| Name | Description | Type | Additional information |
|---|---|---|---|
| ClaimSubTotal |
decimal number |
decimal number |
None. |
| AdminFee |
decimal number |
decimal number |
None. |
| AdminFeeAdjusted |
decimal number |
decimal number |
None. |
| ClaimAdminFeeAdjustment |
decimal number |
decimal number |
None. |
| ClaimManualProcessingFee |
decimal number |
decimal number |
None. |
| ClaimPaperClaimFee |
decimal number |
decimal number |
None. |
| GSTAmount |
decimal number |
decimal number |
None. |
| RSTAmount |
decimal number |
decimal number |
None. |
| PremiumTaxAmount |
decimal number |
decimal number |
None. |
| GrandTotal |
decimal number |
decimal number |
None. |