Veterans Affairs · Example Payload

Va Supplemental Claim Request Example

VeteransGovernmentHealthBenefitsFHIRAppealsFederal

Va Supplemental Claim Request Example is an example object payload from Veterans Affairs, with 2 top-level fields. It illustrates the shape of data this provider's APIs accept or return.

Top-level fields

dataincluded

Example Payload

{
  "data": {
    "type": "supplementalClaim",
    "attributes": {
      "benefitType": "fiduciary",
      "claimantType": "veteran",
      "veteran": {
        "ssn": "123456789",
        "icn": "1012667145V762142",
        "firstName": "J\u00e4\u00f1e",
        "middleInitial": "\u00f8",
        "lastName": "Do\u00e9",
        "birthDate": "1969-12-31",
        "fileNumber": "987654321",
        "insurancePolicyNumber": "987654321123456789",
        "address": {
          "addressLine1": "123 Main St",
          "city": "New York",
          "countryCodeIso3": "USA",
          "zipCode5": "30012"
        },
        "phone": {
          "areaCode": "555",
          "phoneNumber": "8001111"
        },
        "email": "josie@example.com",
        "timezone": "America/Chicago"
      },
      "evidenceSubmission": {
        "evidenceType": [
          "upload"
        ]
      }
    }
  },
  "included": [
    {
      "type": "appealableIssue",
      "attributes": {
        "issue": "right shoulder",
        "decisionDate": "1900-01-06"
      }
    }
  ]
}