| Name | Description | Type | Additional information |
|---|---|---|---|
| RequestID | string |
None. |
|
| PatientID | integer |
None. |
|
| PhysicianID | integer |
None. |
|
| AnnualBenefitConsumed | decimal number |
None. |
|
| AnnualBenefitRemaining | decimal number |
None. |
|
| Success | string |
None. |
|
| Error | string |
None. |
|
| ErrorCode | string |
None. |
|
| claim | Collection of AddClaimRequest |
None. |