POST api/Inbound/PostFamily

This API is used to make entries in staging tables for Member and Coverages in Enterprise database

Request Information

URI Parameters

None.

Body Parameters

Name	Type	Additional information
Incoming834_Member_Id	integer	None.
BatchId	globally unique identifier	None.
DataSource	string	None.
ProcessingCode	string	None.
TaxID_N104	string	None.
IsInsured_INS01	boolean	None.
RelationshipType_INS02	string	None.
MaintenanceTypeCode_INS03	string	None.
MaintenanceReasonCode_INS04	string	None.
BenefitStatusCode_INS05	string	None.
EmploymentStatusCode_INS08	string	None.
ParttimeHours	integer	None.
StudentStautsCode_INS09	string	None.
IsHandicapped_INS10	boolean	None.
PassedawayDate_INS12	date	None.
ConfidentialityCode_INS13	string	None.
BirthSequenceNumber_INS17	string	None.
InsuredId_1REF02	string	None.
CarrierMemberId_2REF02	string	None.
MemberId_3REF02	string	None.
IsMemberInformationIncorrect_NM101	boolean	None.
LastName_NM103	string	None.
FirstName_NM104	string	None.
MiddleName_NM105	string	None.
NameSuffix_NM107	string	None.
SSN_NM109	string	None.
PrimaryTelephone_PER04	string	None.
AlternateTelephone_PER06	string	None.
EmailId_PER08	string	None.
BeeperNumber_PER08	string	None.
PreferedContactMethod	string	None.
MemberResidenceStreetAddress1_N301	string	None.
MemberResidenceStreetAddress2_N302	string	None.
MemberResidenceCity_N401	string	None.
MemberResidenceState_N402	string	None.
MemberResidencePostalCode_N403	string	None.
BornDate_DMG02	date	None.
Gender_DMG03	string	None.
MaritalStatus_DMG0	string	None.
Race_DMG05_1	string	None.
CitizenshipStatus_DMG06	string	None.
HealthRelatedCode_HLH01	string	None.
Language_LUI03	string	None.
IncorrectLastName_NM103	string	None.
IncorrectFirstName_NM104	string	None.
IncorrectMiddleName_NM105	string	None.
IncorrectNameSuffix_NM107	string	None.
IncorrectSSN_NM109	string	None.
IncorrectBornDate_DMG02	date	None.
IncorrectGender_DMG03	string	None.
IncorrectMaritalStatus_DMG0	string	None.
IncorrectRace_DMG05_1	string	None.
IncorrectCitizenshipStatus_DMG06	string	None.
MemberMailingStreetAddress1_N301	string	None.
MemberMailingStreetAddress2_N302	string	None.
MemberMailingCity_N401	string	None.
MemberMailingState_N402	string	None.
MemberMailingPostalCode_N403	string	None.
DateOfHire	date	None.
DateOfTermination	date	None.
CreatedDate	date	None.
UpdatedDate	date	None.
EDI834TIBCOFlatTableID	integer	None.
EDIFileExchangeId	integer	None.
EnrolledParticipantGuid	string	None.
ExngTranSetRefNumber_BGN02	string	None.
ExngFileID_ICH_ISA13	string	None.
DivisionSystemId	string	None.
BMASClass	string	None.
AncillaryClass	string	None.
CobraBeginDate	date	None.
CobraEndDate	date	None.
SchoolCertificationStartDate	date	None.
SchoolCertificationEndDate	date	None.
SchoolName	string	None.
Occupation	string	None.
EmployeeID1	string	None.
EmployeeID2	string	None.
RetirementDate	date	None.
RehireDate	date	None.
COBRAQualifyingEventCode	string	None.
NamePrefix_NM106	string	None.
SalaryFrequencyCode	string	None.
SalaryMonetaryAmount	decimal number	None.
HoursWorkedPerWeek	integer	None.
FileBatchId	string	None.
CreatedBy	string	None.
UpdatedBy	string	None.
ServiceProcessingCode	string	None.
Insured_SalaryEffectiveDate	date	None.
_EDI_Incoming834_Coverage	Collection of _EDI_Incoming834_Coverage	None.
_EDI_Incoming834_Guardian	Collection of _EDI_Incoming834_Guardian	None.

Request Formats

application/json, text/json

Sample:

