POST api/iffco_claim_service

Request Information

URI Parameters

None.

Body Parameters

iffco_key_value_claim_service
NameDescriptionTypeAdditional information
TPAName

string

None.

ProcessingOfficeOfTPA

string

None.

PolicyNo

string

None.

GroupName

string

None.

MemberIDITGI

string

None.

MemberIDTPA

string

None.

AdhaarNoOfPolicyHolder

string

None.

TPAClaimNo

string

None.

LinkedAuthorizationNumber

string

None.

LinkedClaimNumber

string

None.

HospitalName

string

None.

TPAHospitalCode

string

None.

ROHINICode

string

None.

RegistrationNoOfHospital

string

None.

PANNoOfHospital

string

None.

NetworkOrNonNetwork

string

None.

HospitalAddress

string

None.

HospitalCategory

string

None.

HospitalCity

string

None.

HospitalState

string

None.

HospitalPINCode

string

None.

WhetherClaimUnderAlternateMedicine

string

None.

SystemOfMedicineUsed

string

None.

ICDCODELevel1

string

None.

ICDCODELevel2

string

None.

ICDCODELevel3

string

None.

ICDCodeLevel1Description

string

None.

ICDCodeLevel2Description

string

None.

ICDCodeLevel3Description

string

None.

CPTCodeLevel1

string

None.

CPTCodeLevel2

string

None.

CPTCodeLevel3

string

None.

CPTCodeLevel1Description

string

None.

CPTCodeLevel2Description

string

None.

CPTCodeLevel3Description

string

None.

CriticalIllnessDiseaseCode

string

None.

SurgicalOrNonSurgical

string

None.

RoomType

string

None.

ClaimType

string

None.

DateOfAdmission

string

None.

DateOfDischarge

string

None.

IntimationDateOrALRequest

string

None.

ALIssuanceDateAndTime

string

None.

DateOfFileReceiptFromHospitalInsured

string

None.

DateOfLastDocumentReceived

string

None.

DateOfApprovalOfClaim

string

None.

AmountClaimedOrALRequested

string

None.

ALIssuedAmount

string

None.

ProcedureCharges

string

None.

SupportingProcedureCharges

string

None.

RoomAndNursingCharges

string

None.

ICUCharges

string

None.

ConsultationCharges

string

None.

ProfessionalFeeCharges

string

None.

SurgeryCharges

string

None.

MedicineAndConsumablesCharges

string

None.

InvestigationCharges

string

None.

ImplantCharges

string

None.

PreHospitalizationCharges

string

None.

PostHospitalizationCharges

string

None.

OtherNonHospitalExpenses

string

None.

MiscellaneousCharges

string

None.

AmbulanceCharges

string

None.

CashAllowance

string

None.

TotalAmountClaimed

string

None.

TotalDeduction

string

None.

TotalAmountApproved

string

None.

ApprovedFromSumInsured

string

None.

ApprovedFromCorporateBuffer

string

None.

ApprovedFromCriticalIIllness

string

None.

PayeeMailID

string

None.

PayeeMobileNo

string

None.

ReasonOfDeduction

string

None.

ReasonForClosureOfClaim

string

None.

PercentageOfCoPaymentOrExcessIfApplicable

string

None.

NamePrintOnCheck

string

None.

PayeeAccount

string

None.

PayeeBankIFSCCode

string

None.

TPARecommendation

string

None.

TPAClaimStatus

string

None.

DeductionCoPay

string

None.

GSTApplicableFlag

string

None.

GSTNo

string

None.

GSTAmount

string

None.

PatientName

string

None.

EmpName

string

None.

EmpNo

string

None.

Age

string

None.

ConsolidatedRelation

string

None.

ProcedureDescription

string

None.

PaymentMode

string

None.

DiseaseDescription

string

None.

SBUCode

string

None.

PolicyInception

string

None.

PolicyExpiry

string

None.

PolicyType

string

None.

ProductType

string

None.

Gender

string

None.

BasicSumInsured

string

None.

BalanceSumInsured

string

None.

BonusSI

string

None.

BufferApplicable

string

None.

BalanceBufferAmount

string

None.

TDS

string

None.

NetAmtPaidIncludingSTaxAndAfterTDS

string

None.

ClaimReopenedOrNot

string

None.

ReasonForReOpening

string

None.

ReasonOfDeficiency

string

None.

DateOfLatestDeficiencyRaised

string

None.

DeficiencyRetrievalDate

string

None.

DateDataEntryCompleted

string

None.

