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