| Name | Description | Type | Additional information |
|---|---|---|---|
| claimNumber | string |
None. |
|
| hospitalInformation | HospitalInformation |
None. |
|
| admissionInformation | AdmissionInformation |
None. |
|
| patientInformation | PatientInformation |
None. |
|
| diseaseInformation | DiseaseInformation |
None. |
|
| expenses | Expenses |
None. |
|
| deductions | Deductions |
None. |
|
| totalAmount | decimal number |
None. |