# Check Eligibility

> Perform Check Eligibility through United Healthcare.

Source: [https://genhealth.ai/docs/workflows/integrations/united-healthcare/uhc_check_eligibility](https://genhealth.ai/docs/workflows/integrations/united-healthcare/uhc_check_eligibility)

Integration: [United Healthcare](https://genhealth.ai/docs/workflows/integrations/united-healthcare.md)

- Handler: `uhc_check_eligibility`

- Connection type: `united_healthcare_portal`

## Inputs

- `member_id` — Member Id (expression, required)
  Required literal value or workflow expression.
- `date_of_birth` — Date Of Birth (expression, required)
  Required literal value or workflow expression.
- `service_start_date` — Service Start Date (expression)
  Optional literal value or workflow expression.
- `service_end_date` — Service End Date (expression)
  Optional literal value or workflow expression.
- `payer_id` — Payer Id (expression, required)
  Required literal value or workflow expression.
- `payer_name` — Payer Name (expression)
  Optional literal value or workflow expression.
  Default: `"UnitedHealthcare"`
- `include_dme` — Include Dme (boolean)
  Optional true-or-false value.
  Default: `true`
- `generate_pdf` — Generate 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`

## Outputs

- `success` — Success
- `error` — Error
- `failure_category` — Failure Category
- `exception_type` — Exception Type
- `safe_error_codes` — Safe Error Codes
- `customer_message` — Customer Message
- `payer_rejection_reason` — Payer Rejection Reason
- `payer_rejection_category` — Payer Rejection Category
- `is_coverage_data_issue` — Is Coverage Data Issue
- `insurance_info` — Insurance Info
- `prior_auth` — Prior Auth
- `prior_auth_issuer` — Prior Auth Issuer
- `deductibles` — Deductibles
- `out_of_pocket` — Out Of Pocket
- `dme` — Dme
- `transaction_id` — Transaction Id
- `policy_id` — Policy Id
- `pdf_path` — Pdf Path
- `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_document_s3_uri` — Generated Pdf Document 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

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",
    "date_of_birth",
    "payer_id"
  ],
  "properties": {
    "payer_id": {
      "description": "Required literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "member_id": {
      "description": "Required literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "payer_name": {
      "default": "UnitedHealthcare",
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "include_dme": {
      "type": "boolean",
      "default": true,
      "description": "Optional true-or-false value.",
      "x-workflow-field-type": "boolean"
    },
    "generate_pdf": {
      "type": "boolean",
      "default": false,
      "description": "Optional true-or-false value.",
      "x-workflow-field-type": "boolean"
    },
    "date_of_birth": {
      "description": "Required literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "service_end_date": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "service_start_date": {
      "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": {
    "dme": {},
    "error": {},
    "success": {},
    "pdf_path": {},
    "policy_id": {},
    "prior_auth": {},
    "deductibles": {},
    "out_of_pocket": {},
    "exception_type": {},
    "insurance_info": {},
    "transaction_id": {},
    "customer_message": {},
    "failure_category": {},
    "safe_error_codes": {},
    "prior_auth_issuer": {},
    "generated_pdf_size": {},
    "generated_pdf_error": {},
    "generated_pdf_title": {},
    "generated_pdf_s3_key": {},
    "generated_pdf_s3_uri": {},
    "generated_pdf_sha256": {},
    "generated_pdf_source": {},
    "generated_pdf_status": {},
    "generated_pdf_success": {},
    "generated_pdf_filename": {},
    "is_coverage_data_issue": {},
    "payer_rejection_reason": {},
    "payer_rejection_category": {},
    "generated_pdf_document_id": {},
    "generated_pdf_external_id": {},
    "generated_pdf_content_type": {},
    "generated_pdf_was_existing": {},
    "generated_pdf_document_type": {},
    "generated_pdf_error_message": {},
    "generated_pdf_document_s3_uri": {}
  },
  "additionalProperties": true
}
```