| Name | Description | Type | Additional information |
|---|---|---|---|
| PolicyNumber | string |
None. |
|
| TPAClaimNumber | string |
None. |
|
| TPAMemberID | string |
None. |
|
| ITGIClaimNo | string |
None. |
|
| AmountApprovedfromBasicSI | string |
None. |
|
| AmountApprovedfromCriticalSI | string |
None. |
|
| AmountApprovedfromCorpBuffer | string |
None. |
|
| TotalApprovedAmount | string |
None. |
|
| RepudiationDescription | string |
None. |
|
| PaymentDate | string |
None. |
|
| UTR | string |
None. |
|
| STATUS | string |
None. |
|
| ClaimType | string |
None. |