POST api/DeleteClaim
Request Information
URI Parameters
None.
Body Parameters
ClaimsModel| Name | Description | Type | Additional information |
|---|---|---|---|
| RefNo | globally unique identifier |
None. |
|
| Id | integer |
None. |
|
| pHospitalTransmittalNo | string |
None. |
|
| pUserName | string |
None. |
|
| pHospitalCode | string |
None. |
|
| pPIN | string |
None. |
|
| pClaimNumber | string |
None. |
|
| EligibilityTrackingNo | string |
None. |
|
| CaseNo | string |
None. |
|
| pClaimSeriesLhio | string |
None. |
|
| pStatus | string |
None. |
|
| pProcessStage | string |
None. |
|
| pProcessDate | string |
None. |
|
| pDeniedReason | string |
None. |
|
| pStatusXml | string |
None. |
|
| pVoucherDetailsXml | string |
None. |
|
| pMemberLastName | string |
None. |
|
| pMemberFirstName | string |
None. |
|
| pMemberMiddleName | string |
None. |
|
| pMemberSuffix | string |
None. |
|
| pMemberSex | string |
None. |
|
| pMemberBirthDate | date |
None. |
|
| pMailingAddress | string |
None. |
|
| pZipCode | string |
None. |
|
| pLandlineNo | string |
None. |
|
| pMobileNo | string |
None. |
|
| pEmailAddress | string |
None. |
|
| pPatientIs | string |
None. |
|
| pAdmissionDate | date |
None. |
|
| pDischargeDate | date |
None. |
|
| pPatientLastName | string |
None. |
|
| pPatientFirstName | string |
None. |
|
| pPatientMiddleName | string |
None. |
|
| pPatientSuffix | string |
None. |
|
| pPatientPIN | string |
None. |
|
| pPatientBirthDate | date |
None. |
|
| pPatientSex | string |
None. |
|
| pMemberShipType | string |
None. |
|
| pPEN | string |
None. |
|
| pEmployerName | string |
None. |
|
| pForm3 | string |
None. |
|
| pRVS | string |
None. |
|
| pTotalAmountActual | string |
None. |
|
| pTotalAmountClaimed | string |
None. |
|
| pIsFinal | string |
None. |
|
| isok | string |
None. |
|
| with3over6 | string |
None. |
|
| with9over12 | string |
None. |
|
| remainingdays | string |
None. |
|
| asof | string |
None. |
|
| reason | string |
None. |
|
| docneeded | string |
None. |
|
| SubmitResultEnc | string |
None. |
|
| SubmitResult | string |
None. |
|
| SubmitResultError | string |
None. |
|
| pReceiptTicketNumber | string |
None. |
|
| pTransmissionDateTime | date |
None. |
|
| CreatedBy | string |
None. |
|
| DateCreated | date |
None. |
|
| UpdatedBy | string |
None. |
|
| DateUpdated | date |
None. |
|
| Deleted | boolean |
None. |
|
| DeletedBy | string |
None. |
|
| DateDeleted | date |
None. |
|
| LastDateTransmitted | date |
None. |
|
| pVoucherNo | string |
None. |
|
| pVoucherDate | string |
None. |
|
| pCheckNo | string |
None. |
|
| pCheckDate | string |
None. |
|
| pCheckAmount | string |
None. |
|
| pClaimAmount | string |
None. |
|
| pClaimPayeeName | string |
None. |
|
| pDeficiency | string |
None. |
|
| pRequirement | string |
None. |
|
| SubmittedBy | string |
None. |
|
| DateSubmitted | date |
None. |
|
| SendToHims | boolean |
None. |
|
| SendToHimsErrorDesc | string |
None. |
|
| SentToHims | boolean |
None. |
|
| SentToHimsDate | date |
None. |
|
| pCivilStatus | string |
None. |
|
| RefiledBy | string |
None. |
|
| DateRefiled | string |
None. |
|
| Captured | boolean |
None. |
|
| MEMBER_CATEGORY_ID | string |
None. |
|
| MEMBER_CATEGORY_DESC | string |
None. |
|
| LastDateCheckStatus | date |
None. |
|
| PatientType | string |
None. |
|
| pPatientName | string |
None. |
|
| pAdmissionDateStr | string |
None. |
|
| pDischargeDateStr | string |
None. |
|
| isMember | boolean |
None. |
|
| pChiefComplaint | string |
None. |
|
| isForOPDHemodialysisClaim | string |
None. |
|
| v2 | boolean |
None. |
|
| referenceno | string |
None. |
|
| FKtblClaimsRefNo | globally unique identifier |
None. |
|
| pPatientReferred | string |
None. |
|
| pReferredIHCPAccreCode | string |
None. |
|
