POST api/Policy360Claim/SaveClaimDetails

Save Claim Details

Request Information

URI Parameters

None.

Body Parameters

Name	Type	Additional information
ClaimId	integer	None.
IsSubmit	boolean	None.
PatientId	integer	None.
Email	string	None.
IsActive	boolean	None.
CreatedBy	string	None.
ModifiedBy	string	None.
ClaimType	string	None.
ClaimAmount	decimal number	None.
Currency	string	None.
LoggedInEntityId	string	None.
ClaimStatus	integer	None.
PMEStatus	string	None.
ClaimReferenceNumber	string	None.
Errors	Collection of ClaimSubmissionError	None.
Questionnaire	Collection of QuestionnaireResponse	None.
ReimbursementDetails	ReimbursementDetails	None.
Authorization	Authorization	None.
MembershipNumber	string	None.
Language	integer	None.

Request Formats

application/json, text/json

Sample:

{
  "ClaimId": 1,
  "IsSubmit": true,
  "PatientId": 3,
  "Email": "sample string 4",
  "IsActive": true,
  "CreatedBy": "sample string 6",
  "ModifiedBy": "sample string 7",
  "ClaimType": "sample string 8",
  "ClaimAmount": 9.0,
  "Currency": "sample string 10",
  "LoggedInEntityId": "sample string 11",
  "ClaimStatus": 12,
  "PMEStatus": "sample string 13",
  "ClaimReferenceNumber": "sample string 14",
  "Errors": [
    {
      "Code": "sample string 1",
      "Description": "sample string 2"
    },
    {
      "Code": "sample string 1",
      "Description": "sample string 2"
    }
  ],
  "Questionnaire": [
    {
      "QuestionID": 1,
      "ResponseKey": "sample string 2",
      "Response": "sample string 3"
    },
    {
      "QuestionID": 1,
      "ResponseKey": "sample string 2",
      "Response": "sample string 3"
    }
  ],
  "ReimbursementDetails": {
    "IsLatestPaymentChecked": true,
    "LatestPayment": "sample string 2",
    "ReimburseType": 0,
    "ReimburseMethod": 0,
    "PaymentOption": 0,
    "MailingAddress": {
      "Address": "sample string 1",
      "State": "sample string 2",
      "City": "sample string 3",
      "PostalCode": "sample string 4",
      "Country": "sample string 5"
    },
    "BankDetails": {
      "Id": 1,
      "BankID": {
        "Type": "sample string 1",
        "Id": "sample string 2"
      },
      "BankName": "sample string 2",
      "NameOnAccount": "sample string 3",
      "AccountType": "sample string 4",
      "AccountNumber": "sample string 5",
      "IBANNumber": "sample string 6",
      "AccountOrIBANNumber": "sample string 7",
      "RoutingOrIBANumber": "sample string 8",
      "SWIFTCode": "sample string 9",
      "BankAddress": "sample string 10",
      "EntityId": 11,
      "Status": 12,
      "CreatedBy": 13,
      "CreatedDate": "2024-04-27T20:59:20.1421701-07:00",
      "UpdatedDate": "2024-04-27T20:59:20.1421701-07:00",
      "Currency": {
        "Id": 1,
        "Code": "sample string 2",
        "Name": "sample string 3"
      },
      "BeneficiaryAddress": {
        "Address": "sample string 1",
        "Street": "sample string 2",
        "City": "sample string 3",
        "State": "sample string 4",
        "PostalCode": "sample string 5",
        "Country": "sample string 6"
      },
      "PaymentType": "sample string 16"
    },
    "IntermediaryBankDetails": {
      "Id": 1,
      "BankID": {
        "Type": "sample string 1",
        "Id": "sample string 2"
      },
      "BankName": "sample string 2",
      "NameOnAccount": "sample string 3",
      "AccountType": "sample string 4",
      "AccountNumber": "sample string 5",
      "IBANNumber": "sample string 6",
      "AccountOrIBANNumber": "sample string 7",
      "RoutingOrIBANumber": "sample string 8",
      "SWIFTCode": "sample string 9",
      "BankAddress": "sample string 10",
      "EntityId": 11,
      "Status": 12,
      "CreatedBy": 13,
      "CreatedDate": "2024-04-27T20:59:20.1421701-07:00",
      "UpdatedDate": "2024-04-27T20:59:20.1421701-07:00",
      "Currency": {
        "Id": 1,
        "Code": "sample string 2",
        "Name": "sample string 3"
      },
      "BeneficiaryAddress": {
        "Address": "sample string 1",
        "Street": "sample string 2",
        "City": "sample string 3",
        "State": "sample string 4",
        "PostalCode": "sample string 5",
        "Country": "sample string 6"
      },
      "PaymentType": "sample string 16"
    },
    "ForFurtherCredit": {
      "Id": 1,
      "BankID": {
        "Type": "sample string 1",
        "Id": "sample string 2"
      },
      "BankName": "sample string 2",
      "NameOnAccount": "sample string 3",
      "AccountType": "sample string 4",
      "AccountNumber": "sample string 5",
      "IBANNumber": "sample string 6",
      "AccountOrIBANNumber": "sample string 7",
      "RoutingOrIBANumber": "sample string 8",
      "SWIFTCode": "sample string 9",
      "BankAddress": "sample string 10",
      "EntityId": 11,
      "Status": 12,
      "CreatedBy": 13,
      "CreatedDate": "2024-04-27T20:59:20.1421701-07:00",
      "UpdatedDate": "2024-04-27T20:59:20.1421701-07:00",
      "Currency": {
        "Id": 1,
        "Code": "sample string 2",
        "Name": "sample string 3"
      },
      "BeneficiaryAddress": {
        "Address": "sample string 1",
        "Street": "sample string 2",
        "City": "sample string 3",
        "State": "sample string 4",
        "PostalCode": "sample string 5",
        "Country": "sample string 6"
      },
      "PaymentType": "sample string 16"
    }
  },
  "Authorization": {
    "Name": "sample string 1",
    "Date": "sample string 2",
    "Signature": "sample string 3",
    "IsAuthorized": true
  },
  "MembershipNumber": "sample string 15",
  "Language": 16
}

