| Name | Description | Type | Additional information |
|---|---|---|---|
| PrimaryInsurerDetails | PersonalDetails |
None. |
|
| PatientDetails | PatientDetails |
None. |
|
| ClaimDetails | ClaimInformation |
None. |
|
| ReimbursementDetails | ReimbursementDetails |
None. |
|
| TreatmentDetails | TreatmentDetails |
None. |
|
| AdditionalNotes | string |
None. |