GET api/Claim/GetTravelClaimDetails/{id}

get travel request by id

Request Information

URI Parameters

NameDescriptionTypeAdditional information
id

integer

Required

Body Parameters

None.

Response Information

Resource Description

TravelClaimResponseModel
NameDescriptionTypeAdditional information
Id

integer

None.

ClaimDataModel

TravelClaimModel

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": {
      "MedicalExpenseAndHospitalBenefitDetails": {
        "NameOfInjury": "sample string 1",
        "DateOfInjury": "2025-05-02T08:24:29.3457905-07:00",
        "TimeOfInjury": "2025-05-02T08:24:29.3457905-07:00",
        "PlaceOfInjury": "sample string 2",
        "IncidentOfInjury": "sample string 3",
        "PhysicianDetails": {
          "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"
        },
        "DeatilsOfTreatmentReceivedDoctorsAndHospitals": "sample string 4",
        "InPatientDates": "sample string 5",
        "IsEmergencyCompanyContacted": true,
        "ReasonForNotContacting": "sample string 6",
        "IsPregnant": true,
        "PregnancyWeeks": 1,
        "HasPreviousHistoryOfIllness": true,
        "HistoryOfIllnessDescription": "sample string 7",
        "HasPrivateInsurance": true,
        "PrivateInsuranceCarrierDetails": "sample string 8",
        "HasEHIC": true,
        "IsEHICPresented": true
      },
      "PersonalAccidentDetails": {
        "FatalityEvent": "sample string 1",
        "NatureOfLoss": "sample string 2",
        "IsNaturalCause": true,
        "NaturalCauseDescription": "sample string 3"
      },
      "CancellationOrCurtailmentDetails": {
        "JourneyBookedDate": "2025-05-02T08:24:29.3457905-07:00",
        "JourneyCancelledDate": "2025-05-02T08:24:29.3457905-07:00",
        "JourneyCancellationDetails": "sample string 1",
        "PersonCaused": "sample string 2",
        "IsEmergencyCompanyContacted": true,
        "ReasonForNotContacting": "sample string 3",
        "HasAdditionalExpenses": true,
        "AdditionalExpenseDetails": "sample string 4",
        "ReimbursementPayableTo": "sample string 5"
      },
      "TravelDelayOrMissedDepartureDetails": {
        "ReasonForMissedDeparture": "sample string 1",
        "ScheduledDateOfDeparture": "2025-05-02T08:24:29.3457905-07:00",
        "ScheduledTimeOfDeparture": "2025-05-02T08:24:29.3457905-07:00",
        "FlightFerryOrOtherTransportNumberOfScheduledDeparture": "sample string 2",
        "ActualDateOfDeparture": "2025-05-02T08:24:29.3457905-07:00",
        "ActualTimeOfDeparture": "2025-05-02T08:24:29.3457905-07:00",
        "FlightFerryOrOtherTransportNumberofActualDeparture": "sample string 3",
        "NumberOfHoursDelayed": 1,
        "FlightFerryOtherTransportCompanyName": "sample string 4",
        "PointOfMissedDeparture": "sample string 5",
        "PointOfMissedConnection": "sample string 6",