DateVerifierNotified

string

None.

DateVerificationComplete

string

None.

DateOfFileRecommended

string

None.

NumOTChargesClaimed

string

None.

NumSurgicalCashBenefitPaid

string

None.

NumConvalescenceBenefitPaid

string

None.

DateOfCommencementOfFirstInsuranceWithoutBreak

string

None.

HospitalCityClass

string

None.

DeductionMadeTowardsDeductibles

string

None.

DeductionMadeTowardsSubLimitImposed

string

None.

DeductionMadeTowardsNonMedicalItems

string

None.

DeductionMadeTowardsProportionateDeduction

string

None.

DeductionMadeOverAndAboveTheUnderlyingSumInsured

string

None.

DeductionUnderOtherHeads

string

None.

RepudiationDescription

string

None.

Request Formats

application/json, text/json

Sample:
{
  "TPAName": "sample string 1",
  "ProcessingOfficeOfTPA": "sample string 2",
  "PolicyNo": "sample string 3",
  "GroupName": "sample string 4",
  "MemberIDITGI": "sample string 5",
  "MemberIDTPA": "sample string 6",
  "AdhaarNoOfPolicyHolder": "sample string 7",
  "TPAClaimNo": "sample string 8",
  "LinkedAuthorizationNumber": "sample string 9",
  "LinkedClaimNumber": "sample string 10",
  "HospitalName": "sample string 11",
  "TPAHospitalCode": "sample string 12",
  "ROHINICode": "sample string 13",
  "RegistrationNoOfHospital": "sample string 14",
  "PANNoOfHospital": "sample string 15",
  "NetworkOrNonNetwork": "sample string 16",
  "HospitalAddress": "sample string 17",
  "HospitalCategory": "sample string 18",
  "HospitalCity": "sample string 19",
  "HospitalState": "sample string 20",
  "HospitalPINCode": "sample string 21",
  "WhetherClaimUnderAlternateMedicine": "sample string 22",
  "SystemOfMedicineUsed": "sample string 23",
  "ICDCODELevel1": "sample string 24",
  "ICDCODELevel2": "sample string 25",
  "ICDCODELevel3": "sample string 26",
  "ICDCodeLevel1Description": "sample string 27",
  "ICDCodeLevel2Description": "sample string 28",
  "ICDCodeLevel3Description": "sample string 29",
  "CPTCodeLevel1": "sample string 30",
  "CPTCodeLevel2": "sample string 31",
  "CPTCodeLevel3": "sample string 32",
  "CPTCodeLevel1Description": "sample string 33",
  "CPTCodeLevel2Description": "sample string 34",
  "CPTCodeLevel3Description": "sample string 35",
  "CriticalIllnessDiseaseCode": "sample string 36",
  "SurgicalOrNonSurgical": "sample string 37",
  "RoomType": "sample string 38",
  "ClaimType": "sample string 39",
  "DateOfAdmission": "sample string 40",
  "DateOfDischarge": "sample string 41",
  "IntimationDateOrALRequest": "sample string 42",
  "ALIssuanceDateAndTime": "sample string 43",
  "DateOfFileReceiptFromHospitalInsured": "sample string 44",
  "DateOfLastDocumentReceived": "sample string 45",
  "DateOfApprovalOfClaim": "sample string 46",
  "AmountClaimedOrALRequested": "sample string 47",
  "ALIssuedAmount": "sample string 48",
  "ProcedureCharges": "sample string 49",
  "SupportingProcedureCharges": "sample string 50",
  "RoomAndNursingCharges": "sample string 51",
  "ICUCharges": "sample string 52",
  "ConsultationCharges": "sample string 53",
  "ProfessionalFeeCharges": "sample string 54",
  "SurgeryCharges": "sample string 55",
  "MedicineAndConsumablesCharges": "sample string 56",
