GET api/Claim/GetHealthClaimDetails/{id}

get health claim details by id

Request Information

URI Parameters

Name	Description	Type	Additional information
id		integer	Required

Body Parameters

None.

Response Information

Resource Description

HealthClaimResponseModel

Name	Type	Additional information
Id	integer	None.
ClaimDataModel	HealthClaimModel	None.
ClaimDocumentModel	Collection of ClaimDocumentModel	None.
IsSubmit	boolean	None.
EntityId	integer	None.
Status	integer	None.

Response Formats

application/json, text/json

Sample:

{
  "Id": 1,
  "ClaimDataModel": {
    "PrimaryInsurerDetails": {
      "FirstName": "sample string 1",
      "LastName": "sample string 2",
      "MemberId": "sample string 3",
      "DateOfBirth": "sample string 4",
      "Email": "sample string 5",
      "Phonenumber": "sample string 6",
      "Address": "sample string 7",
      "PostalCode": "sample string 8",
      "Country": "sample string 9",
      "Phone": "sample string 10",
      "Fax": "sample string 11",
      "Occupation": "sample string 12",
      "Relationship": 1,
      "Language": "sample string 13"
    },
    "PatientDetails": {
      "PolicyId": "sample string 1",
      "PersonalDetails": {
        "FirstName": "sample string 1",
        "LastName": "sample string 2",
        "MemberId": "sample string 3",
        "DateOfBirth": "sample string 4",
        "Email": "sample string 5",
        "Phonenumber": "sample string 6",
        "Address": "sample string 7",
        "PostalCode": "sample string 8",
        "Country": "sample string 9",
        "Phone": "sample string 10",
        "Fax": "sample string 11",
        "Occupation": "sample string 12",
        "Relationship": 1,
        "Language": "sample string 13"
      },
      "PolicyNumber": "sample string 1"
    },
    "ClaimDetails": {
      "IllnessDate": "2025-11-25T21:46:15.723082-08:00",
      "IsMaternityTreatment": true,
      "DeliveryDate": "2025-11-25T21:46:15.723082-08:00",
      "Symptoms": "sample string 2",
      "PhysicianDiagnosis": "sample string 3",
      "PreviousOccurrenceDetails": "sample string 4",
      "TreatmentResultingFrom": {
        "IsAutomobileIncident": true,
        "IsPatientOccupation": true,
        "IsAnyTypeOfAccident": true,
        "TreatmentResultingFromDetails": "sample string 4"
      },
      "OtherCoverageDetails": {
        "HasMedicareOrGovernementAgency": true,
        "HasOtherGroupHealthPlans": true,
        "HasNoFaultAutoCarrier": true,
        "CoverageDetails": "sample string 4",
        "CarrierName": "sample string 5",
        "PolicyNumber": "sample string 6",
        "CarrierAddress": "sample string 7"
      },
      "PhysicianFacilityInformation": {
        "FirstName": "sample string 1",
        "LastName": "sample string 2",
        "MemberId": "sample string 3",
        "DateOfBirth": "sample string 4",
        "Email": "sample string 5",
        "Phonenumber": "sample string 6",
        "Address": "sample string 7",
        "PostalCode": "sample string 8",
        "Country": "sample string 9",
