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- <?xml version="1.0" encoding="UTF-8"?>
- <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" xmlns:wsa="http://www.w3.org/2005/08/addressing">
- <soap:Header>
- <wsa:To>http://192.168.0.209:9121/Actisure/ClaimsLoadService</wsa:To>
- <wsa:Action>http://services.activus.com/claimsloadservice/servicecontracts/2011/05/ActClaimsLoadServiceContract/LoadClaim</wsa:Action>
- </soap:Header>
- <soap:Body>
- <ns:LoadClaimRequestMessage>
- <ns:LoadClaimRequest>
- <ns2:Claim>
- <ns2:PolicyId>133583</ns2:PolicyId>
- <ns2:PolicyEffectiveDate>2019-01-04T00:00:00</ns2:PolicyEffectiveDate>
- <ns2:ClaimDate>2018-06-28T15:20:34</ns2:ClaimDate>
- <ns2:Beneficiary>
- <ns2:ActisureId>16882</ns2:ActisureId>
- </ns2:Beneficiary>
- <ns2:PrimaryDiagnosisICD10Code>B50</ns2:PrimaryDiagnosisICD10Code>
- <ns2:FirstConsultationDate>2018-06-28T15:20:34</ns2:FirstConsultationDate>
- <!--ns2:LastConsultationDate>2018-06-28T15:20:34</ns2:LastConsultationDate-->
- <ns2:ConditionStatus>Confirmed</ns2:ConditionStatus>
- <ns2:Treatments>
- <ns2:Treatment>
- <ns2:ProcedureCode>CG001</ns2:ProcedureCode>
- <ns2:TreatmentStatus>Confirmed</ns2:TreatmentStatus>
- <ns2:PrimarySpecialist>
- <ns2:ActisureId>138240</ns2:ActisureId>
- </ns2:PrimarySpecialist>
- <ns2:Invoices>
- <ns2:Invoice>
- <ns2:InvoiceFrom>
- <ns2:ActisureId>138240</ns2:ActisureId>
- </ns2:InvoiceFrom>
- <!--
- <ns2:InvoiceFromAddress>
- <ns2:AddressId>177709</ns2:AddressId>
- <ns2:Line1>P. O. Box 20085</ns2:Line1>
- <ns2:Line2>P. O. Box 20085</ns2:Line2>
- <ns2:Line3>P. O. Box 20085</ns2:Line3>
- <ns2:Line4>P. O. Box 20085</ns2:Line4>
- <ns2:Postcode>200</ns2:Postcode>
- <ns2:CountryCode>Kenya</ns2:CountryCode>
- <ns2:AddressType>Postal</ns2:AddressType>
- </ns2:InvoiceFromAddress>
- -->
- <ns2:InvoiceStatus>Loaded</ns2:InvoiceStatus>
- <ns2:InvoiceReference>MH062655/18</ns2:InvoiceReference>
- <ns2:InvoiceDate>2018-06-28T15:20:34</ns2:InvoiceDate>
- <ns2:InvoiceCurrencyCode>KES</ns2:InvoiceCurrencyCode>
- <ns2:ExchangeRateDate>2018-06-28T15:20:34</ns2:ExchangeRateDate>
- <ns2:ExchangeRateToProductBaseCurrency>0</ns2:ExchangeRateToProductBaseCurrency>
- <ns2:ExchangeRateToAccountingBaseCurrency>0</ns2:ExchangeRateToAccountingBaseCurrency>
- <ns2:Payee>
- <ns2:ActisureId>138240</ns2:ActisureId>
- </ns2:Payee>
- <ns2:PaymentAddress>
- <ns2:AddressId>177709</ns2:AddressId>
- </ns2:PaymentAddress>
- <ns2:PaymentMethod>Cheque</ns2:PaymentMethod>
- <ns2:PaymentExchangeRateToProductBaseCurrency>0</ns2:PaymentExchangeRateToProductBaseCurrency>
- <ns2:PaymentExchangeRateToAccountingBaseCurrency>0</ns2:PaymentExchangeRateToAccountingBaseCurrency>
- <ns2:TreatmentCountryName>Kenya</ns2:TreatmentCountryName>
- <ns2:TreatmentDate>2018-06-28T15:20:34</ns2:TreatmentDate>
- <ns2:AdmissionStatus>Out Patient</ns2:AdmissionStatus>
- <ns2:InvoiceLines>
- <ns2:InvoiceLine>
- <ns2:InvoiceLineStatus>Loaded</ns2:InvoiceLineStatus>
- <ns2:InvoiceLineUserStatus>I - Input</ns2:InvoiceLineUserStatus>
- <ns2:Amount>300.0</ns2:Amount>
- <ns2:Quantity>1</ns2:Quantity>
- <ns2:Benefit>ROYAL MEDIA CORPORATE 1M SHARED V2</ns2:Benefit>
- <ns2:SubBenefit>ROYAL MEDIA Corporate 100K-1.9M and above Inbuilt Riders (2014)_V2</ns2:SubBenefit>
- <ns2:BenefitDetail>Consultation</ns2:BenefitDetail>
- <ns2:AdmissionStatus>Day Case</ns2:AdmissionStatus>
- <ns2:AnalysisCodeDescription>CONSULTATION</ns2:AnalysisCodeDescription>
- <ns2:InvoiceLineStatusReason>Procedure</ns2:InvoiceLineStatusReason>
- <ns2:ReasonText>RANDOM BLOOD SUGAR</ns2:ReasonText>