[
  {
    "Incoming834_Member_Id": 1,
    "BatchId": "18c69903-f9f2-4bd8-8ec7-bdac8b6edc47",
    "DataSource": "sample string 2",
    "ProcessingCode": "sample string 3",
    "TaxID_N104": "sample string 4",
    "IsInsured_INS01": true,
    "RelationshipType_INS02": "sample string 6",
    "MaintenanceTypeCode_INS03": "sample string 7",
    "MaintenanceReasonCode_INS04": "sample string 8",
    "BenefitStatusCode_INS05": "sample string 9",
    "EmploymentStatusCode_INS08": "sample string 10",
    "ParttimeHours": 1,
    "StudentStautsCode_INS09": "sample string 11",
    "IsHandicapped_INS10": true,
    "PassedawayDate_INS12": "2024-10-02T07:59:17.3787692-05:00",
    "ConfidentialityCode_INS13": "sample string 13",
    "BirthSequenceNumber_INS17": "sample string 14",
    "InsuredId_1REF02": "sample string 15",
    "CarrierMemberId_2REF02": "sample string 16",
    "MemberId_3REF02": "sample string 17",
    "IsMemberInformationIncorrect_NM101": true,
    "LastName_NM103": "sample string 19",
    "FirstName_NM104": "sample string 20",
    "MiddleName_NM105": "sample string 21",
    "NameSuffix_NM107": "sample string 22",
    "SSN_NM109": "sample string 23",
    "PrimaryTelephone_PER04": "sample string 24",
    "AlternateTelephone_PER06": "sample string 25",
    "EmailId_PER08": "sample string 26",
    "BeeperNumber_PER08": "sample string 27",
    "PreferedContactMethod": "sample string 28",
    "MemberResidenceStreetAddress1_N301": "sample string 29",
    "MemberResidenceStreetAddress2_N302": "sample string 30",
    "MemberResidenceCity_N401": "sample string 31",
    "MemberResidenceState_N402": "sample string 32",
    "MemberResidencePostalCode_N403": "sample string 33",
    "BornDate_DMG02": "2024-10-02T07:59:17.3787692-05:00",
    "Gender_DMG03": "sample string 35",
    "MaritalStatus_DMG0": "sample string 36",
    "Race_DMG05_1": "sample string 37",
    "CitizenshipStatus_DMG06": "sample string 38",
    "HealthRelatedCode_HLH01": "sample string 39",
    "Language_LUI03": "sample string 40",
    "IncorrectLastName_NM103": "sample string 41",
    "IncorrectFirstName_NM104": "sample string 42",
    "IncorrectMiddleName_NM105": "sample string 43",
    "IncorrectNameSuffix_NM107": "sample string 44",
    "IncorrectSSN_NM109": "sample string 45",
    "IncorrectBornDate_DMG02": "2024-10-02T07:59:17.3787692-05:00",
    "IncorrectGender_DMG03": "sample string 46",
    "IncorrectMaritalStatus_DMG0": "sample string 47",
    "IncorrectRace_DMG05_1": "sample string 48",
    "IncorrectCitizenshipStatus_DMG06": "sample string 49",
    "MemberMailingStreetAddress1_N301": "sample string 50",
    "MemberMailingStreetAddress2_N302": "sample string 51",
    "MemberMailingCity_N401": "sample string 52",
    "MemberMailingState_N402": "sample string 53",
    "MemberMailingPostalCode_N403": "sample string 54",
    "DateOfHire": "2024-10-02T07:59:17.3968558-05:00",
    "DateOfTermination": "2024-10-02T07:59:17.3968558-05:00",
    "CreatedDate": "2024-10-02T07:59:17.3968558-05:00",
    "UpdatedDate": "2024-10-02T07:59:17.3968558-05:00",
    "EDI834TIBCOFlatTableID": 1,
    "EDIFileExchangeId": 1,
    "EnrolledParticipantGuid": "sample string 55",
    "ExngTranSetRefNumber_BGN02": "sample string 56",
    "ExngFileID_ICH_ISA13": "sample string 57",
    "DivisionSystemId": "sample string 58",
    "BMASClass": "sample string 59",
    "AncillaryClass": "sample string 60",
    "CobraBeginDate": "2024-10-02T07:59:17.3968558-05:00",
    "CobraEndDate": "2024-10-02T07:59:17.3968558-05:00",
    "SchoolCertificationStartDate": "2024-10-02T07:59:17.3968558-05:00",
    "SchoolCertificationEndDate": "2024-10-02T07:59:17.3968558-05:00",
    "SchoolName": "sample string 61",
    "Occupation": "sample string 62",
    "EmployeeID1": "sample string 63",
    "EmployeeID2": "sample string 64",
    "RetirementDate": "2024-10-02T07:59:17.3968558-05:00",
    "RehireDate": "2024-10-02T07:59:17.3968558-05:00",
    "COBRAQualifyingEventCode": "sample string 65",
    "NamePrefix_NM106": "sample string 66",
    "SalaryFrequencyCode": "sample string 67",
    "SalaryMonetaryAmount": 1.0,
    "HoursWorkedPerWeek": 1,
    "FileBatchId": "sample string 68",
    "CreatedBy": "sample string 69",
    "UpdatedBy": "sample string 70",
    "ServiceProcessingCode": "sample string 71",
    "Insured_SalaryEffectiveDate": "2024-10-02T07:59:17.3968558-05:00",
    "_EDI_Incoming834_Coverage": [
      {
        "Incoming834_Coverage_Id": 1,
        "Incoming834_Member_Id": 2,
        "ProcessingCode": "sample string 3",
        "MaintenanceTypeCode_HD01": "sample string 4",
        "LineOfCoverage_HD03": "sample string 5",
        "CoverageLevelCode_HD05": "sample string 6",
        "IsLateEnrollee_HD09": true,
        "CoverageEffectiveDate_DTP03": "2024-10-02T07:59:17.4099854-05:00",
        "MedicarePlanCode_INS06_1": "sample string 9",
        "MedicareEligibilityReasonCode_INS06_2": "sample string 10",
        "MedicareBeffectivedate": "2024-10-02T07:59:17.4099854-05:00",
        "ChangeReason": "sample string 11",
        "CarrierPlanID_2300REF01_CE": "sample string 12",
        "PlanDescription": "sample string 13",
        "EffectiveReason": "sample string 14",
        "IsDisabled": true,
        "PCPName": "sample string 16",
        "PCPNumber": "sample string 17",
        "CarrierAccountID_2300REF01_IL": "sample string 18",
        "Carrier": "sample string 19",
        "CreatedDate": "2024-10-02T07:59:17.4099854-05:00",
        "UpdatedDate": "2024-10-02T07:59:17.4099854-05:00",
        "CarrierGroupID_2300REF01_E8": "sample string 20",
        "IsAncillary": true,
        "DependentBenefitQuantity_LC05": 1,
        "BenefitAmount_AMT02": 1.0,
        "OriginalBenefitAmount_AMT02": 1.0,
        "MedicareAEffectiveDate": "2024-10-02T07:59:17.4262004-05:00",
        "MedicareEligibilityReasonCode_INS06_2_2": "sample string 22",
        "MedicareEligibilityReasonCode_INS06_2_3": "sample string 23",
        "BenefitEndDate_DTP03": "2024-10-02T07:59:17.4262004-05:00",
        "SSNofCOBPerson_2320REF02": "sample string 24",
        "OtherCOBNumber": "sample string 25",
        "PriorCOMNumber": "sample string 26",
        "PCPRelationshipCode": true,
        "COBEffectiveDate": "2024-10-02T07:59:17.4262004-05:00",
        "COBTerminateDate": "2024-10-02T07:59:17.4262004-05:00",
        "CreatedBy": "sample string 27",
        "UpdatedBy": "sample string 28",
        "_EDI_Incoming834_Beneficiary": [
          {
            "Incoming834_Beneficiary_Id": 1,
            "Incoming834_Member_Id": 2,
            "Incoming834_Coverage_Id": 3,
            "ProcessingCode": "sample string 4",
            "BeneficiaryType_BEN01": "sample string 5",
            "Percentage_BEN02": 6.1,
            "RelationshipCode_BEN03": "sample string 7",
            "FirstName_NM104": "sample string 8",
            "LastName_NM103": "sample string 9",
            "CreatedDate": "2024-10-02T07:59:17.4262004-05:00",
            "UpdatedDate": "2024-10-02T07:59:17.4262004-05:00",
            "CreatedBy": "sample string 10",
            "UpdatedBy": "sample string 11"
          },
          {
            "Incoming834_Beneficiary_Id": 1,
            "Incoming834_Member_Id": 2,
            "Incoming834_Coverage_Id": 3,
            "ProcessingCode": "sample string 4",
            "BeneficiaryType_BEN01": "sample string 5",
            "Percentage_BEN02": 6.1,
            "RelationshipCode_BEN03": "sample string 7",
            "FirstName_NM104": "sample string 8",
            "LastName_NM103": "sample string 9",
            "CreatedDate": "2024-10-02T07:59:17.4262004-05:00",
            "UpdatedDate": "2024-10-02T07:59:17.4262004-05:00",
            "CreatedBy": "sample string 10",
            "UpdatedBy": "sample string 11"
          }
        ]
      },
      {
        "Incoming834_Coverage_Id": 1,
        "Incoming834_Member_Id": 2,
        "ProcessingCode": "sample string 3",
        "MaintenanceTypeCode_HD01": "sample string 4",
        "LineOfCoverage_HD03": "sample string 5",
        "CoverageLevelCode_HD05": "sample string 6",
        "IsLateEnrollee_HD09": true,
        "CoverageEffectiveDate_DTP03": "2024-10-02T07:59:17.4099854-05:00",
        "MedicarePlanCode_INS06_1": "sample string 9",
        "MedicareEligibilityReasonCode_INS06_2": "sample string 10",
        "MedicareBeffectivedate": "2024-10-02T07:59:17.4099854-05:00",
        "ChangeReason": "sample string 11",
        "CarrierPlanID_2300REF01_CE": "sample string 12",
        "PlanDescription": "sample string 13",
        "EffectiveReason": "sample string 14",
        "IsDisabled": true,
        "PCPName": "sample string 16",
        "PCPNumber": "sample string 17",
        "CarrierAccountID_2300REF01_IL": "sample string 18",
        "Carrier": "sample string 19",
        "CreatedDate": "2024-10-02T07:59:17.4099854-05:00",
