POST api/iffco_claim_service
Request Information
URI Parameters
None.
Body Parameters
iffco_key_value_claim_service| Name | Description | Type | Additional 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
stringResponse 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>