| Name | Description | Type | Additional information |
|---|---|---|---|
| JourneyStartDate | string |
None. |
|
| JourneyEndDate | string |
None. |
|
| WasJourney | JourneyType |
None. |
|
| IsClaimResultOfAccident | boolean |
None. |
|
| PointOfOrigin | string |
None. |
|
| PointOfDestination | string |
None. |
|
| ClaimMedicalExpensesAndHospitalBenefits | boolean |
None. |
|
| NatureOfIllnessOrInjury | string |
None. |
|
| DateOfIllnessOrInjury | string |
None. |
|
| TimeOfIllnessOrInjury | string |
None. |
|
| PlaceOfIllnessOrInjury | string |
None. |
|
| DescriptionOfHowInjuryOccurred | string |
None. |
|
| NameAndAddressOfDoctorOrHospital | string |
None. |
|
| WasInsuredPersonPregnant | boolean |
None. |
|
| HowManyWeek | integer |
None. |
|
| IsInsuredPersonSufferedFromthisBefore | boolean |
None. |
|
| SufferedIllnessDetails | string |
None. |
|
| DetailsOfPersonalPhysicianOrDoctor | string |
None. |
|
| MedicalExpensesAddress | string |
None. |
|
| MedicalExpensesPhoneNumber | string |
None. |
|
| MedicalExpensesFax | string |
None. |
|
| MedicalExpensesEmail | string |
None. |
|
| InPatientTreatmentDate | string |
None. |
|
| WasEACContacted | boolean |
None. |
|
| EACContactedReason | string |
None. |
|
| DoesInsuredPersonHavePrivateHealthInsurance | boolean |
None. |
|
| InsuranceCarrierDetails | string |
None. |
|
| WasAnEHC | boolean |
None. |
|
| WasPresentedToHospitalOrDoctor | boolean |
None. |
|
| CancellationOrCurtailment | boolean |
None. |
|
| JourneyBooked | string |
None. |
|
| JourneyCancelledOrCurtailed | string |
None. |
|
| JourneyCancelledExplanation | string |
None. |
|
| PersonCausedInTripCancelledAndRelationship | string |
None. |
|
| WasEACContactedIfJourneyWasCurtailed | boolean |
None. |
|
| ReimbursementPayable | string |
None. |
|
| WereAdditionalExpensesIncurred | boolean |
None. |
|
| AdditionalExpensesDetails | string |
None. |
|
| TravelDelayMissedDeparture | boolean |
None. |
|
| ReasonForDelayedOrMissedDeparture | string |
None. |
|
| ScheduledDateOfDeparture | string |
None. |
|
| ScheduledTimeOfDeparture | string |
None. |
|
| ScheduledFlightOrFerryOrTransportNumber | string |
None. |
|
| NumberOfHoursDelayed | integer |
None. |
|
| ActualDateOfDeparture | string |
None. |
|
| ActualTimeOfDeparture | string |
None. |
|
| ActualFlightOrFerryOrTransportNumber | string |
None. |
|
| FlightOrFerryOrTransportName | string |
None. |
|
| PointOfDeparture | string |
None. |
|
| PointOfMissedConnection | string |
None. |
|
| TransportUsedForDeparturePoint | string |
None. |
|
| RecommencedTrip | string |
None. |
|
| AmountClaimed | decimal number |
None. |
|
| BaggageMoneyDocuments | boolean |
None. |
|
| DateOfLossOrDamage | string |
None. |
|
| Time | string |
None. |
|
| DetailedDescriptionOfLossOrDamage | string |
None. |
|
| IssuerNotifiedIfLossRelatedToTravellers | string |
None. |
|
| ReportedToAuthority | string |
None. |
|
| Item1Description | string |
None. |
|
| Item1PricePaid | decimal number |
None. |
|
| Item1AmountClaimed | decimal number |
None. |
|
| Item1PurchasedPalceAndDate | string |
None. |
|
| Item1CostNow | decimal number |
None. |
|
| Item2Description | string |
None. |
|
| Item2PricePaid | decimal number |
None. |
|
| Item2AmountClaimed | decimal number |
None. |
|
| Item2PurchasedPalceAndDate | string |
None. |
|
| Item2CostNow | decimal number |
None. |
|
| NameofInsurer | string |
None. |
|
| ProvideOtherInsuranceDetails | string |
None. |
|
| InsuredPolicyNumber | string |
None. |
|
| CorrespondenceAddress | string |
None. |
|
| PassportLoss | boolean |
None. |
|
| PassportLostPlace | string |
None. |
|
| DetailsOfExpensesIncurredToReplacePassport | string |
None. |
|
| PersonalAccident | boolean |
None. |
|
| WhenInjuryOrDeathOccur | string |
None. |
|
| DetailsOfLossOrDeathOccurred | string |
None. |
|
| WasInjuryOrDeathResultOfNatural | boolean |
None. |
|
| NaturalCausesDetails | string |
None. |
|
| RequestId | string |
None. |
|
| AuthenticationId | string |
None. |
|
| Portal | string |
None. |
|
| Individual | string |
None. |
|
| Language | string |
None. |
|
| Oid | string |
None. |
|
| string |
None. |
||
| PhoneNumber | string |
None. |
|
| IsUpdateEmailAndPhone | boolean |
None. |
|
| ClaimName | string |
None. |