POST api/ExportPatientRecord/{claims}

Request Information

URI Parameters

Name	Description	Type	Additional information
claims		string	None.

Body Parameters

Collection of ClaimsModel

Name	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

Sample:

[
  {
    "RefNo": "88b9f2b4-b583-4240-8ddd-16bc3e38648a",
    "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": "2025-12-06T11:25:52.7751212+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": "2025-12-06T11:25:52.7751212+08:00",
    "pDischargeDate": "2025-12-06T11:25:52.7751212+08:00",
    "pPatientLastName": "sample string 28",
    "pPatientFirstName": "sample string 29",
    "pPatientMiddleName": "sample string 30",
    "pPatientSuffix": "sample string 31",
    "pPatientPIN": "sample string 32",
    "pPatientBirthDate": "2025-12-06T11:25:52.7751212+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": "2025-12-06T11:25:52.7751212+08:00",
    "CreatedBy": "sample string 53",
    "DateCreated": "2025-12-06T11:25:52.7751212+08:00",
    "UpdatedBy": "sample string 55",
    "DateUpdated": "2025-12-06T11:25:52.7751212+08:00",
    "Deleted": true,
    "DeletedBy": "sample string 57",
    "DateDeleted": "2025-12-06T11:25:52.7751212+08:00",
    "LastDateTransmitted": "2025-12-06T11:25:52.7751212+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": "2025-12-06T11:25:52.7751212+08:00",
    "SendToHims": true,
    "SendToHimsErrorDesc": "sample string 68",
    "SentToHims": true,
    "SentToHimsDate": "2025-12-06T11:25:52.7751212+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": "2025-12-06T11:25:52.7751212+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": "5eeb4dd8-9d82-4c31-9685-bfcc9228bdd6",
    "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": "2025-12-06T11:25:52.7771324+08:00",
    "FktblClaimsRefNo": "d15f97ec-7d15-43d4-8b03-0a2d5cb6cd2a",
    "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
  },
  {
    "RefNo": "88b9f2b4-b583-4240-8ddd-16bc3e38648a",
    "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": "2025-12-06T11:25:52.7751212+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": "2025-12-06T11:25:52.7751212+08:00",
    "pDischargeDate": "2025-12-06T11:25:52.7751212+08:00",
    "pPatientLastName": "sample string 28",
    "pPatientFirstName": "sample string 29",
    "pPatientMiddleName": "sample string 30",
    "pPatientSuffix": "sample string 31",
    "pPatientPIN": "sample string 32",
    "pPatientBirthDate": "2025-12-06T11:25:52.7751212+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": "2025-12-06T11:25:52.7751212+08:00",
    "CreatedBy": "sample string 53",
    "DateCreated": "2025-12-06T11:25:52.7751212+08:00",
    "UpdatedBy": "sample string 55",
    "DateUpdated": "2025-12-06T11:25:52.7751212+08:00",
    "Deleted": true,
    "DeletedBy": "sample string 57",
    "DateDeleted": "2025-12-06T11:25:52.7751212+08:00",
    "LastDateTransmitted": "2025-12-06T11:25:52.7751212+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": "2025-12-06T11:25:52.7751212+08:00",
    "SendToHims": true,
    "SendToHimsErrorDesc": "sample string 68",
    "SentToHims": true,
    "SentToHimsDate": "2025-12-06T11:25:52.7751212+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": "2025-12-06T11:25:52.7751212+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": "5eeb4dd8-9d82-4c31-9685-bfcc9228bdd6",
    "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": "2025-12-06T11:25:52.7771324+08:00",
    "FktblClaimsRefNo": "d15f97ec-7d15-43d4-8b03-0a2d5cb6cd2a",
    "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

Sample:

<ArrayOfClaimsModel xmlns:i="http://www.w3.org/2001/XMLSchema-instance" xmlns="http://schemas.datacontract.org/2004/07/ClaimsAssureApi.Models">
  <ClaimsModel>
    <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>2025-12-06T11:25:52.7771324+08:00</DateAdded>
    <DateCreated>2025-12-06T11:25:52.7751212+08:00</DateCreated>
    <DateDeleted>2025-12-06T11:25:52.7751212+08:00</DateDeleted>
    <DateRefiled>sample string 71</DateRefiled>
    <DateSubmitted>2025-12-06T11:25:52.7751212+08:00</DateSubmitted>
    <DateUpdated>2025-12-06T11:25:52.7751212+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>5eeb4dd8-9d82-4c31-9685-bfcc9228bdd6</FKtblClaimsRefNo>
    <FktblClaimsRefNo>d15f97ec-7d15-43d4-8b03-0a2d5cb6cd2a</FktblClaimsRefNo>
    <GuIe>sample string 193</GuIe>
    <Heent>sample string 189</Heent>
    <HospitalBenefit>223</HospitalBenefit>
    <Id>2</Id>
    <LastDateCheckStatus>2025-12-06T11:25:52.7751212+08:00</LastDateCheckStatus>
    <LastDateTransmitted>2025-12-06T11:25:52.7751212+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>88b9f2b4-b583-4240-8ddd-16bc3e38648a</RefNo>
    <RefiledBy>sample string 70</RefiledBy>
    <SendToHims>true</SendToHims>
    <SendToHimsErrorDesc>sample string 68</SendToHimsErrorDesc>
    <SentToHims>true</SentToHims>
    <SentToHimsDate>2025-12-06T11:25:52.7751212+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>2025-12-06T11:25:52.7751212+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>2025-12-06T11:25:52.7751212+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>2025-12-06T11:25:52.7751212+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>2025-12-06T11:25:52.7751212+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>2025-12-06T11:25:52.7751212+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>
  <ClaimsModel>
    <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>2025-12-06T11:25:52.7771324+08:00</DateAdded>
    <DateCreated>2025-12-06T11:25:52.7751212+08:00</DateCreated>
    <DateDeleted>2025-12-06T11:25:52.7751212+08:00</DateDeleted>
    <DateRefiled>sample string 71</DateRefiled>
    <DateSubmitted>2025-12-06T11:25:52.7751212+08:00</DateSubmitted>
    <DateUpdated>2025-12-06T11:25:52.7751212+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>5eeb4dd8-9d82-4c31-9685-bfcc9228bdd6</FKtblClaimsRefNo>
    <FktblClaimsRefNo>d15f97ec-7d15-43d4-8b03-0a2d5cb6cd2a</FktblClaimsRefNo>
    <GuIe>sample string 193</GuIe>
    <Heent>sample string 189</Heent>
    <HospitalBenefit>223</HospitalBenefit>
    <Id>2</Id>
    <LastDateCheckStatus>2025-12-06T11:25:52.7751212+08:00</LastDateCheckStatus>
    <LastDateTransmitted>2025-12-06T11:25:52.7751212+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>88b9f2b4-b583-4240-8ddd-16bc3e38648a</RefNo>
    <RefiledBy>sample string 70</RefiledBy>
    <SendToHims>true</SendToHims>
    <SendToHimsErrorDesc>sample string 68</SendToHimsErrorDesc>
    <SentToHims>true</SentToHims>
    <SentToHimsDate>2025-12-06T11:25:52.7751212+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>2025-12-06T11:25:52.7751212+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>2025-12-06T11:25:52.7751212+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>2025-12-06T11:25:52.7751212+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>2025-12-06T11:25:52.7751212+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>2025-12-06T11:25:52.7751212+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>
</ArrayOfClaimsModel>

application/x-www-form-urlencoded

Sample:

Sample not available.

Response Information

Resource Description

IHttpActionResult

None.

Response Formats

application/json, text/json, application/xml, text/xml

Sample:

Sample not available.