        "Phone": "sample string 10",
        "Fax": "sample string 11",
        "Occupation": "sample string 12",
        "Relationship": 1,
        "Language": "sample string 13"
      }
    },
    "ReimbursementDetails": {
      "IsLatestPaymentChecked": true,
      "LatestPayment": "sample string 2",
      "ReimburseType": 0,
      "ReimburseMethod": 0,
      "PaymentOption": 0,
      "MailingAddress": {
        "Address": "sample string 1",
        "Street": "sample string 2",
        "City": "sample string 3",
        "State": "sample string 4",
        "PostalCode": "sample string 5",
        "Country": "sample string 6"
      },
      "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": "2025-11-25T21:46:15.723082-08:00",
        "UpdatedDate": "2025-11-25T21:46:15.723082-08:00",
        "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"
      }
    },
    "TreatmentDetails": {
      "TotalAmountPaidByPatient": 1.0,
      "UnpaidbalanceDueToProvider": 1.0,
      "ReceiptList": [
        {
          "CoveredFor": 0,
          "DateOfService": "2025-11-25T21:46:15.7387045-08:00",
          "Description": "sample string 1",
          "Cost": 1.0,
          "Currency": {
            "Id": 1,
            "Code": "sample string 2",
            "Name": "sample string 3"
          }
        },
        {
          "CoveredFor": 0,
          "DateOfService": "2025-11-25T21:46:15.7387045-08:00",
          "Description": "sample string 1",
          "Cost": 1.0,
          "Currency": {
            "Id": 1,
            "Code": "sample string 2",
            "Name": "sample string 3"
          }
        }
      ]
    },
    "AdditionalNotes": "sample string 1"
  },
  "ClaimDocumentModel": [
    {
      "SerialNumber": "sample string 1",
      "DocumentId": 1,
      "RequestId": 2,
      "DocumentType": "sample string 3",
      "DocumentName": "sample string 4",
      "DocumentFile": "QEA=",
      "DocumentFilePath": "sample string 5",
      "DocumentExtension": "sample string 6",
      "UploadedDate": "2025-11-25T21:46:15.7387045-08:00",
      "UploadedBy": 8,
      "Status": 9,
      "CreatedDate": "2025-11-25T21:46:15.7387045-08:00",
      "CreatedBy": 11,
      "UpdatedDate": "2025-11-25T21:46:15.7387045-08:00",
      "UpdatedBy": 13,
      "DocId": 1,
      "DocumentFileSize": 14.1,
      "UploadedDocId": 15,
      "DocRef": 1
    },
    {
      "SerialNumber": "sample string 1",
      "DocumentId": 1,
      "RequestId": 2,
      "DocumentType": "sample string 3",
      "DocumentName": "sample string 4",
      "DocumentFile": "QEA=",
      "DocumentFilePath": "sample string 5",
      "DocumentExtension": "sample string 6",
      "UploadedDate": "2025-11-25T21:46:15.7387045-08:00",
      "UploadedBy": 8,
      "Status": 9,
      "CreatedDate": "2025-11-25T21:46:15.7387045-08:00",
      "CreatedBy": 11,
      "UpdatedDate": "2025-11-25T21:46:15.7387045-08:00",
      "UpdatedBy": 13,
      "DocId": 1,
      "DocumentFileSize": 14.1,
      "UploadedDocId": 15,
      "DocRef": 1
    }
  ],
  "IsSubmit": true,
  "EntityId": 3,
  "Status": 4
}

