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InsClaimService:verifyCoverage

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InsClaimService:verifyCoverage

Utilice este servicio para verificar la cobertura de seguro válida para un tomador de póliza que está presentando una reclamación.

Clase: InsClaimService

Método: verifyCoverage

Funcionamiento

  1. Toma la DateOfLoss y la PerilProductCode ingresadas por el usuario.

  2. Utiliza el PolicyNumber o el PolicyHolder y InsuredItemName para buscar la política.

  3. Compara las fechas de vigencia de la póliza y las fechas de vigencia de la cobertura con el DateOfLoss para verificar que la pérdida se produjo mientras la póliza y la cobertura asociada estaban en vigor. La cobertura es válida cuando la fecha de pérdida está dentro de la fecha de vigencia de la póliza y la fecha de vigencia de la cobertura.

  4. Utiliza una de las siguientes combinaciones de opciones para devolver diferentes datos. Devuelve "Covered":true y una lista de coberturas que el servicio encontró tanto en el producto de peligro como en la póliza.

    • DateOfLoss + PolicyNumber/Policyholder:

      Devuelve todas las coberturas a nivel de raíz y todos los artículos asegurados con sus coberturas.

    • DateOfLoss + PolicyNumber/Policyholder + insuredItemName (asegurado):

      Devuelve todas las coberturas de nivel raíz + coberturas para este insuredItemName

    • DateOfLoss + PolicyNumber/Policyholder + PerilProductCode + insuredItemName (tercero):

      Devuelve las coberturas solapadas asociadas con la política de nivel de PerilProduct y raíz.

    • DateOfLoss + PolicyNumber/Policyholder + PerilProductCode:

      Devuelve las coberturas solapadas asociadas con la política de nivel de PerilProduct y raíz.

  5. Devuelve "Covered":false si la pérdida no está cubierta. También devuelve el policyId, el coverageIds y el insuredItemId o InsuredPartyId.

Opciones remotas

Opción

Descripción

DateOfLoss

%LossDateTime%

o bien

“YYYY-MM-DD HH:MM:SS”

Obligatorio.

La fecha de la pérdida del titular de la póliza de seguros.

PerilProductCode

%PerilCodes:ClaimProduct%

El código asociado con el peligro que el tomador de póliza reporta como lo que sucedió.

PolicyNumber

%PolicyNumber%

El número de póliza del tomador.

Si no ingresa un valor para PolicyNumber, debe ingresar un valor para PolicyHolder.

PolicyHolder

%PolicyHolder%

El valor de asset.account.name.

Si no ingresa un valor para PolicyHolder, debe ingresar un valor para PolicyNumber.

InsuredItemName

%InsuredItemName%

Este valor puede ser el nombre de un artículo asegurado o una parte asegurada en la póliza. También puede ser el nombre de un tercero, como una persona lesionada o una propiedad dañada.

JSON de entrada

Este servicio no utiliza un JSON de entrada.

JSON de salida

El servicio devuelve un valor de "Covered":true/false . Si es "Covered":true, el servicio también devuelve una lista de coberturas que cubre esta póliza para este peligro. El detalle insuredItem incluye otra información de póliza, como SerialNumber (PolicyNumber).

Si InsuredItemName es el de un artículo asegurado o parte asegurada en la póliza, este servicio devuelve las coberturas en la póliza que se aplican al artículo asegurado o parte asegurada nombrado. También devuelve las orInsuredPartyId policyId, coverageIds y insuredItemId.

El siguiente ejemplo muestra los campos disponibles para titulares de pólizas:

{
  "result": {
    "covered": true,
    "Coverages": {
      "assetCoverageId": "a3n2E000005DQDVQA4",
      "AttributeSelectedValues": null,
      "PremiumAmount": null,
      "Name": "ABC Test Asset Coverage"
    },
    "policyHolderPartyId": "a0x2E00000BO3t3QAD",
    "policyHolderContactId": "0032E00002YrYj5QAF",
    "policyHolderAccountId": "0012E000022227nQAA",
    "policyId": "02i2E00000GGDGLQA5",
    "ProductCode": "SG-PPO-500-GC",
    "ProductName": "Vlocity SG - Medical Plan PPO 500",
    "AttributeSelectedValues": null,
    "SerialNumber": null,
    "Status": null
  },
  "error": "OK"
}

El siguiente ejemplo muestra las Coberturas y los Artículos asegurados y todos los campos devueltos para cada uno:

