POST api/SubmitClaim/SubmitClaim
Submit given health or travel claim input data
Request Information
URI Parameters
None.
Body Parameters
Submit Claim input model
SubmitClaimInputModelName | Description | Type | Additional information |
---|---|---|---|
ClaimType | ClaimType |
None. |
|
ClaimReferenceNumber | string |
None. |
|
IsSubmit | boolean |
None. |
|
TravelClaimDetails | TravelClaim |
None. |
|
HealthClaimDetails | HealthClaim |
None. |
|
PaymentDetails | Payment |
None. |
|
TreatmentDetails | Treatment |
None. |
|
AdditionalNotes | AdditionalNotes |
None. |
|
Attachments | Collection of Attachments |
None. |
|
MemberInformationDetails | MemberInformationDetails |
None. |
|
PaymentModeInformation | PaymentOptionViewModel |
None. |
|
Declaration | Declaration |
None. |
|
Language | PortalLanguage |
None. |
|
ClaimDocumentPath | string |
None. |
Request Formats
application/json, text/json
Sample:
{ "ClaimType": 1, "ClaimReferenceNumber": "sample string 1", "IsSubmit": true, "TravelClaimDetails": { "JourneyStartDate": "sample string 1", "JourneyEndDate": "sample string 2", "WasJourney": 0, "IsClaimResultOfAccident": true, "PointOfOrigin": "sample string 4", "PointOfDestination": "sample string 5", "ClaimMedicalExpensesAndHospitalBenefits": true, "NatureOfIllnessOrInjury": "sample string 7", "DateOfIllnessOrInjury": "sample string 8", "TimeOfIllnessOrInjury": "sample string 9", "PlaceOfIllnessOrInjury": "sample string 10", "DescriptionOfHowInjuryOccurred": "sample string 11", "NameAndAddressOfDoctorOrHospital": "sample string 12", "WasInsuredPersonPregnant": true, "HowManyWeek": 1, "IsInsuredPersonSufferedFromthisBefore": true, "SufferedIllnessDetails": "sample string 15", "DetailsOfPersonalPhysicianOrDoctor": "sample string 16", "MedicalExpensesAddress": "sample string 17", "MedicalExpensesPhoneNumber": "sample string 18", "MedicalExpensesFax": "sample string 19", "MedicalExpensesEmail": "sample string 20", "InPatientTreatmentDate": "sample string 21", "WasEACContacted": true, "EACContactedReason": "sample string 23", "DoesInsuredPersonHavePrivateHealthInsurance": true, "InsuranceCarrierDetails": "sample string 25", "WasAnEHC": true, "WasPresentedToHospitalOrDoctor": true, "CancellationOrCurtailment": true, "JourneyBooked": "sample string 29", "JourneyCancelledOrCurtailed": "sample string 30", "JourneyCancelledExplanation": "sample string 31", "PersonCausedInTripCancelledAndRelationship": "sample string 32", "WasEACContactedIfJourneyWasCurtailed": true, "ReimbursementPayable": "sample string 34", "WereAdditionalExpensesIncurred": true, "AdditionalExpensesDetails": "sample string 36", "TravelDelayMissedDeparture": true, "ReasonForDelayedOrMissedDeparture": "sample string 38", "ScheduledDateOfDeparture": "sample string 39", "ScheduledTimeOfDeparture": "sample string 40", "ScheduledFlightOrFerryOrTransportNumber": "sample string 41", "NumberOfHoursDelayed": 1, "ActualDateOfDeparture": "sample string 42", "ActualTimeOfDeparture": "sample string 43", "ActualFlightOrFerryOrTransportNumber": "sample string 44", "FlightOrFerryOrTransportName": "sample string 45", "PointOfDeparture": "sample string 46", "PointOfMissedConnection": "sample string 47", "TransportUsedForDeparturePoint": "sample string 48", "RecommencedTrip": "sample string 49", "AmountClaimed": 1.0, "BaggageMoneyDocuments": true, "DateOfLossOrDamage": "sample string 51", "Time": "sample string 52", "DetailedDescriptionOfLossOrDamage": "sample string 53", "IssuerNotifiedIfLossRelatedToTravellers": "sample string 54", "ReportedToAuthority": "sample string 55", "Item1Description": "sample string 56", "Item1PricePaid": 