# Check Eligibility

> Perform Check Eligibility through myCGS.

Source: [https://genhealth.ai/docs/workflows/integrations/my-cgs/mycgs_check_eligibility](https://genhealth.ai/docs/workflows/integrations/my-cgs/mycgs_check_eligibility)

Integration: [myCGS](https://genhealth.ai/docs/workflows/integrations/my-cgs.md)

- Handler: `mycgs_check_eligibility`

- Connection type: `mycgs`

## Inputs

- `enabled` — Enabled (boolean)
  Optional true-or-false value.
  Default: `true`
- `skip_reason` — Skip Reason (expression)
  Optional literal value or workflow expression.
- `member_id` — Member Id (expression, required)
  Required literal value or workflow expression.
- `medicare_id` — Medicare Id (expression)
  Optional literal value or workflow expression.
- `patient_first_name` — Patient First Name (expression, required)
  Required literal value or workflow expression.
- `patient_last_name` — Patient Last Name (expression, required)
  Required literal value or workflow expression.
- `patient_birth_date` — Patient Birth Date (date, required)
  Required date in YYYY-MM-DD format.
- `as_of_date` — As Of Date (date)
  Optional date in YYYY-MM-DD format.
- `jurisdiction` — Jurisdiction (expression)
  Optional literal value or workflow expression.
  Default: `"C"`
- `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: `true`
- `persist_generated_pdf` — Persist Generated Pdf (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: `"mycgs_eligibility"`
- `generated_pdf_dedupe_key` — Generated Pdf Dedupe Key (expression)
  Optional literal value or workflow expression.

## Outputs

- `success` — Success
- `status` — Status
- `skipped` — Skipped
- `is_eligible` — Is Eligible
- `portal` — Portal
- `response_id` — Response Id
- `pdf_path` — Pdf Path
- `coverage_details` — Coverage Details
- `generated_pdf_success` — Generated Pdf Success
- `generated_pdf_status` — Generated Pdf Status
- `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_error` — Generated Pdf Error
- `generated_pdf_error_message` — Generated Pdf Error Message
- `error` — Error
- `error_message` — Error Message
- `lookup_error` — Lookup 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",
  "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

```json
{
  "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
}
```