{
  "result": [
    {
      "covered": true,
      "Coverages": [
        {
          "assetCoverageId": "a3n2E000001zrGuQAI",
          "ProductCode": "C001096001",
          "ProductName": "DENTAL PREMIUM",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1350.53,
          "Name": "DENTAL PREMIUM"
        },
        {
          "assetCoverageId": "a3n2E000001zrGvQAI",
          "ProductCode": "C001066001",
          "ProductName": "Foreign Assistance",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1801.77,
          "Name": "Foreign Assistance"
        },
        {
          "assetCoverageId": "a3n2E000001zrGwQAI",
          "ProductCode": "C001067001",
          "ProductName": "CATASTROPHIC DISEASES",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1827.19,
          "Name": "CATASTROPHIC DISEASES"
        },
        {
          "assetCoverageId": "a3n2E000001zrGxQAI",
          "ProductCode": "C001001155",
          "ProductName": "PLENO",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1350.53,
          "Name": "PLENO"
        }
      ],
      "InsuredItem": {
        "insuredItemId": "a3o2E000002ItQUQA0",
        "ProductCode": "HealthPerson",
        "ProductName": "HealthPerson",
        "figure": "\"Primary\"",
        "fullname": "anik singh",
        "age": 32
        "insuredHeldProductRelationshipId": null,
        "insuredPartyId": null,
        "insuredContactId": null,
        "insuredAccountId": null
      },
      "policyId": "02i2E00000GSc9TQAT",
      "ProductCode": "001001155",
      "ProductName": "ALFA HEALTH PLAN - PLENO",
      "DedSi": false,
      "SumIns": "600000",
      "Deductible01": "15000",
      "Coinsurance01": "0 - $65,000.00",
      "CHMQ01": "0",
      "Frequency01": "Anual",
      "SerialNumber": "001001155--2020-",
      "Status": "InForce"
    },
    {
      "covered": true,
      "Coverages": [
        {
          "assetCoverageId": "a3n2E000001zpOHQAY",
          "ProductCode": "C001096001",
          "ProductName": "DENTAL PREMIUM",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1350.53,
          "Name": "DENTAL PREMIUM"
        },
        {
          "assetCoverageId": "a3n2E000001zpOIQAY",
          "ProductCode": "C001066001",
          "ProductName": "Foreign Assistance",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1801.77,
          "Name": "Foreign Assistance"
        },
        {
          "assetCoverageId": "a3n2E000001zpOJQAY",
          "ProductCode": "C001067001",
          "ProductName": "CATASTROPHIC DISEASES",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1827.19,
          "Name": "CATASTROPHIC DISEASES"
        },
        {
          "assetCoverageId": "a3n2E000001zpOKQAY",
          "ProductCode": "C001001155",
          "ProductName": "PLENO",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1350.53,
          "Name": "PLENO"
        },
        {
          "assetCoverageId": "a3n2E000001zqwcQAA",
          "AttributeSelectedValues": null,
          "PremiumAmount": null,
          "Name": "Catastrophic disease"
        }
      ],
      "policyId": "02i2E00000GSc84QAD",
      "ProductCode": "001001155",
      "ProductName": "ALFA HEALTH PLAN - PLENO",
      "DedSi": false,
      "SumIns": "600000",
      "Deductible01": "15000",
      "Coinsurance01": "0 - $65,000.00",
      "CHMQ01": "0",
      "Frequency01": "Anual",
      "SerialNumber": "001001155--2020-",
      "Status": "InForce"
    },
    {
      "covered": true,
      "Coverages": [
        {
          "assetCoverageId": "a3n2E000001zrH4QAI",
          "ProductCode": "C001066001",
          "ProductName": "Foreign Assistance",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1801.77,
          "Name": "Foreign Assistance"
        },
        {
          "assetCoverageId": "a3n2E000001zrH5QAI",
          "ProductCode": "C001096001",
          "ProductName": "DENTAL PREMIUM",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1350.53,
          "Name": "DENTAL PREMIUM"
        },
        {
          "assetCoverageId": "a3n2E000001zrH6QAI",
          "ProductCode": "C001001155",
          "ProductName": "PLENO",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1350.53,
          "Name": "PLENO"
        },
        {