        "UpdatedDate": "2024-10-02T07:59:17.4099854-05:00",
        "CarrierGroupID_2300REF01_E8": "sample string 20",
        "IsAncillary": true,
        "DependentBenefitQuantity_LC05": 1,
        "BenefitAmount_AMT02": 1.0,
        "OriginalBenefitAmount_AMT02": 1.0,
        "MedicareAEffectiveDate": "2024-10-02T07:59:17.4262004-05:00",
        "MedicareEligibilityReasonCode_INS06_2_2": "sample string 22",
        "MedicareEligibilityReasonCode_INS06_2_3": "sample string 23",
        "BenefitEndDate_DTP03": "2024-10-02T07:59:17.4262004-05:00",
        "SSNofCOBPerson_2320REF02": "sample string 24",
        "OtherCOBNumber": "sample string 25",
        "PriorCOMNumber": "sample string 26",
        "PCPRelationshipCode": true,
        "COBEffectiveDate": "2024-10-02T07:59:17.4262004-05:00",
        "COBTerminateDate": "2024-10-02T07:59:17.4262004-05:00",
        "CreatedBy": "sample string 27",
        "UpdatedBy": "sample string 28",
        "_EDI_Incoming834_Beneficiary": [
          {
            "Incoming834_Beneficiary_Id": 1,
            "Incoming834_Member_Id": 2,
            "Incoming834_Coverage_Id": 3,
            "ProcessingCode": "sample string 4",
            "BeneficiaryType_BEN01": "sample string 5",
            "Percentage_BEN02": 6.1,
            "RelationshipCode_BEN03": "sample string 7",
            "FirstName_NM104": "sample string 8",
            "LastName_NM103": "sample string 9",
            "CreatedDate": "2024-10-02T07:59:17.4262004-05:00",
            "UpdatedDate": "2024-10-02T07:59:17.4262004-05:00",
            "CreatedBy": "sample string 10",
            "UpdatedBy": "sample string 11"
          },
          {
            "Incoming834_Beneficiary_Id": 1,
            "Incoming834_Member_Id": 2,
            "Incoming834_Coverage_Id": 3,
            "ProcessingCode": "sample string 4",
            "BeneficiaryType_BEN01": "sample string 5",
            "Percentage_BEN02": 6.1,
            "RelationshipCode_BEN03": "sample string 7",
            "FirstName_NM104": "sample string 8",
            "LastName_NM103": "sample string 9",
            "CreatedDate": "2024-10-02T07:59:17.4262004-05:00",
            "UpdatedDate": "2024-10-02T07:59:17.4262004-05:00",
            "CreatedBy": "sample string 10",
            "UpdatedBy": "sample string 11"
          }
        ]
      }
    ],
    "_EDI_Incoming834_Guardian": [
      {
        "Incoming834_Guardian_Id": 1,
        "Incoming834_Member_Id": 2,
        "ProcessingCode": "sample string 3",
        "GuardianType": "sample string 4",
        "LastName_NM103": "sample string 5",
        "FirstName_NM104": "sample string 6",
        "MiddleName_NM105": "sample string 7",
        "NameSuffix_NM107": "sample string 8",
        "SSN_NM109": "sample string 9",
        "HomePhone_PER04": "sample string 10",
        "WorkPhone_PER06": "sample string 11",
        "EmailId_PER08": "sample string 12",
        "BeeperNumber_PER08": "sample string 13",
        "StreetAddress1_N301": "sample string 14",
        "StreetAddress2_N302": "sample string 15",
        "City_N401": "sample string 16",
        "State_N402": "sample string 17",
        "PostalCode_N403": "sample string 18",
        "CreatedDate": "2024-10-02T07:59:17.445742-05:00",
        "UpdatedDate": "2024-10-02T07:59:17.445742-05:00",
        "CreatedBy": "sample string 19",
        "UpdatedBy": "sample string 20"
      },
      {
        "Incoming834_Guardian_Id": 1,
        "Incoming834_Member_Id": 2,
        "ProcessingCode": "sample string 3",
        "GuardianType": "sample string 4",
        "LastName_NM103": "sample string 5",
        "FirstName_NM104": "sample string 6",
        "MiddleName_NM105": "sample string 7",
        "NameSuffix_NM107": "sample string 8",
        "SSN_NM109": "sample string 9",
        "HomePhone_PER04": "sample string 10",
        "WorkPhone_PER06": "sample string 11",
        "EmailId_PER08": "sample string 12",
        "BeeperNumber_PER08": "sample string 13",
        "StreetAddress1_N301": "sample string 14",
        "StreetAddress2_N302": "sample string 15",
        "City_N401": "sample string 16",
        "State_N402": "sample string 17",
        "PostalCode_N403": "sample string 18",
        "CreatedDate": "2024-10-02T07:59:17.445742-05:00",
        "UpdatedDate": "2024-10-02T07:59:17.445742-05:00",
        "CreatedBy": "sample string 19",
        "UpdatedBy": "sample string 20"
      }
    ]
  },
  {
    "Incoming834_Member_Id": 1,
    "BatchId": "18c69903-f9f2-4bd8-8ec7-bdac8b6edc47",
    "DataSource": "sample string 2",
    "ProcessingCode": "sample string 3",
    "TaxID_N104": "sample string 4",
    "IsInsured_INS01": true,
    "RelationshipType_INS02": "sample string 6",
    "MaintenanceTypeCode_INS03": "sample string 7",
    "MaintenanceReasonCode_INS04": "sample string 8",
    "BenefitStatusCode_INS05": "sample string 9",
    "EmploymentStatusCode_INS08": "sample string 10",
    "ParttimeHours": 1,
    "StudentStautsCode_INS09": "sample string 11",
    "IsHandicapped_INS10": true,
    "PassedawayDate_INS12": "2024-10-02T07:59:17.3787692-05:00",
    "ConfidentialityCode_INS13": "sample string 13",
    "BirthSequenceNumber_INS17": "sample string 14",
    "InsuredId_1REF02": "sample string 15",
    "CarrierMemberId_2REF02": "sample string 16",
    "MemberId_3REF02": "sample string 17",
    "IsMemberInformationIncorrect_NM101": true,
    "LastName_NM103": "sample string 19",
    "FirstName_NM104": "sample string 20",
    "MiddleName_NM105": "sample string 21",
    "NameSuffix_NM107": "sample string 22",
    "SSN_NM109": "sample string 23",
    "PrimaryTelephone_PER04": "sample string 24",
    "AlternateTelephone_PER06": "sample string 25",
    "EmailId_PER08": "sample string 26",
    "BeeperNumber_PER08": "sample string 27",
    "PreferedContactMethod": "sample string 28",
    "MemberResidenceStreetAddress1_N301": "sample string 29",
    "MemberResidenceStreetAddress2_N302": "sample string 30",
    "MemberResidenceCity_N401": "sample string 31",
    "MemberResidenceState_N402": "sample string 32",
    "MemberResidencePostalCode_N403": "sample string 33",
    "BornDate_DMG02": "2024-10-02T07:59:17.3787692-05:00",
    "Gender_DMG03": "sample string 35",
    "MaritalStatus_DMG0": "sample string 36",
    "Race_DMG05_1": "sample string 37",
    "CitizenshipStatus_DMG06": "sample string 38",
    "HealthRelatedCode_HLH01": "sample string 39",
    "Language_LUI03": "sample string 40",
    "IncorrectLastName_NM103": "sample string 41",
    "IncorrectFirstName_NM104": "sample string 42",
    "IncorrectMiddleName_NM105": "sample string 43",
    "IncorrectNameSuffix_NM107": "sample string 44",
    "IncorrectSSN_NM109": "sample string 45",
    "IncorrectBornDate_DMG02": "2024-10-02T07:59:17.3787692-05:00",
    "IncorrectGender_DMG03": "sample string 46",
    "IncorrectMaritalStatus_DMG0": "sample string 47",
    "IncorrectRace_DMG05_1": "sample string 48",
    "IncorrectCitizenshipStatus_DMG06": "sample string 49",
    "MemberMailingStreetAddress1_N301": "sample string 50",
    "MemberMailingStreetAddress2_N302": "sample string 51",
    "MemberMailingCity_N401": "sample string 52",
    "MemberMailingState_N402": "sample string 53",
    "MemberMailingPostalCode_N403": "sample string 54",
    "DateOfHire": "2024-10-02T07:59:17.3968558-05:00",
    "DateOfTermination": "2024-10-02T07:59:17.3968558-05:00",
    "CreatedDate": "2024-10-02T07:59:17.3968558-05:00",
    "UpdatedDate": "2024-10-02T07:59:17.3968558-05:00",
    "EDI834TIBCOFlatTableID": 1,
    "EDIFileExchangeId": 1,
    "EnrolledParticipantGuid": "sample string 55",
    "ExngTranSetRefNumber_BGN02": "sample string 56",
    "ExngFileID_ICH_ISA13": "sample string 57",
    "DivisionSystemId": "sample string 58",
    "BMASClass": "sample string 59",
    "AncillaryClass": "sample string 60",
    "CobraBeginDate": "2024-10-02T07:59:17.3968558-05:00",
    "CobraEndDate": "2024-10-02T07:59:17.3968558-05:00",
    "SchoolCertificationStartDate": "2024-10-02T07:59:17.3968558-05:00",
    "SchoolCertificationEndDate": "2024-10-02T07:59:17.3968558-05:00",
    "SchoolName": "sample string 61",
    "Occupation": "sample string 62",
    "EmployeeID1": "sample string 63",
    "EmployeeID2": "sample string 64",
    "RetirementDate": "2024-10-02T07:59:17.3968558-05:00",
    "RehireDate": "2024-10-02T07:59:17.3968558-05:00",
    "COBRAQualifyingEventCode": "sample string 65",
    "NamePrefix_NM106": "sample string 66",
    "SalaryFrequencyCode": "sample string 67",
    "SalaryMonetaryAmount": 1.0,
    "HoursWorkedPerWeek": 1,
    "FileBatchId": "sample string 68",
    "CreatedBy": "sample string 69",
    "UpdatedBy": "sample string 70",
    "ServiceProcessingCode": "sample string 71",
    "Insured_SalaryEffectiveDate": "2024-10-02T07:59:17.3968558-05:00",
    "_EDI_Incoming834_Coverage": [
      {
        "Incoming834_Coverage_Id": 1,
