9b610c27-4f3a-4f4f-b3fe-0c7463259eca

URL:http://223.31.157.
7:9555/submitData/
REQUEST:
{
"planDetails": {
"CCS_PLAN_ID": "2797002",
"PREMIUM_AMOUNT": 361941,
"LOYALTY_OPTION": "SI",
"I_PROTECT": "0",
"PA_Cover": "1",
"PA_OCCUPATION": "",
"CI_COVER": "",
"PREMIUM_PAYMENT_MODE": "Annually",
"ADULTS_COVERED": 2,
"CHILD_COVERED": 3,
"PA_SUM_INSURED": "",
"CI_SUM_INSURED ": "",
"SAFEGAURD": "NO",
"SAFEGUARD_PLUS": "Yes",
"CONT_VARIANT": "",
"CONT_TTD": "",
"CONT_ADVENTURE_SPORTS": "",
"Premium_Waiver": "",
"CUST_ENHANCED_LOYALTY": "",
"CUST_ENHANCED_GEO_SCOPE": "",
"E_Consultancy": "",
"DOUBLE_SI": "",
"HC_CONCENT": "",
"ENHANCED_NO_CLAIM_BONUS": "",
"ENHANCED_REFILL_BENEFIT": "",
"Policy_Term": 3,
"Bill_Cycle": 3,
"mb_cost_sharing": "0",
"Policy_Number": "",
"LOADING_AMOUNT": ""
},
"ProposerDetailsSection": {
"CCS_APPLICATION_NUMBER": "612120326629",
"CCS_PROPOSER_TITLE": "Mr.",
"FIRST_NAME": "We",
"MIDDLE_NAME": "",
"LAST_NAME": "Wehf",
"NATIONALITY": "Indian",
"MARITAL_STATUS": "",
"EMAIL_ID": "sfd@gmail.com",
"PAN_NUMBER": "VCXPF4567Y",
"MOBILE": "8715281421",
"LANDLINE_NUMBER": "",
"EDUCATIONAL_QUALIFICATION": "",
"OCCUPATION": "",
"CHANNEL": "TPD",
"CURRENT_ADDRESS": "1",
"PERMANENT_ADDRESS_LINE1": "EFE875",
"PERMANENT_ADDRESS_LINE2": "UYET87",
"PERMANENT_ADDRESS_LINE3": "87EW87",
"PERMANENT_CITY": "MUMBAI",
"CCS_PERMANENT_DISTRICT": "",
"PERMANENT_STATE": "Maharashtra",
"PERMANENT_PINCODE": 400002,
"CURRENT_ADDRESS_LINE1": "EFE875",
"CURRENT_ADDRESS_LINE2": "UYET87",
"CURRENT_ADDRESS_LINE3": "87EW87",
"CURRENT_CITY": "MUMBAI",
"CCS_CURRENT_DISTRICT": "",
"CURRENT_STATE": "Maharashtra",
"CURRENT_PINCODE": 400002,
"MB_RURAL_FLAG": "No",
"MB_GROSS_ANNUAL_INCOME": "4000000",
"PEP_QUESTION_1": 0,
"GENDER": "Male",
"DOB": "01\/01\/1974",
"ALTERNATE_NUMBER": "",
"SOCIAL_SECTOR": "",
"OCCUPATION_OTHERS": "",
"MOTHER_NAME": "",
"IS_SI_CCAVENUE": "",
"SI_REF_NUMBER": "",
"SI_TYPE": "OL",
"CCS_APPLICATION_REF_NUMBER": "",
"W_NB_LG_NAME": "",
"W_NB_LG_CODE": "",
"W_NB_BANCA_BRANCH": "",
"W_NB_SP_NAME": "",
"W_NB_SP_CODE": "",
"W_NB_BANCA_BRANCH_CODE": "",
"W_NB_BANCA_AC_NO": "",
"WHATSAPP_COMMUNICATION_FLAG": "Yes",
"COMMUNICATION_ACKNOWLEDGEMENT": "YES",
"HARD_COPY_REQUIRED": "NO",
"Mb_Sales_Branch": "Mumbai",