          "assetCoverageId": "a3n2E000001zrH7QAI",
          "ProductCode": "C001067001",
          "ProductName": "CATASTROPHIC DISEASES",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1827.19,
          "Name": "CATASTROPHIC DISEASES"
        }
      ],
      "InsuredItem": {
        "insuredAccountId": null,
        "insuredContactId": null,
        "insuredPartyId": null,
        "insuredheldProductRelationshipId": "a3p2E000001iaP1QAI",
        "ProductCode": "HealthPerson",
        "ProductName": "HealthPerson",
        "figure": "\"Primary\"",
        "fullname": "anik singh",
        "age": 32
      },
      "policyId": "02i2E00000GSc9dQAD",
      "ProductCode": "001001155",
      "ProductName": "ALFA HEALTH PLAN - PLENO",
      "DedSi": false,
      "SumIns": "600000",
      "Deductible01": "15000",
      "Coinsurance01": "0 - $65,000.00",
      "CHMQ01": "0",
      "Frequency01": "Anual",
      "SerialNumber": "001001155--2020-",
      "Status": "InForce"
    },
    {
      "covered": true,
      "Coverages": [
        {
          "assetCoverageId": "a3n2E000001zrlfQAA",
          "ProductCode": "C001067001",
          "ProductName": "CATASTROPHIC DISEASES",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1827.19,
          "Name": "CATASTROPHIC DISEASES"
        },
        {
          "assetCoverageId": "a3n2E000001zrlgQAA",
          "ProductCode": "C001066001",
          "ProductName": "Foreign Assistance",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1801.77,
          "Name": "Foreign Assistance"
        },
        {
          "assetCoverageId": "a3n2E000001zrlhQAA",
          "ProductCode": "C001001155",
          "ProductName": "PLENO",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1350.53,
          "Name": "PLENO"
        },
        {
          "assetCoverageId": "a3n2E000001zrliQAA",
          "ProductCode": "C001096001",
          "ProductName": "DENTAL PREMIUM",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1350.53,
          "Name": "DENTAL PREMIUM"
        }
      ],
      "InsuredItem": {
        "insuredAccountId": null,
        "insuredContactId": null,
        "insuredPartyId": null,
        "insuredheldProductRelationshipId": "a3p2E000001iaXMQAY",
        "ProductCode": "HealthPerson",
        "ProductName": "HealthPerson",
        "figure": "\"Primary\"",
        "fullname": "anik singh",
        "age": 32
      },
      "policyId": "02i2E00000GSc9uQAD",
      "ProductCode": "001001155",
      "ProductName": "ALFA HEALTH PLAN - PLENO",
      "DedSi": false,
      "SumIns": "600000",
      "Deductible01": "15000",
      "Coinsurance01": "0 - $65,000.00",
      "CHMQ01": "0",
      "Frequency01": "Anual",
      "SerialNumber": "001001155--2020-",
      "Status": "InForce"
    },
    {
      "covered": true,
      "Coverages": [
        {
          "assetCoverageId": "a3n2E000001zrlpQAA",
          "ProductCode": "C001001155",
          "ProductName": "PLENO",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1350.53,
          "Name": "PLENO"
        },
        {
          "assetCoverageId": "a3n2E000001zrlqQAA",
          "ProductCode": "C001067001",
          "ProductName": "CATASTROPHIC DISEASES",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1827.19,
          "Name": "CATASTROPHIC DISEASES"
        },
        {
          "assetCoverageId": "a3n2E000001zrlrQAA",
          "ProductCode": "C001096001",
          "ProductName": "DENTAL PREMIUM",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1350.53,
          "Name": "DENTAL PREMIUM"
        },
        {
          "assetCoverageId": "a3n2E000001zrlsQAA",
          "ProductCode": "C001066001",
          "ProductName": "Foreign Assistance",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1801.77,
          "Name": "Foreign Assistance"
        }
      ],
      "InsuredItem": {
        "insuredAccountId": null,
        "insuredContactId": null,
        "insuredPartyId": null,
        "insuredheldProductRelationshipId": "a3p2E000001iaXRQAY",
        "ProductCode": "HealthPerson",
        "ProductName": "HealthPerson",
        "figure": "\"Primary\"",
        "fullname": "Neena Moore",
        "age": 34
      },
      "policyId": "02i2E00000GSc9zQAD",
      "ProductCode": "001001155",
      "ProductName": "ALFA HEALTH PLAN - PLENO",