1.0, "Item1AmountClaimed": 1.0, "Item1PurchasedPalceAndDate": "sample string 57", "Item1CostNow": 1.0, "Item2Description": "sample string 58", "Item2PricePaid": 1.0, "Item2AmountClaimed": 1.0, "Item2PurchasedPalceAndDate": "sample string 59", "Item2CostNow": 1.0, "NameofInsurer": "sample string 60", "ProvideOtherInsuranceDetails": "sample string 61", "InsuredPolicyNumber": "sample string 62", "CorrespondenceAddress": "sample string 63", "PassportLoss": true, "PassportLostPlace": "sample string 65", "DetailsOfExpensesIncurredToReplacePassport": "sample string 66", "PersonalAccident": true, "WhenInjuryOrDeathOccur": "sample string 68", "DetailsOfLossOrDeathOccurred": "sample string 69", "WasInjuryOrDeathResultOfNatural": true, "NaturalCausesDetails": "sample string 71", "RequestId": "sample string 72", "AuthenticationId": "sample string 73", "Portal": "sample string 74", "Individual": "sample string 75", "Language": "sample string 76", "Oid": "sample string 77", "Email": "sample string 78", "PhoneNumber": "sample string 79", "IsUpdateEmailAndPhone": true, "ClaimName": "sample string 81" }, "HealthClaimDetails": { "IsMaternityTreatment": true, "DeliveryDate": "sample string 2", "IllnessOccurredDate": "sample string 3", "ProblemDetails": "sample string 4", "DiagnosisDetails": "sample string 5", "PreviousDiagnosisDetails": "sample string 6", "InjuryAnyWayToPatientsOccupation": true, "InjuryAnyWayToAutomobileAccident": true, "InjuryAnyTypeOfAccident": true, "AccidentDetails": "sample string 10", "AutomobileDetails": "sample string 11", "CoveredByOtherGroupPlan": true, "CoveredByMedicareOrGovtAgency": true, "CoveredByAutomobileInsurance": true, "OtherSourceDetails": "sample string 15", "ProviderName": "sample string 16", "ProviderPhoneNumber": "sample string 17", "ProviderAddress": "sample string 18", "ProviderEmail": "sample string 19", "ProviderPostalCode": "sample string 20", "ProviderCountry": "sample string 21", "RequestId": "sample string 22", "AuthenticationId": "sample string 23", "Portal": "sample string 24", "Individual": "sample string 25", "Language": "sample string 26", "Oid": "sample string 27", "Email": "sample string 28", "PhoneNumber": "sample string 29", "IsUpdateEmailAndPhone": true, "ClaimName": "sample string 31" }, "PaymentDetails": { "MakePaymentTo": 0, "ReimbursmentMethod": 0, "MailingAddressType": 0, "CheckMailingAddress": "sample string 1", "MailingCity": "sample string 2", "MailingCountry": "sample string 3", "MailingPostalCode": "sample string 4", "MailingState": "sample string 5", "BankName": "sample string 6", "BankAddress": "sample string 7", "BeneficiaryAccountNumber": "sample string 8", "BeneficiaryName": "sample string 9", "Routing": "sample string 10", "SwiftCode": "sample string 11", "IBANNumber": "sample string 12", "IntermediaryBank": "sample string 13", "BeneficiaryAddress": "sample string 14", "Currency": "sample string 15", "City": "sample string 16", "Country": "sample string 17", "PostalCode": "sample string 18", "State": "sample string 19", "BankId": "sample string 20", "BankType": 0, "IntermediaryBankName": "sample string 21", "IntermediaryBeneficiaryName": "sample string 22", "IntermediaryIBANNumber": "sample string 23", "IntermediaryRoutingNumber": "sample string 24", "FurtherCreditBeneficiaryName": "sample string 25", "FurtherCreditAccountNumber": "sample string 26", "IsApplyNextInvoice": true }, "TreatmentDetails": { "TreatmentItems": [ { "CoverageType": 0, "Cost": 1.0, "DateOfService": "sample string 2", "Description": "sample string 3", "DateOfPurchase": "sample string 4", "DrugName": "sample string 