| pIsEmergency | string |
None. |
|
| pPatientType | string |
None. |
|
| pDisposition | string |
None. |
|
| pExpiredDateTime | string |
None. |
|
| pReferralIHCPAccreCode | string |
None. |
|
| pReferralReasons | string |
None. |
|
| pAccommodationType | string |
None. |
|
| pAdmissionDiagnosis | string |
None. |
|
| pHemodialysis | string |
None. |
|
| pPeritoneal | string |
None. |
|
| pLinac | string |
None. |
|
| pCobalt | string |
None. |
|
| pTransfusion | string |
None. |
|
| pBrachytheraphy | string |
None. |
|
| pChemotherapy | string |
None. |
|
| pDebridement | string |
None. |
|
| pImrt | string |
None. |
|
| pCheckUpDate1 | string |
None. |
|
| pCheckUpDate2 | string |
None. |
|
| pCheckUpDate3 | string |
None. |
|
| pCheckUpDate4 | string |
None. |
|
| pTBType | string |
None. |
|
| pNTPCardNo | string |
None. |
|
| pDay0ARV | string |
None. |
|
| pDay3ARV | string |
None. |
|
| pDay7ARV | string |
None. |
|
| pRIG | string |
None. |
|
| pABPOthers | string |
None. |
|
| pABPSpecify | string |
None. |
|
| pNewBorn | string |
None. |
|
| pEssentialNewbornCare | string |
None. |
|
| pNewbornHearingScreeningTest | string |
None. |
|
| pNewbornScreeningTest | string |
None. |
|
| pFilterCardNo | string |
None. |
|
| pDrying | string |
None. |
|
| pSkinToSkin | string |
None. |
|
| pCordClamping | string |
None. |
|
| pProphylaxis | string |
None. |
|
| pWeighing | string |
None. |
|
| pVitaminK | string |
None. |
|
| pBCG | string |
None. |
|
| pNonSeparation | string |
None. |
|
| pHepatitisB | string |
None. |
|
| pLaboratoryNumber | string |
None. |
|
| pCataractPreAuth | string |
None. |
|
| pLeftEyeIOLStickerNumber | string |
None. |
|
| pLeftEyeIOLExpiryDate | string |
None. |
|
| pRightEyeIOLStickerNumber | string |
None. |
|
| pRightEyeIOLExpiryDate | string |
None. |
|
| pCaseRate1Type | string |
None. |
|
| pItemCode1 | string |
None. |
|
| pCaseRateCode1 | string |
None. |
|
| pCaseRateAmount1 | string |
None. |
|
| pCaseRate2Type | string |
None. |
|
| pItemCode2 | string |
None. |
|
| pCaseRateCode2 | string |
None. |
|
| pCaseRateAmount2 | string |
None. |
|
| pEnoughBenefits | string |
None. |
|
| pTotalHCIFees | string |
None. |
|
| pTotalProfFees | string |
None. |
|
| pGrandTotal | string |
None. |
|
| pTotalActualCharges | string |
None. |
|
| pDiscount | string |
None. |
|
| pPhilhealthBenefit | string |
None. |
|
| pTotalAmount | string |
None. |
|
| pMemberPatient | string |
None. |
|
| pHMO | string |
None. |
|
| pOthers | string |
None. |
|
| pTotalActualChargesPf | string |
None. |
|
| pDiscountPf | string |
None. |
|
| pPhilhealthBenefitPf | string |
None. |
|
| pTotalAmountPf | string |
None. |
|
| pMemberPatientPf | string |
None. |
|
| pHMOPf | string |
None. |
|
| pOthersPf | string |
None. |
|
| pDrugsMedicinesSupplies | string |
None. |
|
| pDMSTotalAmount | string |
None. |
|
| pExaminations | string |
None. |
|
| pExamTotalAmount | string |
None. |
|
| pHasAttachedSOA | string |
None. |
|
| pDateSigned | string |
None. |
|
| pAprConsentToAccess | string |
None. |
|
| pThumbmarkedBy | string |
None. |
|
| pRelCode | string |
None. |
|
| pRelDesc | string |
None. |
|
| pReasonCode | string |
None. |
|
| pReasonDesc | string |
None. |
|
| AddedBy | string |
None. |
|
| DateAdded | date |
None. |
|
| FktblClaimsRefNo | globally unique identifier |
None. |
|
| pIllnessHistory | string |
None. |
|
| pSpecificDesc | string |
None. |
|
| pLastMensPeriod | string |
None. |
|
| pPregCnt | string |
None. |
|
| pDeliveryCnt | string |
None. |
|
| pOtherComplaint | string |
None. |
|
| pGenSurveyId | string |
None. |
|
| pGenSurveyRem | string |
None. |
|
| pPainSite | string |
None. |
|
| pSystolic | string |
None. |
|
| pDiastolic | string |
None. |
|
| pHr | string |
None. |
|
| pRr | string |
None. |
|