        "Incoming834_Member_Id": 2,
        "ProcessingCode": "sample string 3",
        "MaintenanceTypeCode_HD01": "sample string 4",
        "LineOfCoverage_HD03": "sample string 5",
        "CoverageLevelCode_HD05": "sample string 6",
        "IsLateEnrollee_HD09": true,
        "CoverageEffectiveDate_DTP03": "2024-10-02T07:59:17.4099854-05:00",
        "MedicarePlanCode_INS06_1": "sample string 9",
        "MedicareEligibilityReasonCode_INS06_2": "sample string 10",
        "MedicareBeffectivedate": "2024-10-02T07:59:17.4099854-05:00",
        "ChangeReason": "sample string 11",
        "CarrierPlanID_2300REF01_CE": "sample string 12",
        "PlanDescription": "sample string 13",
        "EffectiveReason": "sample string 14",
        "IsDisabled": true,
        "PCPName": "sample string 16",
        "PCPNumber": "sample string 17",
        "CarrierAccountID_2300REF01_IL": "sample string 18",
        "Carrier": "sample string 19",
        "CreatedDate": "2024-10-02T07:59:17.4099854-05:00",
        "UpdatedDate": "2024-10-02T07:59:17.4099854-05:00",
        "CarrierGroupID_2300REF01_E8": "sample string 20",
        "IsAncillary": true,
        "DependentBenefitQuantity_LC05": 1,
        "BenefitAmount_AMT02": 1.0,
        "OriginalBenefitAmount_AMT02": 1.0,
        "MedicareAEffectiveDate": "2024-10-02T07:59:17.4262004-05:00",
        "MedicareEligibilityReasonCode_INS06_2_2": "sample string 22",
        "MedicareEligibilityReasonCode_INS06_2_3": "sample string 23",
        "BenefitEndDate_DTP03": "2024-10-02T07:59:17.4262004-05:00",
        "SSNofCOBPerson_2320REF02": "sample string 24",
        "OtherCOBNumber": "sample string 25",
        "PriorCOMNumber": "sample string 26",
        "PCPRelationshipCode": true,
        "COBEffectiveDate": "2024-10-02T07:59:17.4262004-05:00",
        "COBTerminateDate": "2024-10-02T07:59:17.4262004-05:00",
        "CreatedBy": "sample string 27",
        "UpdatedBy": "sample string 28",
        "_EDI_Incoming834_Beneficiary": [
          {
            "Incoming834_Beneficiary_Id": 1,
            "Incoming834_Member_Id": 2,
            "Incoming834_Coverage_Id": 3,
            "ProcessingCode": "sample string 4",
            "BeneficiaryType_BEN01": "sample string 5",
            "Percentage_BEN02": 6.1,
            "RelationshipCode_BEN03": "sample string 7",
            "FirstName_NM104": "sample string 8",
            "LastName_NM103": "sample string 9",
            "CreatedDate": "2024-10-02T07:59:17.4262004-05:00",
            "UpdatedDate": "2024-10-02T07:59:17.4262004-05:00",
            "CreatedBy": "sample string 10",
            "UpdatedBy": "sample string 11"
          },
          {
            "Incoming834_Beneficiary_Id": 1,
            "Incoming834_Member_Id": 2,
            "Incoming834_Coverage_Id": 3,
            "ProcessingCode": "sample string 4",
            "BeneficiaryType_BEN01": "sample string 5",
            "Percentage_BEN02": 6.1,
            "RelationshipCode_BEN03": "sample string 7",
            "FirstName_NM104": "sample string 8",
            "LastName_NM103": "sample string 9",
            "CreatedDate": "2024-10-02T07:59:17.4262004-05:00",
            "UpdatedDate": "2024-10-02T07:59:17.4262004-05:00",
            "CreatedBy": "sample string 10",
            "UpdatedBy": "sample string 11"
          }
        ]
      },
      {
        "Incoming834_Coverage_Id": 1,
        "Incoming834_Member_Id": 2,
        "ProcessingCode": "sample string 3",
        "MaintenanceTypeCode_HD01": "sample string 4",
        "LineOfCoverage_HD03": "sample string 5",
        "CoverageLevelCode_HD05": "sample string 6",
        "IsLateEnrollee_HD09": true,
        "CoverageEffectiveDate_DTP03": "2024-10-02T07:59:17.4099854-05:00",
        "MedicarePlanCode_INS06_1": "sample string 9",
        "MedicareEligibilityReasonCode_INS06_2": "sample string 10",
        "MedicareBeffectivedate": "2024-10-02T07:59:17.4099854-05:00",
        "ChangeReason": "sample string 11",
        "CarrierPlanID_2300REF01_CE": "sample string 12",
        "PlanDescription": "sample string 13",
        "EffectiveReason": "sample string 14",
        "IsDisabled": true,
        "PCPName": "sample string 16",
        "PCPNumber": "sample string 17",
        "CarrierAccountID_2300REF01_IL": "sample string 18",
        "Carrier": "sample string 19",
        "CreatedDate": "2024-10-02T07:59:17.4099854-05:00",
        "UpdatedDate": "2024-10-02T07:59:17.4099854-05:00",
        "CarrierGroupID_2300REF01_E8": "sample string 20",
        "IsAncillary": true,
        "DependentBenefitQuantity_LC05": 1,
        "BenefitAmount_AMT02": 1.0,
        "OriginalBenefitAmount_AMT02": 1.0,
        "MedicareAEffectiveDate": "2024-10-02T07:59:17.4262004-05:00",
        "MedicareEligibilityReasonCode_INS06_2_2": "sample string 22",
        "MedicareEligibilityReasonCode_INS06_2_3": "sample string 23",
        "BenefitEndDate_DTP03": "2024-10-02T07:59:17.4262004-05:00",
        "SSNofCOBPerson_2320REF02": "sample string 24",
        "OtherCOBNumber": "sample string 25",
        "PriorCOMNumber": "sample string 26",
        "PCPRelationshipCode": true,
        "COBEffectiveDate": "2024-10-02T07:59:17.4262004-05:00",
        "COBTerminateDate": "2024-10-02T07:59:17.4262004-05:00",
        "CreatedBy": "sample string 27",
        "UpdatedBy": "sample string 28",
        "_EDI_Incoming834_Beneficiary": [
          {
            "Incoming834_Beneficiary_Id": 1,
            "Incoming834_Member_Id": 2,
            "Incoming834_Coverage_Id": 3,
            "ProcessingCode": "sample string 4",
            "BeneficiaryType_BEN01": "sample string 5",
            "Percentage_BEN02": 6.1,
            "RelationshipCode_BEN03": "sample string 7",
            "FirstName_NM104": "sample string 8",
            "LastName_NM103": "sample string 9",
            "CreatedDate": "2024-10-02T07:59:17.4262004-05:00",
            "UpdatedDate": "2024-10-02T07:59:17.4262004-05:00",
            "CreatedBy": "sample string 10",
            "UpdatedBy": "sample string 11"
          },
          {
            "Incoming834_Beneficiary_Id": 1,
            "Incoming834_Member_Id": 2,
            "Incoming834_Coverage_Id": 3,
            "ProcessingCode": "sample string 4",
            "BeneficiaryType_BEN01": "sample string 5",
            "Percentage_BEN02": 6.1,
            "RelationshipCode_BEN03": "sample string 7",
            "FirstName_NM104": "sample string 8",
            "LastName_NM103": "sample string 9",
            "CreatedDate": "2024-10-02T07:59:17.4262004-05:00",
            "UpdatedDate": "2024-10-02T07:59:17.4262004-05:00",
            "CreatedBy": "sample string 10",
            "UpdatedBy": "sample string 11"
          }
        ]
      }
    ],
    "_EDI_Incoming834_Guardian": [
      {
        "Incoming834_Guardian_Id": 1,
        "Incoming834_Member_Id": 2,
        "ProcessingCode": "sample string 3",
        "GuardianType": "sample string 4",
        "LastName_NM103": "sample string 5",
        "FirstName_NM104": "sample string 6",
        "MiddleName_NM105": "sample string 7",
        "NameSuffix_NM107": "sample string 8",
        "SSN_NM109": "sample string 9",
        "HomePhone_PER04": "sample string 10",
        "WorkPhone_PER06": "sample string 11",
        "EmailId_PER08": "sample string 12",
        "BeeperNumber_PER08": "sample string 13",
        "StreetAddress1_N301": "sample string 14",
        "StreetAddress2_N302": "sample string 15",
        "City_N401": "sample string 16",
        "State_N402": "sample string 17",
        "PostalCode_N403": "sample string 18",
        "CreatedDate": "2024-10-02T07:59:17.445742-05:00",
        "UpdatedDate": "2024-10-02T07:59:17.445742-05:00",
        "CreatedBy": "sample string 19",
        "UpdatedBy": "sample string 20"
      },
      {
        "Incoming834_Guardian_Id": 1,
        "Incoming834_Member_Id": 2,
        "ProcessingCode": "sample string 3",
        "GuardianType": "sample string 4",
        "LastName_NM103": "sample string 5",
        "FirstName_NM104": "sample string 6",
        "MiddleName_NM105": "sample string 7",
        "NameSuffix_NM107": "sample string 8",
        "SSN_NM109": "sample string 9",
        "HomePhone_PER04": "sample string 10",
        "WorkPhone_PER06": "sample string 11",
        "EmailId_PER08": "sample string 12",
        "BeeperNumber_PER08": "sample string 13",
        "StreetAddress1_N301": "sample string 14",
        "StreetAddress2_N302": "sample string 15",
        "City_N401": "sample string 16",
        "State_N402": "sample string 17",
        "PostalCode_N403": "sample string 18",
        "CreatedDate": "2024-10-02T07:59:17.445742-05:00",
        "UpdatedDate": "2024-10-02T07:59:17.445742-05:00",
        "CreatedBy": "sample string 19",
        "UpdatedBy": "sample string 20"
      }
    ]
  }
]