application/xml, text/xml

Sample:

<HealthClaimResponseModel xmlns:i="http://www.w3.org/2001/XMLSchema-instance" xmlns="http://schemas.datacontract.org/2004/07/GBG.MemberPortal.API.Models">
  <ClaimDataModel xmlns:d2p1="http://schemas.datacontract.org/2004/07/GBG.MemberPortal.Data.Models.Claim">
    <d2p1:AdditionalNotes>sample string 1</d2p1:AdditionalNotes>
    <d2p1:ClaimDetails>
      <d2p1:DeliveryDate>2025-11-25T21:46:15.723082-08:00</d2p1:DeliveryDate>
      <d2p1:IllnessDate>2025-11-25T21:46:15.723082-08:00</d2p1:IllnessDate>
      <d2p1:IsMaternityTreatment>true</d2p1:IsMaternityTreatment>
      <d2p1:OtherCoverageDetails>
        <d2p1:CarrierAddress>sample string 7</d2p1:CarrierAddress>
        <d2p1:CarrierName>sample string 5</d2p1:CarrierName>
        <d2p1:CoverageDetails>sample string 4</d2p1:CoverageDetails>
        <d2p1:HasMedicareOrGovernementAgency>true</d2p1:HasMedicareOrGovernementAgency>
        <d2p1:HasNoFaultAutoCarrier>true</d2p1:HasNoFaultAutoCarrier>
        <d2p1:HasOtherGroupHealthPlans>true</d2p1:HasOtherGroupHealthPlans>
        <d2p1:PolicyNumber>sample string 6</d2p1:PolicyNumber>
      </d2p1:OtherCoverageDetails>
      <d2p1:PhysicianDiagnosis>sample string 3</d2p1:PhysicianDiagnosis>
      <d2p1:PhysicianFacilityInformation>
        <d2p1:Address>sample string 7</d2p1:Address>
        <d2p1:Country>sample string 9</d2p1:Country>
        <d2p1:DateOfBirth>sample string 4</d2p1:DateOfBirth>
        <d2p1:Email>sample string 5</d2p1:Email>
        <d2p1:Fax>sample string 11</d2p1:Fax>
        <d2p1:FirstName>sample string 1</d2p1:FirstName>
        <d2p1:Language>sample string 13</d2p1:Language>
        <d2p1:LastName>sample string 2</d2p1:LastName>
        <d2p1:MemberId>sample string 3</d2p1:MemberId>
        <d2p1:Occupation>sample string 12</d2p1:Occupation>
        <d2p1:Phone>sample string 10</d2p1:Phone>
        <d2p1:Phonenumber>sample string 6</d2p1:Phonenumber>
        <d2p1:PostalCode>sample string 8</d2p1:PostalCode>
        <d2p1:Relationship>1</d2p1:Relationship>
      </d2p1:PhysicianFacilityInformation>
      <d2p1:PreviousOccurrenceDetails>sample string 4</d2p1:PreviousOccurrenceDetails>
      <d2p1:Symptoms>sample string 2</d2p1:Symptoms>
      <d2p1:TreatmentResultingFrom>
        <d2p1:IsAnyTypeOfAccident>true</d2p1:IsAnyTypeOfAccident>
        <d2p1:IsAutomobileIncident>true</d2p1:IsAutomobileIncident>
        <d2p1:IsPatientOccupation>true</d2p1:IsPatientOccupation>
        <d2p1:TreatmentResultingFromDetails>sample string 4</d2p1:TreatmentResultingFromDetails>
      </d2p1:TreatmentResultingFrom>
    </d2p1:ClaimDetails>
    <d2p1:PatientDetails>
      <d2p1:PersonalDetails>
        <d2p1:Address>sample string 7</d2p1:Address>
        <d2p1:Country>sample string 9</d2p1:Country>
        <d2p1:DateOfBirth>sample string 4</d2p1:DateOfBirth>
        <d2p1:Email>sample string 5</d2p1:Email>
        <d2p1:Fax>sample string 11</d2p1:Fax>
        <d2p1:FirstName>sample string 1</d2p1:FirstName>
        <d2p1:Language>sample string 13</d2p1:Language>
        <d2p1:LastName>sample string 2</d2p1:LastName>