  "InvestigationCharges": "sample string 57",
  "ImplantCharges": "sample string 58",
  "PreHospitalizationCharges": "sample string 59",
  "PostHospitalizationCharges": "sample string 60",
  "OtherNonHospitalExpenses": "sample string 61",
  "MiscellaneousCharges": "sample string 62",
  "AmbulanceCharges": "sample string 63",
  "CashAllowance": "sample string 64",
  "TotalAmountClaimed": "sample string 65",
  "TotalDeduction": "sample string 66",
  "TotalAmountApproved": "sample string 67",
  "ApprovedFromSumInsured": "sample string 68",
  "ApprovedFromCorporateBuffer": "sample string 69",
  "ApprovedFromCriticalIIllness": "sample string 70",
  "PayeeMailID": "sample string 71",
  "PayeeMobileNo": "sample string 72",
  "ReasonOfDeduction": "sample string 73",
  "ReasonForClosureOfClaim": "sample string 74",
  "PercentageOfCoPaymentOrExcessIfApplicable": "sample string 75",
  "NamePrintOnCheck": "sample string 76",
  "PayeeAccount": "sample string 77",
  "PayeeBankIFSCCode": "sample string 78",
  "TPARecommendation": "sample string 79",
  "TPAClaimStatus": "sample string 80",
  "DeductionCoPay": "sample string 81",
  "GSTApplicableFlag": "sample string 82",
  "GSTNo": "sample string 83",
  "GSTAmount": "sample string 84",
  "PatientName": "sample string 85",
  "EmpName": "sample string 86",
  "EmpNo": "sample string 87",
  "Age": "sample string 88",
  "ConsolidatedRelation": "sample string 89",
  "ProcedureDescription": "sample string 90",
  "PaymentMode": "sample string 91",
  "DiseaseDescription": "sample string 92",
  "SBUCode": "sample string 93",
  "PolicyInception": "sample string 94",
  "PolicyExpiry": "sample string 95",
  "PolicyType": "sample string 96",
  "ProductType": "sample string 97",
  "Gender": "sample string 98",
  "BasicSumInsured": "sample string 99",
  "BalanceSumInsured": "sample string 100",
  "BonusSI": "sample string 101",
  "BufferApplicable": "sample string 102",
  "BalanceBufferAmount": "sample string 103",
  "TDS": "sample string 104",
  "NetAmtPaidIncludingSTaxAndAfterTDS": "sample string 105",
  "ClaimReopenedOrNot": "sample string 106",
  "ReasonForReOpening": "sample string 107",
  "ReasonOfDeficiency": "sample string 108",
  "DateOfLatestDeficiencyRaised": "sample string 109",
  "DeficiencyRetrievalDate": "sample string 110",
  "DateDataEntryCompleted": "sample string 111",
  "DateVerifierNotified": "sample string 112",
  "DateVerificationComplete": "sample string 113",
  "DateOfFileRecommended": "sample string 114",
  "NumOTChargesClaimed": "sample string 115",
  "NumSurgicalCashBenefitPaid": "sample string 116",
  "NumConvalescenceBenefitPaid": "sample string 117",
  "DateOfCommencementOfFirstInsuranceWithoutBreak": "sample string 118",
  "HospitalCityClass": "sample string 119",
  "DeductionMadeTowardsDeductibles": "sample string 120",
  "DeductionMadeTowardsSubLimitImposed": "sample string 121",
  "DeductionMadeTowardsNonMedicalItems": "sample string 122",
  "DeductionMadeTowardsProportionateDeduction": "sample string 123",
  "DeductionMadeOverAndAboveTheUnderlyingSumInsured": "sample string 124",
  "DeductionUnderOtherHeads": "sample string 125",
  "RepudiationDescription": "sample string 126"
}

