| Name | Description | Type | Additional information |
|---|---|---|---|
| InsuranceName | string |
None. |
|
| MemberNumber | string |
None. |
|
| GroupNumber | string |
None. |
|
| SubscriberID | string |
None. |
|
| SubscriberName | string |
None. |
|
| SubscriberDOB | string |
None. |