application/xml, text/xml

Sample:

<ClaimDetailsRequestModel xmlns:i="http://www.w3.org/2001/XMLSchema-instance" xmlns="http://schemas.datacontract.org/2004/07/GBG.AS.AgentPortal.API.Models">
  <Authorization xmlns:d2p1="http://schemas.datacontract.org/2004/07/GBG.AS.AgentPortal.Data.Models.Claims">
    <d2p1:Date>sample string 2</d2p1:Date>
    <d2p1:IsAuthorized>true</d2p1:IsAuthorized>
    <d2p1:Name>sample string 1</d2p1:Name>
    <d2p1:Signature>sample string 3</d2p1:Signature>
  </Authorization>
  <ClaimAmount>9</ClaimAmount>
  <ClaimId>1</ClaimId>
  <ClaimReferenceNumber>sample string 14</ClaimReferenceNumber>
  <ClaimStatus>12</ClaimStatus>
  <ClaimType>sample string 8</ClaimType>
  <CreatedBy>sample string 6</CreatedBy>
  <Currency>sample string 10</Currency>
  <Email>sample string 4</Email>
  <Errors>
    <ClaimSubmissionError>
      <Code>sample string 1</Code>
      <Description>sample string 2</Description>
    </ClaimSubmissionError>
    <ClaimSubmissionError>
      <Code>sample string 1</Code>
      <Description>sample string 2</Description>
    </ClaimSubmissionError>
  </Errors>
  <IsActive>true</IsActive>
  <IsSubmit>true</IsSubmit>
  <Language>16</Language>
  <LoggedInEntityId>sample string 11</LoggedInEntityId>
  <MembershipNumber>sample string 15</MembershipNumber>
  <ModifiedBy>sample string 7</ModifiedBy>
  <PMEStatus>sample string 13</PMEStatus>
  <PatientId>3</PatientId>
  <Questionnaire>
    <QuestionnaireResponse>
      <QuestionID>1</QuestionID>
      <Response>sample string 3</Response>
      <ResponseKey>sample string 2</ResponseKey>
    </QuestionnaireResponse>
    <QuestionnaireResponse>
      <QuestionID>1</QuestionID>
      <Response>sample string 3</Response>
      <ResponseKey>sample string 2</ResponseKey>
    </QuestionnaireResponse>
  </Questionnaire>
  <ReimbursementDetails xmlns:d2p1="http://schemas.datacontract.org/2004/07/GBG.AS.AgentPortal.Data.Models.Claims">
    <d2p1:BankDetails>
      <d2p1:AccountNumber>sample string 5</d2p1:AccountNumber>
      <d2p1:AccountOrIBANNumber>sample string 7</d2p1:AccountOrIBANNumber>
      <d2p1:AccountType>sample string 4</d2p1:AccountType>
      <d2p1:BankAddress>sample string 10</d2p1:BankAddress>
      <d2p1:BankID>
        <d2p1:Id>sample string 2</d2p1:Id>
        <d2p1:Type>sample string 1</d2p1:Type>
      </d2p1:BankID>
      <d2p1:BankName>sample string 2</d2p1:BankName>
      <d2p1:BeneficiaryAddress>
        <d2p1:Address>sample string 1</d2p1:Address>
        <d2p1:City>sample string 3</d2p1:City>
        <d2p1:Country>sample string 6</d2p1:Country>
