nhcx_process_case
Approve, reject, query, forward, or set pending on a case as a payer. Requires case ID, sender code, member ID, and correlation ID for NHCX payer workflow simulation.
Instructions
Act as a payer and perform an action on a case: Approve, Reject, Query, Forward, Pending, cpdApprove, cpdReject, iQuery. The usecase is derived automatically from the action. The caseId, action, senderCode, memberId, and correlationId are required.
Input Schema
| Name | Required | Description | Default |
|---|---|---|---|
| action | Yes | Action: Approve, Reject, Query, Forward, Pending, cpdApprove, cpdReject, iQuery | |
| caseId | Yes | Case number | |
| remarks | No | Remarks / reason for action | ok |
| memberId | Yes | Patient ABHA/PMJAY member ID | |
| senderCode | Yes | Provider/sender code | |
| receiverCode | No | Payer code | 1518 |
| correlationId | Yes | Correlation ID from the original submission (required — never guess this) |