| Name | Description | Type | Additional information |
|---|---|---|---|
| ZipCode | string |
Required Max length: 10 |
|
| EnrollYear | integer |
None. |
|
| AppFilingEntity | string |
None. |
|
| EnrollmentQuestionnaire | Collection of Questionnaire |
None. |
|
| AuthorizedRepresentative | AuthorizedRepresentative |
None. |
|
| ApplicantInfo | ApplicantDetails |
None. |
|
| MedicareInfo | MemberMedicareDetails |
None. |
|
| PlanInfo | PlanDetails |
None. |
|
| PCPDetails | PCPInfo |
None. |
|
| EmergencyContactInfo | EmergencyContactDetails |
None. |
|
| StatementPreference | string |
None. |
|
| BillingInfo | string |
None. |
|
| ApplicationTC | string |
Required |
|
| EnrollAgent | EnrollAgent |
None. |
|
| CSNPPrequal | CSNPPrequal |
None. |
|
| CMSResponse | EligibilityResponse |
None. |
|
| Signature | Collection of DigitalSignature |
None. |
|
| UploadedFiles | Collection of FileRequest |
None. |
|
| CompanyCode | string |
None. |
|
| SalesType | string |
None. |
|
| ApplicationID | string |
None. |
|
| CommunicationPreference | CommunicationPreference |
None. |
|
| InfoMethod | string |
None. |
|
| ElectionPeriod | ElectionType |
None. |