Difference between revisions of "Template:Json Request Insurance"

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Line 1: Line 1:
              {
+
              {
 
                     companyName: "companyName",
 
                     companyName: "companyName",
 
                     phoneNumber: "phoneNumber",
 
                     phoneNumber: "phoneNumber",
Line 21: Line 21:
 
                     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"
              }