application/xml, text/xml

Sample:
<iffco_key_value_claim_service xmlns:i="http://www.w3.org/2001/XMLSchema-instance" xmlns="http://schemas.datacontract.org/2004/07/BrokerAPI.Models">
  <ALIssuanceDateAndTime>sample string 43</ALIssuanceDateAndTime>
  <ALIssuedAmount>sample string 48</ALIssuedAmount>
  <AdhaarNoOfPolicyHolder>sample string 7</AdhaarNoOfPolicyHolder>
  <Age>sample string 88</Age>
  <AmbulanceCharges>sample string 63</AmbulanceCharges>
  <AmountClaimedOrALRequested>sample string 47</AmountClaimedOrALRequested>
  <ApprovedFromCorporateBuffer>sample string 69</ApprovedFromCorporateBuffer>
  <ApprovedFromCriticalIIllness>sample string 70</ApprovedFromCriticalIIllness>
  <ApprovedFromSumInsured>sample string 68</ApprovedFromSumInsured>
  <BalanceBufferAmount>sample string 103</BalanceBufferAmount>
  <BalanceSumInsured>sample string 100</BalanceSumInsured>
  <BasicSumInsured>sample string 99</BasicSumInsured>
  <BonusSI>sample string 101</BonusSI>
  <BufferApplicable>sample string 102</BufferApplicable>
  <CPTCodeLevel1>sample string 30</CPTCodeLevel1>
  <CPTCodeLevel1Description>sample string 33</CPTCodeLevel1Description>
  <CPTCodeLevel2>sample string 31</CPTCodeLevel2>
  <CPTCodeLevel2Description>sample string 34</CPTCodeLevel2Description>
  <CPTCodeLevel3>sample string 32</CPTCodeLevel3>
  <CPTCodeLevel3Description>sample string 35</CPTCodeLevel3Description>
  <CashAllowance>sample string 64</CashAllowance>
  <ClaimReopenedOrNot>sample string 106</ClaimReopenedOrNot>
  <ClaimType>sample string 39</ClaimType>
  <ConsolidatedRelation>sample string 89</ConsolidatedRelation>
  <ConsultationCharges>sample string 53</ConsultationCharges>
  <CriticalIllnessDiseaseCode>sample string 36</CriticalIllnessDiseaseCode>
  <DateDataEntryCompleted>sample string 111</DateDataEntryCompleted>
  <DateOfAdmission>sample string 40</DateOfAdmission>
  <DateOfApprovalOfClaim>sample string 46</DateOfApprovalOfClaim>
  <DateOfCommencementOfFirstInsuranceWithoutBreak>sample string 118</DateOfCommencementOfFirstInsuranceWithoutBreak>
  <DateOfDischarge>sample string 41</DateOfDischarge>
  <DateOfFileReceiptFromHospitalInsured>sample string 44</DateOfFileReceiptFromHospitalInsured>
  <DateOfFileRecommended>sample string 114</DateOfFileRecommended>
  <DateOfLastDocumentReceived>sample string 45</DateOfLastDocumentReceived>
  <DateOfLatestDeficiencyRaised>sample string 109</DateOfLatestDeficiencyRaised>
  <DateVerificationComplete>sample string 113</DateVerificationComplete>
  <DateVerifierNotified>sample string 112</DateVerifierNotified>
  <DeductionCoPay>sample string 81</DeductionCoPay>
  <DeductionMadeOverAndAboveTheUnderlyingSumInsured>sample string 124</DeductionMadeOverAndAboveTheUnderlyingSumInsured>
  <DeductionMadeTowardsDeductibles>sample string 120</DeductionMadeTowardsDeductibles>
  <DeductionMadeTowardsNonMedicalItems>sample string 122</DeductionMadeTowardsNonMedicalItems>
  <DeductionMadeTowardsProportionateDeduction>sample string 123</DeductionMadeTowardsProportionateDeduction>
  <DeductionMadeTowardsSubLimitImposed>sample string 121</DeductionMadeTowardsSubLimitImposed>
  <DeductionUnderOtherHeads>sample string 125</DeductionUnderOtherHeads>
  <DeficiencyRetrievalDate>sample string 110</DeficiencyRetrievalDate>
  <DiseaseDescription>sample string 92</DiseaseDescription>
  <EmpName>sample string 86</EmpName>
  <EmpNo>sample string 87</EmpNo>
  <GSTAmount>sample string 84</GSTAmount>
  <GSTApplicableFlag>sample string 82</GSTApplicableFlag>
  <GSTNo>sample string 83</GSTNo>
  <Gender>sample string 98</Gender>
  <GroupName>sample string 4</GroupName>
  <HospitalAddress>sample string 17</HospitalAddress>
  <HospitalCategory>sample string 18</HospitalCategory>
  <HospitalCity>sample string 19</HospitalCity>
  <HospitalCityClass>sample string 119</HospitalCityClass>
  <HospitalName>sample string 11</HospitalName>
  <HospitalPINCode>sample string 21</HospitalPINCode>
  <HospitalState>sample string 20</HospitalState>
  <ICDCODELevel1>sample string 24</ICDCODELevel1>
  <ICDCODELevel2>sample string 25</ICDCODELevel2>
  <ICDCODELevel3>sample string 26</ICDCODELevel3>
