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Insurance
InsClaimService:verifyCoverage

詳細情報:

  1. Salesforce ヘルプ
  2. ドキュメント
  3. デジタル保険

InsClaimService:verifyCoverage

このサービスを使用して、請求を申請している保険契約者の有効な保険補償を検証します。

クラス: InsClaimService

方法: verifyCoverage

操作手順

  1. ユーザーが入力したDateOfLossとPerilProductCodeを取得します。

  2. PolicyNumber またはPolicyHolderとInsuredItemNameを使用してポリシーを検索します。

  3. 保険契約の発効日および補償の発効日をDateOfLossと比較して、保険契約および関連付けられた補償の有効期間中に損失が発生したことを確認します。補償は、損失の日付が保険契約の発効日と補償の発効日内にある場合に有効です。

  4. 次のいずれかのオプションの組み合わせを使用して、異なるデータを返します。サービスが危険商品とポリシーの両方で検出した"Covered":trueとカバレッジのリストを返します。

    • DateOfLoss + PolicyNumber/Policyholder:

      すべてのルートレベルの補償範囲と、その補償範囲を含むすべての保険項目を返します。

    • DateOfLoss + PolicyNumber/Policyholder + insuredItemName (被保険者):

      すべてのルートレベルのカバー率 + このinsuredItemNameのカバー率を返します。

    • DateOfLoss + PolicyNumber/Policyholder + PerilProductCode + insuredItemName (サードパーティ):

      PerilProduct とルート レベル ポリシーの両方に関連付けられた重複するカバレッジを返します。

    • DateOfLoss + PolicyNumber/Policyholder + PerilProductCode:

      PerilProduct とルート レベル ポリシーの両方に関連付けられた重複するカバレッジを返します。

  5. 損失が補償されない場合に"Covered":falseを返します。policyId、coverageIds、およびinsuredItemIdまたはInsuredPartyIdも返します。

リモートオプション

オプション

説明

DateOfLoss

%LossDateTime%

または

“YYYY-MM-DD HH:MM:SS”

必須。

保険契約者の損失の日付。

PerilProductCode

%PerilCodes:ClaimProduct%

保険契約者が事故として報告する危険に関連付けられたコード。

PolicyNumber

%PolicyNumber%

保険契約者の契約番号。

PolicyNumber に値を入力しない場合、PolicyHolder に値を入力する必要があります。

PolicyHolder

%PolicyHolder%

asset.account.name 値。

PolicyHolder に値を入力しない場合、PolicyNumber に値を入力する必要があります。

InsuredItemName

%InsuredItemName%

この値は、保険契約の被保険者項目または被保険者の名前にできます。怪我人や破損した物など、第三者の名前にすることもできます。

Input JSON

このサービスでは入力 JSON を使用しません。

出力 JSON

サービスは "Covered":true/false 値を返します。"Covered":true の場合、このポリシーでカバーされるこの危険の対象範囲のリストも返されます。insuranceedItem の詳細には、SerialNumber (PolicyNumber) などの他の保険契約情報が含まれます。

InsuredItemName が保険契約の被保険者または被保険者の保険契約である場合、このサービスは、指定された被保険者または被保険者に適用される保険契約の対象範囲を返します。また、policyId、coverageIds、および insuredItemId orInsuredPartyIdも返します。

次の例は、保険契約者が使用できる項目を示しています。

{
  "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"
}

次の例は、[補償範囲] と [保険項目]、およびそれぞれで返されるすべての項目を示しています。

{
  "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"
}

例

通常、このサービスは請求フローで使用され、請求を作成する前に保険契約者に有効な補償範囲があることを確認します。

 
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