"Agent_Assigned_To": "BR00420002",
"PEP_QUESTION_2": "0",
"PREMIUM_PAID_BY": "Self",
"RELATIONSHIP_WITH_PROPOSER": "Self",
"DISCOUNT_FOR": "",
"IS_EXISTING_POLICY": "No",
"EXISTING_POLICY1": "",
"EXISTING_POLICY2": "",
"CORONA_KAVACH_POLICY_1": "",
"CORONA_KAVACH_POLICY_2": "",
"RULE_ENGINE_REFERRED": "Y",
"POS": {
"POS_FLAG": "N",
"POS_NAME": "",
"POS_CODE": "",
"POS_PAN": "",
"POS_AADHAR": "",
"POS_DECLARATION": ""
},
"EMRGNCY_CNTACT_NAME": "",
"EMRGNCY_CNTACT_NUMBER": "",
"EMRGNCY_CNTACT_MOBILE_NO": "",
"IS_SOCIAL_WORKER": "No",
"TYPE_WORKER": "",
"HEALTH_COACH": "0",
"HEALTH_COACH_FLAG": "No",
"FAMILYPHYSICIAN_DETAILS": {
"CCS_FAMILY_PH_NAME": "",
"CCS_PH_ADDRESS_LINE_1": "",
"CCS_PH_CITY": "",
"CCS_PH_STATE": "",
"CCS_PH_PINCODE": "",
"CCS_EXS_INSURED_DT": ""
},
"NOMINEE_DETAILS": {
"NOMINEE_NAME": "yf rejhv",
"NOMINEE_DOB": "01\/01\/1991",
"NOMINEE_APPOINTEE_NAME": "",
"NOMINEE_RELATIONSHIP": "Brother",
"NOMINEE_ADDRESS": "sjdf87 srd87 r87sd",
"NOMINEE_CONTACT_NUMBER": "8158241824"
},
"PEP_DETAILS": {
"PEP_LIFEINSURED": "",
"FAMILY_MEMBER_OF_LIFEINSURED": "",
"SPECIFY_LIFEINSURED": "",
"PEP_PROPOSER": "",
"FAMILY_MEMBER_OF_PROPOSER": "",
"SPECIFY_PROPOSER": "",
"PEP_NOMINEE": "",
"FAMILY_MEMBER_OF_NOMINEE": "",
"SPECIFY_NOMINEE": "",
"PEP_PAYOR": "",
"FAMILY_MEMBER_OF_PAYOR": "",
"SPECIFY_PAYOR": "",
"POLITICAL_EXPERIENCE": "",
"POLITICAL_AFFILIATION": "",
"POLITICAL_PORTFOLIO_HANDLED": "",
"POLITICAL_PARTY_IN_POWER": "",
"PEP_POSTED_IN_FOREIGN_OFFICE": "",
"PEP_FOREIGN_OFFICE_DETAILS": "",
"PEP_INCOME_SOURCE": "",
"PEP_CONVICTION": "",
"PEP_CONVICTION_DETAILS": "",
"POLITICAL_ROLE": ""
},
"IS_EIA_Account": "No",
"EIA_Number": "",
"IR_Name": "",
"KYC_IDENTITY_MASTER_FLAG": "Y_OVD_F60",
"KYC_ADDRESS_MASTER_FLAG": "Y_OVD_DL",
"KYC_IDENTITY_RECORD_NUMBER": "DFORM0060A",
"KYC_ADDRESS_RECORD_NUMBER": "DL-0520080070152",
"CKYC_NUMBER": "",
"KYC_FFNAME": "VK",
"KYC_FMNAME": "KUMAR",
"KYC_FLNAME": "MISHRA",
"STP_Flag": "True",
"CURRENT_PERMANENT_ADDRESS": "1",
"PERMANENT_ADDRESS": "0",
"PAYMENT_RECEIVED_FLAG": "Yes",
"MEDICALPRACT_DISCOUNT": "",
"MB_PORTABILITY_FLAG": "No",
"MB_PREV_POLICY_EXPIRY_DATE": ""
},
"MemberDetailsSection": {
"Insured_Details": [
{
"WEB_INSURED_ID": "6120000014",
"INSURED_FIRST_NAME": "We",
