Sample Request Object:
The json request below contains sample data for reference purposes only and does not represent actual values
{
"requestId": "PayOrDenyTest",
"consumerId": "89fe25we-345a-4wrf-8131-a8fec3ma7a82",
"clientId": "24eda4e2-9145-129e-910d-8we5a7816efc",
"memberInformation": {
"firstName": "PAY",
"middleName": "",
"lastName": "DENY",
"dateOfBirth": "07/27/2026",
"gender": "M",
"ssn": "457843681",
"addressLineOne": "DENY STREET",
"addressLineTwo": "",
"city": "PAYUP ANGELES",
"state": "TN",
"zip": "45010",
"phone": "",
"email": "",
"dateOfServiceBegin": "02/20/2029",
"dateOfServiceEnd": "",
"memberId": "PK9456675",
"memberPolicyId": "PK9456675"
}
}
Sample Response Object:
The json response below contains sample data for reference purposes only and does not represent actual values
{
"correlationId": "21780011-035b-46b0-bcc4-f77503cf5a66",
"error": "",
"requestId": "PayOrDenyTest",
"responseId": "7d1e1c3a-09d4-454b-99e9-2caeaefe8328",
"payIndicator": true,
"memberPolicyInformation": {
"bin": "",
"carrierName": "DONOTTOUCH",
"coverageType": "MM",
"coverageTypeDesc": "MAJOR MEDICAL",
"coverageTypeGrp": "M",
"groupName": "PAYRAMUS",
"groupNumber": "00000024V",
"ohiEffectiveDate": "2021-06-27",
"ohiTerminationDate": "2029-03-25",
"orderOfBenefits": 1,
"payerName": "PAYCHIP",
"pcn": "",
"policyHolderFirstName": "PAY",
"policyHolderMiddleName": "",
"policyHolderLastName": "DENY",
"policyId": "PK9456675",
"policyPersonCode": null,
"relationship": "18",
"subGroupNumber": "00054"
}
}