| pTemp | string |
None. |
|
| Symptoms | string |
None. |
|
| Heent | string |
None. |
|
| Chest | string |
None. |
|
| Cvs | string |
None. |
|
| Abdomen | string |
None. |
|
| GuIe | string |
None. |
|
| Skin | string |
None. |
|
| Neuro | string |
None. |
|
| pHeentRem | string |
None. |
|
| pChestRem | string |
None. |
|
| pHeartRem | string |
None. |
|
| pAbdomenRem | string |
None. |
|
| pGuRem | string |
None. |
|
| pSkinRem | string |
None. |
|
| pNeuroRem | string |
None. |
|
| pFullTermCnt | string |
None. |
|
| pPrematureCnt | string |
None. |
|
| pAbortionCnt | string |
None. |
|
| pLivChildrenCnt | string |
None. |
|
| pHeight | string |
None. |
|
| pWeight | string |
None. |
|
| AgeYears | string |
None. |
|
| AgeMonths | string |
None. |
|
| AgeDays | string |
None. |
|
| Age | string |
None. |
|
| PatientName | string |
None. |
|
| CaseRate1Amount | decimal number |
None. |
|
| CaseRate2Amount | decimal number |
None. |
|
| CaseRate1PfAmount | decimal number |
None. |
|
| CaseRate2PfAmount | decimal number |
None. |
|
| OtherFundSourcePfAmount | decimal number |
None. |
|
| OtherFundSourcePfDescription | string |
None. |
|
| pPatientReferredStreet | string |
None. |
|
| pPatientReferredCity | string |
None. |
|
| pPatientReferredProvince | string |
None. |
|
| pPatientReferredZipCode | string |
None. |
|
| HospitalBenefit | decimal number |
None. |
|
| PfBenefit | decimal number |
None. |
|
| Doctors | string |
None. |
|
| Diagnosis | string |
None. |
|
| WithCF4 | string |
None. |
|
| CR1Amount | decimal number |
None. |
|
| CR2Amount | decimal number |
None. |
Request Formats
application/json, text/json
{
"RefNo": "6430cc62-0bbf-4c5c-a3da-4be8225f6c23",
"Id": 2,
"pHospitalTransmittalNo": "sample string 3",
"pUserName": "sample string 4",
"pHospitalCode": "sample string 5",
"pPIN": "sample string 6",
"pClaimNumber": "sample string 7",
"EligibilityTrackingNo": "sample string 8",
"CaseNo": "sample string 9",
"pClaimSeriesLhio": "sample string 10",
"pStatus": "sample string 11",
"pProcessStage": "sample string 12",
"pProcessDate": "sample string 13",
"pDeniedReason": "sample string 14",
"pStatusXml": "sample string 15",
"pVoucherDetailsXml": "sample string 16",
"pMemberLastName": "sample string 17",
"pMemberFirstName": "sample string 18",
"pMemberMiddleName": "sample string 19",
"pMemberSuffix": "sample string 20",
"pMemberSex": "sample string 21",
"pMemberBirthDate": "2025-12-06T11:23:47.5080826+08:00",
"pMailingAddress": "sample string 22",
"pZipCode": "sample string 23",
"pLandlineNo": "sample string 24",
"pMobileNo": "sample string 25",
"pEmailAddress": "sample string 26",
"pPatientIs": "sample string 27",
"pAdmissionDate": "2025-12-06T11:23:47.5207159+08:00",
"pDischargeDate": "2025-12-06T11:23:47.5207159+08:00",
"pPatientLastName": "sample string 28",
"pPatientFirstName": "sample string 29",
"pPatientMiddleName": "sample string 30",
"pPatientSuffix": "sample string 31",
"pPatientPIN": "sample string 32",
"pPatientBirthDate": "2025-12-06T11:23:47.5207159+08:00",
"pPatientSex": "sample string 33",
"pMemberShipType": "sample string 34",
"pPEN": "sample string 35",
"pEmployerName": "sample string 36",
"pForm3": "sample string 37",
"pRVS": "sample string 38",
"pTotalAmountActual": "sample string 39",
"pTotalAmountClaimed": "sample string 40",
"pIsFinal": "sample string 41",
"isok": "sample string 42",
"with3over6": "sample string 43",
"with9over12": "sample string 44",
"remainingdays": "sample string 45",
"asof": "sample string 46",
"reason": "sample string 47",
"docneeded": "sample string 48",
"SubmitResultEnc": "sample string 49",
"SubmitResult": "sample string 50",
"SubmitResultError": "sample string 51",
"pReceiptTicketNumber": "sample string 52",
"pTransmissionDateTime": "2025-12-06T11:23:47.5207159+08:00",