"INSURED_MIDDLE_NAME": "",
"INSURED_LAST_NAME": "Wehf",
"INSURED_GENDER": "Male",
"INSURED_HEIGHT": 170,
"INSURED_WEIGHT": 70,
"INSURED_DATE_OF_BIRTH": "01\/01\/1974",
"INSURED_OCCUPATION": "Self employed",
"INSURED_OCCUPATION2": "",
"INSURED_RELATIONSHIP_PROPOSER": "Self",
"INSURED_HEIGHT_INCH": 7,
"INSURED_HEIGHT_FEET": 5,
"INSURED_EDUCATIONAL_QUALIFICATION": "Professional Course",
"mb_nationality": "Indian",
"BMI": 24,
"INSURED_Q1": "0",
"INSURED_Q2": "0",
"INSURED_Q3": "0",
"INSURED_Q4": "0",
"INSURED_Q5": "0",
"INSURED_Q6": "0",
"INSURED_Q7": "0",
"INSURED_Q8": "0",
"INSURED_Q9": "0",
"INSURED_Q10": "0",
"INSURED_Q11": "0",
"MB_MEDICAL_QUESTION_D_1": "0",
"MB_MEDICAL_QUESTION": "0",
"INSURED_TITLE": "Mr.",
"INSURED_WAISTLINE": "",
"INSURED_TOBACCO_QUESTION": "0",
"INSURED_TOBACCO_QUANTITY": "0",
"INSURED_ALCOHOL_QUESTION": "0",
"INSURED_BEER_QUANTITY": "",
"INSURED_WINE_QUANTITY": "",
"INSURED_SPIRIT_QUANTITY": "",
"INSURED_CIGARETTES_QUESTION": "0",
"INSURED_CIGARETTES_QUANTITY": "",
"INSURED_DRUGS_QUESTION": "",
"INSURED_DRUGS_QUANTITY": "",
"MB_PAST_PROPOSALS": "0",
"MB_PEP_QUESTION_1": 0,
"INSURED_MOBILE_NO": "8715281421",
"IS_DAILY_DRINKER": "NO",
"MBR_PA_COVER": "NO",
"MBR_PA_OCCUPATION": "No",
"MBR_CI_COVER": "No",
"MBR_DM_OPTED": "N",
"MBR_DIABETES_PED": 0,
"MBR_HYPERTENSION_PED": 0,
"MBR_DIABETES_LOADING": "",
"MBR_HYPERTENSION_LOADING": "",
"MBR_PASSPORT_NUMBER": "",
"MB_IS_INSURED_MEMBER_PORTED": "N",
"MD_PRACTIONARY_ID": "",
"COUNCIL_NAME": "",
"WORKPLACE_ADDRESS": "",
"MBR_CI_MEDICAL_QUES": "",
"MBR_HC_OPTED": "",
"FAMILY_MEDICAL_HISTORY_SET": {
"FAMILY_MEDICAL_HISTORY": [
{
"INSURED_FIRST_NAME": "",
"INSURED_LAST_NAME": "",
"PROPOSER_RELATION": "",
"DISEASE_DISORDER": "",
"AGE": "",
"AGE_AT_ONSET": "",
"CAUSE_OF_DEATH": "",
"AGE_AT_DEATH": ""
}
]
},
"ADDITIONAL_MEDICAL_DETAILS": {
"ADDITIONAL_MEDICAL_DETAIL": [
{
"QUESTION": 1,
"INSURED_DIAGNOSIS_DETAILS": "",
"INSURED_DIAGNOSIS_ONSET": "",
"INSURED_DURATION_CONDITION": "",
"INSURED_MEDICATION": "",
"INSURED_DOSAGE": "",
"INSURED_TREATMENT_OUTCOME": "",
"INSURED_DOCTOR_DETAILS": "",
"INSURED_DOCUMENT_ATTACHED": 0,
"HBA1C_LEVEL": "",
"BP_DYSTOLIC": "",
"BP_SYSTOLIC": ""
}
]
},
"INSURED_HA_QUESTION_DETAILS": {
"INSURED_HA_QUESTION": [
{
"QUESTION": "",
