| Name | Description | Type | Additional information |
|---|---|---|---|
| RequestID | string |
None. |
|
| PatientID | integer |
None. |
|
| PhysicianID | integer |
None. |
|
| ClaimID | integer |
None. |
|
| Success | string |
None. |
|
| Error | string |
None. |
|
| ErrorCode | string |
None. |
|
| Claim | Collection of ClaimDetailResponses |
None. |