| Name | Description | Type | Additional information |
|---|---|---|---|
| PCPId | string |
None. |
|
| PCPAddress | AddressDTO |
None. |
|
| EffectiveDate | string |
Required |
|
| TermDate | string |
None. |
|
| NewIdCardRequired | boolean |
None. |
|
| ManagerOverride | boolean |
None. |
|
| ReasonForTransfer | string |
None. |
|
| MemberId | string |
Required |
|
| MemberEffectiveDate | string |
Required |
|
| FirstName | string |
None. |
|
| LastName | string |
None. |
|
| MiddleInitial | string |
None. |
|
| MailAddr1 | string |
None. |
|
| MailAddr2 | string |
None. |
|
| MailCity | string |
None. |
|
| MailState | string |
None. |
|
| MailZip | string |
None. |
|
| PhoneNum | string |
None. |