"AILMENT_TYPE": "",
"EXACT_DIAGNOSIS": "",
"DIAGNOSIS_DATE": "",
"TREATMENT_HISTORY": "",
"CONSULTATION_DATE": "",
"DOCTOR_DETAILS": ""
}
]
},
"RE_LOADING": "",
"QUESTION_12": "No",
"MBR_SENIOR_TOBACCO": "",
"MBR_SENIOR_TOBACCO_TIME": "",
"MBR_SENIOR_TOBACCO_DURATION": "",
"MBR_SENIOR_TOBACOO_DAYS": "",
"MBR_SI": "",
"MBR_EARNING_TYPE": "",
"MBR_OCCUPATION_CODE": "",
"MBR_ANNUAL_INCOME": "",
"MBR_LOAN_PROTECTOR_SI": "",
"INSURED_QSECTION_E": " 0",
"INSURED_QSECTION_B1": "",
"INSURED_QSECTION_C": "",
"INSURED_QSECTION_C1A": "",
"INSURED_QSECTION_C1B": "",
"INSURED_QSECTION_C1C": "",
"INSURED_QSECTION_C1D": "",
"INSURED_QSECTION_C2": "",
"INSURED_QSECTION_D": "",
"INSURED_QSECTION_D1": "",
"INSURED_QSECTION_E1A": "",
"INSURED_QSECTION_E1B": "",
"INSURED_QSECTION_E1C": "",
"INSURED_QSECTION_E1D": "",
"INSURED_QSECTION_E2": "",
"INSURED_QSECTION_E3": ""
},
{
"WEB_INSURED_ID": "6120000015",
"INSURED_FIRST_NAME": "WYER",
"INSURED_LAST_NAME": "EJH",
"INSURED_GENDER": "Female",
"INSURED_OCCUPATION": "Student",
"INSURED_RELATIONSHIP_PROPOSER": "Spouse",
"INSURED_EDUCATIONAL_QUALIFICATION": "Professional Course",
"BMI": 24,
"INSURED_Q1": "1",
"INSURED_Q2": "0",
"INSURED_Q3": "0",
"INSURED_Q4": "0",
"INSURED_Q5": "0",
"INSURED_Q6": "0",
"INSURED_Q7": "0",
"INSURED_Q8": "0",
"INSURED_Q9": "0",
"INSURED_Q10": "0",
"INSURED_Q11": "0",
"INSURED_TITLE": "Mrs.",
"MBR_DM_OPTED": "Y",
"MBR_DIABETES_LOADING": "20",
"MBR_HYPERTENSION_LOADING": "20",
"COUNCIL_NAME": "",
"MBR_HC_OPTED": "",
{
"AGE": "",
"AGE_AT_ONSET": "",
"AGE_AT_DEATH": ""
}
]
},
{
"QUESTION": 1,
"INSURED_DIAGNOSIS_DETAILS": "Refer to rule engine",
"HBA1C_LEVEL": "",
"BP_DYSTOLIC": "",
"BP_SYSTOLIC": ""
}
]
},
{
"QUESTION": "",
"AILMENT_TYPE": "",
}
]
},
"RE_LOADING": 140,
"MBR_SI": "",
},
{
"WEB_INSURED_ID": "6120000016",
"INSURED_FIRST_NAME": "WEF",
"INSURED_LAST_NAME": "RJKTGR",
"INSURED_GENDER": "Male",
"INSURED_OCCUPATION": "Others",
"INSURED_RELATIONSHIP_PROPOSER": "Son",
"INSURED_EDUCATIONAL_QUALIFICATION": "Non-Matric",
"BMI": 24,
"INSURED_Q1": "0",
"INSURED_Q2": "0",
"INSURED_Q3": "0",
"INSURED_Q4": "0",
"INSURED_Q5": "0",
"INSURED_Q6": "0",
"INSURED_Q7": "0",
"INSURED_Q8": "0",
"INSURED_Q9": "0",
"INSURED_Q10": "0",
"INSURED_Q11": "0",
"INSURED_TITLE": "Mr.",