        <d2p1:PostalCode>sample string 5</d2p1:PostalCode>
        <d2p1:State>sample string 4</d2p1:State>
        <d2p1:Street>sample string 2</d2p1:Street>
      </d2p1:BeneficiaryAddress>
      <d2p1:CreatedBy>13</d2p1:CreatedBy>
      <d2p1:CreatedDate>2024-04-27T20:59:20.1421701-07:00</d2p1:CreatedDate>
      <d2p1:Currency xmlns:d4p1="http://schemas.datacontract.org/2004/07/GBG.AS.AgentPortal.Data.Models.Currency">
        <d4p1:Code>sample string 2</d4p1:Code>
        <d4p1:Id>1</d4p1:Id>
        <d4p1:Name>sample string 3</d4p1:Name>
      </d2p1:Currency>
      <d2p1:EntityId>11</d2p1:EntityId>
      <d2p1:IBANNumber>sample string 6</d2p1:IBANNumber>
      <d2p1:Id>1</d2p1:Id>
      <d2p1:NameOnAccount>sample string 3</d2p1:NameOnAccount>
      <d2p1:PaymentType>sample string 16</d2p1:PaymentType>
      <d2p1:RoutingOrIBANumber>sample string 8</d2p1:RoutingOrIBANumber>
      <d2p1:SWIFTCode>sample string 9</d2p1:SWIFTCode>
      <d2p1:Status>12</d2p1:Status>
      <d2p1:UpdatedDate>2024-04-27T20:59:20.1421701-07:00</d2p1:UpdatedDate>
    </d2p1:BankDetails>
    <d2p1:ForFurtherCredit>
      <d2p1:AccountNumber>sample string 5</d2p1:AccountNumber>
      <d2p1:AccountOrIBANNumber>sample string 7</d2p1:AccountOrIBANNumber>
      <d2p1:AccountType>sample string 4</d2p1:AccountType>
      <d2p1:BankAddress>sample string 10</d2p1:BankAddress>
      <d2p1:BankID>
        <d2p1:Id>sample string 2</d2p1:Id>
        <d2p1:Type>sample string 1</d2p1:Type>
      </d2p1:BankID>
      <d2p1:BankName>sample string 2</d2p1:BankName>
      <d2p1:BeneficiaryAddress>
        <d2p1:Address>sample string 1</d2p1:Address>
        <d2p1:City>sample string 3</d2p1:City>
        <d2p1:Country>sample string 6</d2p1:Country>
        <d2p1:PostalCode>sample string 5</d2p1:PostalCode>
        <d2p1:State>sample string 4</d2p1:State>
        <d2p1:Street>sample string 2</d2p1:Street>
      </d2p1:BeneficiaryAddress>
      <d2p1:CreatedBy>13</d2p1:CreatedBy>
      <d2p1:CreatedDate>2024-04-27T20:59:20.1421701-07:00</d2p1:CreatedDate>
      <d2p1:Currency xmlns:d4p1="http://schemas.datacontract.org/2004/07/GBG.AS.AgentPortal.Data.Models.Currency">
        <d4p1:Code>sample string 2</d4p1:Code>
        <d4p1:Id>1</d4p1:Id>
        <d4p1:Name>sample string 3</d4p1:Name>
      </d2p1:Currency>
      <d2p1:EntityId>11</d2p1:EntityId>
      <d2p1:IBANNumber>sample string 6</d2p1:IBANNumber>
      <d2p1:Id>1</d2p1:Id>
      <d2p1:NameOnAccount>sample string 3</d2p1:NameOnAccount>
      <d2p1:PaymentType>sample string 16</d2p1:PaymentType>
      <d2p1:RoutingOrIBANumber>sample string 8</d2p1:RoutingOrIBANumber>
