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Insurance
InsClaimService:verifyCoverage

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InsClaimService:verifyCoverage

Utilisez ce service pour vérifier la validité de la couverture d'assurance d'un assuré qui dépose une réclamation.

Classe: InsClaimService

Méthode : verifyCoverage

Fonctionnement

  1. Prend la DateOfLoss et la PerilProductCode telles que saisies par l'utilisateur.

  2. Utilise le PolicyNumber ou le PolicyHolder et le InsuredItemName pour rechercher la stratégie.

  3. Compare les dates d'entrée en vigueur de la police et les dates d'entrée en vigueur de la couverture à la DateOfLoss de vérifier que la perte a été subie pendant la période d'application de la police et de la couverture associée. La couverture est valide lorsque la date de perte est comprise entre la date d'entrée en vigueur de la police et la date d'entrée en vigueur de la couverture.

  4. Utilise l'une des combinaisons d'options suivantes pour renvoyer différentes données. Renvoie des "Covered":true et une liste des couvertures que le service a trouvées dans le produit en péril et dans la police.

    • DateOfLoss + PolicyNumber/Policyholder:

      Renvoie toutes les couvertures au niveau racine et tous les éléments assurés avec leurs couvertures.

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

      Renvoie toutes les couvertures au niveau racine + les couvertures de cette insuredItemName

    • DateOfLoss + PolicyNumber/Policyholder + PerilProductCode + insuredItemName (3ème partie):

      Renvoie les couvertures superposées qui sont associées à la fois à PerilProduct et à la stratégie au niveau racine.

    • DateOfLoss + PolicyNumber/Policyholder + PerilProductCode:

      Renvoie les couvertures superposées qui sont associées à la fois à PerilProduct et à la stratégie au niveau racine.

  5. Renvoie "Covered":false si la perte n'est pas couverte. Renvoie également les policyId, coverageIds et insuredItemId ou InsuredPartyId.

Options distantes

Option

Description

DateOfLoss

%LossDateTime%

ou

“YYYY-MM-DD HH:MM:SS”

Obligatoire.

La date du sinistre du souscripteur de la police d'assurance.

PerilProductCode

%PerilCodes:ClaimProduct%

Le code associé au péril que l'assuré signale comme étant ce qui s'est passé.

PolicyNumber

%PolicyNumber%

Le numéro de police de l'assuré.

Si vous ne saisissez pas de valeur pour PolicyNumber, vous devez saisir une valeur pour PolicyHolder.

PolicyHolder

%PolicyHolder%

La valeur asset.account.name.

Si vous ne saisissez pas de valeur pour PolicyHolder, vous devez saisir une valeur pour PolicyNumber.

InsuredItemName

%InsuredItemName%

Cette valeur peut correspondre au nom d'un article assuré ou d'une partie assurée de la police. Il peut également s'agir du nom d'un tiers, par exemple une personne blessée ou un bien endommagé.

JSON d'entrée

Ce service n'utilise pas de JSON d'entrée.

JSON de sortie

Le service renvoie une valeur de "Covered":true/false . Si "Covered":true, le service renvoie également la liste des couvertures que cette police couvre pour ce péril. Les détails d’electedItem contiennent d’autres informations sur la police, telles que SerialNumber (PolicyNumber).

Si InsuredItemName est celui d'un article assuré ou d'une partie assurée dans la police, ce service renvoie les couvertures de la police qui s'appliquent à l'article assuré nommé ou à la partie assurée. Il renvoie également les orInsuredPartyId policyId, coverageIds et insuredItemId.

L'exemple suivant montre les champs disponibles pour les assurés :

{
  "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"
}

L'exemple suivant montre les Protections et les Éléments assurés, ainsi que tous les champs renvoyés pour chacun :

{
  "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"
}

Exemples

Le service est généralement utilisé dans les flux de déclarations pour vérifier qu'un assuré a une couverture valide avant la création d'une déclaration.

 
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