  <ICDCodeLevel1Description>sample string 27</ICDCodeLevel1Description>
  <ICDCodeLevel2Description>sample string 28</ICDCodeLevel2Description>
  <ICDCodeLevel3Description>sample string 29</ICDCodeLevel3Description>
  <ICUCharges>sample string 52</ICUCharges>
  <ImplantCharges>sample string 58</ImplantCharges>
  <IntimationDateOrALRequest>sample string 42</IntimationDateOrALRequest>
  <InvestigationCharges>sample string 57</InvestigationCharges>
  <LinkedAuthorizationNumber>sample string 9</LinkedAuthorizationNumber>
  <LinkedClaimNumber>sample string 10</LinkedClaimNumber>
  <MedicineAndConsumablesCharges>sample string 56</MedicineAndConsumablesCharges>
  <MemberIDITGI>sample string 5</MemberIDITGI>
  <MemberIDTPA>sample string 6</MemberIDTPA>
  <MiscellaneousCharges>sample string 62</MiscellaneousCharges>
  <NamePrintOnCheck>sample string 76</NamePrintOnCheck>
  <NetAmtPaidIncludingSTaxAndAfterTDS>sample string 105</NetAmtPaidIncludingSTaxAndAfterTDS>
  <NetworkOrNonNetwork>sample string 16</NetworkOrNonNetwork>
  <NumConvalescenceBenefitPaid>sample string 117</NumConvalescenceBenefitPaid>
  <NumOTChargesClaimed>sample string 115</NumOTChargesClaimed>
  <NumSurgicalCashBenefitPaid>sample string 116</NumSurgicalCashBenefitPaid>
  <OtherNonHospitalExpenses>sample string 61</OtherNonHospitalExpenses>
  <PANNoOfHospital>sample string 15</PANNoOfHospital>
  <PatientName>sample string 85</PatientName>
  <PayeeAccount>sample string 77</PayeeAccount>
  <PayeeBankIFSCCode>sample string 78</PayeeBankIFSCCode>
  <PayeeMailID>sample string 71</PayeeMailID>
  <PayeeMobileNo>sample string 72</PayeeMobileNo>
  <PaymentMode>sample string 91</PaymentMode>
  <PercentageOfCoPaymentOrExcessIfApplicable>sample string 75</PercentageOfCoPaymentOrExcessIfApplicable>
  <PolicyExpiry>sample string 95</PolicyExpiry>
  <PolicyInception>sample string 94</PolicyInception>
  <PolicyNo>sample string 3</PolicyNo>
  <PolicyType>sample string 96</PolicyType>
  <PostHospitalizationCharges>sample string 60</PostHospitalizationCharges>
  <PreHospitalizationCharges>sample string 59</PreHospitalizationCharges>
  <ProcedureCharges>sample string 49</ProcedureCharges>
  <ProcedureDescription>sample string 90</ProcedureDescription>
  <ProcessingOfficeOfTPA>sample string 2</ProcessingOfficeOfTPA>
  <ProductType>sample string 97</ProductType>
  <ProfessionalFeeCharges>sample string 54</ProfessionalFeeCharges>
  <ROHINICode>sample string 13</ROHINICode>
  <ReasonForClosureOfClaim>sample string 74</ReasonForClosureOfClaim>
  <ReasonForReOpening>sample string 107</ReasonForReOpening>
  <ReasonOfDeduction>sample string 73</ReasonOfDeduction>
  <ReasonOfDeficiency>sample string 108</ReasonOfDeficiency>
  <RegistrationNoOfHospital>sample string 14</RegistrationNoOfHospital>
  <RepudiationDescription>sample string 126</RepudiationDescription>
  <RoomAndNursingCharges>sample string 51</RoomAndNursingCharges>
  <RoomType>sample string 38</RoomType>
  <SBUCode>sample string 93</SBUCode>
  <SupportingProcedureCharges>sample string 50</SupportingProcedureCharges>
  <SurgeryCharges>sample string 55</SurgeryCharges>
  <SurgicalOrNonSurgical>sample string 37</SurgicalOrNonSurgical>
  <SystemOfMedicineUsed>sample string 23</SystemOfMedicineUsed>
  <TDS>sample string 104</TDS>
  <TPAClaimNo>sample string 8</TPAClaimNo>
  <TPAClaimStatus>sample string 80</TPAClaimStatus>
  <TPAHospitalCode>sample string 12</TPAHospitalCode>
  <TPAName>sample string 1</TPAName>
  <TPARecommendation>sample string 79</TPARecommendation>
  <TotalAmountApproved>sample string 67</TotalAmountApproved>
  <TotalAmountClaimed>sample string 65</TotalAmountClaimed>
  <TotalDeduction>sample string 66</TotalDeduction>
  <WhetherClaimUnderAlternateMedicine>sample string 22</WhetherClaimUnderAlternateMedicine>
</iffco_key_value_claim_service>

application/x-www-form-urlencoded

Sample:

Sample not available.

Response Information

Resource Description

string

Response Formats

application/json, text/json

Sample:
"sample string 1"

application/xml, text/xml

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