      <d2p1:SWIFTCode>sample string 9</d2p1:SWIFTCode>
      <d2p1:Status>12</d2p1:Status>
      <d2p1:UpdatedDate>2024-04-27T20:59:20.1421701-07:00</d2p1:UpdatedDate>
    </d2p1:ForFurtherCredit>
    <d2p1:IntermediaryBankDetails>
      <d2p1:AccountNumber>sample string 5</d2p1:AccountNumber>
      <d2p1:AccountOrIBANNumber>sample string 7</d2p1:AccountOrIBANNumber>
      <d2p1:AccountType>sample string 4</d2p1:AccountType>
      <d2p1:BankAddress>sample string 10</d2p1:BankAddress>
      <d2p1:BankID>
        <d2p1:Id>sample string 2</d2p1:Id>
        <d2p1:Type>sample string 1</d2p1:Type>
      </d2p1:BankID>
      <d2p1:BankName>sample string 2</d2p1:BankName>
      <d2p1:BeneficiaryAddress>
        <d2p1:Address>sample string 1</d2p1:Address>
        <d2p1:City>sample string 3</d2p1:City>
        <d2p1:Country>sample string 6</d2p1:Country>
        <d2p1:PostalCode>sample string 5</d2p1:PostalCode>
        <d2p1:State>sample string 4</d2p1:State>
        <d2p1:Street>sample string 2</d2p1:Street>
      </d2p1:BeneficiaryAddress>
      <d2p1:CreatedBy>13</d2p1:CreatedBy>
      <d2p1:CreatedDate>2024-04-27T20:59:20.1421701-07:00</d2p1:CreatedDate>
      <d2p1:Currency xmlns:d4p1="http://schemas.datacontract.org/2004/07/GBG.AS.AgentPortal.Data.Models.Currency">
        <d4p1:Code>sample string 2</d4p1:Code>
        <d4p1:Id>1</d4p1:Id>
        <d4p1:Name>sample string 3</d4p1:Name>
      </d2p1:Currency>
      <d2p1:EntityId>11</d2p1:EntityId>
      <d2p1:IBANNumber>sample string 6</d2p1:IBANNumber>
      <d2p1:Id>1</d2p1:Id>
      <d2p1:NameOnAccount>sample string 3</d2p1:NameOnAccount>
      <d2p1:PaymentType>sample string 16</d2p1:PaymentType>
      <d2p1:RoutingOrIBANumber>sample string 8</d2p1:RoutingOrIBANumber>
      <d2p1:SWIFTCode>sample string 9</d2p1:SWIFTCode>
      <d2p1:Status>12</d2p1:Status>
      <d2p1:UpdatedDate>2024-04-27T20:59:20.1421701-07:00</d2p1:UpdatedDate>
    </d2p1:IntermediaryBankDetails>
    <d2p1:IsLatestPaymentChecked>true</d2p1:IsLatestPaymentChecked>
    <d2p1:LatestPayment>sample string 2</d2p1:LatestPayment>
    <d2p1:MailingAddress>
      <d2p1:Address>sample string 1</d2p1:Address>
      <d2p1:City>sample string 3</d2p1:City>
      <d2p1:Country>sample string 5</d2p1:Country>
      <d2p1:PostalCode>sample string 4</d2p1:PostalCode>
      <d2p1:State>sample string 2</d2p1:State>
    </d2p1:MailingAddress>
    <d2p1:PaymentOption>PayNow</d2p1:PaymentOption>
    <d2p1:ReimburseMethod>CheckToPrimaryInsurer</d2p1:ReimburseMethod>
    <d2p1:ReimburseType>PrimaryInsured</d2p1:ReimburseType>
  </ReimbursementDetails>
</ClaimDetailsRequestModel>

