myCGS integration

Check Eligibility

Perform Check Eligibility through myCGS.

View as Markdown

mycgs_check_eligibility

writemycgs

Inputs

enabled
boolean
Enabled
Optional true-or-false value.
Default: true
skip_reason
expression
Skip Reason
Optional literal value or workflow expression.
member_id
expressionrequired
Member Id
Required literal value or workflow expression.
medicare_id
expression
Medicare Id
Optional literal value or workflow expression.
patient_first_name
expressionrequired
Patient First Name
Required literal value or workflow expression.
patient_last_name
expressionrequired
Patient Last Name
Required literal value or workflow expression.
patient_birth_date
daterequired
Patient Birth Date
Required date in YYYY-MM-DD format.
as_of_date
date
As Of Date
Optional date in YYYY-MM-DD format.
jurisdiction
expression
Jurisdiction
Optional literal value or workflow expression.
Default: "C"
coverage_basis
select
Coverage Basis
Optional selected identifier or value.
Default: "any"
Options: Any active coverage (default) ("any"), Medicare Part B only ("part_b")
fast_http_determination
boolean
Fast Http Determination
Optional true-or-false value.
Default: true
persist_generated_pdf
boolean
Persist Generated Pdf
Optional true-or-false value.
Default: false
generated_pdf_filename
expression
Generated Pdf Filename
Optional literal value or workflow expression.
generated_pdf_source
text
Generated Pdf Source
Optional text value.
Default: "mycgs_eligibility"
generated_pdf_dedupe_key
expression
Generated Pdf Dedupe Key
Optional literal value or workflow expression.

Outputs

successSuccess
statusStatus
skippedSkipped
is_eligibleIs Eligible
portalPortal
response_idResponse Id
pdf_pathPdf Path
coverage_detailsCoverage Details
generated_pdf_successGenerated Pdf Success
generated_pdf_statusGenerated Pdf Status
generated_pdf_s3_keyGenerated Pdf S3 Key
generated_pdf_s3_uriGenerated Pdf S3 Uri
generated_pdf_sha256Generated Pdf Sha256
generated_pdf_sizeGenerated Pdf Size
generated_pdf_filenameGenerated Pdf Filename
generated_pdf_sourceGenerated Pdf Source
generated_pdf_content_typeGenerated Pdf Content Type
generated_pdf_errorGenerated Pdf Error
generated_pdf_error_messageGenerated Pdf Error Message
errorError
error_messageError Message
lookup_errorLookup 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

{
  "type": "object",
  "required": [
    "member_id",
    "patient_first_name",
    "patient_last_name",
    "patient_birth_date"
  ],
  "properties": {
    "enabled": {
      "type": "boolean",
      "default": true,
      "description": "Optional true-or-false value.",
      "x-workflow-field-type": "boolean"
    },
    "member_id": {
      "description": "Required 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"
    },
    "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"
    },
    "jurisdiction": {
      "default": "C",
      "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_last_name": {
      "description": "Required literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "patient_birth_date": {
      "type": "string",
      "format": "date",
      "description": "Required date in YYYY-MM-DD format.",
      "x-workflow-field-type": "date"
    },
    "patient_first_name": {
      "description": "Required literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "generated_pdf_source": {
      "type": "string",
      "default": "mycgs_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": true,
      "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"
    }
  },
  "additionalProperties": false
}

Output schema

{
  "type": "object",
  "properties": {
    "error": {},
    "portal": {},
    "status": {},
    "skipped": {},
    "success": {},
    "pdf_path": {},
    "is_eligible": {},
    "response_id": {},
    "lookup_error": {},
    "error_message": {},
    "coverage_details": {},
    "generated_pdf_size": {},
    "generated_pdf_error": {},
    "generated_pdf_s3_key": {},
    "generated_pdf_s3_uri": {},
    "generated_pdf_sha256": {},
    "generated_pdf_source": {},
    "generated_pdf_status": {},
    "generated_pdf_success": {},
    "generated_pdf_filename": {},
    "generated_pdf_content_type": {},
    "generated_pdf_error_message": {}
  },
  "additionalProperties": true
}

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