        <d2p1:MemberId>sample string 3</d2p1:MemberId>
        <d2p1:Occupation>sample string 12</d2p1:Occupation>
        <d2p1:Phone>sample string 10</d2p1:Phone>
        <d2p1:Phonenumber>sample string 6</d2p1:Phonenumber>
        <d2p1:PostalCode>sample string 8</d2p1:PostalCode>
        <d2p1:Relationship>1</d2p1:Relationship>
      </d2p1:PersonalDetails>
      <d2p1:PolicyId>sample string 1</d2p1:PolicyId>
      <d2p1:PolicyNumber>sample string 1</d2p1:PolicyNumber>
    </d2p1:PatientDetails>
    <d2p1:PrimaryInsurerDetails>
      <d2p1:Address>sample string 7</d2p1:Address>
      <d2p1:Country>sample string 9</d2p1:Country>
      <d2p1:DateOfBirth>sample string 4</d2p1:DateOfBirth>
      <d2p1:Email>sample string 5</d2p1:Email>
      <d2p1:Fax>sample string 11</d2p1:Fax>
      <d2p1:FirstName>sample string 1</d2p1:FirstName>
      <d2p1:Language>sample string 13</d2p1:Language>
      <d2p1:LastName>sample string 2</d2p1:LastName>
      <d2p1:MemberId>sample string 3</d2p1:MemberId>
      <d2p1:Occupation>sample string 12</d2p1:Occupation>
      <d2p1:Phone>sample string 10</d2p1:Phone>
      <d2p1:Phonenumber>sample string 6</d2p1:Phonenumber>
      <d2p1:PostalCode>sample string 8</d2p1:PostalCode>
      <d2p1:Relationship>1</d2p1:Relationship>
    </d2p1:PrimaryInsurerDetails>
    <d2p1:ReimbursementDetails>
      <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>2025-11-25T21:46:15.723082-08:00</d2p1:CreatedDate>
        <d2p1:Currency xmlns:d5p1="http://schemas.datacontract.org/2004/07/GBG.MemberPortal.Data.Models.Common">
          <d5p1:Code>sample string 2</d5p1:Code>
          <d5p1:Id>1</d5p1:Id>
          <d5p1:Name>sample string 3</d5p1: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>2025-11-25T21:46:15.723082-08:00</d2p1:UpdatedDate>
      </d2p1:BankDetails>
      <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 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:MailingAddress>
      <d2p1:PaymentOption>PayNow</d2p1:PaymentOption>
      <d2p1:ReimburseMethod>CheckToPrimaryInsurer</d2p1:ReimburseMethod>
      <d2p1:ReimburseType>PrimaryInsured</d2p1:ReimburseType>
    </d2p1:ReimbursementDetails>
    <d2p1:TreatmentDetails>
      <d2p1:ReceiptList>
        <d2p1:ReceiptDetails>
          <d2p1:Cost>1</d2p1:Cost>
          <d2p1:CoveredFor>Health</d2p1:CoveredFor>
          <d2p1:Currency xmlns:d6p1="http://schemas.datacontract.org/2004/07/GBG.MemberPortal.Data.Models.Common">
            <d6p1:Code>sample string 2</d6p1:Code>
            <d6p1:Id>1</d6p1:Id>
            <d6p1:Name>sample string 3</d6p1:Name>
          </d2p1:Currency>
          <d2p1:DateOfService>2025-11-25T21:46:15.7387045-08:00</d2p1:DateOfService>
          <d2p1:Description>sample string 1</d2p1:Description>
        </d2p1:ReceiptDetails>
        <d2p1:ReceiptDetails>
          <d2p1:Cost>1</d2p1:Cost>
          <d2p1:CoveredFor>Health</d2p1:CoveredFor>
          <d2p1:Currency xmlns:d6p1="http://schemas.datacontract.org/2004/07/GBG.MemberPortal.Data.Models.Common">
            <d6p1:Code>sample string 2</d6p1:Code>
            <d6p1:Id>1</d6p1:Id>
            <d6p1:Name>sample string 3</d6p1:Name>