application/x-www-form-urlencoded

Sample:

Sample not available.

Response Information

Resource Description

ClaimDetailsRequestModel

Name	Type	Additional information
ClaimId	integer	None.
IsSubmit	boolean	None.
PatientId	integer	None.
Email	string	None.
IsActive	boolean	None.
CreatedBy	string	None.
ModifiedBy	string	None.
ClaimType	string	None.
ClaimAmount	decimal number	None.
Currency	string	None.
LoggedInEntityId	string	None.
ClaimStatus	integer	None.
PMEStatus	string	None.
ClaimReferenceNumber	string	None.
Errors	Collection of ClaimSubmissionError	None.
Questionnaire	Collection of QuestionnaireResponse	None.
ReimbursementDetails	ReimbursementDetails	None.
Authorization	Authorization	None.
MembershipNumber	string	None.
Language	integer	None.

Response Formats

application/json, text/json

Sample:

{
  "ClaimId": 1,
  "IsSubmit": true,
  "PatientId": 3,
  "Email": "sample string 4",
  "IsActive": true,
  "CreatedBy": "sample string 6",
  "ModifiedBy": "sample string 7",
  "ClaimType": "sample string 8",
  "ClaimAmount": 9.0,
  "Currency": "sample string 10",
  "LoggedInEntityId": "sample string 11",
  "ClaimStatus": 12,
  "PMEStatus": "sample string 13",
  "ClaimReferenceNumber": "sample string 14",
  "Errors": [
    {
      "Code": "sample string 1",
      "Description": "sample string 2"
    },
    {
      "Code": "sample string 1",
      "Description": "sample string 2"
    }
  ],
  "Questionnaire": [
    {
      "QuestionID": 1,
      "ResponseKey": "sample string 2",
      "Response": "sample string 3"
    },
    {
      "QuestionID": 1,
      "ResponseKey": "sample string 2",
      "Response": "sample string 3"
    }
  ],
  "ReimbursementDetails": {
    "IsLatestPaymentChecked": true,
    "LatestPayment": "sample string 2",
    "ReimburseType": 0,
    "ReimburseMethod": 0,
    "PaymentOption": 0,
    "MailingAddress": {
      "Address": "sample string 1",
      "State": "sample string 2",
      "City": "sample string 3",
      "PostalCode": "sample string 4",
      "Country": "sample string 5"
    },
    "BankDetails": {
      "Id": 1,
      "BankID": {
        "Type": "sample string 1",
        "Id": "sample string 2"
      },
      "BankName": "sample string 2",
      "NameOnAccount": "sample string 3",
      "AccountType": "sample string 4",
      "AccountNumber": "sample string 5",
      "IBANNumber": "sample string 6",
      "AccountOrIBANNumber": "sample string 7",
      "RoutingOrIBANumber": "sample string 8",
      "SWIFTCode": "sample string 9",
      "BankAddress": "sample string 10",
      "EntityId": 11,
      "Status": 12,
      "CreatedBy": 13,
      "CreatedDate": "2024-04-27T20:59:20.1890412-07:00",
      "UpdatedDate": "2024-04-27T20:59:20.1890412-07:00",
      "Currency": {
        "Id": 1,
        "Code": "sample string 2",
        "Name": "sample string 3"
      },
      "BeneficiaryAddress": {
        "Address": "sample string 1",
        "Street": "sample string 2",
        "City": "sample string 3",
        "State": "sample string 4",
        "PostalCode": "sample string 5",
        "Country": "sample string 6"
      },
      "PaymentType": "sample string 16"
    },
    "IntermediaryBankDetails": {
      "Id": 1,
      "BankID": {
        "Type": "sample string 1",
        "Id": "sample string 2"
      },
      "BankName": "sample string 2",
      "NameOnAccount": "sample string 3",
      "AccountType": "sample string 4",
      "AccountNumber": "sample string 5",
      "IBANNumber": "sample string 6",
      "AccountOrIBANNumber": "sample string 7",
      "RoutingOrIBANumber": "sample string 8",
      "SWIFTCode": "sample string 9",
      "BankAddress": "sample string 10",
      "EntityId": 11,
      "Status": 12,
      "CreatedBy": 13,
      "CreatedDate": "2024-04-27T20:59:20.1890412-07:00",
      "UpdatedDate": "2024-04-27T20:59:20.1890412-07:00",
      "Currency": {
        "Id": 1,
        "Code": "sample string 2",
        "Name": "sample string 3"
      },
      "BeneficiaryAddress": {
        "Address": "sample string 1",
        "Street": "sample string 2",
        "City": "sample string 3",
        "State": "sample string 4",
        "PostalCode": "sample string 5",
        "Country": "sample string 6"
      },
      "PaymentType": "sample string 16"
    },
    "ForFurtherCredit": {
      "Id": 1,
      "BankID": {
        "Type": "sample string 1",
        "Id": "sample string 2"
      },
      "BankName": "sample string 2",
      "NameOnAccount": "sample string 3",
      "AccountType": "sample string 4",
      "AccountNumber": "sample string 5",
      "IBANNumber": "sample string 6",
      "AccountOrIBANNumber": "sample string 7",
      "RoutingOrIBANumber": "sample string 8",
      "SWIFTCode": "sample string 9",
      "BankAddress": "sample string 10",
      "EntityId": 11,
      "Status": 12,
      "CreatedBy": 13,
      "CreatedDate": "2024-04-27T20:59:20.1890412-07:00",
      "UpdatedDate": "2024-04-27T20:59:20.1890412-07:00",
      "Currency": {
        "Id": 1,
        "Code": "sample string 2",
        "Name": "sample string 3"
      },
      "BeneficiaryAddress": {
        "Address": "sample string 1",
        "Street": "sample string 2",
        "City": "sample string 3",
        "State": "sample string 4",
        "PostalCode": "sample string 5",
        "Country": "sample string 6"
      },
      "PaymentType": "sample string 16"
    }
  },
  "Authorization": {
    "Name": "sample string 1",
    "Date": "sample string 2",
    "Signature": "sample string 3",
    "IsAuthorized": true
  },
  "MembershipNumber": "sample string 15",
  "Language": 16
}

