Difference between revisions of "Template:Json Request Insurance"

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(Created page with " { companyName: "companyName", phoneNumber: "phoneNumber", address1: "address1", address2: "address2", city: "city", ...")
 
 
(One intermediate revision by one user not shown)
Line 1: Line 1:
    {
+
              {
          companyName: "companyName",
+
                    companyName: "companyName",
          phoneNumber: "phoneNumber",
+
                    phoneNumber: "phoneNumber",
          address1: "address1",
+
                    address1: "address1",
          address2: "address2",
+
                    address2: "address2",
          city: "city",
+
                    city: "city",
          state: "state",
+
                    state: "state",
          zip: "zip",
+
                    zip: "zip",
          policyNumber: "policyNumber",
+
                    policyNumber: "policyNumber",
          groupNumber: "groupNumber",
+
                    groupNumber: "groupNumber",
          planName: "planName",
+
                    planName: "planName",
          groupName: "groupName",
+
                    groupName: "groupName",
          effectiveDate: "effectiveDate",
+
                    effectiveDate: "effectiveDate",
          expirationDate: "expirationDate",
+
                    expirationDate: "expirationDate",
          guarantorRelationship: "guarantorRelationship",
+
                    guarantorRelationship: "guarantorRelationship",
          guarantorName: "guarantorName",
+
                    guarantorName: "guarantorName",
          guarantorFirstName: "guarantorFirstName",
+
                    guarantorFirstName: "guarantorFirstName",
          guarantorMiddleName: "guarantorMiddleName",
+
                    guarantorMiddleName: "guarantorMiddleName",
          guarantorLastName: "guarantorLastName",
+
                    guarantorLastName: "guarantorLastName",
          guarantorDob: "guarantorDob",
+
                    guarantorDob: "guarantorDob",
          guarantorGender: "guarantorGender",
+
                    guarantorGender: "guarantorGender",
          copayAmount: "copayAmount"
+
                    copayAmount: "copayAmount"
    }
+
              }

Latest revision as of 15:08, 7 December 2015

              {
                   companyName: "companyName",
                   phoneNumber: "phoneNumber",
                   address1: "address1",
                   address2: "address2",
                   city: "city",
                   state: "state",
                   zip: "zip",
                   policyNumber: "policyNumber",
                   groupNumber: "groupNumber",
                   planName: "planName",
                   groupName: "groupName",
                   effectiveDate: "effectiveDate",
                   expirationDate: "expirationDate",
                   guarantorRelationship: "guarantorRelationship",
                   guarantorName: "guarantorName",
                   guarantorFirstName: "guarantorFirstName",
                   guarantorMiddleName: "guarantorMiddleName",
                   guarantorLastName: "guarantorLastName",
                   guarantorDob: "guarantorDob",
                   guarantorGender: "guarantorGender",
                   copayAmount: "copayAmount"
              }