Expense Form

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Use Expense Form to collect claim, appointment, event, expense, and contact details before claim submission.

This screen includes:

#	Element	Description
1	Page title	Displays Submit claim.
2	Back action	Returns to the previous screen.
3	Claim details section	Contains policy and appointment selectors.
4	Patient details section	Displays the selected patient.
5	Appointment information section	Contains appointment date, country, clinic, phone, and email fields.
6	Event details section	Contains the claim reason and document attachment action.
7	Contact information section	Contains contact name, phone, email, and home address fields.
8	Continue action	Continues the claim submission flow.

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Workflow

1. Open Submit claim.
2. Select a policy and appointment.
3. Review or enter patient details.
4. Enter appointment information.
5. Enter the claim reason.
6. Attach supporting documents.
7. Enter contact information.
8. Select Continue.

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Validations

Scenario	App behavior	SDK output
Session invalid	Block claim submission	state = unauthenticated
Policy missing	Disable Continue	validation = policy_required
Appointment missing	Disable Continue	validation = appointment_required
Patient missing	Disable Continue	validation = patient_required
Appointment date missing	Disable Continue	validation = appointment_date_required
Country missing	Disable Continue	validation = country_required
Clinic name missing	Disable Continue	validation = clinic_required
Claim reason missing	Display validation error	validation = reason_required
Contact details missing	Disable Continue	validation = contact_required
Required fields complete	Enable Continue	state = ready
Request rejected	Display error state	status = 405

Actions

Scenario	App behavior	SDK output
Screen opens	Load expense form	PUT /api/v3/claims/submit/expenses
Policy selected	Update selected policy	policy = selected
Appointment selected	Update selected appointment	appointment = selected
Patient selected	Update patient details	patient = selected
Appointment information entered	Update appointment details	appointmentInfo = updated
Claim reason entered	Update claim reason	reason = updated
Document attached	Add supporting document	attachment = added
Contact information entered	Update contact details	contact = updated
Continue selected	Continue claim flow	navigation = continue
Back selected	Return to previous screen	navigation = back

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Endpoint Resources

Expense Form

PUT 

v3/claims/submit/expenses

Returns the expense form for claim submission.

Add Expense

PATCH 

v3/claims/submit/expenses

Adds a new expense to the claim and refreshes the current expense list with the updated claim totals.

Update Expense

PATCH 

v3/claims/submit/expenses/{expense-id}

Updates an existing claim expense and refreshes the current expense list with the revised claim totals.

Delete Expense

PATCH 

v3/claims/submit/expenses/{expense-id}/delete

Deletes an expense from the claim and refreshes the current expense list with the updated claim totals.

Patch Expense Details

PATCH 

v3/claims/submit/expenses/details

Updates the expense form fields based on the selected expense type.

Patch Bank Fields

PATCH 

v3/claims/submit/bank

Updates the claim bank fields based on the selected bank.

Patch Phone Prefix

PATCH 

v3/claims/submit/phone-prefix

Updates the clinic phone prefix based on the selected event country.