5", "NoOfDrugsPurchased": 6, "NoOfDrugsInTakePerDay": 7, "Currency": "sample string 8" }, { "CoverageType": 0, "Cost": 1.0, "DateOfService": "sample string 2", "Description": "sample string 3", "DateOfPurchase": "sample string 4", "DrugName": "sample string 5", "NoOfDrugsPurchased": 6, "NoOfDrugsInTakePerDay": 7, "Currency": "sample string 8" } ], "TotalPaidAmount": 1.0, "TotalUnpaidAmount": 2.0 }, "AdditionalNotes": { "AdditionalNote": "sample string 1" }, "Attachments": [ { "FileName": "sample string 1", "FilePath": "sample string 2", "FileType": "sample string 3", "FileSize": 4.0, "DocType": 1, "FormattedName": "sample string 5", "IsPMESupported": true }, { "FileName": "sample string 1", "FilePath": "sample string 2", "FileType": "sample string 3", "FileSize": 4.0, "DocType": 1, "FormattedName": "sample string 5", "IsPMESupported": true } ], "MemberInformationDetails": { "PolicyPeriod": "sample string 1", "PolicyNumber": "sample string 2", "Product": "sample string 3", "FirstName": "sample string 4", "LastName": "sample string 5", "MiddleName": "sample string 6", "Dob": "sample string 7", "Address": "sample string 8", "PostalCode": "sample string 9", "PhoneNumber": "sample string 10", "Email": "sample string 11", "Fax": "sample string 12", "PolicyCurrency": "sample string 13", "PrimaryMemberGBGID": "sample string 14", "Employer": "sample string 15", "Country": "sample string 16", "GroupName": "sample string 17", "IsDifferentSecondary": true, "ClaimantFirstName": "sample string 19", "ClaimantLastName": "sample string 20", "ClaimantMiddleName": "sample string 21", "ClaimantDOB": "sample string 22", "ClaimantAddress": "sample string 23", "ClaimantPostalCode": "sample string 24", "ClaimantCountry": "sample string 25", "ClaimantPhoneNumber": "sample string 26", "ClaimantOccupation": "sample string 27", "Sex": "sample string 28", "Relastionship": "sample string 29", "IndividualNumber": "sample string 30", "MembershipNumber": "sample string 31" }, "PaymentModeInformation": { "PaymentOptions": "sample string 1", "MakePaymentTo": "sample string 2", "BankingMethod": "sample string 3", "CheckMailingAddress": "sample string 4", "Currency": "sample string 5", "AccountNumber": "sample string 6", "BankName": "sample string 7", "BankingAccountType": "sample string 8", "BankAddress": "sample string 9", "Country": "sample string 10", "State": "sample string 11", "City": "sample string 12", "PostalCode": "sample string 13", "BeneficiaryAccountNumber": "sample string 14", "BeneficiaryRoutingNumber": "sample string 15", "BeneficiaryName": "sample string 16", "BeneficiaryAddress": "sample string 17", "BeneficiaryCountry": "sample string 18", "BeneficiaryState": "sample string 19", "BeneficiaryCity": "sample string 20", "BeneficiaryPostalCode": "sample string 21", "IBANNumber": "sample string 22", "SwiftCode": "sample string 23", "IntermediaryBank": "sample string 24", "IntermediaryBankName": "sample string 25", "IntermediaryBankAddress": "sample string 26", "IntermediaryBeneficiaryName": "sample string 27", "IntermediaryIBANNumber": "sample string 28", "IntermediaryRoutingNumber": "sample string 29", "ReimbursmentMethod": "sample string 30" }, "Declaration": { "InsuredPersonName": "sample string 1", "InsuredDate": "2024-04-18T10:18:17.0540625-07:00", "PolicyHolderName": "sample string 3", "PolicyDate": "2024-04-18T10:18:17.0540625-07:00", "IsMember": true }, "Language": 1, "ClaimDocumentPath": "sample string 3" }
application/xml, text/xml
Sample:
