Field Name | Default | Forms | Description |
|---|
BeneficiaryCard | Optional | Family, Insuree | List of options (dropdown) whether or not a card was issued to the Insuree |
ClaimAdministrator | Mandatory | FindClaim, Claim, ClaimReview, ClaimFeedback | Displays code of the claim administrator. |
Confirmation | Optional | Family, Insuree, OverviewFamily, ChangeFamily | List of confirmation types to select the social status of the family/group (see WA4.1 Language selection and translation tables) |
ConfirmationNo | Optional | Family, Insuree, FindFamily, OverviewFamily, ChangeFamily | Alphanumeric identification of the confirmation of the social status of the family/group |
ContributionCategory | Optional | Premium, FindPremium | List of contribution categories to select the category of the contribution of the family/group |
CurrentAddress | Optional | Family, Insuree | Details of the temporal address of the Insuree |
CurrentDistrict | Optional | Family, Insuree | List of available regions and available districts in the selected region, to select the district in which the insuree temporarily stays |
CurrentMunicipality | Optional | Family, Insuree | List of available municipalities in the selected district, to select the municipality in which the insuree temporarily stays |
CurrentVillage | Optional | Family, Insuree | List of available villages in the selected municipality, to select the village in which the insuree temporarily stays |
Education | Optional | Family, Insuree | List of available educations to select the education of the insuree (see WA4.1 Language selection and translation tables) |
FamilyType | Optional | Family, ChangeFamily | List of available families/groups types to select the type of group/family (see WA4.1 Language selection and translation tables) |
FSP | Optional | Family, Insuree | List of available Health Facilities in the selected FSP District and FSP Category, to select the First Service Point |
FSPCategory | Optional | Family, Insuree | List of available FSP Categories in the selected FSP District, to select the First Service Point category |
FSPDistrict | Optional | Family, Insuree | List of available FSP District, to select the First Service Point district |
GuaranteeNo | Optional | Claim, ClaimReview | Identification of a guarantee letter for prior approval of the provision of claimed health care |
IdentificationNumber | Optional | Family, Insuree | Alphanumeric identification of the document of the Insuree |
IdentificationType | Optional | Family, Insuree | List of document identification types of the Insuree (see WA4.1 Language selection and translation tables) |
InsureeEmail | Optional | Family, Insuree, FindFamily | The e-mail address of the Insuree |
MaritalStatus | Optional | Family, Insuree | List of available marital statuses to select the marital status of the Insuree |
PermanentAddress | Optional | Family, Insuree, ChangeFamily | Details of the permanent address of the family/group |
Poverty | Optional | Family, Insuree, Policy, Premium, FindFamily, ChangeFamily | Select whether the family/group has the poverty status |
Profession | Optional | Family, Insuree | List of available marital statuses to select the marital status of the Insuree(see WA4.1 Language selection and translation tables) |
Relationship | Optional | Insuree | List of available relationships to select the relationshipsof the Insuree to the head of family/group (see WA4.1 Language selection and translation tables) |
TotalAmount | Required | Policies App | If the contribution can be added in one installment or multiples. |