application/xml, text/xml

Sample:

<ArrayOf_EDI_Incoming834_Member xmlns:i="http://www.w3.org/2001/XMLSchema-instance" xmlns="http://schemas.datacontract.org/2004/07/EDIInterface.BusinessModel">
  <_EDI_Incoming834_Member>
    <AlternateTelephone_PER06>sample string 25</AlternateTelephone_PER06>
    <AncillaryClass>sample string 60</AncillaryClass>
    <BMASClass>sample string 59</BMASClass>
    <BatchId>18c69903-f9f2-4bd8-8ec7-bdac8b6edc47</BatchId>
    <BeeperNumber_PER08>sample string 27</BeeperNumber_PER08>
    <BenefitStatusCode_INS05>sample string 9</BenefitStatusCode_INS05>
    <BirthSequenceNumber_INS17>sample string 14</BirthSequenceNumber_INS17>
    <BornDate_DMG02>2024-10-02T07:59:17.3787692-05:00</BornDate_DMG02>
    <COBRAQualifyingEventCode>sample string 65</COBRAQualifyingEventCode>
    <CarrierMemberId_2REF02>sample string 16</CarrierMemberId_2REF02>
    <CitizenshipStatus_DMG06>sample string 38</CitizenshipStatus_DMG06>
    <CobraBeginDate>2024-10-02T07:59:17.3968558-05:00</CobraBeginDate>
    <CobraEndDate>2024-10-02T07:59:17.3968558-05:00</CobraEndDate>
    <ConfidentialityCode_INS13>sample string 13</ConfidentialityCode_INS13>
    <CreatedBy>sample string 69</CreatedBy>
    <CreatedDate>2024-10-02T07:59:17.3968558-05:00</CreatedDate>
    <DataSource>sample string 2</DataSource>
    <DateOfHire>2024-10-02T07:59:17.3968558-05:00</DateOfHire>
    <DateOfTermination>2024-10-02T07:59:17.3968558-05:00</DateOfTermination>
    <DivisionSystemId>sample string 58</DivisionSystemId>
    <EDI834TIBCOFlatTableID>1</EDI834TIBCOFlatTableID>
    <EDIFileExchangeId>1</EDIFileExchangeId>
    <EmailId_PER08>sample string 26</EmailId_PER08>
    <EmployeeID1>sample string 63</EmployeeID1>
    <EmployeeID2>sample string 64</EmployeeID2>
    <EmploymentStatusCode_INS08>sample string 10</EmploymentStatusCode_INS08>
    <EnrolledParticipantGuid>sample string 55</EnrolledParticipantGuid>
    <ExngFileID_ICH_ISA13>sample string 57</ExngFileID_ICH_ISA13>
    <ExngTranSetRefNumber_BGN02>sample string 56</ExngTranSetRefNumber_BGN02>
    <FileBatchId>sample string 68</FileBatchId>
    <FirstName_NM104>sample string 20</FirstName_NM104>
    <Gender_DMG03>sample string 35</Gender_DMG03>
    <HealthRelatedCode_HLH01>sample string 39</HealthRelatedCode_HLH01>
    <HoursWorkedPerWeek>1</HoursWorkedPerWeek>
    <Incoming834_Member_Id>1</Incoming834_Member_Id>
    <IncorrectBornDate_DMG02>2024-10-02T07:59:17.3787692-05:00</IncorrectBornDate_DMG02>
    <IncorrectCitizenshipStatus_DMG06>sample string 49</IncorrectCitizenshipStatus_DMG06>
    <IncorrectFirstName_NM104>sample string 42</IncorrectFirstName_NM104>
    <IncorrectGender_DMG03>sample string 46</IncorrectGender_DMG03>
    <IncorrectLastName_NM103>sample string 41</IncorrectLastName_NM103>
    <IncorrectMaritalStatus_DMG0>sample string 47</IncorrectMaritalStatus_DMG0>
    <IncorrectMiddleName_NM105>sample string 43</IncorrectMiddleName_NM105>
    <IncorrectNameSuffix_NM107>sample string 44</IncorrectNameSuffix_NM107>
    <IncorrectRace_DMG05_1>sample string 48</IncorrectRace_DMG05_1>
    <IncorrectSSN_NM109>sample string 45</IncorrectSSN_NM109>
    <InsuredId_1REF02>sample string 15</InsuredId_1REF02>
    <Insured_SalaryEffectiveDate>2024-10-02T07:59:17.3968558-05:00</Insured_SalaryEffectiveDate>
    <IsHandicapped_INS10>true</IsHandicapped_INS10>
    <IsInsured_INS01>true</IsInsured_INS01>
    <IsMemberInformationIncorrect_NM101>true</IsMemberInformationIncorrect_NM101>
    <Language_LUI03>sample string 40</Language_LUI03>
    <LastName_NM103>sample string 19</LastName_NM103>
    <MaintenanceReasonCode_INS04>sample string 8</MaintenanceReasonCode_INS04>
    <MaintenanceTypeCode_INS03>sample string 7</MaintenanceTypeCode_INS03>
    <MaritalStatus_DMG0>sample string 36</MaritalStatus_DMG0>
    <MemberId_3REF02>sample string 17</MemberId_3REF02>
    <MemberMailingCity_N401>sample string 52</MemberMailingCity_N401>
    <MemberMailingPostalCode_N403>sample string 54</MemberMailingPostalCode_N403>
    <MemberMailingState_N402>sample string 53</MemberMailingState_N402>
    <MemberMailingStreetAddress1_N301>sample string 50</MemberMailingStreetAddress1_N301>
    <MemberMailingStreetAddress2_N302>sample string 51</MemberMailingStreetAddress2_N302>
    <MemberResidenceCity_N401>sample string 31</MemberResidenceCity_N401>
    <MemberResidencePostalCode_N403>sample string 33</MemberResidencePostalCode_N403>
    <MemberResidenceState_N402>sample string 32</MemberResidenceState_N402>
    <MemberResidenceStreetAddress1_N301>sample string 29</MemberResidenceStreetAddress1_N301>
    <MemberResidenceStreetAddress2_N302>sample string 30</MemberResidenceStreetAddress2_N302>
    <MiddleName_NM105>sample string 21</MiddleName_NM105>
    <NamePrefix_NM106>sample string 66</NamePrefix_NM106>
    <NameSuffix_NM107>sample string 22</NameSuffix_NM107>
    <Occupation>sample string 62</Occupation>
    <ParttimeHours>1</ParttimeHours>
    <PassedawayDate_INS12>2024-10-02T07:59:17.3787692-05:00</PassedawayDate_INS12>
    <PreferedContactMethod>sample string 28</PreferedContactMethod>
    <PrimaryTelephone_PER04>sample string 24</PrimaryTelephone_PER04>
    <ProcessingCode>sample string 3</ProcessingCode>
    <Race_DMG05_1>sample string 37</Race_DMG05_1>
    <RehireDate>2024-10-02T07:59:17.3968558-05:00</RehireDate>
    <RelationshipType_INS02>sample string 6</RelationshipType_INS02>
    <RetirementDate>2024-10-02T07:59:17.3968558-05:00</RetirementDate>
    <SSN_NM109>sample string 23</SSN_NM109>
    <SalaryFrequencyCode>sample string 67</SalaryFrequencyCode>
    <SalaryMonetaryAmount>1</SalaryMonetaryAmount>
    <SchoolCertificationEndDate>2024-10-02T07:59:17.3968558-05:00</SchoolCertificationEndDate>
    <SchoolCertificationStartDate>2024-10-02T07:59:17.3968558-05:00</SchoolCertificationStartDate>
    <SchoolName>sample string 61</SchoolName>
    <ServiceProcessingCode>sample string 71</ServiceProcessingCode>
    <StudentStautsCode_INS09>sample string 11</StudentStautsCode_INS09>
    <TaxID_N104>sample string 4</TaxID_N104>
    <UpdatedBy>sample string 70</UpdatedBy>
    <UpdatedDate>2024-10-02T07:59:17.3968558-05:00</UpdatedDate>
    <_EDI_Incoming834_Coverage>
      <_EDI_Incoming834_Coverage>
        <BenefitAmount_AMT02>1</BenefitAmount_AMT02>
        <BenefitEndDate_DTP03>2024-10-02T07:59:17.4262004-05:00</BenefitEndDate_DTP03>
        <COBEffectiveDate>2024-10-02T07:59:17.4262004-05:00</COBEffectiveDate>
        <COBTerminateDate>2024-10-02T07:59:17.4262004-05:00</COBTerminateDate>
        <Carrier>sample string 19</Carrier>
        <CarrierAccountID_2300REF01_IL>sample string 18</CarrierAccountID_2300REF01_IL>
        <CarrierGroupID_2300REF01_E8>sample string 20</CarrierGroupID_2300REF01_E8>
        <CarrierPlanID_2300REF01_CE>sample string 12</CarrierPlanID_2300REF01_CE>
        <ChangeReason>sample string 11</ChangeReason>
        <CoverageEffectiveDate_DTP03>2024-10-02T07:59:17.4099854-05:00</CoverageEffectiveDate_DTP03>
        <CoverageLevelCode_HD05>sample string 6</CoverageLevelCode_HD05>
        <CreatedBy>sample string 27</CreatedBy>
        <CreatedDate>2024-10-02T07:59:17.4099854-05:00</CreatedDate>
        <DependentBenefitQuantity_LC05>1</DependentBenefitQuantity_LC05>
        <EffectiveReason>sample string 14</EffectiveReason>
        <Incoming834_Coverage_Id>1</Incoming834_Coverage_Id>
        <Incoming834_Member_Id>2</Incoming834_Member_Id>
        <IsAncillary>true</IsAncillary>
        <IsDisabled>true</IsDisabled>
        <IsLateEnrollee_HD09>true</IsLateEnrollee_HD09>
        <LineOfCoverage_HD03>sample string 5</LineOfCoverage_HD03>
        <MaintenanceTypeCode_HD01>sample string 4</MaintenanceTypeCode_HD01>
        <MedicareAEffectiveDate>2024-10-02T07:59:17.4262004-05:00</MedicareAEffectiveDate>
        <MedicareBeffectivedate>2024-10-02T07:59:17.4099854-05:00</MedicareBeffectivedate>
        <MedicareEligibilityReasonCode_INS06_2>sample string 10</MedicareEligibilityReasonCode_INS06_2>
        <MedicareEligibilityReasonCode_INS06_2_2>sample string 22</MedicareEligibilityReasonCode_INS06_2_2>
        <MedicareEligibilityReasonCode_INS06_2_3>sample string 23</MedicareEligibilityReasonCode_INS06_2_3>
        <MedicarePlanCode_INS06_1>sample string 9</MedicarePlanCode_INS06_1>
        <OriginalBenefitAmount_AMT02>1</OriginalBenefitAmount_AMT02>
        <OtherCOBNumber>sample string 25</OtherCOBNumber>
        <PCPName>sample string 16</PCPName>
        <PCPNumber>sample string 17</PCPNumber>
        <PCPRelationshipCode>true</PCPRelationshipCode>
        <PlanDescription>sample string 13</PlanDescription>
        <PriorCOMNumber>sample string 26</PriorCOMNumber>
        <ProcessingCode>sample string 3</ProcessingCode>
        <SSNofCOBPerson_2320REF02>sample string 24</SSNofCOBPerson_2320REF02>
        <UpdatedBy>sample string 28</UpdatedBy>
        <UpdatedDate>2024-10-02T07:59:17.4099854-05:00</UpdatedDate>
        <_EDI_Incoming834_Beneficiary>
          <_EDI_Incoming834_Beneficiary>
            <BeneficiaryType_BEN01>sample string 5</BeneficiaryType_BEN01>
            <CreatedBy>sample string 10</CreatedBy>
            <CreatedDate>2024-10-02T07:59:17.4262004-05:00</CreatedDate>
            <FirstName_NM104>sample string 8</FirstName_NM104>