<SubmitClaimInputModel xmlns:i="http://www.w3.org/2001/XMLSchema-instance" xmlns="http://schemas.datacontract.org/2004/07/GBG.AS.AgentPortal.API.Areas.SubmitClaim.Models"> <AdditionalNotes> <AdditionalNote>sample string 1</AdditionalNote> </AdditionalNotes> <Attachments> <Attachments> <DocType>Claim</DocType> <FileName>sample string 1</FileName> <FilePath>sample string 2</FilePath> <FileSize>4</FileSize> <FileType>sample string 3</FileType> <FormattedName>sample string 5</FormattedName> <IsPMESupported>true</IsPMESupported> </Attachments> <Attachments> <DocType>Claim</DocType> <FileName>sample string 1</FileName> <FilePath>sample string 2</FilePath> <FileSize>4</FileSize> <FileType>sample string 3</FileType> <FormattedName>sample string 5</FormattedName> <IsPMESupported>true</IsPMESupported> </Attachments> </Attachments> <ClaimDocumentPath>sample string 3</ClaimDocumentPath> <ClaimReferenceNumber>sample string 1</ClaimReferenceNumber> <ClaimType>Health</ClaimType> <Declaration> <InsuredDate>2024-04-18T10:18:17.0540625-07:00</InsuredDate> <InsuredPersonName>sample string 1</InsuredPersonName> <IsMember>true</IsMember> <PolicyDate>2024-04-18T10:18:17.0540625-07:00</PolicyDate> <PolicyHolderName>sample string 3</PolicyHolderName> </Declaration> <HealthClaimDetails> <AuthenticationId>sample string 23</AuthenticationId> <ClaimName>sample string 31</ClaimName> <Email>sample string 28</Email> <Individual>sample string 25</Individual> <IsUpdateEmailAndPhone>true</IsUpdateEmailAndPhone> <Language>sample string 26</Language> <Oid>sample string 27</Oid> <PhoneNumber>sample string 29</PhoneNumber> <Portal>sample string 24</Portal> <RequestId>sample string 22</RequestId> <AccidentDetails>sample string 10</AccidentDetails> <AutomobileDetails>sample string 11</AutomobileDetails> <CoveredByAutomobileInsurance>true</CoveredByAutomobileInsurance> <CoveredByMedicareOrGovtAgency>true</CoveredByMedicareOrGovtAgency> <CoveredByOtherGroupPlan>true</CoveredByOtherGroupPlan> <DeliveryDate>sample string 2</DeliveryDate> <DiagnosisDetails>sample string 5</DiagnosisDetails> <IllnessOccurredDate>sample string 3</IllnessOccurredDate> <InjuryAnyTypeOfAccident>true</InjuryAnyTypeOfAccident> <InjuryAnyWayToAutomobileAccident>true</InjuryAnyWayToAutomobileAccident> <InjuryAnyWayToPatientsOccupation>true</InjuryAnyWayToPatientsOccupation> <IsMaternityTreatment>true</IsMaternityTreatment> <OtherSourceDetails>sample string 15</OtherSourceDetails> <PreviousDiagnosisDetails>sample string 6</PreviousDiagnosisDetails> <ProblemDetails>sample string 4</ProblemDetails> <ProviderAddress>sample string 18</ProviderAddress> <ProviderCountry>sample string 21</ProviderCountry> <ProviderEmail>sample string 19</ProviderEmail> <ProviderName>sample string 16</ProviderName> <ProviderPhoneNumber>sample string 17</ProviderPhoneNumber> <ProviderPostalCode>sample string 20</ProviderPostalCode> </HealthClaimDetails> <IsSubmit>true</IsSubmit> <Language>English</Language> <MemberInformationDetails> <Address>sample string 8</Address> <ClaimantAddress>sample string 23</ClaimantAddress> <ClaimantCountry>sample string 25</ClaimantCountry> <ClaimantDOB>sample string 22</ClaimantDOB> <ClaimantFirstName>sample string 19</ClaimantFirstName> <ClaimantLastName>sample string 20</ClaimantLastName> <ClaimantMiddleName>sample string 21</ClaimantMiddleName> <ClaimantOccupation>sample string 27</ClaimantOccupation> <ClaimantPhoneNumber>sample string 26</ClaimantPhoneNumber> <ClaimantPostalCode>sample string 24</ClaimantPostalCode> <Country>sample string 16</Country> <Dob>sample string 7</Dob> <Email>sample string 11</Email> <Employer>sample string 15</Employer> <Fax>sample string 12</Fax> <FirstName>sample string 4</FirstName> <GroupName>sample string 17</GroupName> <IndividualNumber>sample