"INSURED_MOBILE_NO": "",
"COUNCIL_NAME": "",
"MBR_HC_OPTED": "",
{
"AGE": "",
"AGE_AT_ONSET": "",
"AGE_AT_DEATH": ""
}
]
},
{
"QUESTION": 1,
"HBA1C_LEVEL": "",
"BP_DYSTOLIC": "",
"BP_SYSTOLIC": ""
}
]
},
{
"QUESTION": "",
"AILMENT_TYPE": "",
}
]
},
"RE_LOADING": "",
"MBR_SI": "",
},
{
"WEB_INSURED_ID": "6120000017",
"INSURED_FIRST_NAME": "JDF",
"INSURED_MIDDLE_NAME": "KUMAR",
"INSURED_LAST_NAME": "REJ",
"INSURED_RELATIONSHIP_PROPOSER": "Daughter",
"INSURED_EDUCATIONAL_QUALIFICATION": "Matric",
"BMI": 24,
"INSURED_Q1": "0",
"INSURED_Q2": "0",
"INSURED_Q3": "0",
"INSURED_Q4": "0",
"INSURED_Q5": "0",
"INSURED_Q6": "0",
"INSURED_Q7": "0",
"INSURED_Q8": "0",
"INSURED_Q9": "0",
"INSURED_Q10": "0",
"INSURED_Q11": "0",
"INSURED_TITLE": "Ms.",
"INSURED_MOBILE_NO": "",
"COUNCIL_NAME": "",
"MBR_HC_OPTED": "",
{
"AGE": "",
"AGE_AT_ONSET": "",
"AGE_AT_DEATH": ""
}
]
},
{
"QUESTION": 1,
"HBA1C_LEVEL": "",
"BP_DYSTOLIC": "",
"BP_SYSTOLIC": ""
}
]
},
{
"QUESTION": "",
"AILMENT_TYPE": "",
}
]
},
"RE_LOADING": "",
"MBR_SI": "",
},
{
"WEB_INSURED_ID": "6120000018",
"INSURED_FIRST_NAME": "VAIW",
"INSURED_LAST_NAME": "KGD",
"INSURED_RELATIONSHIP_PROPOSER": "Daughter",
"INSURED_EDUCATIONAL_QUALIFICATION": "Non-Matric",
"BMI": 24,
"INSURED_Q1": "0",
"INSURED_Q2": "0",
"INSURED_Q3": "0",
"INSURED_Q4": "0",
"INSURED_Q5": "0",
"INSURED_Q6": "0",
"INSURED_Q7": "0",
"INSURED_Q8": "0",
"INSURED_Q9": "0",
"INSURED_Q10": "0",
"INSURED_Q11": "0",
"INSURED_TITLE": "Ms.",
"COUNCIL_NAME": "",
"MBR_HC_OPTED": "",
{
"AGE": "",
"AGE_AT_ONSET": "",
"AGE_AT_DEATH": ""
}
]
},
{
"QUESTION": 1,
"HBA1C_LEVEL": "",
"BP_DYSTOLIC": "",
"BP_SYSTOLIC": ""
}
]
},
{
"QUESTION": "",
"AILMENT_TYPE": "",
}
]
},
"RE_LOADING": "",
"MBR_SI": "",
}
]
},
"PORTABILITY_DETAILS": {
"PORTABILITY_DETAIL": [
{
"MB_PORTABILITY_DETAILS_ID": "",
"MB_APPLICATION_ID": "",
"MB_POLICY_HOLDER_NAME": "",
"MB_DOB": "",
"MB_PREV_TPA_CODE": "",
"MB_PREV_FAMILY_SIZE": "",
"MB_TELEPHONE": "",
"MB_EMAIL_ID": "",
"MB_ADDRESS": "",
"MB_PREV_INSURER_NAME": "",
"MB_PREV_POLICY_NUMBER": "",
"MB_PREV_POL_START_DT": "",
"MB_PREV_PLOICY_TERM": "",
"MB_POLICY_TYPE": "",
"MB_PREV_PRODUCT_NAME": "",
"MB_PREV_PRODUCT_ID": "",
"MB_PREV_SUM_INSURED": "",
"MB_PREV_CUMULATIVE_BONUS": "",