application/xml, text/xml

Sample:

<ClaimDetailsRequestModel xmlns:i="http://www.w3.org/2001/XMLSchema-instance" xmlns="http://schemas.datacontract.org/2004/07/GBG.AS.AgentPortal.API.Models">
  <Authorization xmlns:d2p1="http://schemas.datacontract.org/2004/07/GBG.AS.AgentPortal.Data.Models.Claims">
    <d2p1:Date>sample string 2</d2p1:Date>
    <d2p1:IsAuthorized>true</d2p1:IsAuthorized>
    <d2p1:Name>sample string 1</d2p1:Name>
    <d2p1:Signature>sample string 3</d2p1:Signature>
  </Authorization>
  <ClaimAmount>9</ClaimAmount>
  <ClaimId>1</ClaimId>
  <ClaimReferenceNumber>sample string 14</ClaimReferenceNumber>
  <ClaimStatus>12</ClaimStatus>
  <ClaimType>sample string 8</ClaimType>
  <CreatedBy>sample string 6</CreatedBy>
  <Currency>sample string 10</Currency>
  <Email>sample string 4</Email>
  <Errors>
    <ClaimSubmissionError>
      <Code>sample string 1</Code>
      <Description>sample string 2</Description>
    </ClaimSubmissionError>
    <ClaimSubmissionError>
      <Code>sample string 1</Code>
      <Description>sample string 2</Description>
    </ClaimSubmissionError>
  </Errors>
  <IsActive>true</IsActive>
  <IsSubmit>true</IsSubmit>
  <Language>16</Language>
  <LoggedInEntityId>sample string 11</LoggedInEntityId>
  <MembershipNumber>sample string 15</MembershipNumber>
  <ModifiedBy>sample string 7</ModifiedBy>
  <PMEStatus>sample string 13</PMEStatus>
  <PatientId>3</PatientId>
  <Questionnaire>
    <QuestionnaireResponse>
      <QuestionID>1</QuestionID>
      <Response>sample string 3</Response>
      <ResponseKey>sample string 2</ResponseKey>
    </QuestionnaireResponse>
    <QuestionnaireResponse>
      <QuestionID>1</QuestionID>
      <Response>sample string 3</Response>
      <ResponseKey>sample string 2</ResponseKey>
    </QuestionnaireResponse>
  </Questionnaire>
  <ReimbursementDetails xmlns:d2p1="http://schemas.datacontract.org/2004/07/GBG.AS.AgentPortal.Data.Models.Claims">
    <d2p1:BankDetails>
      <d2p1:AccountNumber>sample string 5</d2p1:AccountNumber>
      <d2p1:AccountOrIBANNumber>sample string 7</d2p1:AccountOrIBANNumber>
      <d2p1:AccountType>sample string 4</d2p1:AccountType>
      <d2p1:BankAddress>sample string 10</d2p1:BankAddress>
      <d2p1:BankID>
        <d2p1:Id>sample string 2</d2p1:Id>
        <d2p1:Type>sample string 1</d2p1:Type>
      </d2p1:BankID>
      <d2p1:BankName>sample string 2</d2p1:BankName>
      <d2p1:BeneficiaryAddress>
        <d2p1:Address>sample string 1</d2p1:Address>
        <d2p1:City>sample string 3</d2p1:City>
        <d2p1:Country>sample string 6</d2p1:Country>
        <d2p1:PostalCode>sample string 5</d2p1:PostalCode>
        <d2p1:State>sample string 4</d2p1:State>
        <d2p1:Street>sample string 2</d2p1:Street>
