NikoHealth integration

Run Eligibility Check

Perform Run Eligibility Check through NikoHealth.

View as Markdown

nikohealth_run_eligibility_check

writenikohealth

Inputs

patient_id
expressionrequired
Patient Id
Required literal value or workflow expression.
niko_insurance_id
expression
Niko Insurance Id
Optional literal value or workflow expression.
force_resubmit
boolean
Force Resubmit
Optional true-or-false value.
Default: false
enabled
boolean
Enabled
Optional true-or-false value.
Default: true
skip_reason
expression
Skip Reason
Optional literal value or workflow expression.
update_insurance_status_without_local_policy
boolean
Update Insurance Status Without Local Policy
Optional true-or-false value.
Default: false

Outputs

successSuccess
statusStatus
skippedSkipped
is_eligibleIs Eligible
alertsAlerts
transaction_idTransaction Id
eligibility_resultEligibility Result
niko_insurance_idNiko Insurance Id
insurance_status_updatedInsurance Status Updated
status_update_skipped_reasonStatus Update Skipped Reason
errorError
error_messageError Message

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": [
    "patient_id"
  ],
  "properties": {
    "enabled": {
      "type": "boolean",
      "default": true,
      "description": "Optional true-or-false value.",
      "x-workflow-field-type": "boolean"
    },
    "patient_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"
    },
    "force_resubmit": {
      "type": "boolean",
      "default": false,
      "description": "Optional true-or-false value.",
      "x-workflow-field-type": "boolean"
    },
    "niko_insurance_id": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "update_insurance_status_without_local_policy": {
      "type": "boolean",
      "default": false,
      "description": "Optional true-or-false value.",
      "x-workflow-field-type": "boolean"
    }
  },
  "additionalProperties": false
}

Output schema

{
  "type": "object",
  "properties": {
    "error": {},
    "alerts": {},
    "status": {},
    "skipped": {},
    "success": {},
    "is_eligible": {},
    "error_message": {},
    "transaction_id": {},
    "niko_insurance_id": {},
    "eligibility_result": {},
    "insurance_status_updated": {},
    "status_update_skipped_reason": {}
  },
  "additionalProperties": true
}

View all NikoHealth actions