            <Incoming834_Beneficiary_Id>1</Incoming834_Beneficiary_Id>
            <Incoming834_Coverage_Id>3</Incoming834_Coverage_Id>
            <Incoming834_Member_Id>2</Incoming834_Member_Id>
            <LastName_NM103>sample string 9</LastName_NM103>
            <Percentage_BEN02>6.1</Percentage_BEN02>
            <ProcessingCode>sample string 4</ProcessingCode>
            <RelationshipCode_BEN03>sample string 7</RelationshipCode_BEN03>
            <UpdatedBy>sample string 11</UpdatedBy>
            <UpdatedDate>2024-10-02T07:59:17.4262004-05:00</UpdatedDate>
          </_EDI_Incoming834_Beneficiary>
          <_EDI_Incoming834_Beneficiary>
            <BeneficiaryType_BEN01>sample string 5</BeneficiaryType_BEN01>
            <CreatedBy>sample string 10</CreatedBy>
            <CreatedDate>2024-10-02T07:59:17.4262004-05:00</CreatedDate>
            <FirstName_NM104>sample string 8</FirstName_NM104>
            <Incoming834_Beneficiary_Id>1</Incoming834_Beneficiary_Id>
            <Incoming834_Coverage_Id>3</Incoming834_Coverage_Id>
            <Incoming834_Member_Id>2</Incoming834_Member_Id>
            <LastName_NM103>sample string 9</LastName_NM103>
            <Percentage_BEN02>6.1</Percentage_BEN02>
            <ProcessingCode>sample string 4</ProcessingCode>
            <RelationshipCode_BEN03>sample string 7</RelationshipCode_BEN03>
            <UpdatedBy>sample string 11</UpdatedBy>
            <UpdatedDate>2024-10-02T07:59:17.4262004-05:00</UpdatedDate>
          </_EDI_Incoming834_Beneficiary>
        </_EDI_Incoming834_Beneficiary>
      </_EDI_Incoming834_Coverage>
      <_EDI_Incoming834_Coverage>
        <BenefitAmount_AMT02>1</BenefitAmount_AMT02>
        <BenefitEndDate_DTP03>2024-10-02T07:59:17.4262004-05:00</BenefitEndDate_DTP03>
        <COBEffectiveDate>2024-10-02T07:59:17.4262004-05:00</COBEffectiveDate>
        <COBTerminateDate>2024-10-02T07:59:17.4262004-05:00</COBTerminateDate>
        <Carrier>sample string 19</Carrier>
        <CarrierAccountID_2300REF01_IL>sample string 18</CarrierAccountID_2300REF01_IL>
        <CarrierGroupID_2300REF01_E8>sample string 20</CarrierGroupID_2300REF01_E8>
        <CarrierPlanID_2300REF01_CE>sample string 12</CarrierPlanID_2300REF01_CE>
        <ChangeReason>sample string 11</ChangeReason>
        <CoverageEffectiveDate_DTP03>2024-10-02T07:59:17.4099854-05:00</CoverageEffectiveDate_DTP03>
        <CoverageLevelCode_HD05>sample string 6</CoverageLevelCode_HD05>
        <CreatedBy>sample string 27</CreatedBy>
        <CreatedDate>2024-10-02T07:59:17.4099854-05:00</CreatedDate>
        <DependentBenefitQuantity_LC05>1</DependentBenefitQuantity_LC05>
        <EffectiveReason>sample string 14</EffectiveReason>
        <Incoming834_Coverage_Id>1</Incoming834_Coverage_Id>
        <Incoming834_Member_Id>2</Incoming834_Member_Id>
        <IsAncillary>true</IsAncillary>
        <IsDisabled>true</IsDisabled>
        <IsLateEnrollee_HD09>true</IsLateEnrollee_HD09>
        <LineOfCoverage_HD03>sample string 5</LineOfCoverage_HD03>
        <MaintenanceTypeCode_HD01>sample string 4</MaintenanceTypeCode_HD01>
        <MedicareAEffectiveDate>2024-10-02T07:59:17.4262004-05:00</MedicareAEffectiveDate>
        <MedicareBeffectivedate>2024-10-02T07:59:17.4099854-05:00</MedicareBeffectivedate>
        <MedicareEligibilityReasonCode_INS06_2>sample string 10</MedicareEligibilityReasonCode_INS06_2>
        <MedicareEligibilityReasonCode_INS06_2_2>sample string 22</MedicareEligibilityReasonCode_INS06_2_2>
        <MedicareEligibilityReasonCode_INS06_2_3>sample string 23</MedicareEligibilityReasonCode_INS06_2_3>
        <MedicarePlanCode_INS06_1>sample string 9</MedicarePlanCode_INS06_1>
        <OriginalBenefitAmount_AMT02>1</OriginalBenefitAmount_AMT02>
        <OtherCOBNumber>sample string 25</OtherCOBNumber>
        <PCPName>sample string 16</PCPName>
        <PCPNumber>sample string 17</PCPNumber>
        <PCPRelationshipCode>true</PCPRelationshipCode>
        <PlanDescription>sample string 13</PlanDescription>
        <PriorCOMNumber>sample string 26</PriorCOMNumber>
        <ProcessingCode>sample string 3</ProcessingCode>
        <SSNofCOBPerson_2320REF02>sample string 24</SSNofCOBPerson_2320REF02>
        <UpdatedBy>sample string 28</UpdatedBy>
        <UpdatedDate>2024-10-02T07:59:17.4099854-05:00</UpdatedDate>
        <_EDI_Incoming834_Beneficiary>
          <_EDI_Incoming834_Beneficiary>
            <BeneficiaryType_BEN01>sample string 5</BeneficiaryType_BEN01>
            <CreatedBy>sample string 10</CreatedBy>
            <CreatedDate>2024-10-02T07:59:17.4262004-05:00</CreatedDate>
            <FirstName_NM104>sample string 8</FirstName_NM104>
            <Incoming834_Beneficiary_Id>1</Incoming834_Beneficiary_Id>
            <Incoming834_Coverage_Id>3</Incoming834_Coverage_Id>
            <Incoming834_Member_Id>2</Incoming834_Member_Id>
            <LastName_NM103>sample string 9</LastName_NM103>
            <Percentage_BEN02>6.1</Percentage_BEN02>
            <ProcessingCode>sample string 4</ProcessingCode>
            <RelationshipCode_BEN03>sample string 7</RelationshipCode_BEN03>
            <UpdatedBy>sample string 11</UpdatedBy>
            <UpdatedDate>2024-10-02T07:59:17.4262004-05:00</UpdatedDate>
          </_EDI_Incoming834_Beneficiary>
          <_EDI_Incoming834_Beneficiary>
            <BeneficiaryType_BEN01>sample string 5</BeneficiaryType_BEN01>
            <CreatedBy>sample string 10</CreatedBy>
            <CreatedDate>2024-10-02T07:59:17.4262004-05:00</CreatedDate>
            <FirstName_NM104>sample string 8</FirstName_NM104>
            <Incoming834_Beneficiary_Id>1</Incoming834_Beneficiary_Id>
            <Incoming834_Coverage_Id>3</Incoming834_Coverage_Id>
            <Incoming834_Member_Id>2</Incoming834_Member_Id>
            <LastName_NM103>sample string 9</LastName_NM103>
            <Percentage_BEN02>6.1</Percentage_BEN02>
            <ProcessingCode>sample string 4</ProcessingCode>
            <RelationshipCode_BEN03>sample string 7</RelationshipCode_BEN03>
            <UpdatedBy>sample string 11</UpdatedBy>
            <UpdatedDate>2024-10-02T07:59:17.4262004-05:00</UpdatedDate>
          </_EDI_Incoming834_Beneficiary>
        </_EDI_Incoming834_Beneficiary>
      </_EDI_Incoming834_Coverage>
    </_EDI_Incoming834_Coverage>
    <_EDI_Incoming834_Guardian>
      <_EDI_Incoming834_Guardian>
        <BeeperNumber_PER08>sample string 13</BeeperNumber_PER08>
        <City_N401>sample string 16</City_N401>
        <CreatedBy>sample string 19</CreatedBy>
        <CreatedDate>2024-10-02T07:59:17.445742-05:00</CreatedDate>
        <EmailId_PER08>sample string 12</EmailId_PER08>
        <FirstName_NM104>sample string 6</FirstName_NM104>
        <GuardianType>sample string 4</GuardianType>
        <HomePhone_PER04>sample string 10</HomePhone_PER04>
        <Incoming834_Guardian_Id>1</Incoming834_Guardian_Id>
        <Incoming834_Member_Id>2</Incoming834_Member_Id>
        <LastName_NM103>sample string 5</LastName_NM103>
        <MiddleName_NM105>sample string 7</MiddleName_NM105>
        <NameSuffix_NM107>sample string 8</NameSuffix_NM107>
        <PostalCode_N403>sample string 18</PostalCode_N403>
        <ProcessingCode>sample string 3</ProcessingCode>
        <SSN_NM109>sample string 9</SSN_NM109>
        <State_N402>sample string 17</State_N402>
        <StreetAddress1_N301>sample string 14</StreetAddress1_N301>
        <StreetAddress2_N302>sample string 15</StreetAddress2_N302>
        <UpdatedBy>sample string 20</UpdatedBy>
        <UpdatedDate>2024-10-02T07:59:17.445742-05:00</UpdatedDate>
        <WorkPhone_PER06>sample string 11</WorkPhone_PER06>
      </_EDI_Incoming834_Guardian>
      <_EDI_Incoming834_Guardian>
        <BeeperNumber_PER08>sample string 13</BeeperNumber_PER08>
        <City_N401>sample string 16</City_N401>
        <CreatedBy>sample string 19</CreatedBy>
        <CreatedDate>2024-10-02T07:59:17.445742-05:00</CreatedDate>
        <EmailId_PER08>sample string 12</EmailId_PER08>
        <FirstName_NM104>sample string 6</FirstName_NM104>
        <GuardianType>sample string 4</GuardianType>
        <HomePhone_PER04>sample string 10</HomePhone_PER04>
        <Incoming834_Guardian_Id>1</Incoming834_Guardian_Id>
        <Incoming834_Member_Id>2</Incoming834_Member_Id>
        <LastName_NM103>sample string 5</LastName_NM103>
        <MiddleName_NM105>sample string 7</MiddleName_NM105>
        <NameSuffix_NM107>sample string 8</NameSuffix_NM107>
        <PostalCode_N403>sample string 18</PostalCode_N403>
        <ProcessingCode>sample string 3</ProcessingCode>
        <SSN_NM109>sample string 9</SSN_NM109>
        <State_N402>sample string 17</State_N402>
        <StreetAddress1_N301>sample string 14</StreetAddress1_N301>
        <StreetAddress2_N302>sample string 15</StreetAddress2_N302>
        <UpdatedBy>sample string 20</UpdatedBy>
        <UpdatedDate>2024-10-02T07:59:17.445742-05:00</UpdatedDate>
        <WorkPhone_PER06>sample string 11</WorkPhone_PER06>
      </_EDI_Incoming834_Guardian>
    </_EDI_Incoming834_Guardian>
  </_EDI_Incoming834_Member>
  <_EDI_Incoming834_Member>
    <AlternateTelephone_PER06>sample string 25</AlternateTelephone_PER06>
    <AncillaryClass>sample string 60</AncillaryClass>
    <BMASClass>sample string 59</BMASClass>