      </d2p1:BeneficiaryAddress>
      <d2p1:CreatedBy>13</d2p1:CreatedBy>
      <d2p1:CreatedDate>2024-04-27T20:59:20.1890412-07:00</d2p1:CreatedDate>
      <d2p1:Currency xmlns:d4p1="http://schemas.datacontract.org/2004/07/GBG.AS.AgentPortal.Data.Models.Currency">
        <d4p1:Code>sample string 2</d4p1:Code>
        <d4p1:Id>1</d4p1:Id>
        <d4p1:Name>sample string 3</d4p1:Name>
      </d2p1:Currency>
      <d2p1:EntityId>11</d2p1:EntityId>
      <d2p1:IBANNumber>sample string 6</d2p1:IBANNumber>
      <d2p1:Id>1</d2p1:Id>
      <d2p1:NameOnAccount>sample string 3</d2p1:NameOnAccount>
      <d2p1:PaymentType>sample string 16</d2p1:PaymentType>
      <d2p1:RoutingOrIBANumber>sample string 8</d2p1:RoutingOrIBANumber>
      <d2p1:SWIFTCode>sample string 9</d2p1:SWIFTCode>
      <d2p1:Status>12</d2p1:Status>
      <d2p1:UpdatedDate>2024-04-27T20:59:20.1890412-07:00</d2p1:UpdatedDate>
    </d2p1:BankDetails>
    <d2p1:ForFurtherCredit>
      <d2p1:AccountNumber>sample string 5</d2p1:AccountNumber>
      <d2p1:AccountOrIBANNumber>sample string 7</d2p1:AccountOrIBANNumber>
      <d2p1:AccountType>sample string 4</d2p1:AccountType>
      <d2p1:BankAddress>sample string 10</d2p1:BankAddress>
      <d2p1:BankID>
        <d2p1:Id>sample string 2</d2p1:Id>
        <d2p1:Type>sample string 1</d2p1:Type>
      </d2p1:BankID>
      <d2p1:BankName>sample string 2</d2p1:BankName>
      <d2p1:BeneficiaryAddress>
        <d2p1:Address>sample string 1</d2p1:Address>
        <d2p1:City>sample string 3</d2p1:City>
        <d2p1:Country>sample string 6</d2p1:Country>
        <d2p1:PostalCode>sample string 5</d2p1:PostalCode>
        <d2p1:State>sample string 4</d2p1:State>
        <d2p1:Street>sample string 2</d2p1:Street>
      </d2p1:BeneficiaryAddress>
      <d2p1:CreatedBy>13</d2p1:CreatedBy>
      <d2p1:CreatedDate>2024-04-27T20:59:20.1890412-07:00</d2p1:CreatedDate>
      <d2p1:Currency xmlns:d4p1="http://schemas.datacontract.org/2004/07/GBG.AS.AgentPortal.Data.Models.Currency">
        <d4p1:Code>sample string 2</d4p1:Code>
        <d4p1:Id>1</d4p1:Id>
        <d4p1:Name>sample string 3</d4p1:Name>
      </d2p1:Currency>
      <d2p1:EntityId>11</d2p1:EntityId>
      <d2p1:IBANNumber>sample string 6</d2p1:IBANNumber>
      <d2p1:Id>1</d2p1:Id>
      <d2p1:NameOnAccount>sample string 3</d2p1:NameOnAccount>
      <d2p1:PaymentType>sample string 16</d2p1:PaymentType>
      <d2p1:RoutingOrIBANumber>sample string 8</d2p1:RoutingOrIBANumber>
      <d2p1:SWIFTCode>sample string 9</d2p1:SWIFTCode>
      <d2p1:Status>12</d2p1:Status>
      <d2p1:UpdatedDate>2024-04-27T20:59:20.1890412-07:00</d2p1:UpdatedDate>
    </d2p1:ForFurtherCredit>
    <d2p1:IntermediaryBankDetails>
      <d2p1:AccountNumber>sample string 5</d2p1:AccountNumber>
