_id": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "member_id": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "as_of_date": {
      "type": "string",
      "format": "date",
      "description": "Optional date in YYYY-MM-DD format.",
      "x-workflow-field-type": "date"
    },
    "carrier_id": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "document_id": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "medicare_id": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "skip_reason": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "generate_pdf": {
      "type": "boolean",
      "default": false,
      "description": "Optional true-or-false value.",
      "x-workflow-field-type": "boolean"
    },
    "jurisdiction": {
      "default": "C",
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "provider_npi": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "patient_state": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "provider_type": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "service_types": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "coverage_basis": {
      "enum": [
        "any",
        "part_b"
      ],
      "type": "string",
      "default": "any",
      "description": "Optional selected identifier or value.",
      "x-workflow-field-type": "select"
    },
    "patient_address": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "place_of_service": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "preferred_portal": {
      "type": "string",
      "default": "auto",
      "description": "Optional selected identifier or value. Retrieve allowed values from the dynamic options endpoint.",
      "x-dynamic-options": true,
      "x-workflow-field-type": "select"
    },
    "patient_last_name": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "service_type_mode": {
      "enum": [
        "",
        "explicit",
        "all"
      ],
      "type": "string",
      "description": "Optional selected identifier or value.",
      "x-workflow-field-type": "select"
    },
    "patient_birth_date": {
      "type": "string",
      "format": "date",
      "description": "Optional date in YYYY-MM-DD format.",
      "x-workflow-field-type": "date"
    },
    "patient_first_name": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "provider_last_name": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "insurance_policy_id": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "source_service_date": {
      "type": "string",
      "format": "date",
      "description": "Optional date in YYYY-MM-DD format.",
      "x-workflow-field-type": "date"
    },
    "generated_pdf_source": {
      "type": "string",
      "default": "eligibility",
      "description": "Optional text value.",
      "x-workflow-field-type": "text"
    },
    "persist_generated_pdf": {
      "type": "boolean",
      "default": false,
      "description": "Optional true-or-false value.",
      "x-workflow-field-type": "boolean"
    },
    "generated_pdf_filename": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "fast_http_determination": {
      "type": "boolean",
      "default": false,
      "description": "Optional true-or-false value.",
      "x-workflow-field-type": "boolean"
    },
    "generated_pdf_dedupe_key": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "service_type_descriptions": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "source_service_month_timezone": {
      "type": "string",
      "description": "Optional text value.",
      "x-workflow-field-type": "text"
    },
    "show_generated_document_in_inbox": {
      "type": "boolean",
      "default": false,
      "description": "Optional true-or-false value.",
      "x-workflow-field-type": "boolean"
    },
    "include_availity_coverage_details": {
      "type": "boolean",
      "default": true,
      "description": "Optional true-or-false value.",
      "x-workflow-field-type": "boolean"
    },
    "password_expiration_slack_channel": {
      "type": "string",
      "default": "#feed-alerts",
      "description": "Optional text value.",
      "x-workflow-field-type": "text"
    },
    "require_source_service_month_current": {
      "type": "boolean",
      "default": false,
      "description": "Optional true-or-false value.",
      "x-workflow-field-type": "boolean"
    }
  },
  "additionalProperties": false
}
```

### Output schema

```json
{
  "type": "object",
  "properties": {
    "error": {},
    "portal": {},
    "status": {},
    "has_msp": {},
    "skipped": {},
    "success": {},
    "pdf_path": {},
    "carrier_id": {},
    "input_mode": {},
    "coverage_id": {},
    "document_id": {},
    "is_eligible": {},
    "other_payers": {},
    "settings_url": {},
    "error_message": {},
    "coverage_details": {},
    "coverage_end_date": {},
    "generated_pdf_size": {},
    "coverage_start_date": {},
    "generated_pdf_error": {},
    "generated_pdf_title": {},
    "insurance_policy_id": {},
    "eligibility_response": {},
    "generated_pdf_s3_key": {},
    "generated_pdf_s3_uri": {},
    "generated_pdf_sha256": {},
    "generated_pdf_source": {},
    "generated_pdf_status": {},
    "service_type_outcome": {},
    "transaction_complete": {},
    "generated_pdf_success": {},
    "is_medicare_advantage": {},
    "generated_pdf_filename": {},
    "requested_service_types": {},
    "coordination_of_benefits": {},
    "generated_pdf_document_id": {},
    "generated_pdf_external_id": {},
    "generated_pdf_content_type": {},
    "generated_pdf_was_existing": {},
    "generated_pdf_document_type": {},
    "generated_pdf_error_message": {},
    "normalized_coverage_details": {}
  },
  "additionalProperties": true
}
```