string 30</IndividualNumber> <IsDifferentSecondary>true</IsDifferentSecondary> <LastName>sample string 5</LastName> <MembershipNumber>sample string 31</MembershipNumber> <MiddleName>sample string 6</MiddleName> <PhoneNumber>sample string 10</PhoneNumber> <PolicyCurrency>sample string 13</PolicyCurrency> <PolicyNumber>sample string 2</PolicyNumber> <PolicyPeriod>sample string 1</PolicyPeriod> <PostalCode>sample string 9</PostalCode> <PrimaryMemberGBGID>sample string 14</PrimaryMemberGBGID> <Product>sample string 3</Product> <Relastionship>sample string 29</Relastionship> <Sex>sample string 28</Sex> </MemberInformationDetails> <PaymentDetails> <BankAddress>sample string 7</BankAddress> <BankId>sample string 20</BankId> <BankName>sample string 6</BankName> <BankType>None</BankType> <BeneficiaryAccountNumber>sample string 8</BeneficiaryAccountNumber> <BeneficiaryAddress>sample string 14</BeneficiaryAddress> <BeneficiaryName>sample string 9</BeneficiaryName> <CheckMailingAddress>sample string 1</CheckMailingAddress> <City>sample string 16</City> <Country>sample string 17</Country> <Currency>sample string 15</Currency> <FurtherCreditAccountNumber>sample string 26</FurtherCreditAccountNumber> <FurtherCreditBeneficiaryName>sample string 25</FurtherCreditBeneficiaryName> <IBANNumber>sample string 12</IBANNumber> <IntermediaryBank>sample string 13</IntermediaryBank> <IntermediaryBankName>sample string 21</IntermediaryBankName> <IntermediaryBeneficiaryName>sample string 22</IntermediaryBeneficiaryName> <IntermediaryIBANNumber>sample string 23</IntermediaryIBANNumber> <IntermediaryRoutingNumber>sample string 24</IntermediaryRoutingNumber> <IsApplyNextInvoice>true</IsApplyNextInvoice> <MailingAddressType>None</MailingAddressType> <MailingCity>sample string 2</MailingCity> <MailingCountry>sample string 3</MailingCountry> <MailingPostalCode>sample string 4</MailingPostalCode> <MailingState>sample string 5</MailingState> <MakePaymentTo>MEMBER</MakePaymentTo> <PostalCode>sample string 18</PostalCode> <ReimbursmentMethod>Check</ReimbursmentMethod> <Routing>sample string 10</Routing> <State>sample string 19</State> <SwiftCode>sample string 11</SwiftCode> </PaymentDetails> <PaymentModeInformation> <AccountNumber>sample string 6</AccountNumber> <BankAddress>sample string 9</BankAddress> <BankName>sample string 7</BankName> <BankingAccountType>sample string 8</BankingAccountType> <BankingMethod>sample string 3</BankingMethod> <BeneficiaryAccountNumber>sample string 14</BeneficiaryAccountNumber> <BeneficiaryAddress>sample string 17</BeneficiaryAddress> <BeneficiaryCity>sample string 20</BeneficiaryCity> <BeneficiaryCountry>sample string 18</BeneficiaryCountry> <BeneficiaryName>sample string 16</BeneficiaryName> <BeneficiaryPostalCode>sample string 21</BeneficiaryPostalCode> <BeneficiaryRoutingNumber>sample string 15</BeneficiaryRoutingNumber> <BeneficiaryState>sample string 19</BeneficiaryState> <CheckMailingAddress>sample string 4</CheckMailingAddress> <City>sample string 12</City> <Country>sample string 10</Country> <Currency>sample string 5</Currency> <IBANNumber>sample string 22</IBANNumber> <IntermediaryBank>sample string 24</IntermediaryBank> <IntermediaryBankAddress>sample string 26</IntermediaryBankAddress> <IntermediaryBankName>sample string 25</IntermediaryBankName> <IntermediaryBeneficiaryName>sample string 27</IntermediaryBeneficiaryName> <IntermediaryIBANNumber>sample string 28</IntermediaryIBANNumber> <IntermediaryRoutingNumber>sample string 29</IntermediaryRoutingNumber> <MakePaymentTo>sample string 2</MakePaymentTo> <PaymentOptions>sample string 1</PaymentOptions> <PostalCode>sample