"CreatedBy": "sample string 53",
"DateCreated": "2025-12-06T11:23:47.5207159+08:00",
"UpdatedBy": "sample string 55",
"DateUpdated": "2025-12-06T11:23:47.5207159+08:00",
"Deleted": true,
"DeletedBy": "sample string 57",
"DateDeleted": "2025-12-06T11:23:47.5207159+08:00",
"LastDateTransmitted": "2025-12-06T11:23:47.5207159+08:00",
"pVoucherNo": "sample string 58",
"pVoucherDate": "sample string 59",
"pCheckNo": "sample string 60",
"pCheckDate": "sample string 61",
"pCheckAmount": "sample string 62",
"pClaimAmount": "sample string 63",
"pClaimPayeeName": "sample string 64",
"pDeficiency": "sample string 65",
"pRequirement": "sample string 66",
"SubmittedBy": "sample string 67",
"DateSubmitted": "2025-12-06T11:23:47.5207159+08:00",
"SendToHims": true,
"SendToHimsErrorDesc": "sample string 68",
"SentToHims": true,
"SentToHimsDate": "2025-12-06T11:23:47.5207159+08:00",
"pCivilStatus": "sample string 69",
"RefiledBy": "sample string 70",
"DateRefiled": "sample string 71",
"Captured": true,
"MEMBER_CATEGORY_ID": "sample string 73",
"MEMBER_CATEGORY_DESC": "sample string 74",
"LastDateCheckStatus": "2025-12-06T11:23:47.5207159+08:00",
"PatientType": "sample string 75",
"pPatientName": "sample string 76",
"pAdmissionDateStr": "sample string 77",
"pDischargeDateStr": "sample string 78",
"isMember": true,
"pChiefComplaint": "sample string 80",
"isForOPDHemodialysisClaim": "sample string 81",
"v2": true,
"referenceno": "sample string 83",
"FKtblClaimsRefNo": "cc3dcee0-3407-4167-ab85-e254e82626dc",
"pPatientReferred": "sample string 84",
"pReferredIHCPAccreCode": "sample string 85",
"pIsEmergency": "sample string 86",
"pPatientType": "sample string 87",
"pDisposition": "sample string 88",
"pExpiredDateTime": "sample string 89",
"pReferralIHCPAccreCode": "sample string 90",
"pReferralReasons": "sample string 91",
"pAccommodationType": "sample string 92",
"pAdmissionDiagnosis": "sample string 93",
"pHemodialysis": "sample string 94",
"pPeritoneal": "sample string 95",
"pLinac": "sample string 96",
"pCobalt": "sample string 97",
"pTransfusion": "sample string 98",
"pBrachytheraphy": "sample string 99",
"pChemotherapy": "sample string 100",
"pDebridement": "sample string 101",
"pImrt": "sample string 102",
"pCheckUpDate1": "sample string 103",
"pCheckUpDate2": "sample string 104",
"pCheckUpDate3": "sample string 105",
"pCheckUpDate4": "sample string 106",
"pTBType": "sample string 107",
"pNTPCardNo": "sample string 108",
"pDay0ARV": "sample string 109",
"pDay3ARV": "sample string 110",
"pDay7ARV": "sample string 111",
"pRIG": "sample string 112",
"pABPOthers": "sample string 113",
"pABPSpecify": "sample string 114",
"pNewBorn": "sample string 115",
"pEssentialNewbornCare": "sample string 116",
"pNewbornHearingScreeningTest": "sample string 117",
"pNewbornScreeningTest": "sample string 118",
"pFilterCardNo": "sample string 119",
"pDrying": "sample string 120",
"pSkinToSkin": "sample string 121",
"pCordClamping": "sample string 122",
"pProphylaxis": "sample string 123",
"pWeighing": "sample string 124",
"pVitaminK": "sample string 125",
"pBCG": "sample string 126",
"pNonSeparation": "sample string 127",
"pHepatitisB": "sample string 128",
"pLaboratoryNumber": "sample string 129",
"pCataractPreAuth": "sample string 130",
"pLeftEyeIOLStickerNumber": "sample string 131",
"pLeftEyeIOLExpiryDate": "sample string 132",
"pRightEyeIOLStickerNumber": "sample string 133",
"pRightEyeIOLExpiryDate": "sample string 134",
"pCaseRate1Type": "sample string 135",
"pItemCode1": "sample string 136",
"pCaseRateCode1": "sample string 137",
"pCaseRateAmount1": "sample string 138",
"pCaseRate2Type": "sample string 139",
"pItemCode2": "sample string 140",
"pCaseRateCode2": "sample string 141",
"pCaseRateAmount2": "sample string 142",
"pEnoughBenefits": "sample string 143",
