Certifyos · Schema

PractitionerSharedStatusResponse

A practitioner's shared credentialing status across the plans the caller can see: each plan's eligibility verdict and current credentialing workflow, and each anchor group's current shared workflow.

CompanyHealthcareProvider DataCredentialingLicensingPayer EnrollmentPrimary Source VerificationProvider Network ManagementRoster ManagementCompliance MonitoringHealthcare APIWebhook

Properties

Name Type Description
npi string The NPI that was looked up.
tenants array One entry per plan that has an eligibility verdict for the practitioner, sorted by plan name. Empty when the NPI is unknown or nothing is visible.
sharedWorkflows array Each visible anchor group's current shared workflow: the active one, else the newest. Empty when none exists.
View JSON Schema on GitHub

JSON Schema

certifyos-practitioner-shared-status-response-schema.json Raw ↑
{
  "$schema": "https://json-schema.org/draft/2020-12/schema",
  "$id": "https://raw.githubusercontent.com/api-evangelist/certifyos/main/json-schema/certifyos-practitioner-shared-status-response-schema.json",
  "title": "PractitionerSharedStatusResponse",
  "description": "A practitioner's shared credentialing status across the plans the caller can see: each plan's eligibility verdict and current credentialing workflow, and each anchor group's current shared workflow.",
  "x-generated": "2026-10-20",
  "x-method": "derived",
  "x-generator": "derive-json-schema.py",
  "x-source": "openapi/certifyos-sharedcredentialingpractitionerstatus-api-openapi.yml#/components/schemas/PractitionerSharedStatusResponse",
  "type": "object",
  "required": [
    "npi",
    "tenants",
    "sharedWorkflows"
  ],
  "properties": {
    "npi": {
      "type": "string",
      "description": "The NPI that was looked up."
    },
    "tenants": {
      "type": "array",
      "items": {
        "$ref": "#/$defs/PractitionerSharedStatusTenant"
      },
      "description": "One entry per plan that has an eligibility verdict for the practitioner, sorted by plan name. Empty when the NPI is unknown or nothing is visible."
    },
    "sharedWorkflows": {
      "type": "array",
      "items": {
        "$ref": "#/$defs/PractitionerSharedStatusSharedWorkflow"
      },
      "description": "Each visible anchor group's current shared workflow: the active one, else the newest. Empty when none exists."
    }
  },
  "$defs": {
    "Instant": {
      "type": "string",
      "format": "date-time"
    },
    "PractitionerSharedStatusCurrentWorkflow": {
      "type": "object",
      "required": [
        "workflowId",
        "status"
      ],
      "description": "A plan's current workflow.",
      "properties": {
        "workflowId": {
          "type": "string",
          "description": "The workflow id."
        },
        "status": {
          "type": "string",
          "description": "The latest status event name as stored, normally a TimelineStatus name; NOT_STARTED when there are no events."
        },
        "statusUpdatedAt": {
          "$ref": "#/$defs/Instant",
          "type": "string",
          "description": "When the latest status event was written; null when there is none."
        },
        "sharedCredWorkflowId": {
          "type": "string",
          "description": "The shared workflow this workflow belongs to; null for the plan's own workflow."
        }
      }
    },
    "PractitionerSharedStatusEligibility": {
      "type": "object",
      "required": [
        "status"
      ],
      "description": "A plan's stored eligibility verdict.",
      "properties": {
        "status": {
          "type": "string",
          "description": "ELIGIBLE or INELIGIBLE."
        },
        "reasonCode": {
          "type": "string",
          "description": "Exclusion reason code; null when none is stored."
        },
        "reasonDescription": {
          "type": "string",
          "description": "Exclusion reason wording; null when there is no reason code."
        }
      }
    },
    "PractitionerSharedStatusSharedWorkflow": {
      "type": "object",
      "required": [
        "sharedCredWorkflowId",
        "anchorGroupId",
        "status",
        "active",
        "memberTenantIds"
      ],
      "description": "An anchor group's current shared workflow.",
      "properties": {
        "sharedCredWorkflowId": {
          "type": "string",
          "description": "The shared workflow id."
        },
        "anchorGroupId": {
          "type": "string",
          "description": "The anchor group it belongs to."
        },
        "status": {
          "type": "string",
          "description": "The stored shared workflow status."
        },
        "active": {
          "type": "boolean",
          "description": "Whether the shared workflow still accepts new tenants."
        },
        "credentialingCycle": {
          "type": "string",
          "description": "INITIAL or RECREDENTIALING; null until derived."
        },
        "memberTenantIds": {
          "type": "array",
          "items": {
            "type": "string"
          },
          "description": "Tenant ids with a member workflow in it, withdrawn members included, sorted ascending."
        }
      }
    },
    "PractitionerSharedStatusTenant": {
      "type": "object",
      "required": [
        "tenantId",
        "anchorGroupId",
        "practitionerRegistryId",
        "eligibility",
        "participating"
      ],
      "description": "One plan's eligibility and current workflow.",
      "properties": {
        "tenantId": {
          "type": "string",
          "description": "The plan's tenant id."
        },
        "tenantName": {
          "type": "string",
          "description": "The plan's display name; null when it has none."
        },
        "anchorGroupId": {
          "type": "string",
          "description": "The anchor group the verdict sits in."
        },
        "practitionerRegistryId": {
          "type": "string",
          "description": "The registry practitioner behind the NPI."
        },
        "eligibility": {
          "$ref": "#/$defs/PractitionerSharedStatusEligibility",
          "type": "object",
          "description": "The stored eligibility verdict."
        },
        "participating": {
          "type": "boolean",
          "description": "Whether the plan takes part in the shared workflow: the operator override when set, else true while the plan's current workflow is an unfinished member of a shared workflow, else whether it is eligible. True can also mean eligible to join, not yet a member."
        },
        "currentWorkflow": {
          "$ref": "#/$defs/PractitionerSharedStatusCurrentWorkflow",
          "type": "object",
          "description": "The plan's current workflow; null when it has none."
        }
      }
    }
  }
}

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