Parse Eligibility and Benefit Verification (EBV) FHIR Response Action

Parses the first FHIR coverage eligibility response call and creates coverage benefit records.

This action is categorized under Health Cloud and is used to process raw FHIR JSON data from a patient eligibility and benefits verification request.

Supported REST HTTP Methods

URI
/services/data/v67.0/actions/standard/parseEbvFhirResponse
Formats
JSON, XML
HTTP Methods
POST
Authentication
Authorization: Bearer token

Inputs

Input Details
careBenefitVerifyRequestId
Type
ID
Description
Required
The ID of the care benefit verify request.
jsonResponse
Type
String
Description
Required
The raw JSON response from the first FHIR request call to verify patient eligibility and benefits.
memberPlanId
Type
ID
Description
Required
The ID of the member plan to link the coverage benefit to.

Outputs

Output Details
coverageBenefitId
Type
ID
Description
The ID of the coverage benefit record that was created.
errorMessage
Type
String
Description
The error details if parsing and record creation failed.
isCoverageActive
Type
Boolean
Description
Indicates whether insurance coverage is currently active (true) or not (false).
isSuccess
Type
Boolean
Description
Indicates whether parsing and record creation was successful (true) or not (false).

Example

This sample request is for the Parse Eligibility and Benefit Verification (EBV) FHIR Response action

1{
2        "inputs": [
3        {
4        "memberPlanId": "0p0xx0000004C92GAE",
5        "careBenefitVerifyRequestId": "0kdxx0000004C92GAE",
6        "jsonResponse": "{\"resourceType\": \"Bundle\", \"id\": \"coverage-eligibility-response-example\", ...}"
7        }
8        ]
9        }

This sample response is for the Parse Eligibility and Benefit Verification (EBV) FHIR Response action

1[
2        {
3        "isSuccess": true,
4        "errorMessage": null,
5        "coverageBenefitId": "0jfxx0000004C92GAE",
6        "isCoverageActive": true
7        }
8        ]