"MB_PREV_ADDON": "",
"MB_POLICY_TERMINATION_DATE": "",
"MB_SHORT_TERM_END_DATE": "",
"MB_EXTEND_POL_SHORT_TERM": "",
"MB_POLICY_REMARKS": "",
"MB_PROPOSED_PRODUCT": "",
"MB_PROPOSED_SUM_INSURED": "",
"MB_TRANSFER": "",
"MB_REASON": "",
"MB_REASON_OTHERS": "",
"MB_MATERNITY_BENF_LIMIT": "",
"MB_MATERNITY_WAIT_PERIOD": "",
"MB_COMMENTS": "",
"MB_NUM_PEOPLE_PORTED": "",
"MB_CONVERT_CUMULATIVE_BONUS": "",
"MB_PED_EXCLUSIONS": "",
"MB_PORTABILITY_COMMENTS": "",
"MB_NCB": ""
}
]
},
"PORTABILITY_INSUREDDETAILS": {
"PORTABILITY_INSUREDDETAIL": [
{
"MB_PORTABILITY_INSUREDDETAIL_I": "",
"MB_UID": "",
"MB_LAST_NAME": "",
"MB_SUM_INSURED_FLOATER1": "",
"MB_GENDER": "",
"MB_PRE_EXIST_DISEASES": "",
"MB_NAME": "",
"MB_ENTRY_DATE": "",
"MB_REFERENCE_KEY": "",
"MB_PAN": "",
"MB_CUMULATIVE_BONUS": "",
"MB_CHANGE_SUM_INSURED1": "",
"MB_CHANGE_SUM_INSURED2": "0",
"MB_PRE_EXIST_DISEASE_DESC": "",
"MB_DOB": "",
"MB_PRE_EXIST_DISEASE_DECLARED": "",
"MB_PERIOD_ELAPSED": "",
"MB_REQUEST_ID": "",
"MB_HAS_CLAIM": "",
"MB_IS_MEMBER_PORTED": "",
"MB_MIDDLE_NAME": "",
"MB_COVERAGE_YEARS": "",
"MB_WEB_INSUREDID": "",
"MB_SUM_INSURED": "",
"MB_SUM_INSURED3": "",
"MB_SUM_INSURED4": "",
"MB_SUM_INSURED2": ""
}
]
},
"PORTABILITY_CLAIM_DETAILS": {
"PORTABILITY_CLAIM_DETAIL": [
{
"MB_INSURED_ID": "",
"MB_PORTABILITY_CLAIM_DETAILS_ID": "",
"MB_ILLNESS_NATURE_CODE": "",
"MB_HOSPITAL_NAME": "",
"MB_CLAIM_NUMBER": "",
"MB_CLAIM_REMARKS": "",
"MB_ILLNESS_NATURE": "",
"MB_CLAIM_REJECTED": "",
"MB_AMOUNT_CLAIMED": "",
"MB_OUTSTANDING_CLAIMS": "",
"MB_OCCURANCE_DATE": "",
"MB_CLAIM_PAID": "",
"MB_CLAIM_REJECTED_REASON": ""
}
]
},
"InstrumentDetailsSection": {
"Transaction_Number": "612120326629",
"CHEQUE_NUMBER": "612120326629",
"AMOUNT": 361941
},
"PaymentDetailsSection": {
"mb_email_id_notification": "",
"BRANCH_IFSC": ""
}
}
RESPONSE:
{
"RESULT": {
"STATUS": "Success"
}
}

9b610c27-4f3a-4f4f-b3fe-0c7463259eca

Uploaded by

Copyright:

Available Formats

9b610c27-4f3a-4f4f-b3fe-0c7463259eca

Uploaded by

Document Information

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

9b610c27-4f3a-4f4f-b3fe-0c7463259eca

Uploaded by

Copyright:

Available Formats

URL:http://223.31.157.

You might also like

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.