PartyAdditional
objectFirst Name of the party
Example:Thomas
Last Name of the the party
Example:Lawrence
Middle name of the party
Full name of the party.
Example:Thomas Lawrence
Suffix for given party if Applicable
Example:Sr
Prefix for given party if Applicable
Example:Dr
Gender of party
Allowed values:MaleFemale
Example:Male
Date of birth of party
Age of the party
Example:26
Party SSN. In case if non individual it should be Tax Id
>= 9 characters<= 9 characters
Example:121328426
Driver license number
Example:T61217265934
State Code
Allowed values:ALAKAZARCACOCTDCDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY
Example:AL
Flag for Driver License
Allowed values:YesNoUnknown
Example:No
Addres line 1
Example:Wt Road
Addres line 2
Example:St Street
City name
Example:Test City
State Code
Allowed values:ALAKAZARCACOCTDCDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY
Example:AL
Zip Code. Max char allowed is 9.
<= 9 characters
Example:12345
Birth Country
Allowed values:AFAXALDZASADAOAIAQAGARAMANAWAUATAZBSBHBDBBBYBEBZBJBMBTBOBQBABWBVBRIOBNBGBFBICVKHCMCAKYCFTDCLCNCXCCCOKMCDCGCKCRCIHRCUCWCYCZDKDJDMDOECEGSVGQEREESZETFKFOFJFIFRGFPFTFGAGMGEDEGHGIGRGLGDGPGUGTGGGNGWGYHTHMVAHNHKHUISINIDIRIQIEIMILITJMJPJEJOKZKEKIKPKRKWKGLALVLBLSLRLYLILTLUMOMKMGMWMYMVMLMTMHMQMRMUYTMXFMMDMCMNMEMSMAMZMMNANRNPNLNCNZNINENGNUNFMPNOOMPKPWPSPAPGPYPEPHPNPLPTPRQARERORURWBLSHKNLCMFPMVCWSSMSTSASNRSSCSLSGSXSKSISBSOZAGSSSESLKSDSRSJSECHSYTWTJTZTHTLTGTKTOTTTNTRTMTCTVUGUAAEGBUMUSUYUZVUVEVNVGVIWFEHXKYEZMZWOther
Example:US
Show Child Parameters
Phone number
Example:111-111-2222
Email Id of the party
Example:test@abc.com
Type of email
Allowed values:PersonalBusiness
Example:Business
Communication preferences
Allowed values:MailEmailPhone
Example:Email
Party classification
Allowed values:IndividualBusinessTrustCorporationPartnershipOtherGroup of IndividualsEstateChild
Example:Individual
Allowed values:YesNo
Employment Status of the party
Allowed values:StudentUnemployedPrimary CaregiverSalariedOther
Example:Salaried
Occupation details
Example:Self Employed
Income details.
Example:200000
Income details it can be range or any number.It will be US standard currency
Example:10000
Flag for Unborn Child
Allowed values:YesNoUnknown
Example:No
Does party have any existing insurance policy
Allowed values:YesNoUnknown
Allowed values:YesNoUnknown
PartyChild
objectFirst Name of the party
Example:Thomas
Last Name of the the party
Example:Lawrence
Middle name of the party
Full name of the party.
Example:Thomas Lawrence
Gender of party
Allowed values:MaleFemale
Example:Male
Date of birth of party
Age of the party
Example:26
Address line 1
Example:Wt Road
Address line 2
Example:St Street
City name
Example:Test City
State Code
Allowed values:ALAKAZARCACOCTDCDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY
Example:AL
Zip Code. Max char allowed is 9.
<= 9 characters
Example:123456
Birth Country
Allowed values:AFAXALDZASADAOAIAQAGARAMANAWAUATAZBSBHBDBBBYBEBZBJBMBTBOBQBABWBVBRIOBNBGBFBICVKHCMCAKYCFTDCLCNCXCCCOKMCDCGCKCRCIHRCUCWCYCZDKDJDMDOECEGSVGQEREESZETFKFOFJFIFRGFPFTFGAGMGEDEGHGIGRGLGDGPGUGTGGGNGWGYHTHMVAHNHKHUISINIDIRIQIEIMILITJMJPJEJOKZKEKIKPKRKWKGLALVLBLSLRLYLILTLUMOMKMGMWMYMVMLMTMHMQMRMUYTMXFMMDMCMNMEMSMAMZMMNANRNPNLNCNZNINENGNUNFMPNOOMPKPWPSPAPGPYPEPHPNPLPTPRQARERORURWBLSHKNLCMFPMVCWSSMSTSASNRSSCSLSGSXSKSISBSOZAGSSSESLKSDSRSJSECHSYTWTJTZTHTLTGTKTOTTTNTRTMTCTVUGUAAEGBUMUSUYUZVUVEVNVGVIWFEHXKYEZMZWOther
Example:US
Show Child Parameters
Phone number
Example:111-111-2222
Email Id of the party
Example:test@abc.com
Type of email
Allowed values:PersonalBusiness
Example:Business
Communication preferences
Allowed values:MailEmailPhone
Example:Email
Party relationship
Allowed values:Child
Example:Child
Party classification
Allowed values:Individual
Example:Individual
Show Child Parameters
AdditionalInformation
objectIndicator flag for tobacco preferences
Allowed values:YesNoUnknown
Indicator flag for resident options
Allowed values:YesNoUnknown
Show Child Parameters
Indicator flag for foreign travel plans
Allowed values:YesNoUnknown
Show Child Parameters
Indicator flag for foreign travel plans for 2 years
Allowed values:YesNo
Indicator flag for existing policy funds applicability
Allowed values:YesNoUnknown
height of party in feet
Example:5
height of party in inches
Example:5
Weight of party in pounds
Example:150
Indicator flag for primary physician
