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/vXX.X/actions/standard/parseEbvFhirResponse

Where XX.X is the latest API version.

Formats: JSON, XML

HTTP Methods: POST

Authentication: Authorization: Bearer TOKEN

Where TOKEN is your OAuth access token.

Inputs

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

Outputs

Output	Type	Description

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