string 13</PostalCode> <ReimbursmentMethod>sample string 30</ReimbursmentMethod> <State>sample string 11</State> <SwiftCode>sample string 23</SwiftCode> </PaymentModeInformation> <TravelClaimDetails> <AuthenticationId>sample string 73</AuthenticationId> <ClaimName>sample string 81</ClaimName> <Email>sample string 78</Email> <Individual>sample string 75</Individual> <IsUpdateEmailAndPhone>true</IsUpdateEmailAndPhone> <Language>sample string 76</Language> <Oid>sample string 77</Oid> <PhoneNumber>sample string 79</PhoneNumber> <Portal>sample string 74</Portal> <RequestId>sample string 72</RequestId> <ActualDateOfDeparture>sample string 42</ActualDateOfDeparture> <ActualFlightOrFerryOrTransportNumber>sample string 44</ActualFlightOrFerryOrTransportNumber> <ActualTimeOfDeparture>sample string 43</ActualTimeOfDeparture> <AdditionalExpensesDetails>sample string 36</AdditionalExpensesDetails> <AmountClaimed>1</AmountClaimed> <BaggageMoneyDocuments>true</BaggageMoneyDocuments> <CancellationOrCurtailment>true</CancellationOrCurtailment> <ClaimMedicalExpensesAndHospitalBenefits>true</ClaimMedicalExpensesAndHospitalBenefits> <CorrespondenceAddress>sample string 63</CorrespondenceAddress> <DateOfIllnessOrInjury>sample string 8</DateOfIllnessOrInjury> <DateOfLossOrDamage>sample string 51</DateOfLossOrDamage> <DescriptionOfHowInjuryOccurred>sample string 11</DescriptionOfHowInjuryOccurred> <DetailedDescriptionOfLossOrDamage>sample string 53</DetailedDescriptionOfLossOrDamage> <DetailsOfExpensesIncurredToReplacePassport>sample string 66</DetailsOfExpensesIncurredToReplacePassport> <DetailsOfLossOrDeathOccurred>sample string 69</DetailsOfLossOrDeathOccurred> <DetailsOfPersonalPhysicianOrDoctor>sample string 16</DetailsOfPersonalPhysicianOrDoctor> <DoesInsuredPersonHavePrivateHealthInsurance>true</DoesInsuredPersonHavePrivateHealthInsurance> <EACContactedReason>sample string 23</EACContactedReason> <FlightOrFerryOrTransportName>sample string 45</FlightOrFerryOrTransportName> <HowManyWeek>1</HowManyWeek> <InPatientTreatmentDate>sample string 21</InPatientTreatmentDate> <InsuranceCarrierDetails>sample string 25</InsuranceCarrierDetails> <InsuredPolicyNumber>sample string 62</InsuredPolicyNumber> <IsClaimResultOfAccident>true</IsClaimResultOfAccident> <IsInsuredPersonSufferedFromthisBefore>true</IsInsuredPersonSufferedFromthisBefore> <IssuerNotifiedIfLossRelatedToTravellers>sample string 54</IssuerNotifiedIfLossRelatedToTravellers> <Item1AmountClaimed>1</Item1AmountClaimed> <Item1CostNow>1</Item1CostNow> <Item1Description>sample string 56</Item1Description> <Item1PricePaid>1</Item1PricePaid> <Item1PurchasedPalceAndDate>sample string 57</Item1PurchasedPalceAndDate> <Item2AmountClaimed>1</Item2AmountClaimed> <Item2CostNow>1</Item2CostNow> <Item2Description>sample string 58</Item2Description> <Item2PricePaid>1</Item2PricePaid> <Item2PurchasedPalceAndDate>sample string 59</Item2PurchasedPalceAndDate> <JourneyBooked>sample string 29</JourneyBooked> <JourneyCancelledExplanation>sample string 31</JourneyCancelledExplanation> <JourneyCancelledOrCurtailed>sample string 30</JourneyCancelledOrCurtailed> <JourneyEndDate>sample string 2</JourneyEndDate> <JourneyStartDate>sample string 1</JourneyStartDate> <MedicalExpensesAddress>sample string 17</MedicalExpensesAddress> <MedicalExpensesEmail>sample string 20</MedicalExpensesEmail> <MedicalExpensesFax>sample string 19</MedicalExpensesFax> <MedicalExpensesPhoneNumber>sample string 18</MedicalExpensesPhoneNumber> <NameAndAddressOfDoctorOrHospital>sample string 12</NameAndAddressOfDoctorOrHospital> <NameofInsurer>sample string 