"pTotalHCIFees": "sample string 144",
"pTotalProfFees": "sample string 145",
"pGrandTotal": "sample string 146",
"pTotalActualCharges": "sample string 147",
"pDiscount": "sample string 148",
"pPhilhealthBenefit": "sample string 149",
"pTotalAmount": "sample string 150",
"pMemberPatient": "sample string 151",
"pHMO": "sample string 152",
"pOthers": "sample string 153",
"pTotalActualChargesPf": "sample string 154",
"pDiscountPf": "sample string 155",
"pPhilhealthBenefitPf": "sample string 156",
"pTotalAmountPf": "sample string 157",
"pMemberPatientPf": "sample string 158",
"pHMOPf": "sample string 159",
"pOthersPf": "sample string 160",
"pDrugsMedicinesSupplies": "sample string 161",
"pDMSTotalAmount": "sample string 162",
"pExaminations": "sample string 163",
"pExamTotalAmount": "sample string 164",
"pHasAttachedSOA": "sample string 165",
"pDateSigned": "sample string 166",
"pAprConsentToAccess": "sample string 167",
"pThumbmarkedBy": "sample string 168",
"pRelCode": "sample string 169",
"pRelDesc": "sample string 170",
"pReasonCode": "sample string 171",
"pReasonDesc": "sample string 172",
"AddedBy": "sample string 173",
"DateAdded": "2025-12-06T11:23:47.5207159+08:00",
"FktblClaimsRefNo": "e112f30d-0da6-403b-8f9b-a67595e4f082",
"pIllnessHistory": "sample string 174",
"pSpecificDesc": "sample string 175",
"pLastMensPeriod": "sample string 176",
"pPregCnt": "sample string 177",
"pDeliveryCnt": "sample string 178",
"pOtherComplaint": "sample string 179",
"pGenSurveyId": "sample string 180",
"pGenSurveyRem": "sample string 181",
"pPainSite": "sample string 182",
"pSystolic": "sample string 183",
"pDiastolic": "sample string 184",
"pHr": "sample string 185",
"pRr": "sample string 186",
"pTemp": "sample string 187",
"Symptoms": "sample string 188",
"Heent": "sample string 189",
"Chest": "sample string 190",
"Cvs": "sample string 191",
"Abdomen": "sample string 192",
"GuIe": "sample string 193",
"Skin": "sample string 194",
"Neuro": "sample string 195",
"pHeentRem": "sample string 196",
"pChestRem": "sample string 197",
"pHeartRem": "sample string 198",
"pAbdomenRem": "sample string 199",
"pGuRem": "sample string 200",
"pSkinRem": "sample string 201",
"pNeuroRem": "sample string 202",
"pFullTermCnt": "sample string 203",
"pPrematureCnt": "sample string 204",
"pAbortionCnt": "sample string 205",
"pLivChildrenCnt": "sample string 206",
"pHeight": "sample string 207",
"pWeight": "sample string 208",
"AgeYears": "sample string 209",
"AgeMonths": "sample string 210",
"AgeDays": "sample string 211",
"Age": "sample string 212",
"PatientName": "sample string 213",
"CaseRate1Amount": 214.0,
"CaseRate2Amount": 215.0,
"CaseRate1PfAmount": 216.0,
"CaseRate2PfAmount": 217.0,
"OtherFundSourcePfAmount": 1.0,
"OtherFundSourcePfDescription": "sample string 218",
"pPatientReferredStreet": "sample string 219",
"pPatientReferredCity": "sample string 220",
"pPatientReferredProvince": "sample string 221",
"pPatientReferredZipCode": "sample string 222",
"HospitalBenefit": 223.0,
"PfBenefit": 224.0,
"Doctors": "sample string 225",
"Diagnosis": "sample string 226",
"WithCF4": "sample string 227",
"CR1Amount": 228.0,
"CR2Amount": 229.0
}
application/xml, text/xml
<ClaimsModel xmlns:i="http://www.w3.org/2001/XMLSchema-instance" xmlns="http://schemas.datacontract.org/2004/07/ClaimsAssureApi.Models"> <Abdomen>sample string 192</Abdomen> <AddedBy>sample string 173</AddedBy> <Age>sample string 212</Age> <AgeDays>sample string 211</AgeDays> <AgeMonths>sample string 210</AgeMonths> <AgeYears>sample string 209</AgeYears> <CR1Amount>228</CR1Amount> <CR2Amount>229</CR2Amount> <Captured>true</Captured> <CaseNo>sample string 9</CaseNo> <CaseRate1Amount>214</CaseRate1Amount> <CaseRate1PfAmount>216</CaseRate1PfAmount> <CaseRate2Amount>215</CaseRate2Amount> <CaseRate2PfAmount>217</CaseRate2PfAmount> <Chest>sample