New Report BDS CHanges-3 - VADIVEL J 2025-10-25
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POST https://testtips.vidalhealthtpa.com:7443/mobilerest/vidalbrokerservices/submitClaim
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Authorization: Basic dmlkYWxicm9rZXJsb2dpbjp2aWRhbHN0YWdlQDEyMw==
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Cookie: JSESSIONID=678ofNbsfB8svK1lyV6rON3w.worker1
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Content-Type: multipart/form-data; boundary=WebApiBoundary
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--WebApiBoundary
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Content-Disposition: form-data; name="username"
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Web_api
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--WebApiBoundary
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Content-Disposition: form-data; name="password"
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Web@api
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--WebApiBoundary
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Content-Disposition: form-data; name="policyNo"
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CI/TEST/POLICY/123456
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--WebApiBoundary
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Content-Disposition: form-data; name="enrollmentId"
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BLR-RG-H0351-043-0000002-A
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--WebApiBoundary
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Content-Disposition: form-data; name="typeOfClaim"
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Main hospitalization claim
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--WebApiBoundary
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Content-Disposition: form-data; name="claimSubType"
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Hospitalization
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--WebApiBoundary
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Content-Disposition: form-data; name="requestedAmount"
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4500
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--WebApiBoundary
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Content-Disposition: form-data; name="ailmentType"
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Non covid
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--WebApiBoundary
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Content-Disposition: form-data; name="admissionDate"
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20-03-2025
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--WebApiBoundary
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Content-Disposition: form-data; name="dischargeDate"
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23-03-2025
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--WebApiBoundary
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Content-Disposition: form-data; name="hospitalName"
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A G HOSPITAL NEW
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--WebApiBoundary
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Content-Disposition: form-data; name="empanelmentNo"
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HOS-PON-010427
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--WebApiBoundary
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Content-Disposition: form-data; name="documentType"
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Claim
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--WebApiBoundary
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Content-Disposition: form-data; name="ailmentName"
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Cold
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--WebApiBoundary
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Content-Disposition: form-data; name="hospitalAddress"
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abc
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--WebApiBoundary
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Content-Disposition: form-data; name="hospitalState"
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karnataka
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--WebApiBoundary
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Content-Disposition: form-data; name="hospitalCity"
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bangalore
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--WebApiBoundary
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Content-Disposition: form-data; name="hospitalPinCode"
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560036
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--WebApiBoundary
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Content-Disposition: form-data; name="hospitalPhoneNo"
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7656879899
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--WebApiBoundary
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Content-Disposition: form-data; name="File"; filename="tracker.pdf"
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Content-Type: application/pdf
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< ./C:\Users\jvadi\Downloads\Tickets - Business Show_ Chennai (India) (06_11_2025 14_00_00) - vadivel.pdf
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--WebApiBoundary--
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// claim
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