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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

TableJSON Schema
NameRequiredDescriptionDefault
actionYesAction: Approve, Reject, Query, Forward, Pending, cpdApprove, cpdReject, iQuery
caseIdYesCase number
remarksNoRemarks / reason for actionok
memberIdYesPatient ABHA/PMJAY member ID
senderCodeYesProvider/sender code
receiverCodeNoPayer code1518
correlationIdYesCorrelation ID from the original submission (required — never guess this)
Behavior2/5

Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?

No annotations are provided, so the description must carry the full burden of behavioral disclosure. It mentions that the usecase is derived automatically, but does not disclose side effects, irreversibility, authentication requirements, or return format. For a tool that can approve/reject cases, this is a significant transparency gap.

Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.

Conciseness4/5

Is the description appropriately sized, front-loaded, and free of redundancy?

The description is concise at two sentences, front-loading the main purpose and action list. The second sentence efficiently lists required parameters. No fluff or redundant information, though the structure could be slightly improved with a clearer separation of purpose and usage.

Shorter descriptions cost fewer tokens and are easier for agents to parse. Every sentence should earn its place.

Completeness2/5

Given the tool's complexity, does the description cover enough for an agent to succeed on first attempt?

Given the tool performs case mutations and there is no output schema or annotations, the description is incomplete. It lacks information about expected responses, error handling, pre-conditions (e.g., login), or post-condition effects. The schema covers parameters but not behavior, and the short description does not compensate.

Complex tools with many parameters or behaviors need more documentation. Simple tools need less. This dimension scales expectations accordingly.

Parameters3/5

Does the description clarify parameter syntax, constraints, interactions, or defaults beyond what the schema provides?

Schema description coverage is 100%, so the baseline is 3. The description adds minimal semantic value beyond the schema, simply restating that certain parameters are required. The schema already provides clear descriptions for each parameter, including the critical note about never guessing correlationId.

Input schemas describe structure but not intent. Descriptions should explain non-obvious parameter relationships and valid value ranges.

Purpose4/5

Does the description clearly state what the tool does and how it differs from similar tools?

The description clearly states the tool acts as a payer and performs an action on a case, listing the specific actions. This distinguishes it from sibling tools like nhcx_login or nhcx_workflow, which serve different purposes. The verb+resource is specific enough, though it could be crisper.

Agents choose between tools based on descriptions. A clear purpose with a specific verb and resource helps agents select the right tool.

Usage Guidelines3/5

Does the description explain when to use this tool, when not to, or what alternatives exist?

The description implies usage for case processing actions but does not explicitly say when to use this tool versus alternatives. It mentions required parameters, which helps, but there are no exclusion criteria or explicit mention of when to prefer sibling tools. The guidance is implied rather than stated.

Agents often have multiple tools that could apply. Explicit usage guidance like "use X instead of Y when Z" prevents misuse.

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