string 190</Chest> <CreatedBy>sample string 53</CreatedBy> <Cvs>sample string 191</Cvs> <DateAdded>2025-12-06T11:23:47.5207159+08:00</DateAdded> <DateCreated>2025-12-06T11:23:47.5207159+08:00</DateCreated> <DateDeleted>2025-12-06T11:23:47.5207159+08:00</DateDeleted> <DateRefiled>sample string 71</DateRefiled> <DateSubmitted>2025-12-06T11:23:47.5207159+08:00</DateSubmitted> <DateUpdated>2025-12-06T11:23:47.5207159+08:00</DateUpdated> <Deleted>true</Deleted> <DeletedBy>sample string 57</DeletedBy> <Diagnosis>sample string 226</Diagnosis> <Doctors>sample string 225</Doctors> <EligibilityTrackingNo>sample string 8</EligibilityTrackingNo> <FKtblClaimsRefNo>cc3dcee0-3407-4167-ab85-e254e82626dc</FKtblClaimsRefNo> <FktblClaimsRefNo>e112f30d-0da6-403b-8f9b-a67595e4f082</FktblClaimsRefNo> <GuIe>sample string 193</GuIe> <Heent>sample string 189</Heent> <HospitalBenefit>223</HospitalBenefit> <Id>2</Id> <LastDateCheckStatus>2025-12-06T11:23:47.5207159+08:00</LastDateCheckStatus> <LastDateTransmitted>2025-12-06T11:23:47.5207159+08:00</LastDateTransmitted> <MEMBER_CATEGORY_DESC>sample string 74</MEMBER_CATEGORY_DESC> <MEMBER_CATEGORY_ID>sample string 73</MEMBER_CATEGORY_ID> <Neuro>sample string 195</Neuro> <OtherFundSourcePfAmount>1</OtherFundSourcePfAmount> <OtherFundSourcePfDescription>sample string 218</OtherFundSourcePfDescription> <PatientName>sample string 213</PatientName> <PatientType>sample string 75</PatientType> <PfBenefit>224</PfBenefit> <RefNo>6430cc62-0bbf-4c5c-a3da-4be8225f6c23</RefNo> <RefiledBy>sample string 70</RefiledBy> <SendToHims>true</SendToHims> <SendToHimsErrorDesc>sample string 68</SendToHimsErrorDesc> <SentToHims>true</SentToHims> <SentToHimsDate>2025-12-06T11:23:47.5207159+08:00</SentToHimsDate> <Skin>sample string 194</Skin> <SubmitResult>sample string 50</SubmitResult> <SubmitResultEnc>sample string 49</SubmitResultEnc> <SubmitResultError>sample string 51</SubmitResultError> <SubmittedBy>sample string 67</SubmittedBy> <Symptoms>sample string 188</Symptoms> <UpdatedBy>sample string 55</UpdatedBy> <WithCF4>sample string 227</WithCF4> <asof>sample string 46</asof> <docneeded>sample string 48</docneeded> <isForOPDHemodialysisClaim>sample string 81</isForOPDHemodialysisClaim> <isMember>true</isMember> <isok>sample string 42</isok> <pABPOthers>sample string 113</pABPOthers> <pABPSpecify>sample string 114</pABPSpecify> <pAbdomenRem>sample string 199</pAbdomenRem> <pAbortionCnt>sample string 205</pAbortionCnt> <pAccommodationType>sample string 92</pAccommodationType> <pAdmissionDate>2025-12-06T11:23:47.5207159+08:00</pAdmissionDate> <pAdmissionDateStr>sample string 77</pAdmissionDateStr> <pAdmissionDiagnosis>sample string 93</pAdmissionDiagnosis> <pAprConsentToAccess>sample string 167</pAprConsentToAccess> <pBCG>sample string 126</pBCG> <pBrachytheraphy>sample string 99</pBrachytheraphy> <pCaseRate1Type>sample string 135</pCaseRate1Type> <pCaseRate2Type>sample string 139</pCaseRate2Type> <pCaseRateAmount1>sample string 138</pCaseRateAmount1> <pCaseRateAmount2>sample string 142</pCaseRateAmount2> <pCaseRateCode1>sample string 137</pCaseRateCode1> <pCaseRateCode2>sample string 141</pCaseRateCode2> <pCataractPreAuth>sample string 130</pCataractPreAuth> <pCheckAmount>sample string 62</pCheckAmount> <pCheckDate>sample string 61</pCheckDate> <pCheckNo>sample string 60</pCheckNo> <pCheckUpDate1>sample string 103</pCheckUpDate1> <pCheckUpDate2>sample string 104</pCheckUpDate2> <pCheckUpDate3>sample string 105</pCheckUpDate3> <pCheckUpDate4>sample string 106</pCheckUpDate4> <pChemotherapy>sample string 100</pChemotherapy> <pChestRem>sample string 197</pChestRem> <pChiefComplaint>sample string 80</pChiefComplaint> <pCivilStatus>sample string 69</pCivilStatus> <pClaimAmount>sample string 63</pClaimAmount> <pClaimNumber>sample