POST api/CommonApi/SaveClaimDetails

{
  "ClaimId": 1,
  "IsSubmit": true,
  "PatientId": 3,
  "Email": "sample string 4",
  "IsActive": true,
  "CreatedBy": "sample string 6",
  "ModifiedBy": "sample string 7",
  "ClaimType": "sample string 8",
  "ClaimAmount": 9.0,
  "Currency": "sample string 10",
  "LoggedInEntityId": "sample string 11",
  "ClaimStatus": 12,
  "PMEStatus": "sample string 13",
  "ClaimReferenceNumber": "sample string 14",
  "Errors": [
    {
      "Code": "sample string 1",
      "Description": "sample string 2"
    },
    {
      "Code": "sample string 1",
      "Description": "sample string 2"
    }
  ],
  "Questionnaire": [
    {
      "QuestionID": 1,
      "ResponseKey": "sample string 2",
      "Response": "sample string 3"
    },
    {
      "QuestionID": 1,
      "ResponseKey": "sample string 2",
      "Response": "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": "2025-11-25T21:43:25.1858818-08:00",
      "UpdatedDate": "2025-11-25T21:43:25.1858818-08:00",
      "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"
    }
  },
  "Authorization": {
    "Name": "sample string 1",
    "Date": "sample string 2",
    "Signature": "sample string 3",
    "IsAuthorized": true
  },
  "Language": "sample string 15",
  "Source": "sample string 16"
}

<ClaimDetailsRequestModel xmlns:i="http://www.w3.org/2001/XMLSchema-instance" xmlns="http://schemas.datacontract.org/2004/07/GBG.MemberPortal.API.Models">
  <Authorization xmlns:d2p1="http://schemas.datacontract.org/2004/07/GBG.MemberPortal.Data.Models.Claim">
    <d2p1:Date>sample string 2</d2p1:Date>
    <d2p1:IsAuthorized>true</d2p1:IsAuthorized>
    <d2p1:Name>sample string 1</d2p1:Name>
    <d2p1:Signature>sample string 3</d2p1:Signature>
  </Authorization>
  <ClaimAmount>9</ClaimAmount>
  <ClaimId>1</ClaimId>
  <ClaimReferenceNumber>sample string 14</ClaimReferenceNumber>
  <ClaimStatus>12</ClaimStatus>
  <ClaimType>sample string 8</ClaimType>
  <CreatedBy>sample string 6</CreatedBy>
  <Currency>sample string 10</Currency>
  <Email>sample string 4</Email>
  <Errors>
    <ClaimSubmissionError>
      <Code>sample string 1</Code>
      <Description>sample string 2</Description>
    </ClaimSubmissionError>
    <ClaimSubmissionError>
      <Code>sample string 1</Code>
      <Description>sample string 2</Description>
    </ClaimSubmissionError>
  </Errors>
  <IsActive>true</IsActive>
  <IsSubmit>true</IsSubmit>
  <Language>sample string 15</Language>
  <LoggedInEntityId>sample string 11</LoggedInEntityId>
  <ModifiedBy>sample string 7</ModifiedBy>
  <PMEStatus>sample string 13</PMEStatus>
  <PatientId>3</PatientId>
  <Questionnaire>
    <QuestionnaireResponse>
      <QuestionID>1</QuestionID>
      <Response>sample string 3</Response>
      <ResponseKey>sample string 2</ResponseKey>
    </QuestionnaireResponse>
    <QuestionnaireResponse>
      <QuestionID>1</QuestionID>
      <Response>sample string 3</Response>
      <ResponseKey>sample string 2</ResponseKey>
    </QuestionnaireResponse>
  </Questionnaire>
  <ReimbursementDetails xmlns:d2p1="http://schemas.datacontract.org/2004/07/GBG.MemberPortal.Data.Models.Claim">
    <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>2025-11-25T21:43:25.1858818-08:00</d2p1:CreatedDate>
      <d2p1:Currency xmlns:d4p1="http://schemas.datacontract.org/2004/07/GBG.MemberPortal.Data.Models.Common">
        <d4p1:Code>sample string 2</d4p1:Code>
        <d4p1:Id>1</d4p1:Id>
        <d4p1:Name>sample string 3</d4p1: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>2025-11-25T21:43:25.1858818-08:00</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>
  </ReimbursementDetails>
  <Source>sample string 16</Source>
</ClaimDetailsRequestModel>

Sample not available.

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<int xmlns="http://schemas.microsoft.com/2003/10/Serialization/">1</int>