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- <soap:Envelope xmlns:soap="http://www.w3.org/2003/05/soap-envelope" xmlns:ns="http://services.activus.com/claimsloadservice/messagecontracts/2011/05" xmlns:ns1="http://services.activus.com/common/datacontracts/2010/02" xmlns:ns2="http://schemas.activus.com/dispublicobject/claimsload/2011/05">
- <soap:Header>
- <ns:ActisureHeader>
- <!--Optional:-->
- <ns1:ExternalRefID>?</ns1:ExternalRefID>
- <!--Optional:-->
- <ns1:Source>?</ns1:Source>
- <!--Optional:-->
- <ns1:InternalRefID>?</ns1:InternalRefID>
- </ns:ActisureHeader>
- </soap:Header>
- <soap:Body>
- <ns:LoadClaimRequestMessage>
- <!--Optional:-->
- <ns:LoadClaimRequest>
- <Claim xmlns="http://schemas.activus.com/dispublicobject/claimsload/2011/05">
- <PolicyId>15465</PolicyId>
- <PolicyEffectiveDate>2018-05-01T00:00:00</PolicyEffectiveDate>
- <ClaimDate>2018-07-11T00:00:00</ClaimDate>
- <Beneficiary>
- <ActisureId>1363051</ActisureId>
- </Beneficiary>
- <PrimaryDiagnosisICD10Code>0001</PrimaryDiagnosisICD10Code>
- <FirstConsultationDate>2018-07-11T00:00:00</FirstConsultationDate>
- <ConditionStatus>Confirmed</ConditionStatus>
- <Treatments>
- <Treatment>
- <ProcedureCode>JIC0333</ProcedureCode>
- <TreatmentStatus>Confirmed</TreatmentStatus>
- <PrimarySpecialist>
- <ActisureId>11632010</ActisureId>
- </PrimarySpecialist>
- <!-- <CreatedByUsername>Livia</CreatedByUsername> -->
- <FacilityList />
- <Invoices>
- <Invoice>
- <InvoiceFrom>
- <ActisureId>11632010</ActisureId>
- </InvoiceFrom>
- <InvoiceStatus>Loaded</InvoiceStatus>
- <InvoiceReference>37</InvoiceReference>
- <InvoiceDate>2018-07-11T00:00:00</InvoiceDate>
- <InvoiceCurrencyCode>KES</InvoiceCurrencyCode>
- <ExchangeRateDate>2018-07-11T00:00:00</ExchangeRateDate>
- <ExchangeRateToProductBaseCurrency>0</ExchangeRateToProductBaseCurrency>
- <ExchangeRateToAccountingBaseCurrency>0</ExchangeRateToAccountingBaseCurrency>
- <Payee>
- <ActisureId>11632010</ActisureId>
- </Payee>
- <PaymentMethod>Cheque</PaymentMethod>
- <PaymentExchangeRateToProductBaseCurrency>0</PaymentExchangeRateToProductBaseCurrency>
- <PaymentExchangeRateToAccountingBaseCurrency>0</PaymentExchangeRateToAccountingBaseCurrency>
- <TreatmentDate>2018-07-11T00:00:00</TreatmentDate>
- <TreatmentCountryName>Kenya</TreatmentCountryName>
- <TreatmentTerritoryName>Kenya</TreatmentTerritoryName>
- <InvoiceLines>
- <InvoiceLine>
- <InvoiceLineStatus>Loaded</InvoiceLineStatus>
- <InvoiceLineUserStatus>I - Input</InvoiceLineUserStatus>
- <Amount>450</Amount>
- <Quantity>1</Quantity>
- <SettledAmount>450</SettledAmount>
- <Benefit>Outpatient Enhanced II Shared</Benefit>
- <SubBenefit>Illness Outpatient</SubBenefit>
- <BenefitDetail>Consultation</BenefitDetail>
- <AdmissionStatus>Day Case</AdmissionStatus>
- <AnalysisCodeDescription />
- <ReasonText>Consultation</ReasonText>
- </InvoiceLine>
- </InvoiceLines>
- </Invoice>
- </Invoices>
- </Treatment>
- </Treatments>
- </Claim>
- </ns:LoadClaimRequest>
- </ns:LoadClaimRequestMessage>
- </soap:Body>
- </soap:Envelope>
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