        "MethodOfTransport": "sample string 7",
        "TripRecommensedDetails": "sample string 8",
        "AmountClaimed": 1.0
      },
      "LostBaggageAndMoneyDetails": {
        "LostBaggageAndMoneyDate": "2025-05-02T08:24:29.3457905-07:00",
        "LostBaggageAndMoneyTime": "2025-05-02T08:24:29.3457905-07:00",
        "LocationDescription": "sample string 1",
        "ReportedToAuthorityDetails": "sample string 2",
        "DocumentIssuerNotifiedDetails": "sample string 3",
        "ItemDetails": [
          {
            "Id": 1,
            "Description": "sample string 2",
            "PurchasedFrom": "sample string 3",
            "PurchasedDate": "2025-05-02T08:24:29.3457905-07:00",
            "PricePaid": 1.0,
            "CostNow": 1.0,
            "AmountClaimed": 1.0
          },
          {
            "Id": 1,
            "Description": "sample string 2",
            "PurchasedFrom": "sample string 3",
            "PurchasedDate": "2025-05-02T08:24:29.3457905-07:00",
            "PricePaid": 1.0,
            "CostNow": 1.0,
            "AmountClaimed": 1.0
          }
        ],
        "OtherCoverageDetails": {
          "HasMedicareOrGovernementAgency": true,
          "HasOtherGroupHealthPlans": true,
          "HasNoFaultAutoCarrier": true,
          "CoverageDetails": "sample string 4",
          "CarrierName": "sample string 5",
          "PolicyNumber": "sample string 6",
          "CarrierAddress": "sample string 7"
        }
      },
      "LostPassportDetails": {
        "Location": "sample string 1",
        "ReplacementExpenseDetails": "sample string 2"
      },
      "TripType": 0,
      "FromDate": "2025-05-02T08:24:29.3457905-07:00",
      "ToDate": "2025-05-02T08:24:29.3457905-07:00",
      "IsAccidentalClaim": true,
      "PolicyCurrency": "sample string 1",
      "PointOfOrigin": "sample string 2",
      "PointOfDestination": "sample string 3"
    },
    "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": "2025-05-02T08:24:29.3457905-07:00",
        "UpdatedDate": "2025-05-02T08:24:29.3457905-07:00",
        "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"
      }
    },
    "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": "2025-05-02T08:24:29.3457905-07:00",
      "UploadedBy": 8,
      "Status": 9,
      "CreatedDate": "2025-05-02T08:24:29.3457905-07:00",
      "CreatedBy": 11,
      "UpdatedDate": "2025-05-02T08:24:29.3457905-07:00",
      "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": "2025-05-02T08:24:29.3457905-07:00",
      "UploadedBy": 8,
      "Status": 9,
      "CreatedDate": "2025-05-02T08:24:29.3457905-07:00",
      "CreatedBy": 11,
      "UpdatedDate": "2025-05-02T08:24:29.3457905-07:00",
      "UpdatedBy": 13,
      "DocId": 1,
      "DocumentFileSize": 14.1,
      "UploadedDocId": 15,
      "DocRef": 1
    }
  ],
  "IsSubmit": true,
  "EntityId": 3,
  "Status": 4
}

