| 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. |