60</NameofInsurer> <NaturalCausesDetails>sample string 71</NaturalCausesDetails> <NatureOfIllnessOrInjury>sample string 7</NatureOfIllnessOrInjury> <NumberOfHoursDelayed>1</NumberOfHoursDelayed> <PassportLoss>true</PassportLoss> <PassportLostPlace>sample string 65</PassportLostPlace> <PersonCausedInTripCancelledAndRelationship>sample string 32</PersonCausedInTripCancelledAndRelationship> <PersonalAccident>true</PersonalAccident> <PlaceOfIllnessOrInjury>sample string 10</PlaceOfIllnessOrInjury> <PointOfDeparture>sample string 46</PointOfDeparture> <PointOfDestination>sample string 5</PointOfDestination> <PointOfMissedConnection>sample string 47</PointOfMissedConnection> <PointOfOrigin>sample string 4</PointOfOrigin> <ProvideOtherInsuranceDetails>sample string 61</ProvideOtherInsuranceDetails> <ReasonForDelayedOrMissedDeparture>sample string 38</ReasonForDelayedOrMissedDeparture> <RecommencedTrip>sample string 49</RecommencedTrip> <ReimbursementPayable>sample string 34</ReimbursementPayable> <ReportedToAuthority>sample string 55</ReportedToAuthority> <ScheduledDateOfDeparture>sample string 39</ScheduledDateOfDeparture> <ScheduledFlightOrFerryOrTransportNumber>sample string 41</ScheduledFlightOrFerryOrTransportNumber> <ScheduledTimeOfDeparture>sample string 40</ScheduledTimeOfDeparture> <SufferedIllnessDetails>sample string 15</SufferedIllnessDetails> <Time>sample string 52</Time> <TimeOfIllnessOrInjury>sample string 9</TimeOfIllnessOrInjury> <TransportUsedForDeparturePoint>sample string 48</TransportUsedForDeparturePoint> <TravelDelayMissedDeparture>true</TravelDelayMissedDeparture> <WasAnEHC>true</WasAnEHC> <WasEACContacted>true</WasEACContacted> <WasEACContactedIfJourneyWasCurtailed>true</WasEACContactedIfJourneyWasCurtailed> <WasInjuryOrDeathResultOfNatural>true</WasInjuryOrDeathResultOfNatural> <WasInsuredPersonPregnant>true</WasInsuredPersonPregnant> <WasJourney>Holiday</WasJourney> <WasPresentedToHospitalOrDoctor>true</WasPresentedToHospitalOrDoctor> <WereAdditionalExpensesIncurred>true</WereAdditionalExpensesIncurred> <WhenInjuryOrDeathOccur>sample string 68</WhenInjuryOrDeathOccur> </TravelClaimDetails> <TreatmentDetails> <TotalPaidAmount>1</TotalPaidAmount> <TotalUnpaidAmount>2</TotalUnpaidAmount> <TreatmentItems> <TreatmentItems> <Cost>1</Cost> <CoverageType>Health</CoverageType> <Currency>sample string 8</Currency> <DateOfPurchase>sample string 4</DateOfPurchase> <DateOfService>sample string 2</DateOfService> <Description>sample string 3</Description> <DrugName>sample string 5</DrugName> <NoOfDrugsInTakePerDay>7</NoOfDrugsInTakePerDay> <NoOfDrugsPurchased>6</NoOfDrugsPurchased> </TreatmentItems> <TreatmentItems> <Cost>1</Cost> <CoverageType>Health</CoverageType> <Currency>sample string 8</Currency> <DateOfPurchase>sample string 4</DateOfPurchase> <DateOfService>sample string 2</DateOfService> <Description>sample string 3</Description> <DrugName>sample string 5</DrugName> <NoOfDrugsInTakePerDay>7</NoOfDrugsInTakePerDay> <NoOfDrugsPurchased>6</NoOfDrugsPurchased> </TreatmentItems> </TreatmentItems> </TreatmentDetails> </SubmitClaimInputModel>
application/x-www-form-urlencoded
Sample:
Sample not available.
Response Information
Resource Description
Claim Reference Number
HttpResponseMessageName | Description | Type | Additional information |
---|---|---|---|
Version | Version |
None. |
|
Content | HttpContent |
None. |
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StatusCode | HttpStatusCode |
None. |
|
ReasonPhrase | string |
None. |
|
Headers | Collection of Object |
None. |
|
RequestMessage | HttpRequestMessage |
None. |
|
IsSuccessStatusCode | boolean |
None. |