application/xml, text/xml

Sample:
<TravelClaimResponseModel 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:CancellationOrCurtailmentDetails>
        <d2p1:AdditionalExpenseDetails>sample string 4</d2p1:AdditionalExpenseDetails>
        <d2p1:HasAdditionalExpenses>true</d2p1:HasAdditionalExpenses>
        <d2p1:IsEmergencyCompanyContacted>true</d2p1:IsEmergencyCompanyContacted>
        <d2p1:JourneyBookedDate>2025-05-02T08:24:29.3457905-07:00</d2p1:JourneyBookedDate>
        <d2p1:JourneyCancellationDetails>sample string 1</d2p1:JourneyCancellationDetails>
        <d2p1:JourneyCancelledDate>2025-05-02T08:24:29.3457905-07:00</d2p1:JourneyCancelledDate>
        <d2p1:PersonCaused>sample string 2</d2p1:PersonCaused>
        <d2p1:ReasonForNotContacting>sample string 3</d2p1:ReasonForNotContacting>
        <d2p1:ReimbursementPayableTo>sample string 5</d2p1:ReimbursementPayableTo>
      </d2p1:CancellationOrCurtailmentDetails>
      <d2p1:FromDate>2025-05-02T08:24:29.3457905-07:00</d2p1:FromDate>
      <d2p1:IsAccidentalClaim>true</d2p1:IsAccidentalClaim>
      <d2p1:LostBaggageAndMoneyDetails>
        <d2p1:DocumentIssuerNotifiedDetails>sample string 3</d2p1:DocumentIssuerNotifiedDetails>
        <d2p1:ItemDetails>
          <d2p1:Item>
            <d2p1:AmountClaimed>1</d2p1:AmountClaimed>
            <d2p1:CostNow>1</d2p1:CostNow>
            <d2p1:Description>sample string 2</d2p1:Description>
            <d2p1:Id>1</d2p1:Id>
            <d2p1:PricePaid>1</d2p1:PricePaid>
            <d2p1:PurchasedDate>2025-05-02T08:24:29.3457905-07:00</d2p1:PurchasedDate>
            <d2p1:PurchasedFrom>sample string 3</d2p1:PurchasedFrom>
          </d2p1:Item>
          <d2p1:Item>
            <d2p1:AmountClaimed>1</d2p1:AmountClaimed>
            <d2p1:CostNow>1</d2p1:CostNow>
            <d2p1:Description>sample string 2</d2p1:Description>
            <d2p1:Id>1</d2p1:Id>
            <d2p1:PricePaid>1</d2p1:PricePaid>
            <d2p1:PurchasedDate>2025-05-02T08:24:29.3457905-07:00</d2p1:PurchasedDate>
            <d2p1:PurchasedFrom>sample string 3</d2p1:PurchasedFrom>
          </d2p1:Item>
        </d2p1:ItemDetails>
        <d2p1:LocationDescription>sample string 1</d2p1:LocationDescription>
        <d2p1:LostBaggageAndMoneyDate>2025-05-02T08:24:29.3457905-07:00</d2p1:LostBaggageAndMoneyDate>
        <d2p1:LostBaggageAndMoneyTime>2025-05-02T08:24:29.3457905-07:00</d2p1:LostBaggageAndMoneyTime>
        <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:ReportedToAuthorityDetails>sample string 2</d2p1:ReportedToAuthorityDetails>
      </d2p1:LostBaggageAndMoneyDetails>
      <d2p1:LostPassportDetails>
        <d2p1:Location>sample string 1</d2p1:Location>
        <d2p1:ReplacementExpenseDetails>sample string 2</d2p1:ReplacementExpenseDetails>
      </d2p1:LostPassportDetails>
      <d2p1:MedicalExpenseAndHospitalBenefitDetails>
        <d2p1:DateOfInjury>2025-05-02T08:24:29.3457905-07:00</d2p1:DateOfInjury>
        <d2p1:DeatilsOfTreatmentReceivedDoctorsAndHospitals>sample string 4</d2p1:DeatilsOfTreatmentReceivedDoctorsAndHospitals>
        <d2p1:HasEHIC>true</d2p1:HasEHIC>
        <d2p1:HasPreviousHistoryOfIllness>true</d2p1:HasPreviousHistoryOfIllness>
        <d2p1:HasPrivateInsurance>true</d2p1:HasPrivateInsurance>
        <d2p1:HistoryOfIllnessDescription>sample string 7</d2p1:HistoryOfIllnessDescription>
        <d2p1:InPatientDates>sample string 5</d2p1:InPatientDates>
        <d2p1:IncidentOfInjury>sample string 3</d2p1:IncidentOfInjury>
        <d2p1:IsEHICPresented>true</d2p1:IsEHICPresented>
        <d2p1:IsEmergencyCompanyContacted>true</d2p1:IsEmergencyCompanyContacted>
        <d2p1:IsPregnant>true</d2p1:IsPregnant>
        <d2p1:NameOfInjury>sample string 1</d2p1:NameOfInjury>
        <d2p1:PhysicianDetails>
          <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:PhysicianDetails>
