Sprint 3 - PaisanoAssist

Hi Abhi,

As for other products, the pdf output is free-form, so the data output reflects 100% on the input. Please use the following mapping in your configuration.

File added: "Dec_Fillable.pdf"

(01) VoidSeeEndorsement - Leave blank unless this is an endorsement. Example: "Endorsement"
(02) TypeOfPlan - Type of plan. For example, "Month" or "annual"
(03) PrimaryName - Name of applicant
(04) Address - Address of applicant
(05) Address2 - If needed, for example "Suite 204"
(06) CityStateZip - Regional information of applicant
(07) NumberOfDependents - Total number of dependents 0-8
(08) MexicoContact - Name of contact in Mexico
(09) AddressInMexico - Mexico Address
(24) MexCityStateZip - Regional information in Mexico
(10) AddCovered1 - Name of additionally covered.
(11) AddCovered2 - Name of additionally covered.
(12) AddCovered3 - Name of additionally covered.
(13) AddCovered4 - Name of additionally covered.
(14) AddCovered5 - Name of additionally covered.
(15) AddCovered6 - Name of additionally covered.
(16) AddCovered7 - Name of additionally covered.
(17) AddCovered8 - Name of additionally covered.
(18) MemberID - Membership ID. Example "jffh144"
(19) PurchaseDate - Date of purchase. Example "01/01/2023"
(20) CoverageBeginDate - Coverage begin date. Example "03/31/2023"
(21) Premium - premium. For example "$945.00"
(22) PlanFee - plan fee. For example "$4.00"
(23) PlanTotal - Plan total. For example "$949.00"

Please let me know if you have any questions and thank you,
--George

Hi Abhi,

Slight change to the dec and cards.

(18) Changes to "CertificateID" in both label and variable:

There are going to be text changes, but the fields are now set.

Thanks,
--George

Hi Abhi,

Here is the latest dec PDF. There are some large updates:
(01) VoidSeeEndorsement - Leave blank unless this is an endorsement. Example: "Endorsement"
(02) TypeOfPlan - Type of plan. For example, "Month" or "annual"
(03) PrimaryName - Name of applicant
(04) Address - Address of applicant. Note: Combine "Address1 and Address2" from the form.
(05) CityStateZip - Regional information of applicant. Note combine the "City State and US postal" from the application.
(06) MexicoContact - Name of contact in Mexico
(07) AddressInMexico - Mexico Address
(08) NeighborhoodMunicipality - Mexico Neighborhood and Municipality. Note combined fields from the application.
(09) MexCityStateZip - Regional information in Mexico
(10) AddCovered1 - Name of additionally covered.
(11) AddCovered2 - Name of additionally covered.
(12) AddCovered3 - Name of additionally covered.
(13) AddCovered4 - Name of additionally covered.
(14) AddCovered5 - Name of additionally covered.
(15) AddCovered6 - Name of additionally covered.
(16) AddCovered7 - Name of additionally covered.
(17) AddCovered8 - Name of additionally covered.
(18) CertificateID - Certificate ID. Example "jffh144"
(19) PurchaseDate - Date of purchase. Example "01/01/2023"
(20) CoverageBeginDate - Coverage begin date. Example "03/31/2023"
(21) PlanTotal - Plan total. For example "$949.00"

Hi, George.

I've not realised you have a updated declaration pdf. I've updated it today in the codebase.

Best,
Abhilash

Unable to confirm the update. Stalled on the application page of the process. Mexico information city/state/region not populating:

This passes! Thanks Ahbi!