# Check Eligibility

> Perform Check Eligibility through Noridian.

Source: [https://genhealth.ai/docs/workflows/integrations/noridian/noridian_check_eligibility](https://genhealth.ai/docs/workflows/integrations/noridian/noridian_check_eligibility)

Integration: [Noridian](https://genhealth.ai/docs/workflows/integrations/noridian.md)

- Handler: `noridian_check_eligibility`

- Connection type: `noridian`

## Inputs

- `jurisdiction` — Jurisdiction (select)
  Optional selected identifier or value.
  Default: `"A"`
  Options: Jurisdiction A ("A"), Jurisdiction D ("D")
- `member_id` — Member Id (expression, required)
  Required literal value or workflow expression.
- `patient_last_name` — Patient Last Name (expression, required)
  Required literal value or workflow expression.
- `patient_first_name` — Patient First Name (expression)
  Optional literal value or workflow expression.
- `patient_birth_date` — Patient Birth Date (date, required)
  Required date in YYYY-MM-DD format.
- `patient_address` — Patient Address (expression)
  Optional literal value or workflow expression.
- `in_region_states` — In Region States (expression)
  Optional literal value or workflow expression.
- `service_start_date` — Service Start Date (date)
  Optional date in YYYY-MM-DD format.
- `service_end_date` — Service End Date (date)
  Optional date in YYYY-MM-DD format.
- `coverage_basis` — Coverage Basis (select)
  Optional selected identifier or value.
  Default: `"any"`
  Options: Part A + Part B (default) ("any"), Medicare Part B only ("part_b")
- `suppress_stale_snf_flags` — Suppress Stale Snf Flags (boolean)
  Optional true-or-false value.
  Default: `false`
- `check_consolidated_billing` — Check Consolidated Billing (boolean)
  Optional true-or-false value.
  Default: `false`
- `consolidated_billing_hcpcs_codes` — Consolidated Billing Hcpcs Codes (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: `"noridian_eligibility"`
- `generated_pdf_dedupe_key` — Generated Pdf Dedupe Key (expression)
  Optional literal value or workflow expression.

## Outputs

- `success` — Success
- `status` — Status
- `failure_category` — Failure Category
- `is_eligible` — Is Eligible
- `inactive_reason` — Inactive Reason
- `is_deceased` — Is Deceased
- `flags` — Flags
- `snf_most_recent_status` — Snf Most Recent Status
- `snf_most_recent_status_category` — Snf Most Recent Status Category
- `jurisdiction` — Jurisdiction
- `medicare_program` — Medicare Program
- `part_a` — Part A
- `part_b` — Part B
- `part_b_deductible` — Part B Deductible
- `ineligible_period` — Ineligible Period
- `same_or_similar` — Same Or Similar
- `consolidated_billing` — Consolidated Billing
- `has_home_health_bundled` — Has Home Health Bundled
- `has_hospice_consolidated` — Has Hospice Consolidated
- `insurance_info` — Insurance Info
- `patient_address` — Patient Address
- `pdf_path` — Pdf Path
- `portal` — Portal
- `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` — Error
- `error_message` — Error 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

```json
{
  "type": "object",
  "required": [
    "member_id",
    "patient_last_name",
    "patient_birth_date"
  ],
  "properties": {
    "member_id": {
      "description": "Required 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": {
      "enum": [
        "A",
        "D"
      ],
      "type": "string",
      "default": "A",
      "description": "Optional selected identifier or value.",
      "x-workflow-field-type": "select"
    },
    "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"
    },
    "in_region_states": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "service_end_date": {
      "type": "string",
      "format": "date",
      "description": "Optional date in YYYY-MM-DD format.",
      "x-workflow-field-type": "date"
    },
    "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": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "service_start_date": {
      "type": "string",
      "format": "date",
      "description": "Optional date in YYYY-MM-DD format.",
      "x-workflow-field-type": "date"
    },
    "generated_pdf_source": {
      "type": "string",
      "default": "noridian_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"
    },
    "generated_pdf_dedupe_key": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "suppress_stale_snf_flags": {
      "type": "boolean",
      "default": false,
      "description": "Optional true-or-false value.",
      "x-workflow-field-type": "boolean"
    },
    "check_consolidated_billing": {
      "type": "boolean",
      "default": false,
      "description": "Optional true-or-false value.",
      "x-workflow-field-type": "boolean"
    },
    "consolidated_billing_hcpcs_codes": {
      "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

```json
{
  "type": "object",
  "properties": {
    "error": {},
    "flags": {},
    "part_a": {},
    "part_b": {},
    "portal": {},
    "status": {},
    "success": {},
    "pdf_path": {},
    "is_deceased": {},
    "is_eligible": {},
    "jurisdiction": {},
    "error_message": {},
    "insurance_info": {},
    "inactive_reason": {},
    "patient_address": {},
    "same_or_similar": {},
    "failure_category": {},
    "medicare_program": {},
    "ineligible_period": {},
    "part_b_deductible": {},
    "generated_pdf_size": {},
    "generated_pdf_error": {},
    "generated_pdf_title": {},
    "consolidated_billing": {},
    "generated_pdf_s3_key": {},
    "generated_pdf_s3_uri": {},
    "generated_pdf_sha256": {},
    "generated_pdf_source": {},
    "generated_pdf_status": {},
    "generated_pdf_success": {},
    "generated_pdf_filename": {},
    "snf_most_recent_status": {},
    "has_home_health_bundled": {},
    "has_hospice_consolidated": {},
    "generated_pdf_document_id": {},
    "generated_pdf_external_id": {},
    "generated_pdf_content_type": {},
    "generated_pdf_was_existing": {},
    "generated_pdf_document_type": {},
    "generated_pdf_error_message": {},
    "snf_most_recent_status_category": {}
  },
  "additionalProperties": true
}
```