Check Eligibility
Perform Check Eligibility through Humana Military.
humana_military_check_eligibilitywritehumana_military
Inputs
- Enabled
enabledbooleanOptional true-or-false value.
Default:
true - Tricare Id
tricare_idexpressionrequiredRequired literal value or workflow expression.
- Patient Birth Date
patient_birth_dateexpressionrequiredRequired literal value or workflow expression.
- Date Of Service
date_of_serviceexpressionOptional literal value or workflow expression.
- Generate Pdf
generate_pdfbooleanOptional true-or-false value.
Default:
false - Show Generated Document In Inbox
show_generated_document_in_inboxbooleanOptional true-or-false value.
Default:
false - Generated Pdf Filename
generated_pdf_filenameexpressionOptional literal value or workflow expression.
- Generated Pdf Source
generated_pdf_sourcetextOptional text value.
Default:
"humana_military_eligibility" - Generated Pdf Dedupe Key
generated_pdf_dedupe_keyexpressionOptional literal value or workflow expression.
- Skip Reason
skip_reasonexpressionOptional literal value or workflow expression.
Outputs
successSuccessstatusStatusis_eligibleIs EligibleregionRegionis_tricare_eastIs Tricare Eaststatus_rawStatus Rawcoverage_classCoverage Classplan_namePlan Namecoverage_startCoverage Startcoverage_endCoverage Endcoverage_detailsCoverage Detailsis_coverage_data_issueIs Coverage Data IssueportalPortalsettings_urlSettings UrlerrorErrorerror_reasonError Reasonlookup_errorLookup Errorgenerated_pdf_successGenerated Pdf Successgenerated_pdf_statusGenerated Pdf Statusgenerated_pdf_document_idGenerated Pdf Document Idgenerated_pdf_titleGenerated Pdf Titlegenerated_pdf_document_typeGenerated Pdf Document Typegenerated_pdf_s3_keyGenerated Pdf S3 Keygenerated_pdf_s3_uriGenerated Pdf S3 Urigenerated_pdf_sha256Generated Pdf Sha256generated_pdf_sizeGenerated Pdf Sizegenerated_pdf_filenameGenerated Pdf Filenamegenerated_pdf_sourceGenerated Pdf Sourcegenerated_pdf_content_typeGenerated Pdf Content Typegenerated_pdf_external_idGenerated Pdf External Idgenerated_pdf_was_existingGenerated Pdf Was Existinggenerated_pdf_errorGenerated Pdf Errorgenerated_pdf_error_messageGenerated Pdf Error MessageskippedSkippedskip_reasonSkip Reason
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": [
"tricare_id",
"patient_birth_date"
],
"properties": {
"enabled": {
"type": "boolean",
"default": true,
"description": "Optional true-or-false value.",
"x-workflow-field-type": "boolean"
},
"tricare_id": {
"description": "Required 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"
},
"date_of_service": {
"description": "Optional literal value or workflow expression.",
"x-workflow-field-type": "expression"
},
"patient_birth_date": {
"description": "Required literal value or workflow expression.",
"x-workflow-field-type": "expression"
},
"generated_pdf_source": {
"type": "string",
"default": "humana_military_eligibility",
"description": "Optional text value.",
"x-workflow-field-type": "text"
},
"generated_pdf_filename": {
"description": "Optional literal value or workflow expression.",
"x-workflow-field-type": "expression"
},
"generated_pdf_dedupe_key": {
"description": "Optional literal value or workflow expression.",
"x-workflow-field-type": "expression"
},
"show_generated_document_in_inbox": {
"type": "boolean",
"default": false,
"description": "Optional true-or-false value.",
"x-workflow-field-type": "boolean"
}
},
"additionalProperties": false
}Output schema
{
"type": "object",
"properties": {
"error": {},
"portal": {},
"region": {},
"status": {},
"skipped": {},
"success": {},
"plan_name": {},
"status_raw": {},
"is_eligible": {},
"skip_reason": {},
"coverage_end": {},
"error_reason": {},
"lookup_error": {},
"settings_url": {},
"coverage_class": {},
"coverage_start": {},
"is_tricare_east": {},
"coverage_details": {},
"generated_pdf_size": {},
"generated_pdf_error": {},
"generated_pdf_title": {},
"generated_pdf_s3_key": {},
"generated_pdf_s3_uri": {},
"generated_pdf_sha256": {},
"generated_pdf_source": {},
"generated_pdf_status": {},
"generated_pdf_success": {},
"generated_pdf_filename": {},
"is_coverage_data_issue": {},
"generated_pdf_document_id": {},
"generated_pdf_external_id": {},
"generated_pdf_content_type": {},
"generated_pdf_was_existing": {},
"generated_pdf_document_type": {},
"generated_pdf_error_message": {}
},
"additionalProperties": true
}