POST api/Claim/SaveTravelClaimRequest

save travel claim request

Request Information

URI Parameters

None.

Body Parameters

TravelClaimRequestModel
NameDescriptionTypeAdditional information
Id

integer

None.

ClaimDataModel

TravelClaimModel

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": {
      "MedicalExpenseAndHospitalBenefitDetails": {
        "NameOfInjury": "sample string 1",
        "DateOfInjury": "2025-05-02T07:22:23.5493828-07:00",
        "TimeOfInjury": "2025-05-02T07:22:23.5493828-07:00",
        "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": "2025-05-02T07:22:23.5493828-07:00",
        "JourneyCancelledDate": "2025-05-02T07:22:23.5493828-07:00",
        "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": "2025-05-02T07:22:23.5493828-07:00",
        "ScheduledTimeOfDeparture": "2025-05-02T07:22:23.5493828-07:00",
        "FlightFerryOrOtherTransportNumberOfScheduledDeparture": "sample string 2",
        "ActualDateOfDeparture": "2025-05-02T07:22:23.5493828-07:00",
        "ActualTimeOfDeparture": "2025-05-02T07:22:23.5493828-07:00",
        "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": "2025-05-02T07:22:23.5493828-07:00",
        "LostBaggageAndMoneyTime": "2025-05-02T07:22:23.5493828-07:00",
        "LocationDescription": "sample string 1",
        "ReportedToAuthorityDetails": "sample string 2",
        "DocumentIssuerNotifiedDetails": "sample string 3",
        "ItemDetails": [
          {
            "Id": 1,
            "Description": "sample string 2",
            "PurchasedFrom": "sample string 3",
            "PurchasedDate": "2025-05-02T07:22:23.5493828-07:00",
            "PricePaid": 1.0,
            "CostNow": 1.0,
            "AmountClaimed": 1.0
          },
          {
            "Id": 1,
            "Description": "sample string 2",
            "PurchasedFrom": "sample string 3",
            "PurchasedDate": "2025-05-02T07:22:23.5493828-07:00",
            "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": "2025-05-02T07:22:23.5493828-07:00",
      "ToDate": "2025-05-02T07:22:23.5493828-07:00",
      "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": "2025-05-02T07:22:23.5493828-07:00",
        "UpdatedDate": "2025-05-02T07:22:23.5493828-07:00",
        "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": "2025-05-02T07:22:23.5650129-07:00",
      "UploadedBy": 8,
      "Status": 9,
      "CreatedDate": "2025-05-02T07:22:23.5650129-07:00",
      "CreatedBy": 11,
      "UpdatedDate": "2025-05-02T07:22:23.5650129-07:00",
      "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": "2025-05-02T07:22:23.5650129-07:00",
      "UploadedBy": 8,
      "Status": 9,
      "CreatedDate": "2025-05-02T07:22:23.5650129-07:00",
      "CreatedBy": 11,
      "UpdatedDate": "2025-05-02T07:22:23.5650129-07:00",
      "UpdatedBy": 13,
      "DocId": 1,
      "DocumentFileSize": 14.1,
      "UploadedDocId": 15,
      "DocRef": 1
    }
  ],
  "IsSubmit": true,
  "EntityId": 3,
  "Status": 4
}

application/xml, text/xml

Sample:
<TravelClaimRequestModel 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>2025-05-02T07:22:23.5493828-07:00</d2p1:JourneyBookedDate>
        <d2p1:JourneyCancellationDetails>sample string 1</d2p1:JourneyCancellationDetails>
        <d2p1:JourneyCancelledDate>2025-05-02T07:22:23.5493828-07:00</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>2025-05-02T07:22:23.5493828-07:00</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>2025-05-02T07:22:23.5493828-07:00</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>2025-05-02T07:22:23.5493828-07:00</d2p1:PurchasedDate>
            <d2p1:PurchasedFrom>sample string 3</d2p1:PurchasedFrom>
          </d2p1:Item>
        </d2p1:ItemDetails>
        <d2p1:LocationDescription>sample string 1</d2p1:LocationDescription>
        <d2p1:LostBaggageAndMoneyDate>2025-05-02T07:22:23.5493828-07:00</d2p1:LostBaggageAndMoneyDate>
        <d2p1:LostBaggageAndMoneyTime>2025-05-02T07:22:23.5493828-07:00</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>2025-05-02T07:22:23.5493828-07:00</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>2025-05-02T07:22:23.5493828-07:00</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>2025-05-02T07:22:23.5493828-07:00</d2p1:ToDate>
      <d2p1:TravelDelayOrMissedDepartureDetails>
        <d2p1:ActualDateOfDeparture>2025-05-02T07:22:23.5493828-07:00</d2p1:ActualDateOfDeparture>
        <d2p1:ActualTimeOfDeparture>2025-05-02T07:22:23.5493828-07:00</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>2025-05-02T07:22:23.5493828-07:00</d2p1:ScheduledDateOfDeparture>
        <d2p1:ScheduledTimeOfDeparture>2025-05-02T07:22:23.5493828-07:00</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>2025-05-02T07:22:23.5493828-07:00</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>2025-05-02T07:22:23.5493828-07:00</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>2025-05-02T07:22:23.5650129-07:00</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>2025-05-02T07:22:23.5650129-07:00</d2p1:UpdatedDate>
      <d2p1:UploadedBy>8</d2p1:UploadedBy>
      <d2p1:UploadedDate>2025-05-02T07:22:23.5650129-07:00</d2p1:UploadedDate>
      <d2p1:UploadedDocId>15</d2p1:UploadedDocId>
    </d2p1:ClaimDocumentModel>
    <d2p1:ClaimDocumentModel>
      <d2p1:CreatedBy>11</d2p1:CreatedBy>
      <d2p1:CreatedDate>2025-05-02T07:22:23.5650129-07:00</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>2025-05-02T07:22:23.5650129-07:00</d2p1:UpdatedDate>
      <d2p1:UploadedBy>8</d2p1:UploadedBy>
      <d2p1:UploadedDate>2025-05-02T07:22:23.5650129-07:00</d2p1:UploadedDate>
      <d2p1:UploadedDocId>15</d2p1:UploadedDocId>
    </d2p1:ClaimDocumentModel>
  </ClaimDocumentModel>
  <EntityId>3</EntityId>
  <Id>1</Id>
  <IsSubmit>true</IsSubmit>
  <Status>4</Status>
</TravelClaimRequestModel>

application/x-www-form-urlencoded

Sample:

Sample not available.

Response Information

Resource Description

ClaimResponse
NameDescriptionTypeAdditional information
SourceReferenceNumber

string

None.

Id

integer

None.

SaveStatus

string

None.

Response Formats

application/json, text/json

Sample:
{
  "SourceReferenceNumber": "sample string 1",
  "Id": 2,
  "SaveStatus": "sample string 3"
}

application/xml, text/xml

Sample:
<ClaimResponse xmlns:i="http://www.w3.org/2001/XMLSchema-instance" xmlns="http://schemas.datacontract.org/2004/07/GBG.MemberPortal.Data.Models.Claim">
  <Id>2</Id>
  <SaveStatus>sample string 3</SaveStatus>
  <SourceReferenceNumber>sample string 1</SourceReferenceNumber>
</ClaimResponse>