| Name | Description | Type | Additional information |
|---|---|---|---|
| enrolleeNo | string |
None. |
|
| claimsbatchNo | string |
None. |
|
| dateofservice | string |
None. |
|
| claim_amount | string |
None. |
|
| websiteRef | string |
None. |
|
| claimRemarks | string |
None. |
|
| BankName | string |
None. |
|
| AccountName | string |
None. |
|
| AccountNumber | string |
None. |
|
| BankCode | string |
None. |
|
| method | string |
None. |