Regal/Lakeside integration

Check Eligibility

Perform Check Eligibility through Regal/Lakeside.

View as Markdown

regal_lakeside_check_eligibility

writeregal_lakeside

Inputs

member_id
text
Member Id
Optional text value.
patient_first
text
Patient First
Optional text value.
patient_last
text
Patient Last
Optional text value.
patient_dob
date
Patient Dob
Optional date in YYYY-MM-DD format.
capture_elig_pdf
boolean
Capture Elig Pdf
Optional true-or-false value.
show_elig_pdf_in_inbox
boolean
Show Elig Pdf In Inbox
Optional true-or-false value.
Default: false
ecw_patient_address
text
Ecw Patient Address
Optional text value.
ecw_patient_name
text
Ecw Patient Name
Optional text value.
ecw_patient_city
text
Ecw Patient City
Optional text value.
ecw_patient_zip
text
Ecw Patient Zip
Optional text value.

Outputs

successSuccess
eligibility_activeEligibility Active
member_idMember Id
mbrnoMbrno
coverage_detailsCoverage Details
elig_pdf_pathElig Pdf Path
eligibility_pdf_document_idEligibility Pdf Document Id
identity_mismatchIdentity Mismatch
identity_mismatch_reasonIdentity Mismatch Reason
failure_categoryFailure Category
companyCompany
line_of_businessLine Of Business
referral_networkReferral Network
errorError

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",
  "properties": {
    "member_id": {
      "type": "string",
      "description": "Optional text value.",
      "x-workflow-field-type": "text"
    },
    "patient_dob": {
      "type": "string",
      "format": "date",
      "description": "Optional date in YYYY-MM-DD format.",
      "x-workflow-field-type": "date"
    },
    "patient_last": {
      "type": "string",
      "description": "Optional text value.",
      "x-workflow-field-type": "text"
    },
    "patient_first": {
      "type": "string",
      "description": "Optional text value.",
      "x-workflow-field-type": "text"
    },
    "ecw_patient_zip": {
      "type": "string",
      "description": "Optional text value.",
      "x-workflow-field-type": "text"
    },
    "capture_elig_pdf": {
      "type": "boolean",
      "description": "Optional true-or-false value.",
      "x-workflow-field-type": "boolean"
    },
    "ecw_patient_city": {
      "type": "string",
      "description": "Optional text value.",
      "x-workflow-field-type": "text"
    },
    "ecw_patient_name": {
      "type": "string",
      "description": "Optional text value.",
      "x-workflow-field-type": "text"
    },
    "ecw_patient_address": {
      "type": "string",
      "description": "Optional text value.",
      "x-workflow-field-type": "text"
    },
    "show_elig_pdf_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": {},
    "mbrno": {},
    "company": {},
    "success": {},
    "member_id": {},
    "elig_pdf_path": {},
    "coverage_details": {},
    "failure_category": {},
    "line_of_business": {},
    "referral_network": {},
    "identity_mismatch": {},
    "eligibility_active": {},
    "identity_mismatch_reason": {},
    "eligibility_pdf_document_id": {}
  },
  "additionalProperties": true
}

View all Regal/Lakeside actions