        <d2p1:PlaceOfInjury>sample string 2</d2p1:PlaceOfInjury>
        <d2p1:PregnancyWeeks>1</d2p1:PregnancyWeeks>
        <d2p1:PrivateInsuranceCarrierDetails>sample string 8</d2p1:PrivateInsuranceCarrierDetails>
        <d2p1:ReasonForNotContacting>sample string 6</d2p1:ReasonForNotContacting>
        <d2p1:TimeOfInjury>2025-05-02T08:24:29.3457905-07:00</d2p1:TimeOfInjury>
      </d2p1:MedicalExpenseAndHospitalBenefitDetails>
      <d2p1:PersonalAccidentDetails>
        <d2p1:FatalityEvent>sample string 1</d2p1:FatalityEvent>
        <d2p1:IsNaturalCause>true</d2p1:IsNaturalCause>
        <d2p1:NaturalCauseDescription>sample string 3</d2p1:NaturalCauseDescription>
        <d2p1:NatureOfLoss>sample string 2</d2p1:NatureOfLoss>
      </d2p1:PersonalAccidentDetails>
      <d2p1:PointOfDestination>sample string 3</d2p1:PointOfDestination>
      <d2p1:PointOfOrigin>sample string 2</d2p1:PointOfOrigin>
      <d2p1:PolicyCurrency>sample string 1</d2p1:PolicyCurrency>
      <d2p1:ToDate>2025-05-02T08:24:29.3457905-07:00</d2p1:ToDate>
      <d2p1:TravelDelayOrMissedDepartureDetails>
        <d2p1:ActualDateOfDeparture>2025-05-02T08:24:29.3457905-07:00</d2p1:ActualDateOfDeparture>
        <d2p1:ActualTimeOfDeparture>2025-05-02T08:24:29.3457905-07:00</d2p1:ActualTimeOfDeparture>
        <d2p1:AmountClaimed>1</d2p1:AmountClaimed>
        <d2p1:FlightFerryOrOtherTransportNumberOfScheduledDeparture>sample string 2</d2p1:FlightFerryOrOtherTransportNumberOfScheduledDeparture>
        <d2p1:FlightFerryOrOtherTransportNumberofActualDeparture>sample string 3</d2p1:FlightFerryOrOtherTransportNumberofActualDeparture>
        <d2p1:FlightFerryOtherTransportCompanyName>sample string 4</d2p1:FlightFerryOtherTransportCompanyName>
        <d2p1:MethodOfTransport>sample string 7</d2p1:MethodOfTransport>
        <d2p1:NumberOfHoursDelayed>1</d2p1:NumberOfHoursDelayed>
        <d2p1:PointOfMissedConnection>sample string 6</d2p1:PointOfMissedConnection>
        <d2p1:PointOfMissedDeparture>sample string 5</d2p1:PointOfMissedDeparture>
        <d2p1:ReasonForMissedDeparture>sample string 1</d2p1:ReasonForMissedDeparture>
        <d2p1:ScheduledDateOfDeparture>2025-05-02T08:24:29.3457905-07:00</d2p1:ScheduledDateOfDeparture>
        <d2p1:ScheduledTimeOfDeparture>2025-05-02T08:24:29.3457905-07:00</d2p1:ScheduledTimeOfDeparture>
        <d2p1:TripRecommensedDetails>sample string 8</d2p1:TripRecommensedDetails>
      </d2p1:TravelDelayOrMissedDepartureDetails>
      <d2p1:TripType>Holiday</d2p1:TripType>
    </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>2025-05-02T08:24:29.3457905-07:00</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>2025-05-02T08:24:29.3457905-07:00</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>
  </ClaimDataModel>
  <ClaimDocumentModel xmlns:d2p1="http://schemas.datacontract.org/2004/07/GBG.MemberPortal.Data.Models.Claim">
    <d2p1:ClaimDocumentModel>
      <d2p1:CreatedBy>11</d2p1:CreatedBy>
      <d2p1:CreatedDate>2025-05-02T08:24:29.3457905-07:00</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>2025-05-02T08:24:29.3457905-07:00</d2p1:UpdatedDate>
      <d2p1:UploadedBy>8</d2p1:UploadedBy>
      <d2p1:UploadedDate>2025-05-02T08:24:29.3457905-07:00</d2p1:UploadedDate>
      <d2p1:UploadedDocId>15</d2p1:UploadedDocId>
    </d2p1:ClaimDocumentModel>
    <d2p1:ClaimDocumentModel>
      <d2p1:CreatedBy>11</d2p1:CreatedBy>
      <d2p1:CreatedDate>2025-05-02T08:24:29.3457905-07:00</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>2025-05-02T08:24:29.3457905-07:00</d2p1:UpdatedDate>
      <d2p1:UploadedBy>8</d2p1:UploadedBy>
      <d2p1:UploadedDate>2025-05-02T08:24:29.3457905-07:00</d2p1:UploadedDate>
      <d2p1:UploadedDocId>15</d2p1:UploadedDocId>
    </d2p1:ClaimDocumentModel>
  </ClaimDocumentModel>
  <EntityId>3</EntityId>
  <Id>1</Id>
  <IsSubmit>true</IsSubmit>
  <Status>4</Status>
</TravelClaimResponseModel>