- <ns2:ReasonSource>codeset</ns2:ReasonSource>
- </ns2:InvoiceLine>
- <ns2:InvoiceLine>
- <ns2:InvoiceLineStatus>Loaded</ns2:InvoiceLineStatus>
- <ns2:InvoiceLineUserStatus>I - Input</ns2:InvoiceLineUserStatus>
- <ns2:Amount>1000.0</ns2:Amount>
- <ns2:Quantity>1</ns2:Quantity>
- <ns2:Benefit>ROYAL MEDIA CORPORATE 1M SHARED V2</ns2:Benefit>
- <ns2:SubBenefit>ROYAL MEDIA Corporate 100K-1.9M and above Inbuilt Riders (2014)_V2</ns2:SubBenefit>
- <ns2:BenefitDetail>Consultation</ns2:BenefitDetail>
- <ns2:AdmissionStatus>Day Case</ns2:AdmissionStatus>
- <ns2:AnalysisCodeDescription>CONSULTATION</ns2:AnalysisCodeDescription>
- <ns2:InvoiceLineStatusReason>Procedure</ns2:InvoiceLineStatusReason>
- <ns2:ReasonText>LAB - HAEMOGRAM</ns2:ReasonText>
- <ns2:ReasonSource>codeset</ns2:ReasonSource>
- </ns2:InvoiceLine>
- <ns2:InvoiceLine>
- <ns2:InvoiceLineStatus>Loaded</ns2:InvoiceLineStatus>
- <ns2:InvoiceLineUserStatus>I - Input</ns2:InvoiceLineUserStatus>
- <ns2:Amount>800.0</ns2:Amount>
- <ns2:Quantity>1</ns2:Quantity>
- <ns2:Benefit>ROYAL MEDIA CORPORATE 1M SHARED V2</ns2:Benefit>
- <ns2:SubBenefit>ROYAL MEDIA Corporate 100K-1.9M and above Inbuilt Riders (2014)_V2</ns2:SubBenefit>
- <ns2:BenefitDetail>Consultation</ns2:BenefitDetail>
- <ns2:AdmissionStatus>Day Case</ns2:AdmissionStatus>
- <ns2:AnalysisCodeDescription>CONSULTATION</ns2:AnalysisCodeDescription>
- <ns2:InvoiceLineStatusReason>Consultations</ns2:InvoiceLineStatusReason>
- <ns2:ReasonText>RESIDENT DOCTOR DAY CARE CASE RATE FOR MORE THAN 8 HOURS(MIMOSA & SUSAN)</ns2:ReasonText>
- <ns2:ReasonSource>codeset</ns2:ReasonSource>
- </ns2:InvoiceLine>
- <ns2:InvoiceLine>
- <ns2:InvoiceLineStatus>Loaded</ns2:InvoiceLineStatus>
- <ns2:InvoiceLineUserStatus>I - Input</ns2:InvoiceLineUserStatus>
- <ns2:Amount>400.0</ns2:Amount>
- <ns2:Quantity>1</ns2:Quantity>
- <ns2:Benefit>ROYAL MEDIA CORPORATE 1M SHARED V2</ns2:Benefit>
- <ns2:SubBenefit>ROYAL MEDIA Corporate 100K-1.9M and above Inbuilt Riders (2014)_V2</ns2:SubBenefit>
- <ns2:BenefitDetail>Consultation</ns2:BenefitDetail>
- <ns2:AdmissionStatus>Day Case</ns2:AdmissionStatus>
- <ns2:AnalysisCodeDescription>CONSULTATION</ns2:AnalysisCodeDescription>
- <ns2:InvoiceLineStatusReason>Procedure</ns2:InvoiceLineStatusReason>
- <ns2:ReasonText>URINE ANALYSIS</ns2:ReasonText>
- <ns2:ReasonSource>codeset</ns2:ReasonSource>
- </ns2:InvoiceLine>
- <ns2:InvoiceLine>
- <ns2:InvoiceLineStatus>Loaded</ns2:InvoiceLineStatus>
- <ns2:InvoiceLineUserStatus>I - Input</ns2:InvoiceLineUserStatus>
- <ns2:Amount>1800.0</ns2:Amount>
- <ns2:Quantity>1</ns2:Quantity>
- <ns2:Benefit>ROYAL MEDIA CORPORATE 1M SHARED V2</ns2:Benefit>
- <ns2:SubBenefit>ROYAL MEDIA Corporate 100K-1.9M and above Inbuilt Riders (2014)_V2</ns2:SubBenefit>
- <ns2:BenefitDetail>Consultation</ns2:BenefitDetail>
- <ns2:AdmissionStatus>Day Case</ns2:AdmissionStatus>
- <ns2:AnalysisCodeDescription>CONSULTATION</ns2:AnalysisCodeDescription>
- <ns2:InvoiceLineStatusReason>Procedure</ns2:InvoiceLineStatusReason>
- <ns2:ReasonText>H. PYLORI</ns2:ReasonText>
- <ns2:ReasonSource>codeset</ns2:ReasonSource>
- </ns2:InvoiceLine>
- </ns2:InvoiceLines>
- </ns2:Invoice>
- </ns2:Invoices>
- <ns2:TreatmentAdditionalInfos>
- <ns2:AdditionalInfo>
- <ns2:Name>RHEAL Claim Reference</ns2:Name>
- <ns2:Value>testing</ns2:Value>
- </ns2:AdditionalInfo>
- </ns2:TreatmentAdditionalInfos>
- </ns2:Treatment>
- </ns2:Treatments>
- </ns2:Claim>
- </ns:LoadClaimRequest>
- </ns:LoadClaimRequestMessage>
- </soap:Body>
- </soap:Envelope>
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