    <BatchId>18c69903-f9f2-4bd8-8ec7-bdac8b6edc47</BatchId>
    <BeeperNumber_PER08>sample string 27</BeeperNumber_PER08>
    <BenefitStatusCode_INS05>sample string 9</BenefitStatusCode_INS05>
    <BirthSequenceNumber_INS17>sample string 14</BirthSequenceNumber_INS17>
    <BornDate_DMG02>2024-10-02T07:59:17.3787692-05:00</BornDate_DMG02>
    <COBRAQualifyingEventCode>sample string 65</COBRAQualifyingEventCode>
    <CarrierMemberId_2REF02>sample string 16</CarrierMemberId_2REF02>
    <CitizenshipStatus_DMG06>sample string 38</CitizenshipStatus_DMG06>
    <CobraBeginDate>2024-10-02T07:59:17.3968558-05:00</CobraBeginDate>
    <CobraEndDate>2024-10-02T07:59:17.3968558-05:00</CobraEndDate>
    <ConfidentialityCode_INS13>sample string 13</ConfidentialityCode_INS13>
    <CreatedBy>sample string 69</CreatedBy>
    <CreatedDate>2024-10-02T07:59:17.3968558-05:00</CreatedDate>
    <DataSource>sample string 2</DataSource>
    <DateOfHire>2024-10-02T07:59:17.3968558-05:00</DateOfHire>
    <DateOfTermination>2024-10-02T07:59:17.3968558-05:00</DateOfTermination>
    <DivisionSystemId>sample string 58</DivisionSystemId>
    <EDI834TIBCOFlatTableID>1</EDI834TIBCOFlatTableID>
    <EDIFileExchangeId>1</EDIFileExchangeId>
    <EmailId_PER08>sample string 26</EmailId_PER08>
    <EmployeeID1>sample string 63</EmployeeID1>
    <EmployeeID2>sample string 64</EmployeeID2>
    <EmploymentStatusCode_INS08>sample string 10</EmploymentStatusCode_INS08>
    <EnrolledParticipantGuid>sample string 55</EnrolledParticipantGuid>
    <ExngFileID_ICH_ISA13>sample string 57</ExngFileID_ICH_ISA13>
    <ExngTranSetRefNumber_BGN02>sample string 56</ExngTranSetRefNumber_BGN02>
    <FileBatchId>sample string 68</FileBatchId>
    <FirstName_NM104>sample string 20</FirstName_NM104>
    <Gender_DMG03>sample string 35</Gender_DMG03>
    <HealthRelatedCode_HLH01>sample string 39</HealthRelatedCode_HLH01>
    <HoursWorkedPerWeek>1</HoursWorkedPerWeek>
    <Incoming834_Member_Id>1</Incoming834_Member_Id>
    <IncorrectBornDate_DMG02>2024-10-02T07:59:17.3787692-05:00</IncorrectBornDate_DMG02>
    <IncorrectCitizenshipStatus_DMG06>sample string 49</IncorrectCitizenshipStatus_DMG06>
    <IncorrectFirstName_NM104>sample string 42</IncorrectFirstName_NM104>
    <IncorrectGender_DMG03>sample string 46</IncorrectGender_DMG03>
    <IncorrectLastName_NM103>sample string 41</IncorrectLastName_NM103>
    <IncorrectMaritalStatus_DMG0>sample string 47</IncorrectMaritalStatus_DMG0>
    <IncorrectMiddleName_NM105>sample string 43</IncorrectMiddleName_NM105>
    <IncorrectNameSuffix_NM107>sample string 44</IncorrectNameSuffix_NM107>
    <IncorrectRace_DMG05_1>sample string 48</IncorrectRace_DMG05_1>
    <IncorrectSSN_NM109>sample string 45</IncorrectSSN_NM109>
    <InsuredId_1REF02>sample string 15</InsuredId_1REF02>
    <Insured_SalaryEffectiveDate>2024-10-02T07:59:17.3968558-05:00</Insured_SalaryEffectiveDate>
    <IsHandicapped_INS10>true</IsHandicapped_INS10>
    <IsInsured_INS01>true</IsInsured_INS01>
    <IsMemberInformationIncorrect_NM101>true</IsMemberInformationIncorrect_NM101>
    <Language_LUI03>sample string 40</Language_LUI03>
    <LastName_NM103>sample string 19</LastName_NM103>
    <MaintenanceReasonCode_INS04>sample string 8</MaintenanceReasonCode_INS04>
    <MaintenanceTypeCode_INS03>sample string 7</MaintenanceTypeCode_INS03>
    <MaritalStatus_DMG0>sample string 36</MaritalStatus_DMG0>
    <MemberId_3REF02>sample string 17</MemberId_3REF02>
    <MemberMailingCity_N401>sample string 52</MemberMailingCity_N401>
    <MemberMailingPostalCode_N403>sample string 54</MemberMailingPostalCode_N403>
    <MemberMailingState_N402>sample string 53</MemberMailingState_N402>
    <MemberMailingStreetAddress1_N301>sample string 50</MemberMailingStreetAddress1_N301>
    <MemberMailingStreetAddress2_N302>sample string 51</MemberMailingStreetAddress2_N302>
    <MemberResidenceCity_N401>sample string 31</MemberResidenceCity_N401>
    <MemberResidencePostalCode_N403>sample string 33</MemberResidencePostalCode_N403>
    <MemberResidenceState_N402>sample string 32</MemberResidenceState_N402>
    <MemberResidenceStreetAddress1_N301>sample string 29</MemberResidenceStreetAddress1_N301>
    <MemberResidenceStreetAddress2_N302>sample string 30</MemberResidenceStreetAddress2_N302>
    <MiddleName_NM105>sample string 21</MiddleName_NM105>
    <NamePrefix_NM106>sample string 66</NamePrefix_NM106>
    <NameSuffix_NM107>sample string 22</NameSuffix_NM107>
    <Occupation>sample string 62</Occupation>
    <ParttimeHours>1</ParttimeHours>
    <PassedawayDate_INS12>2024-10-02T07:59:17.3787692-05:00</PassedawayDate_INS12>
    <PreferedContactMethod>sample string 28</PreferedContactMethod>
    <PrimaryTelephone_PER04>sample string 24</PrimaryTelephone_PER04>
    <ProcessingCode>sample string 3</ProcessingCode>
    <Race_DMG05_1>sample string 37</Race_DMG05_1>
    <RehireDate>2024-10-02T07:59:17.3968558-05:00</RehireDate>
    <RelationshipType_INS02>sample string 6</RelationshipType_INS02>
    <RetirementDate>2024-10-02T07:59:17.3968558-05:00</RetirementDate>
    <SSN_NM109>sample string 23</SSN_NM109>
    <SalaryFrequencyCode>sample string 67</SalaryFrequencyCode>
    <SalaryMonetaryAmount>1</SalaryMonetaryAmount>
    <SchoolCertificationEndDate>2024-10-02T07:59:17.3968558-05:00</SchoolCertificationEndDate>
    <SchoolCertificationStartDate>2024-10-02T07:59:17.3968558-05:00</SchoolCertificationStartDate>
    <SchoolName>sample string 61</SchoolName>
    <ServiceProcessingCode>sample string 71</ServiceProcessingCode>
    <StudentStautsCode_INS09>sample string 11</StudentStautsCode_INS09>
    <TaxID_N104>sample string 4</TaxID_N104>
    <UpdatedBy>sample string 70</UpdatedBy>
    <UpdatedDate>2024-10-02T07:59:17.3968558-05:00</UpdatedDate>
    <_EDI_Incoming834_Coverage>
      <_EDI_Incoming834_Coverage>
        <BenefitAmount_AMT02>1</BenefitAmount_AMT02>
        <BenefitEndDate_DTP03>2024-10-02T07:59:17.4262004-05:00</BenefitEndDate_DTP03>
        <COBEffectiveDate>2024-10-02T07:59:17.4262004-05:00</COBEffectiveDate>
        <COBTerminateDate>2024-10-02T07:59:17.4262004-05:00</COBTerminateDate>
        <Carrier>sample string 19</Carrier>
        <CarrierAccountID_2300REF01_IL>sample string 18</CarrierAccountID_2300REF01_IL>
        <CarrierGroupID_2300REF01_E8>sample string 20</CarrierGroupID_2300REF01_E8>
        <CarrierPlanID_2300REF01_CE>sample string 12</CarrierPlanID_2300REF01_CE>
        <ChangeReason>sample string 11</ChangeReason>
        <CoverageEffectiveDate_DTP03>2024-10-02T07:59:17.4099854-05:00</CoverageEffectiveDate_DTP03>
        <CoverageLevelCode_HD05>sample string 6</CoverageLevelCode_HD05>
        <CreatedBy>sample string 27</CreatedBy>
        <CreatedDate>2024-10-02T07:59:17.4099854-05:00</CreatedDate>
        <DependentBenefitQuantity_LC05>1</DependentBenefitQuantity_LC05>
        <EffectiveReason>sample string 14</EffectiveReason>
        <Incoming834_Coverage_Id>1</Incoming834_Coverage_Id>
        <Incoming834_Member_Id>2</Incoming834_Member_Id>
        <IsAncillary>true</IsAncillary>
        <IsDisabled>true</IsDisabled>
        <IsLateEnrollee_HD09>true</IsLateEnrollee_HD09>
        <LineOfCoverage_HD03>sample string 5</LineOfCoverage_HD03>
        <MaintenanceTypeCode_HD01>sample string 4</MaintenanceTypeCode_HD01>
        <MedicareAEffectiveDate>2024-10-02T07:59:17.4262004-05:00</MedicareAEffectiveDate>
        <MedicareBeffectivedate>2024-10-02T07:59:17.4099854-05:00</MedicareBeffectivedate>
        <MedicareEligibilityReasonCode_INS06_2>sample string 10</MedicareEligibilityReasonCode_INS06_2>
        <MedicareEligibilityReasonCode_INS06_2_2>sample string 22</MedicareEligibilityReasonCode_INS06_2_2>
        <MedicareEligibilityReasonCode_INS06_2_3>sample string 23</MedicareEligibilityReasonCode_INS06_2_3>
        <MedicarePlanCode_INS06_1>sample string 9</MedicarePlanCode_INS06_1>
        <OriginalBenefitAmount_AMT02>1</OriginalBenefitAmount_AMT02>
        <OtherCOBNumber>sample string 25</OtherCOBNumber>
        <PCPName>sample string 16</PCPName>
        <PCPNumber>sample string 17</PCPNumber>
        <PCPRelationshipCode>true</PCPRelationshipCode>
        <PlanDescription>sample string 13</PlanDescription>
        <PriorCOMNumber>sample string 26</PriorCOMNumber>
        <ProcessingCode>sample string 3</ProcessingCode>
        <SSNofCOBPerson_2320REF02>sample string 24</SSNofCOBPerson_2320REF02>
        <UpdatedBy>sample string 28</UpdatedBy>
        <UpdatedDate>2024-10-02T07:59:17.4099854-05:00</UpdatedDate>
        <_EDI_Incoming834_Beneficiary>
          <_EDI_Incoming834_Beneficiary>
            <BeneficiaryType_BEN01>sample string 5</BeneficiaryType_BEN01>
            <CreatedBy>sample string 10</CreatedBy>
            <CreatedDate>2024-10-02T07:59:17.4262004-05:00</CreatedDate>
            <FirstName_NM104>sample string 8</FirstName_NM104>
            <Incoming834_Beneficiary_Id>1</Incoming834_Beneficiary_Id>
            <Incoming834_Coverage_Id>3</Incoming834_Coverage_Id>
            <Incoming834_Member_Id>2</Incoming834_Member_Id>
            <LastName_NM103>sample string 9</LastName_NM103>
            <Percentage_BEN02>6.1</Percentage_BEN02>
            <ProcessingCode>sample string 4</ProcessingCode>