      "DedSi": false,
      "SumIns": "600000",
      "Deductible01": "15000",
      "Coinsurance01": "0 - $65,000.00",
      "CHMQ01": "0",
      "Frequency01": "Anual",
      "SerialNumber": "001001155--2020-",
      "Status": "InForce"
    },
    {
      "covered": true,
      "Coverages": [
        {
          "assetCoverageId": "a3n2E000001ztQqQAI",
          "ProductCode": "C001096001",
          "ProductName": "DENTAL PREMIUM",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1350.53,
          "Name": "DENTAL PREMIUM"
        },
        {
          "assetCoverageId": "a3n2E000001ztQrQAI",
          "ProductCode": "C001067001",
          "ProductName": "CATASTROPHIC DISEASES",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1827.19,
          "Name": "CATASTROPHIC DISEASES"
        },
        {
          "assetCoverageId": "a3n2E000001ztQsQAI",
          "ProductCode": "C001066001",
          "ProductName": "Foreign Assistance",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1801.77,
          "Name": "Foreign Assistance"
        },
        {
          "assetCoverageId": "a3n2E000001ztQtQAI",
          "ProductCode": "C001001155",
          "ProductName": "PLENO",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1350.53,
          "Name": "PLENO"
        }
      ],
      "InsuredItem": {
        "insuredAccountId": null,
        "insuredContactId": null,
        "insuredPartyId": null,
        "insuredheldProductRelationshipId": "a3p2E000001ibO3QAI",
        "ProductCode": "HealthPerson",
        "ProductName": "HealthPerson",
        "figure": "\"Primary\"",
        "fullname": "anik singh",
        "age": 34
      },
      "policyId": "02i2E00000GScRDQA1",
      "ProductCode": "001001155",
      "ProductName": "ALFA HEALTH PLAN - PLENO",
      "DedSi": false,
      "SumIns": "600000",
      "Deductible01": "15000",
      "Coinsurance01": "0 - $65,000.00",
      "CHMQ01": "0",
      "Frequency01": "Anual",
      "SerialNumber": "001001155--2020-",
      "Status": "InForce"
    },
    {
      "covered": true,
      "Coverages": [
        {
          "assetCoverageId": "a3n2E000001ztQvQAI",
          "ProductCode": "C001096001",
          "ProductName": "DENTAL PREMIUM",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1350.53,
          "Name": "DENTAL PREMIUM"
        },
        {
          "assetCoverageId": "a3n2E000001ztQwQAI",
          "ProductCode": "C001067001",
          "ProductName": "CATASTROPHIC DISEASES",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1827.19,
          "Name": "CATASTROPHIC DISEASES"
        },
        {
          "assetCoverageId": "a3n2E000001ztQxQAI",
          "ProductCode": "C001066001",
          "ProductName": "Foreign Assistance",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1801.77,
          "Name": "Foreign Assistance"
        },
        {
          "assetCoverageId": "a3n2E000001ztQyQAI",
          "ProductCode": "C001001155",
          "ProductName": "PLENO",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1350.53,
          "Name": "PLENO"
        }
      ],
      "InsuredItem": {
        "insuredAccountId": null,
        "insuredContactId": null,
        "insuredPartyId": null,
        "insuredheldProductRelationshipId": "a3p2E000001ibO8QAI",
        "ProductCode": "HealthPerson",
        "ProductName": "HealthPerson",
        "figure": "\"Primary\"",
        "fullname": "anik singh",
        "age": 34
      },
      "policyId": "02i2E00000GScRIQA1",
      "ProductCode": "001001155",
      "ProductName": "ALFA HEALTH PLAN - PLENO",
      "DedSi": false,
      "SumIns": "600000",
      "Deductible01": "15000",
      "Coinsurance01": "0 - $65,000.00",
      "CHMQ01": "0",
      "Frequency01": "Anual",
      "SerialNumber": "001001155--2020-",
      "Status": "InForce"
    },
    {
      "covered": true,
      "Coverages": [
        {
          "assetCoverageId": "a3n2E000001ztZoQAI",
          "ProductCode": "C001096001",
          "ProductName": "DENTAL PREMIUM",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1350.53,
          "Name": "DENTAL PREMIUM"
        },
        {
          "assetCoverageId": "a3n2E000001ztZpQAI",
          "ProductCode": "C001066001",