          </d2p1:Currency>
          <d2p1:DateOfService>2025-11-25T21:46:15.7387045-08:00</d2p1:DateOfService>
          <d2p1:Description>sample string 1</d2p1:Description>
        </d2p1:ReceiptDetails>
      </d2p1:ReceiptList>
      <d2p1:TotalAmountPaidByPatient>1</d2p1:TotalAmountPaidByPatient>
      <d2p1:UnpaidbalanceDueToProvider>1</d2p1:UnpaidbalanceDueToProvider>
    </d2p1:TreatmentDetails>
  </ClaimDataModel>
  <ClaimDocumentModel xmlns:d2p1="http://schemas.datacontract.org/2004/07/GBG.MemberPortal.Data.Models.Claim">
    <d2p1:ClaimDocumentModel>
      <d2p1:CreatedBy>11</d2p1:CreatedBy>
      <d2p1:CreatedDate>2025-11-25T21:46:15.7387045-08:00</d2p1:CreatedDate>
      <d2p1:DocId>1</d2p1:DocId>
      <d2p1:DocRef>1</d2p1:DocRef>
      <d2p1:DocumentExtension>sample string 6</d2p1:DocumentExtension>
      <d2p1:DocumentFile>QEA=</d2p1:DocumentFile>
      <d2p1:DocumentFilePath>sample string 5</d2p1:DocumentFilePath>
      <d2p1:DocumentFileSize>14.1</d2p1:DocumentFileSize>
      <d2p1:DocumentId>1</d2p1:DocumentId>
      <d2p1:DocumentName>sample string 4</d2p1:DocumentName>
      <d2p1:DocumentType>sample string 3</d2p1:DocumentType>
      <d2p1:RequestId>2</d2p1:RequestId>
      <d2p1:SerialNumber>sample string 1</d2p1:SerialNumber>
      <d2p1:Status>9</d2p1:Status>
      <d2p1:UpdatedBy>13</d2p1:UpdatedBy>
      <d2p1:UpdatedDate>2025-11-25T21:46:15.7387045-08:00</d2p1:UpdatedDate>
      <d2p1:UploadedBy>8</d2p1:UploadedBy>
      <d2p1:UploadedDate>2025-11-25T21:46:15.7387045-08:00</d2p1:UploadedDate>
      <d2p1:UploadedDocId>15</d2p1:UploadedDocId>
    </d2p1:ClaimDocumentModel>
    <d2p1:ClaimDocumentModel>
      <d2p1:CreatedBy>11</d2p1:CreatedBy>
      <d2p1:CreatedDate>2025-11-25T21:46:15.7387045-08:00</d2p1:CreatedDate>
      <d2p1:DocId>1</d2p1:DocId>
      <d2p1:DocRef>1</d2p1:DocRef>
      <d2p1:DocumentExtension>sample string 6</d2p1:DocumentExtension>
      <d2p1:DocumentFile>QEA=</d2p1:DocumentFile>
      <d2p1:DocumentFilePath>sample string 5</d2p1:DocumentFilePath>
      <d2p1:DocumentFileSize>14.1</d2p1:DocumentFileSize>
      <d2p1:DocumentId>1</d2p1:DocumentId>
      <d2p1:DocumentName>sample string 4</d2p1:DocumentName>
      <d2p1:DocumentType>sample string 3</d2p1:DocumentType>
      <d2p1:RequestId>2</d2p1:RequestId>
      <d2p1:SerialNumber>sample string 1</d2p1:SerialNumber>
      <d2p1:Status>9</d2p1:Status>
      <d2p1:UpdatedBy>13</d2p1:UpdatedBy>
      <d2p1:UpdatedDate>2025-11-25T21:46:15.7387045-08:00</d2p1:UpdatedDate>
      <d2p1:UploadedBy>8</d2p1:UploadedBy>
      <d2p1:UploadedDate>2025-11-25T21:46:15.7387045-08:00</d2p1:UploadedDate>
      <d2p1:UploadedDocId>15</d2p1:UploadedDocId>
    </d2p1:ClaimDocumentModel>
  </ClaimDocumentModel>
  <EntityId>3</EntityId>
  <Id>1</Id>
  <IsSubmit>true</IsSubmit>
  <Status>4</Status>
</HealthClaimResponseModel>

GET api/Claim/GetHealthClaimDetails/{id}

Request Information

URI Parameters

Body Parameters

Response Information

Resource Description

Response Formats

application/json, text/json

application/xml, text/xml

URI parameters

Headers | Add header

Body

Status

Headers

Body