string 7</pClaimNumber> <pClaimPayeeName>sample string 64</pClaimPayeeName> <pClaimSeriesLhio>sample string 10</pClaimSeriesLhio> <pCobalt>sample string 97</pCobalt> <pCordClamping>sample string 122</pCordClamping> <pDMSTotalAmount>sample string 162</pDMSTotalAmount> <pDateSigned>sample string 166</pDateSigned> <pDay0ARV>sample string 109</pDay0ARV> <pDay3ARV>sample string 110</pDay3ARV> <pDay7ARV>sample string 111</pDay7ARV> <pDebridement>sample string 101</pDebridement> <pDeficiency>sample string 65</pDeficiency> <pDeliveryCnt>sample string 178</pDeliveryCnt> <pDeniedReason>sample string 14</pDeniedReason> <pDiastolic>sample string 184</pDiastolic> <pDischargeDate>2025-12-06T11:23:47.5207159+08:00</pDischargeDate> <pDischargeDateStr>sample string 78</pDischargeDateStr> <pDiscount>sample string 148</pDiscount> <pDiscountPf>sample string 155</pDiscountPf> <pDisposition>sample string 88</pDisposition> <pDrugsMedicinesSupplies>sample string 161</pDrugsMedicinesSupplies> <pDrying>sample string 120</pDrying> <pEmailAddress>sample string 26</pEmailAddress> <pEmployerName>sample string 36</pEmployerName> <pEnoughBenefits>sample string 143</pEnoughBenefits> <pEssentialNewbornCare>sample string 116</pEssentialNewbornCare> <pExamTotalAmount>sample string 164</pExamTotalAmount> <pExaminations>sample string 163</pExaminations> <pExpiredDateTime>sample string 89</pExpiredDateTime> <pFilterCardNo>sample string 119</pFilterCardNo> <pForm3>sample string 37</pForm3> <pFullTermCnt>sample string 203</pFullTermCnt> <pGenSurveyId>sample string 180</pGenSurveyId> <pGenSurveyRem>sample string 181</pGenSurveyRem> <pGrandTotal>sample string 146</pGrandTotal> <pGuRem>sample string 200</pGuRem> <pHMO>sample string 152</pHMO> <pHMOPf>sample string 159</pHMOPf> <pHasAttachedSOA>sample string 165</pHasAttachedSOA> <pHeartRem>sample string 198</pHeartRem> <pHeentRem>sample string 196</pHeentRem> <pHeight>sample string 207</pHeight> <pHemodialysis>sample string 94</pHemodialysis> <pHepatitisB>sample string 128</pHepatitisB> <pHospitalCode>sample string 5</pHospitalCode> <pHospitalTransmittalNo>sample string 3</pHospitalTransmittalNo> <pHr>sample string 185</pHr> <pIllnessHistory>sample string 174</pIllnessHistory> <pImrt>sample string 102</pImrt> <pIsEmergency>sample string 86</pIsEmergency> <pIsFinal>sample string 41</pIsFinal> <pItemCode1>sample string 136</pItemCode1> <pItemCode2>sample string 140</pItemCode2> <pLaboratoryNumber>sample string 129</pLaboratoryNumber> <pLandlineNo>sample string 24</pLandlineNo> <pLastMensPeriod>sample string 176</pLastMensPeriod> <pLeftEyeIOLExpiryDate>sample string 132</pLeftEyeIOLExpiryDate> <pLeftEyeIOLStickerNumber>sample string 131</pLeftEyeIOLStickerNumber> <pLinac>sample string 96</pLinac> <pLivChildrenCnt>sample string 206</pLivChildrenCnt> <pMailingAddress>sample string 22</pMailingAddress> <pMemberBirthDate>2025-12-06T11:23:47.5080826+08:00</pMemberBirthDate> <pMemberFirstName>sample string 18</pMemberFirstName> <pMemberLastName>sample string 17</pMemberLastName> <pMemberMiddleName>sample string 19</pMemberMiddleName> <pMemberPatient>sample string 151</pMemberPatient> <pMemberPatientPf>sample string 158</pMemberPatientPf> <pMemberSex>sample string 21</pMemberSex> <pMemberShipType>sample string 34</pMemberShipType> <pMemberSuffix>sample string 20</pMemberSuffix> <pMobileNo>sample string 25</pMobileNo> <pNTPCardNo>sample string 108</pNTPCardNo> <pNeuroRem>sample string 202</pNeuroRem> <pNewBorn>sample string 115</pNewBorn> <pNewbornHearingScreeningTest>sample string 117</pNewbornHearingScreeningTest> <pNewbornScreeningTest>sample string 118</pNewbornScreeningTest> <pNonSeparation>sample string 127</pNonSeparation> <pOtherComplaint>sample string 179</pOtherComplaint> <pOthers>sample string 