POST Api/Corporate/PostSubmitClaims

{
  "MemberForm": {
    "AdmissionDate": "sample string 1",
    "DischargeDate": "sample string 2",
    "NotifyDate": "sample string 3",
    "DocRcvDate": "sample string 4",
    "Center": "sample string 5",
    "Assesor": "sample string 6",
    "MsgId": "sample string 7",
    "ProcId": "sample string 8",
    "TerminalID": "sample string 9",
    "MerchantID": "sample string 10",
    "CardNo": "sample string 11",
    "Coverage": "sample string 12",
    "SystemTrace": "sample string 13",
    "Field63In": "sample string 14",
    "CoverageCd": "sample string 15",
    "ProviderCd": "sample string 16",
    "PlanCd": "sample string 17",
    "CorpCd": "sample string 18",
    "InvoiceNo": "sample string 19",
    "PreAuthId": "sample string 20",
    "IcdCd1": "sample string 21",
    "IcdCd2": "sample string 22",
    "McStartDt": "sample string 23",
    "McEndDt": "sample string 24",
    "McTakenDays": "sample string 25",
    "SysTrc": "sample string 26",
    "ProviderNm": "sample string 27",
    "ProviderType": "sample string 28",
    "ToTalBill": "sample string 29"
  },
  "MemberOPSubmitDetailsList": [
    {
      "ID": "sample string 1",
      "LOA_DESC": "sample string 2",
      "ORDSEQ": "sample string 3",
      "BENEFIT_CODE": "sample string 4",
      "MAX_AMT": "sample string 5",
      "MIN_AMT": "sample string 6",
      "ACTUAL_AMT": "sample string 7"
    },
    {
      "ID": "sample string 1",
      "LOA_DESC": "sample string 2",
      "ORDSEQ": "sample string 3",
      "BENEFIT_CODE": "sample string 4",
      "MAX_AMT": "sample string 5",
      "MIN_AMT": "sample string 6",
      "ACTUAL_AMT": "sample string 7"
    }
  ],
  "pstUserId": "sample string 1"
}

<CorporateResponse.SubmitClaimsRequest xmlns:i="http://www.w3.org/2001/XMLSchema-instance" xmlns="http://schemas.datacontract.org/2004/07/PalladiumWebAPI.Interfaces">
  <pstUserId>sample string 1</pstUserId>
  <MemberForm>
    <AdmissionDate>sample string 1</AdmissionDate>
    <Assesor>sample string 6</Assesor>
    <CardNo>sample string 11</CardNo>
    <Center>sample string 5</Center>
    <CorpCd>sample string 18</CorpCd>
    <Coverage>sample string 12</Coverage>
    <CoverageCd>sample string 15</CoverageCd>
    <DischargeDate>sample string 2</DischargeDate>
    <DocRcvDate>sample string 4</DocRcvDate>
    <Field63In>sample string 14</Field63In>
    <IcdCd1>sample string 21</IcdCd1>
    <IcdCd2>sample string 22</IcdCd2>
    <InvoiceNo>sample string 19</InvoiceNo>
    <McEndDt>sample string 24</McEndDt>
    <McStartDt>sample string 23</McStartDt>
    <McTakenDays>sample string 25</McTakenDays>
    <MerchantID>sample string 10</MerchantID>
    <MsgId>sample string 7</MsgId>
    <NotifyDate>sample string 3</NotifyDate>
    <PlanCd>sample string 17</PlanCd>
    <PreAuthId>sample string 20</PreAuthId>
    <ProcId>sample string 8</ProcId>
    <ProviderCd>sample string 16</ProviderCd>
    <ProviderNm>sample string 27</ProviderNm>
    <ProviderType>sample string 28</ProviderType>
    <SysTrc>sample string 26</SysTrc>
    <SystemTrace>sample string 13</SystemTrace>
    <TerminalID>sample string 9</TerminalID>
    <ToTalBill>sample string 29</ToTalBill>
  </MemberForm>
  <MemberOPSubmitDetailsList>
    <CorporateResponse.MemberOPSubmitDetails>
      <ACTUAL_AMT>sample string 7</ACTUAL_AMT>
      <BENEFIT_CODE>sample string 4</BENEFIT_CODE>
      <ID>sample string 1</ID>
      <LOA_DESC>sample string 2</LOA_DESC>
      <MAX_AMT>sample string 5</MAX_AMT>
      <MIN_AMT>sample string 6</MIN_AMT>
      <ORDSEQ>sample string 3</ORDSEQ>
    </CorporateResponse.MemberOPSubmitDetails>
    <CorporateResponse.MemberOPSubmitDetails>
      <ACTUAL_AMT>sample string 7</ACTUAL_AMT>
      <BENEFIT_CODE>sample string 4</BENEFIT_CODE>
      <ID>sample string 1</ID>
      <LOA_DESC>sample string 2</LOA_DESC>
      <MAX_AMT>sample string 5</MAX_AMT>
      <MIN_AMT>sample string 6</MIN_AMT>
      <ORDSEQ>sample string 3</ORDSEQ>
    </CorporateResponse.MemberOPSubmitDetails>
  </MemberOPSubmitDetailsList>
</CorporateResponse.SubmitClaimsRequest>

Sample not available.

Sample not available.