          "ProductName": "Foreign Assistance",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1801.77,
          "Name": "Foreign Assistance"
        },
        {
          "assetCoverageId": "a3n2E000001ztZqQAI",
          "ProductCode": "C001067001",
          "ProductName": "CATASTROPHIC DISEASES",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1827.19,
          "Name": "CATASTROPHIC DISEASES"
        },
        {
          "assetCoverageId": "a3n2E000001ztZrQAI",
          "ProductCode": "C001001155",
          "ProductName": "PLENO",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1350.53,
          "Name": "PLENO"
        }
      ],
      "InsuredItem": {
        "insuredAccountId": "0012E00001q2cmBQAQ",
        "insuredContactId": null,
        "insuredPartyId": "a0x2E00000BrEXVQA3",
        "insuredheldProductRelationshipId": "a3p2E000001ibODQAY",
        "ProductCode": "HealthPerson",
        "ProductName": "HealthPerson",
        "age": 32,
        "figure": "\"Primary\"",
        "fullname": "Test4 Test4"
      },
      "policyId": "02i2E00000GScRXQA1",
      "ProductCode": "001001155",
      "ProductName": "ALFA HEALTH PLAN - PLENO",
      "DedSi": false,
      "SumIns": "600000",
      "Deductible01": "15000",
      "Coinsurance01": "0 - $65,000.00",
      "CHMQ01": "0",
      "Frequency01": "Anual",
      "SerialNumber": "001001155--2020-",
      "Status": "InForce"
    },
    {
      "covered": true,
      "Coverages": [
        {
          "assetCoverageId": "a3n2E000001ztZtQAI",
          "ProductCode": "C001096001",
          "ProductName": "DENTAL PREMIUM",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1350.53,
          "Name": "DENTAL PREMIUM"
        },
        {
          "assetCoverageId": "a3n2E000001ztZuQAI",
          "ProductCode": "C001066001",
          "ProductName": "Foreign Assistance",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1801.77,
          "Name": "Foreign Assistance"
        },
        {
          "assetCoverageId": "a3n2E000001ztZvQAI",
          "ProductCode": "C001067001",
          "ProductName": "CATASTROPHIC DISEASES",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1827.19,
          "Name": "CATASTROPHIC DISEASES"
        },
        {
          "assetCoverageId": "a3n2E000001ztZwQAI",
          "ProductCode": "C001001155",
          "ProductName": "PLENO",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1350.53,
          "Name": "PLENO"
        }
      ],
      "InsuredItem": {
        "insuredAccountId": "0012E00001q2cmBQAQ",
        "insuredContactId": null,
        "insuredPartyId": "a0x2E00000BrEXVQA3",
        "insuredheldProductRelationshipId": "a3p2E000001ibOIQAY",
        "ProductCode": "HealthPerson",
        "ProductName": "HealthPerson",
        "age": 32,
        "figure": "\"Primary\"",
        "fullname": "Test4 Test4"
      },
      "policyId": "02i2E00000GScRcQAL",
      "ProductCode": "001001155",
      "ProductName": "ALFA HEALTH PLAN - PLENO",
      "DedSi": false,
      "SumIns": "600000",
      "Deductible01": "15000",
      "Coinsurance01": "0 - $65,000.00",
      "CHMQ01": "0",
      "Frequency01": "Anual",
      "SerialNumber": "001001155--2020-",
      "Status": "InForce"
    },
    {
      "covered": true,
      "Coverages": [
        {
          "assetCoverageId": "a3n2E000001zuDqQAI",
          "ProductCode": "C001067001",
          "ProductName": "CATASTROPHIC DISEASES",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1827.19,
          "Name": "CATASTROPHIC DISEASES"
        },
        {
          "assetCoverageId": "a3n2E000001zuDrQAI",
          "ProductCode": "C001001155",
          "ProductName": "PLENO",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1350.53,
          "Name": "PLENO"
        },
        {
          "assetCoverageId": "a3n2E000001zuDsQAI",
          "ProductCode": "C001066001",
          "ProductName": "Foreign Assistance",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1801.77,
          "Name": "Foreign Assistance"
        },
        {
          "assetCoverageId": "a3n2E000001zuDtQAI",
          "ProductCode": "C001096001",
          "ProductName": "DENTAL PREMIUM",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1350.53,
          "Name": "DENTAL PREMIUM"
        }
      ],