153</pOthers> <pOthersPf>sample string 160</pOthersPf> <pPEN>sample string 35</pPEN> <pPIN>sample string 6</pPIN> <pPainSite>sample string 182</pPainSite> <pPatientBirthDate>2025-12-06T11:23:47.5207159+08:00</pPatientBirthDate> <pPatientFirstName>sample string 29</pPatientFirstName> <pPatientIs>sample string 27</pPatientIs> <pPatientLastName>sample string 28</pPatientLastName> <pPatientMiddleName>sample string 30</pPatientMiddleName> <pPatientName>sample string 76</pPatientName> <pPatientPIN>sample string 32</pPatientPIN> <pPatientReferred>sample string 84</pPatientReferred> <pPatientReferredCity>sample string 220</pPatientReferredCity> <pPatientReferredProvince>sample string 221</pPatientReferredProvince> <pPatientReferredStreet>sample string 219</pPatientReferredStreet> <pPatientReferredZipCode>sample string 222</pPatientReferredZipCode> <pPatientSex>sample string 33</pPatientSex> <pPatientSuffix>sample string 31</pPatientSuffix> <pPatientType>sample string 87</pPatientType> <pPeritoneal>sample string 95</pPeritoneal> <pPhilhealthBenefit>sample string 149</pPhilhealthBenefit> <pPhilhealthBenefitPf>sample string 156</pPhilhealthBenefitPf> <pPregCnt>sample string 177</pPregCnt> <pPrematureCnt>sample string 204</pPrematureCnt> <pProcessDate>sample string 13</pProcessDate> <pProcessStage>sample string 12</pProcessStage> <pProphylaxis>sample string 123</pProphylaxis> <pRIG>sample string 112</pRIG> <pRVS>sample string 38</pRVS> <pReasonCode>sample string 171</pReasonCode> <pReasonDesc>sample string 172</pReasonDesc> <pReceiptTicketNumber>sample string 52</pReceiptTicketNumber> <pReferralIHCPAccreCode>sample string 90</pReferralIHCPAccreCode> <pReferralReasons>sample string 91</pReferralReasons> <pReferredIHCPAccreCode>sample string 85</pReferredIHCPAccreCode> <pRelCode>sample string 169</pRelCode> <pRelDesc>sample string 170</pRelDesc> <pRequirement>sample string 66</pRequirement> <pRightEyeIOLExpiryDate>sample string 134</pRightEyeIOLExpiryDate> <pRightEyeIOLStickerNumber>sample string 133</pRightEyeIOLStickerNumber> <pRr>sample string 186</pRr> <pSkinRem>sample string 201</pSkinRem> <pSkinToSkin>sample string 121</pSkinToSkin> <pSpecificDesc>sample string 175</pSpecificDesc> <pStatus>sample string 11</pStatus> <pStatusXml>sample string 15</pStatusXml> <pSystolic>sample string 183</pSystolic> <pTBType>sample string 107</pTBType> <pTemp>sample string 187</pTemp> <pThumbmarkedBy>sample string 168</pThumbmarkedBy> <pTotalActualCharges>sample string 147</pTotalActualCharges> <pTotalActualChargesPf>sample string 154</pTotalActualChargesPf> <pTotalAmount>sample string 150</pTotalAmount> <pTotalAmountActual>sample string 39</pTotalAmountActual> <pTotalAmountClaimed>sample string 40</pTotalAmountClaimed> <pTotalAmountPf>sample string 157</pTotalAmountPf> <pTotalHCIFees>sample string 144</pTotalHCIFees> <pTotalProfFees>sample string 145</pTotalProfFees> <pTransfusion>sample string 98</pTransfusion> <pTransmissionDateTime>2025-12-06T11:23:47.5207159+08:00</pTransmissionDateTime> <pUserName>sample string 4</pUserName> <pVitaminK>sample string 125</pVitaminK> <pVoucherDate>sample string 59</pVoucherDate> <pVoucherDetailsXml>sample string 16</pVoucherDetailsXml> <pVoucherNo>sample string 58</pVoucherNo> <pWeighing>sample string 124</pWeighing> <pWeight>sample string 208</pWeight> <pZipCode>sample string 23</pZipCode> <reason>sample string 47</reason> <referenceno>sample string 83</referenceno> <remainingdays>sample string 45</remainingdays> <v2>true</v2> <with3over6>sample string 43</with3over6> <with9over12>sample string 44</with9over12> </ClaimsModel>
application/x-www-form-urlencoded
Sample not available.
Response Information
Resource Description
IHttpActionResultNone.
Response Formats
application/json, text/json, application/xml, text/xml
Sample not available.