POST api/Claim/SaveHealthClaimRequest
Save health Claim request
Request Information
URI Parameters
None.
Body Parameters
HealthClaimRequestModel| Name | Description | Type | Additional information |
|---|---|---|---|
| Id | integer |
None. |
|
| ClaimDataModel | HealthClaimModel |
None. |
|
| ClaimDocumentModel | Collection of ClaimDocumentModel |
None. |
|
| IsSubmit | boolean |
None. |
|
| EntityId | integer |
None. |
|
| Status | integer |
None. |
Request 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": "2025-05-02T07:08:20.5434734-07:00",
"IsMaternityTreatment": true,
"DeliveryDate": "2025-05-02T07:08:20.5434734-07:00",
"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": "2025-05-02T07:08:20.5590988-07:00",
"UpdatedDate": "2025-05-02T07:08:20.5590988-07:00",
"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"
}
},
"TreatmentDetails": {
"TotalAmountPaidByPatient": 1.0,
"UnpaidbalanceDueToProvider": 1.0,
"ReceiptList": [
{
"CoveredFor": 0,
"DateOfService": "2025-05-02T07:08:20.5590988-07:00",
"Description": "sample string 1",
"Cost": 1.0,
"Currency": {
"Id": 1,
"Code": "sample string 2",
"Name": "sample string 3"
}
},
{
"CoveredFor": 0,
"DateOfService": "2025-05-02T07:08:20.5590988-07:00",
"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": "2025-05-02T07:08:20.5590988-07:00",
"UploadedBy": 8,
"Status": 9,
"CreatedDate": "2025-05-02T07:08:20.5590988-07:00",
"CreatedBy": 11,
"UpdatedDate": "2025-05-02T07:08:20.5590988-07:00",
"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": "2025-05-02T07:08:20.5590988-07:00",
"UploadedBy": 8,
"Status": 9,
"CreatedDate": "2025-05-02T07:08:20.5590988-07:00",
"CreatedBy": 11,
"UpdatedDate": "2025-05-02T07:08:20.5590988-07:00",
"UpdatedBy": 13,
"DocId": 1,
"DocumentFileSize": 14.1,
"UploadedDocId": 15,
"DocRef": 1
}
],
"IsSubmit": true,
"EntityId": 3,
"Status": 4
}
application/xml, text/xml
Sample:
<HealthClaimRequestModel 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>2025-05-02T07:08:20.5434734-07:00</d2p1:DeliveryDate>
<d2p1:IllnessDate>2025-05-02T07:08:20.5434734-07:00</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>2025-05-02T07:08:20.5590988-07:00</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>2025-05-02T07:08:20.5590988-07:00</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>
<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>2025-05-02T07:08:20.5590988-07:00</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>2025-05-02T07:08:20.5590988-07:00</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>2025-05-02T07:08:20.5590988-07:00</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>2025-05-02T07:08:20.5590988-07:00</d2p1:UpdatedDate>
<d2p1:UploadedBy>8</d2p1:UploadedBy>
<d2p1:UploadedDate>2025-05-02T07:08:20.5590988-07:00</d2p1:UploadedDate>
<d2p1:UploadedDocId>15</d2p1:UploadedDocId>
</d2p1:ClaimDocumentModel>
<d2p1:ClaimDocumentModel>
<d2p1:CreatedBy>11</d2p1:CreatedBy>
<d2p1:CreatedDate>2025-05-02T07:08:20.5590988-07:00</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>2025-05-02T07:08:20.5590988-07:00</d2p1:UpdatedDate>
<d2p1:UploadedBy>8</d2p1:UploadedBy>
<d2p1:UploadedDate>2025-05-02T07:08:20.5590988-07:00</d2p1:UploadedDate>
<d2p1:UploadedDocId>15</d2p1:UploadedDocId>
</d2p1:ClaimDocumentModel>
</ClaimDocumentModel>
<EntityId>3</EntityId>
<Id>1</Id>
<IsSubmit>true</IsSubmit>
<Status>4</Status>
</HealthClaimRequestModel>
application/x-www-form-urlencoded
Sample:
Sample not available.
Response Information
Resource Description
integerResponse Formats
application/json, text/json
Sample:
1
application/xml, text/xml
Sample:
<int xmlns="http://schemas.microsoft.com/2003/10/Serialization/">1</int>