Check Eligibility
Perform Check Eligibility through WPS.
wps_check_eligibilityUse in a workflow
Copy the discovered node config and fill its params from the input contract. Validate the complete graph before publishing. Integration results use {{node_id.default.field}}. Check business success before dependent writes; completion alone does not prove success.
{
"_group": "WPS",
"params": {
"enabled": true,
"generate_document": false,
"show_generated_document_in_inbox": false
},
"handler": "wps_check_eligibility"
}Inputs
- Enabled
enabledbooleanOptional true-or-false value.
Default:
true - Medicare Number
medicare_numberexpressionrequiredRequired literal value or workflow expression.
- Patient First Name
patient_first_nameexpressionrequiredRequired literal value or workflow expression.
- Patient Last Name
patient_last_nameexpressionrequiredRequired literal value or workflow expression.
- Patient Birth Date
patient_birth_dateexpressionrequiredRequired literal value or workflow expression.
- Date Of Service
date_of_serviceexpressionOptional literal value or workflow expression.
- Npi
npiexpressionOptional literal value or workflow expression.
- Skip Reason
skip_reasonexpressionOptional literal value or workflow expression.
- Generate Document
generate_documentbooleanOptional true-or-false value.
Default:
false - Show Generated Document In Inbox
show_generated_document_in_inboxbooleanOptional true-or-false value.
Default:
false - Generated Pdf Filename
generated_pdf_filenameexpressionOptional literal value or workflow expression.
Outputs
successSuccessstatusStatusis_eligibleIs Eligiblestatus_reasonStatus Reasonpart_a_effective_datePart A Effective Datepart_b_effective_datePart B Effective Dateentitlement_reasonEntitlement Reasondate_of_deathDate Of Deathpart_b_deductible_basePart B Deductible Basepart_b_deductible_remainingPart B Deductible Remaininghas_medicare_advantageHas Medicare Advantagemedicare_advantage_plansMedicare Advantage Planshas_mspHas Mspmsp_recordsMsp Recordshas_hospiceHas Hospicehas_qmbHas Qmbcoverage_flagsCoverage Flagstransaction_idTransaction IdportalPortalerrorErrorerror_reasonError ReasonskippedSkippedskip_reasonSkip Reasondocument_idDocument Iddocument_errorDocument Errorgenerated_pdf_statusGenerated Pdf Statusgenerated_pdf_document_idGenerated Pdf Document Idgenerated_pdf_s3_keyGenerated Pdf S3 Keygenerated_pdf_s3_uriGenerated Pdf S3 Urigenerated_pdf_filenameGenerated Pdf Filenamegenerated_pdf_errorGenerated Pdf 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
{
"type": "object",
"required": [
"medicare_number",
"patient_first_name",
"patient_last_name",
"patient_birth_date"
],
"properties": {
"npi": {
"description": "Optional literal value or workflow expression.",
"x-workflow-field-type": "expression"
},
"enabled": {
"type": "boolean",
"default": true,
"description": "Optional true-or-false value.",
"x-workflow-field-type": "boolean"
},
"skip_reason": {
"description": "Optional literal value or workflow expression.",
"x-workflow-field-type": "expression"
},
"date_of_service": {
"description": "Optional literal value or workflow expression.",
"x-workflow-field-type": "expression"
},
"medicare_number": {
"description": "Required literal value or workflow expression.",
"x-workflow-field-type": "expression"
},
"generate_document": {
"type": "boolean",
"default": false,
"description": "Optional true-or-false value.",
"x-workflow-field-type": "boolean"
},
"patient_last_name": {
"description": "Required literal value or workflow expression.",
"x-workflow-field-type": "expression"
},
"patient_birth_date": {
"description": "Required literal value or workflow expression.",
"x-workflow-field-type": "expression"
},
"patient_first_name": {
"description": "Required literal value or workflow expression.",
"x-workflow-field-type": "expression"
},
"generated_pdf_filename": {
"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
{
"type": "object",
"properties": {
"error": {},
"portal": {},
"status": {},
"has_msp": {},
"has_qmb": {},
"skipped": {},
"success": {},
"document_id": {},
"has_hospice": {},
"is_eligible": {},
"msp_records": {},
"skip_reason": {},
"error_reason": {},
"date_of_death": {},
"status_reason": {},
"coverage_flags": {},
"document_error": {},
"transaction_id": {},
"entitlement_reason": {},
"generated_pdf_error": {},
"generated_pdf_s3_key": {},
"generated_pdf_s3_uri": {},
"generated_pdf_status": {},
"part_a_effective_date": {},
"part_b_effective_date": {},
"generated_pdf_filename": {},
"has_medicare_advantage": {},
"part_b_deductible_base": {},
"medicare_advantage_plans": {},
"generated_pdf_document_id": {},
"part_b_deductible_remaining": {}
},
"additionalProperties": true
}