POST api/v1/WebForm/CreateContact

Request Information

URI Parameters

None.

Body Parameters

Name	Type	Additional information
SubmitterFirstName	string	None.
SubmitterLastName	string	None.
RelationshipToPatient	string	None.
SubmitterEmail	string	None.
SubmitterAddress	string	None.
SubmitterCity	string	None.
SubmitterState	string	None.
SubmitterZipCode	string	None.
HomePhone	string	None.
CellPhone	string	None.
Referral	string	None.
PatientFirstName	string	None.
PatientLastName	string	None.
PatientDOB	string	None.
PatientMaritalStatus	string	None.
PatientAddress	string	None.
PatientCity	string	None.
PatientState	string	None.
PatientZipCode	string	None.
PaymentMethod	string	None.
Guarantor	string	None.
InsName	string	None.
InsPhone	string	None.
SubscriberName	string	None.
SubscriberDOB	string	None.
RelToPatient	string	None.
SubscriberEmployer	string	None.
MemberID	string	None.

Request Formats

application/json, text/json

Sample:

{
  "SubmitterFirstName": "sample string 1",
  "SubmitterLastName": "sample string 2",
  "RelationshipToPatient": "sample string 3",
  "SubmitterEmail": "sample string 4",
  "SubmitterAddress": "sample string 5",
  "SubmitterCity": "sample string 6",
  "SubmitterState": "sample string 7",
  "SubmitterZipCode": "sample string 8",
  "HomePhone": "sample string 9",
  "CellPhone": "sample string 10",
  "Referral": "sample string 11",
  "PatientFirstName": "sample string 12",
  "PatientLastName": "sample string 13",
  "PatientDOB": "sample string 14",
  "PatientMaritalStatus": "sample string 15",
  "PatientAddress": "sample string 16",
  "PatientCity": "sample string 17",
  "PatientState": "sample string 18",
  "PatientZipCode": "sample string 19",
  "PaymentMethod": "sample string 20",
  "Guarantor": "sample string 21",
  "InsName": "sample string 22",
  "InsPhone": "sample string 23",
  "SubscriberName": "sample string 24",
  "SubscriberDOB": "sample string 25",
  "RelToPatient": "sample string 26",
  "SubscriberEmployer": "sample string 27",
  "MemberID": "sample string 28"
}

application/xml, text/xml

Sample:

<AdmissionModel xmlns:i="http://www.w3.org/2001/XMLSchema-instance" xmlns="http://schemas.datacontract.org/2004/07/Ashley.Api.Models">
  <CellPhone>sample string 10</CellPhone>
  <Guarantor>sample string 21</Guarantor>
  <HomePhone>sample string 9</HomePhone>
  <InsName>sample string 22</InsName>
  <InsPhone>sample string 23</InsPhone>
  <MemberID>sample string 28</MemberID>
  <PatientAddress>sample string 16</PatientAddress>
  <PatientCity>sample string 17</PatientCity>
  <PatientDOB>sample string 14</PatientDOB>
  <PatientFirstName>sample string 12</PatientFirstName>
  <PatientLastName>sample string 13</PatientLastName>
  <PatientMaritalStatus>sample string 15</PatientMaritalStatus>
  <PatientState>sample string 18</PatientState>
  <PatientZipCode>sample string 19</PatientZipCode>
  <PaymentMethod>sample string 20</PaymentMethod>
  <Referral>sample string 11</Referral>
  <RelToPatient>sample string 26</RelToPatient>
  <RelationshipToPatient>sample string 3</RelationshipToPatient>
  <SubmitterAddress>sample string 5</SubmitterAddress>
  <SubmitterCity>sample string 6</SubmitterCity>
  <SubmitterEmail>sample string 4</SubmitterEmail>
  <SubmitterFirstName>sample string 1</SubmitterFirstName>
  <SubmitterLastName>sample string 2</SubmitterLastName>
  <SubmitterState>sample string 7</SubmitterState>
  <SubmitterZipCode>sample string 8</SubmitterZipCode>
  <SubscriberDOB>sample string 25</SubscriberDOB>
  <SubscriberEmployer>sample string 27</SubscriberEmployer>
  <SubscriberName>sample string 24</SubscriberName>
</AdmissionModel>

application/x-www-form-urlencoded

Sample:

Failed to generate the sample for media type 'application/x-www-form-urlencoded'. Cannot use formatter 'JQueryMvcFormUrlEncodedFormatter' to write type 'AdmissionModel'.

Response Information

Resource Description

None.