Allowed values:YesNoUnknown
Indicator flag for disability benefit
Allowed values:YesNoUnknown
Indicator flag for disability benefit
Allowed values:YesNoUnknown
Show Child Parameters
Show Child Parameters
RiskInformation
objectIndicator flag for weight loss
Allowed values:YesNoUnknown
lostWeightReason
Allowed values:DietIllnessExerciseOtherSurgeryUnknownPregnancy
Description value if lostWeightReason is selected as Other
Indicator flag for daily activity assistant required
Allowed values:YesNo
Duration stating use of tobacco
Example:5
Indicator flag for marijuana used
Allowed values:YesNoUnknown
Duration stating use of Marijuana
Example:5
Indicator flag for help needed or not
Allowed values:YesNoUnknown
Indicator flag for diagnostic tests
Allowed values:YesNoUnknown
Indicator flag for hospitalization history
Allowed values:YesNoUnknown
Indicator flag for outstanding treatment except AIDS and HIV
Allowed values:YesNoUnknown
Allowed values:Allergy TestingRoutine Blood workRoutine Urine testingRoutine Pap smearRoutine colonoscopyRoutine mammogramRoutine EKGImaging for bone or jointRoutine bone densityPregnancy or fertility relatedVision or HearingOther
Indicator flag
Allowed values:YesNoUnknown
Indicator flag for felony
Allowed values:YesNoUnknown
Indicator flag for covid 19 hospitalization
Allowed values:YesNoUnknown
Indicator flag for parents
Allowed values:YesNoUnknown
Show Child Parameters
Indicator flag for rejection of insurence application
Allowed values:YesNo
Show Child Parameters
Show Child Parameters
Show Child Parameters
MedicalHistory
objectMedical condition questions
Allowed values:NoneSubstance AbuseDrug AbuseAlcoholismSelf HelpArthritisAnkylosing SpondylitisMyositisRheumatoid ArthritisSclerodermaSLEGranulomatosisBenign TumorBrain TumorColon PolypsInsitu MelanomaInsitu BreastOvarian CystBlood DisorderAplastic AnemiaClotting DisorderEssential ThrombocytosisHemochromatosisLow PlateletsPolycythemia VeraCancerBreast CancerColon CancerLeukemiaLymphomasLung CancerMelanomaOvarian CancerPancreatic CancerProstate CancerSkin CancerTesticular CancerAlzheimer DiseaseALSCerebral PalsyEpilepsyMultiple SclerosisParaplegiaStrokeEndocrine DisorderAddisons DiseaseCushings DiseaseHyperparathyroidismHyperthyroidismPituitary DisorderThyroid NoduleHypothyroidismLiver DisorderAutoimmune HepatitisBarrett EsophagusChronic PancreatitisLiver CirrhosisCrohns DiseaseHepatitis BHepatitis CLiver EnzymesUlcerative ColitisHeart DisorderAbnormal HeartAneurysmBrain AneurysmThrombosisCoronary DiseaseHeart AttackHeart FailureCardiomyopathyHeart ValveHBPPacemakerKidney DisorderKidney InfectionGlomerulonephritisKidney failurePKDBlood UrineSelf CatheterizationRespiratory DisorderAsthmaCOPDSleep ApneaMens HealthPSAEnlarged ProstateMetabolic DisorderHigh CholesterolDiabetes Type1Diabetes Type2PrediabetesPsychiatric IllnessADHDAnxietyBipolar DisorderDepressionEating DisorderPTSDSchizophreniaUnspecifiedHIVAIDSARCHIVWomens HealthAbnormal MammogramAbnormal PapBrain DisorderCystic FibrosisPulmonary FibrosisChronic Kidney DiseaseOCDPsychosisDrugAlcoholPulmonary HypertensionDeep Vein ThrombosisHeart Disorder None ApplyMetabolic Disorder None ApplyEndocrine Disorder None ApplyRespiratory Disorder None ApplyKidney Disorder None ApplyPsychiatric Illness None ApplyWomens Health None ApplyLiver Disorder None ApplyBrain Disorder None ApplyArthritis None ApplyBlood Disorder None Apply
Indicator flag for medical history questions
Allowed values:YesNo
Indicator flag for treatment indicator
Allowed values:YesNoUnknown
Indicator flag for recovered status
Allowed values:YesNoUnknown
Condition Stage
Example:Stage 1
Indicator flag for organ cancer spread
Allowed values:YesNoUnknown
Indicator flag for basal or squamous cell skin cancer
Allowed values:YesNo
Indicator flag for test result value
Allowed values:YesNoUnknown
Indicator flag for bipolar Suicide
Allowed values:YesNo
Indicator flag for motar accident
Allowed values:YesNo
Results reading
Example:70
Last result reading date
Treatment Date
BP reading upper
Example:140
BP reading lower
Example:70
Year of first seizure in case of epilepsy
Example:2001
Last Seizure date if applicable
number of seizure in past year. Maximum value applicable is 10.
Example:6
Indicator flag for Rheumatoid arthritis limitation
Allowed values:YesNoUnknown
Indicator flag for Rheumatoid arthritis life impact
Allowed values:YesNoUnknown