      "InsuredItem": {
        "insuredAccountId": "0012E00001q2pauQAA",
        "insuredContactId": null,
        "insuredPartyId": "a0x2E00000BrQOSQA3",
        "insuredheldProductRelationshipId": "a3p2E000001ibZWQAY",
        "ProductCode": "HealthPerson",
        "ProductName": "HealthPerson",
        "age": 41,
        "figure": "\"Primary\"",
        "fullname": "mike moore"
      },
      "policyId": "02i2E00000GScTTQA1",
      "ProductCode": "001001155",
      "ProductName": "ALFA HEALTH PLAN - PLENO",
      "DedSi": false,
      "SumIns": "600000",
      "Deductible01": "15000",
      "Coinsurance01": "0 - $65,000.00",
      "CHMQ01": "0",
      "Frequency01": "Anual",
      "SerialNumber": "001001155--2020-",
      "Status": "InForce"
    },
    {
      "covered": true,
      "Coverages": [
        {
          "assetCoverageId": "a3n2E000001zuDvQAI",
          "ProductCode": "C001067001",
          "ProductName": "CATASTROPHIC DISEASES",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1827.19,
          "Name": "CATASTROPHIC DISEASES"
        },
        {
          "assetCoverageId": "a3n2E000001zuDwQAI",
          "ProductCode": "C001001155",
          "ProductName": "PLENO",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1350.53,
          "Name": "PLENO"
        },
        {
          "assetCoverageId": "a3n2E000001zuDxQAI",
          "ProductCode": "C001066001",
          "ProductName": "Foreign Assistance",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1801.77,
          "Name": "Foreign Assistance"
        },
        {
          "assetCoverageId": "a3n2E000001zuDyQAI",
          "ProductCode": "C001096001",
          "ProductName": "DENTAL PREMIUM",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1350.53,
          "Name": "DENTAL PREMIUM"
        }
      ],
      "InsuredItem": {
        "insuredAccountId": "0012E00001q2pauQAA",
        "insuredContactId": null,
        "insuredPartyId": "a0x2E00000BrQOSQA3",
        "insuredheldProductRelationshipId": "a3p2E000001ibZbQAI",
        "ProductCode": "HealthPerson",
        "ProductName": "HealthPerson",
        "age": 41,
        "figure": "\"Primary\"",
        "fullname": "mike moore"
      },
      "policyId": "02i2E00000GScTYQA1",
      "ProductCode": "001001155",
      "ProductName": "ALFA HEALTH PLAN - PLENO",
      "DedSi": false,
      "SumIns": "600000",
      "Deductible01": "15000",
      "Coinsurance01": "0 - $65,000.00",
      "CHMQ01": "0",
      "Frequency01": "Anual",
      "SerialNumber": "001001155--2020-",
      "Status": "InForce"
    },
    {
      "covered": true,
      "Coverages": [
        {
          "assetCoverageId": "a3n2E000001zuE0QAI",
          "ProductCode": "C001067001",
          "ProductName": "CATASTROPHIC DISEASES",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1827.19,
          "Name": "CATASTROPHIC DISEASES"
        },
        {
          "assetCoverageId": "a3n2E000001zuE1QAI",
          "ProductCode": "C001001155",
          "ProductName": "PLENO",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1350.53,
          "Name": "PLENO"
        },
        {
          "assetCoverageId": "a3n2E000001zuE2QAI",
          "ProductCode": "C001066001",
          "ProductName": "Foreign Assistance",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1801.77,
          "Name": "Foreign Assistance"
        },
        {
          "assetCoverageId": "a3n2E000001zuE3QAI",
          "ProductCode": "C001096001",
          "ProductName": "DENTAL PREMIUM",
          "AttributeSelectedValues": null,
          "PremiumAmount": 1350.53,
          "Name": "DENTAL PREMIUM"
        }
      ],
      "policyId": "02i2E00000GScTdQAL",
      "ProductCode": "001001155",
      "ProductName": "ALFA HEALTH PLAN - PLENO",
      "DedSi": false,
      "SumIns": "600000",
      "Deductible01": "15000",
      "Coinsurance01": "0 - $65,000.00",
      "CHMQ01": "0",
      "Frequency01": "Anual",
      "SerialNumber": "001001155--2020-",
      "Status": "InForce"
    }
  ],
  "error": "OK"
}

Ejemplos

El servicio se utiliza habitualmente en flujos de reclamaciones para verificar que un tomador de póliza tiene cobertura válida antes de crear una reclamación.

 
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