            <RelationshipCode_BEN03>sample string 7</RelationshipCode_BEN03>
            <UpdatedBy>sample string 11</UpdatedBy>
            <UpdatedDate>2024-10-02T07:59:17.4262004-05:00</UpdatedDate>
          </_EDI_Incoming834_Beneficiary>
          <_EDI_Incoming834_Beneficiary>
            <BeneficiaryType_BEN01>sample string 5</BeneficiaryType_BEN01>
            <CreatedBy>sample string 10</CreatedBy>
            <CreatedDate>2024-10-02T07:59:17.4262004-05:00</CreatedDate>
            <FirstName_NM104>sample string 8</FirstName_NM104>
            <Incoming834_Beneficiary_Id>1</Incoming834_Beneficiary_Id>
            <Incoming834_Coverage_Id>3</Incoming834_Coverage_Id>
            <Incoming834_Member_Id>2</Incoming834_Member_Id>
            <LastName_NM103>sample string 9</LastName_NM103>
            <Percentage_BEN02>6.1</Percentage_BEN02>
            <ProcessingCode>sample string 4</ProcessingCode>
            <RelationshipCode_BEN03>sample string 7</RelationshipCode_BEN03>
            <UpdatedBy>sample string 11</UpdatedBy>
            <UpdatedDate>2024-10-02T07:59:17.4262004-05:00</UpdatedDate>
          </_EDI_Incoming834_Beneficiary>
        </_EDI_Incoming834_Beneficiary>
      </_EDI_Incoming834_Coverage>
      <_EDI_Incoming834_Coverage>
        <BenefitAmount_AMT02>1</BenefitAmount_AMT02>
        <BenefitEndDate_DTP03>2024-10-02T07:59:17.4262004-05:00</BenefitEndDate_DTP03>
        <COBEffectiveDate>2024-10-02T07:59:17.4262004-05:00</COBEffectiveDate>
        <COBTerminateDate>2024-10-02T07:59:17.4262004-05:00</COBTerminateDate>
        <Carrier>sample string 19</Carrier>
        <CarrierAccountID_2300REF01_IL>sample string 18</CarrierAccountID_2300REF01_IL>
        <CarrierGroupID_2300REF01_E8>sample string 20</CarrierGroupID_2300REF01_E8>
        <CarrierPlanID_2300REF01_CE>sample string 12</CarrierPlanID_2300REF01_CE>
        <ChangeReason>sample string 11</ChangeReason>
        <CoverageEffectiveDate_DTP03>2024-10-02T07:59:17.4099854-05:00</CoverageEffectiveDate_DTP03>
        <CoverageLevelCode_HD05>sample string 6</CoverageLevelCode_HD05>
        <CreatedBy>sample string 27</CreatedBy>
        <CreatedDate>2024-10-02T07:59:17.4099854-05:00</CreatedDate>
        <DependentBenefitQuantity_LC05>1</DependentBenefitQuantity_LC05>
        <EffectiveReason>sample string 14</EffectiveReason>
        <Incoming834_Coverage_Id>1</Incoming834_Coverage_Id>
        <Incoming834_Member_Id>2</Incoming834_Member_Id>
        <IsAncillary>true</IsAncillary>
        <IsDisabled>true</IsDisabled>
        <IsLateEnrollee_HD09>true</IsLateEnrollee_HD09>
        <LineOfCoverage_HD03>sample string 5</LineOfCoverage_HD03>
        <MaintenanceTypeCode_HD01>sample string 4</MaintenanceTypeCode_HD01>
        <MedicareAEffectiveDate>2024-10-02T07:59:17.4262004-05:00</MedicareAEffectiveDate>
        <MedicareBeffectivedate>2024-10-02T07:59:17.4099854-05:00</MedicareBeffectivedate>
        <MedicareEligibilityReasonCode_INS06_2>sample string 10</MedicareEligibilityReasonCode_INS06_2>
        <MedicareEligibilityReasonCode_INS06_2_2>sample string 22</MedicareEligibilityReasonCode_INS06_2_2>
        <MedicareEligibilityReasonCode_INS06_2_3>sample string 23</MedicareEligibilityReasonCode_INS06_2_3>
        <MedicarePlanCode_INS06_1>sample string 9</MedicarePlanCode_INS06_1>
        <OriginalBenefitAmount_AMT02>1</OriginalBenefitAmount_AMT02>
        <OtherCOBNumber>sample string 25</OtherCOBNumber>
        <PCPName>sample string 16</PCPName>
        <PCPNumber>sample string 17</PCPNumber>
        <PCPRelationshipCode>true</PCPRelationshipCode>
        <PlanDescription>sample string 13</PlanDescription>
        <PriorCOMNumber>sample string 26</PriorCOMNumber>
        <ProcessingCode>sample string 3</ProcessingCode>
        <SSNofCOBPerson_2320REF02>sample string 24</SSNofCOBPerson_2320REF02>
        <UpdatedBy>sample string 28</UpdatedBy>
        <UpdatedDate>2024-10-02T07:59:17.4099854-05:00</UpdatedDate>
        <_EDI_Incoming834_Beneficiary>
          <_EDI_Incoming834_Beneficiary>
            <BeneficiaryType_BEN01>sample string 5</BeneficiaryType_BEN01>
            <CreatedBy>sample string 10</CreatedBy>
            <CreatedDate>2024-10-02T07:59:17.4262004-05:00</CreatedDate>
            <FirstName_NM104>sample string 8</FirstName_NM104>
            <Incoming834_Beneficiary_Id>1</Incoming834_Beneficiary_Id>
            <Incoming834_Coverage_Id>3</Incoming834_Coverage_Id>
            <Incoming834_Member_Id>2</Incoming834_Member_Id>
            <LastName_NM103>sample string 9</LastName_NM103>
            <Percentage_BEN02>6.1</Percentage_BEN02>
            <ProcessingCode>sample string 4</ProcessingCode>
            <RelationshipCode_BEN03>sample string 7</RelationshipCode_BEN03>
            <UpdatedBy>sample string 11</UpdatedBy>
            <UpdatedDate>2024-10-02T07:59:17.4262004-05:00</UpdatedDate>
          </_EDI_Incoming834_Beneficiary>
          <_EDI_Incoming834_Beneficiary>
            <BeneficiaryType_BEN01>sample string 5</BeneficiaryType_BEN01>
            <CreatedBy>sample string 10</CreatedBy>
            <CreatedDate>2024-10-02T07:59:17.4262004-05:00</CreatedDate>
            <FirstName_NM104>sample string 8</FirstName_NM104>
            <Incoming834_Beneficiary_Id>1</Incoming834_Beneficiary_Id>
            <Incoming834_Coverage_Id>3</Incoming834_Coverage_Id>
            <Incoming834_Member_Id>2</Incoming834_Member_Id>
            <LastName_NM103>sample string 9</LastName_NM103>
            <Percentage_BEN02>6.1</Percentage_BEN02>
            <ProcessingCode>sample string 4</ProcessingCode>
            <RelationshipCode_BEN03>sample string 7</RelationshipCode_BEN03>
            <UpdatedBy>sample string 11</UpdatedBy>
            <UpdatedDate>2024-10-02T07:59:17.4262004-05:00</UpdatedDate>
          </_EDI_Incoming834_Beneficiary>
        </_EDI_Incoming834_Beneficiary>
      </_EDI_Incoming834_Coverage>
    </_EDI_Incoming834_Coverage>
    <_EDI_Incoming834_Guardian>
      <_EDI_Incoming834_Guardian>
        <BeeperNumber_PER08>sample string 13</BeeperNumber_PER08>
        <City_N401>sample string 16</City_N401>
        <CreatedBy>sample string 19</CreatedBy>
        <CreatedDate>2024-10-02T07:59:17.445742-05:00</CreatedDate>
        <EmailId_PER08>sample string 12</EmailId_PER08>
        <FirstName_NM104>sample string 6</FirstName_NM104>
        <GuardianType>sample string 4</GuardianType>
        <HomePhone_PER04>sample string 10</HomePhone_PER04>
        <Incoming834_Guardian_Id>1</Incoming834_Guardian_Id>
        <Incoming834_Member_Id>2</Incoming834_Member_Id>
        <LastName_NM103>sample string 5</LastName_NM103>
        <MiddleName_NM105>sample string 7</MiddleName_NM105>
        <NameSuffix_NM107>sample string 8</NameSuffix_NM107>
        <PostalCode_N403>sample string 18</PostalCode_N403>
        <ProcessingCode>sample string 3</ProcessingCode>
        <SSN_NM109>sample string 9</SSN_NM109>
        <State_N402>sample string 17</State_N402>
        <StreetAddress1_N301>sample string 14</StreetAddress1_N301>
        <StreetAddress2_N302>sample string 15</StreetAddress2_N302>
        <UpdatedBy>sample string 20</UpdatedBy>
        <UpdatedDate>2024-10-02T07:59:17.445742-05:00</UpdatedDate>
        <WorkPhone_PER06>sample string 11</WorkPhone_PER06>
      </_EDI_Incoming834_Guardian>
      <_EDI_Incoming834_Guardian>
        <BeeperNumber_PER08>sample string 13</BeeperNumber_PER08>
        <City_N401>sample string 16</City_N401>
        <CreatedBy>sample string 19</CreatedBy>
        <CreatedDate>2024-10-02T07:59:17.445742-05:00</CreatedDate>
        <EmailId_PER08>sample string 12</EmailId_PER08>
        <FirstName_NM104>sample string 6</FirstName_NM104>
        <GuardianType>sample string 4</GuardianType>
        <HomePhone_PER04>sample string 10</HomePhone_PER04>
        <Incoming834_Guardian_Id>1</Incoming834_Guardian_Id>
        <Incoming834_Member_Id>2</Incoming834_Member_Id>
        <LastName_NM103>sample string 5</LastName_NM103>
        <MiddleName_NM105>sample string 7</MiddleName_NM105>
        <NameSuffix_NM107>sample string 8</NameSuffix_NM107>
        <PostalCode_N403>sample string 18</PostalCode_N403>
        <ProcessingCode>sample string 3</ProcessingCode>
        <SSN_NM109>sample string 9</SSN_NM109>
        <State_N402>sample string 17</State_N402>
        <StreetAddress1_N301>sample string 14</StreetAddress1_N301>
        <StreetAddress2_N302>sample string 15</StreetAddress2_N302>
        <UpdatedBy>sample string 20</UpdatedBy>
        <UpdatedDate>2024-10-02T07:59:17.445742-05:00</UpdatedDate>
        <WorkPhone_PER06>sample string 11</WorkPhone_PER06>
      </_EDI_Incoming834_Guardian>
    </_EDI_Incoming834_Guardian>
  </_EDI_Incoming834_Member>
</ArrayOf_EDI_Incoming834_Member>

application/x-www-form-urlencoded

Sample:

Failed to generate the sample for media type 'application/x-www-form-urlencoded'. Cannot use formatter 'JQueryMvcFormUrlEncodedFormatter' to write type 'List`1'.

Response Information

Resource Description

HttpResponseMessage

Name	Type	Additional information
Version	Version	None.
Content	HttpContent	None.
StatusCode	HttpStatusCode	None.
ReasonPhrase	string	None.
Headers	Collection of Object	None.
RequestMessage	HttpRequestMessage	None.
IsSuccessStatusCode	boolean	None.