      <d2p1:AccountOrIBANNumber>sample string 7</d2p1:AccountOrIBANNumber>
      <d2p1:AccountType>sample string 4</d2p1:AccountType>
      <d2p1:BankAddress>sample string 10</d2p1:BankAddress>
      <d2p1:BankID>
        <d2p1:Id>sample string 2</d2p1:Id>
        <d2p1:Type>sample string 1</d2p1:Type>
      </d2p1:BankID>
      <d2p1:BankName>sample string 2</d2p1:BankName>
      <d2p1:BeneficiaryAddress>
        <d2p1:Address>sample string 1</d2p1:Address>
        <d2p1:City>sample string 3</d2p1:City>
        <d2p1:Country>sample string 6</d2p1:Country>
        <d2p1:PostalCode>sample string 5</d2p1:PostalCode>
        <d2p1:State>sample string 4</d2p1:State>
        <d2p1:Street>sample string 2</d2p1:Street>
      </d2p1:BeneficiaryAddress>
      <d2p1:CreatedBy>13</d2p1:CreatedBy>
      <d2p1:CreatedDate>2024-04-27T20:59:20.1890412-07:00</d2p1:CreatedDate>
      <d2p1:Currency xmlns:d4p1="http://schemas.datacontract.org/2004/07/GBG.AS.AgentPortal.Data.Models.Currency">
        <d4p1:Code>sample string 2</d4p1:Code>
        <d4p1:Id>1</d4p1:Id>
        <d4p1:Name>sample string 3</d4p1:Name>
      </d2p1:Currency>
      <d2p1:EntityId>11</d2p1:EntityId>
      <d2p1:IBANNumber>sample string 6</d2p1:IBANNumber>
      <d2p1:Id>1</d2p1:Id>
      <d2p1:NameOnAccount>sample string 3</d2p1:NameOnAccount>
      <d2p1:PaymentType>sample string 16</d2p1:PaymentType>
      <d2p1:RoutingOrIBANumber>sample string 8</d2p1:RoutingOrIBANumber>
      <d2p1:SWIFTCode>sample string 9</d2p1:SWIFTCode>
      <d2p1:Status>12</d2p1:Status>
      <d2p1:UpdatedDate>2024-04-27T20:59:20.1890412-07:00</d2p1:UpdatedDate>
    </d2p1:IntermediaryBankDetails>
    <d2p1:IsLatestPaymentChecked>true</d2p1:IsLatestPaymentChecked>
    <d2p1:LatestPayment>sample string 2</d2p1:LatestPayment>
    <d2p1:MailingAddress>
      <d2p1:Address>sample string 1</d2p1:Address>
      <d2p1:City>sample string 3</d2p1:City>
      <d2p1:Country>sample string 5</d2p1:Country>
      <d2p1:PostalCode>sample string 4</d2p1:PostalCode>
      <d2p1:State>sample string 2</d2p1:State>
    </d2p1:MailingAddress>
    <d2p1:PaymentOption>PayNow</d2p1:PaymentOption>
    <d2p1:ReimburseMethod>CheckToPrimaryInsurer</d2p1:ReimburseMethod>
    <d2p1:ReimburseType>PrimaryInsured</d2p1:ReimburseType>
  </ReimbursementDetails>
</ClaimDetailsRequestModel>

POST api/Policy360Claim/SaveClaimDetails

Request Information

URI Parameters

Body Parameters

Request Formats

application/json, text/json

application/xml, text/xml

application/x-www-form-urlencoded

Response Information

Resource Description

Response Formats

application/json, text/json

application/xml, text/xml

URI parameters

Headers | Add header

Body

Status

Headers

Body