EN ES

× {{errorMessageText | translate}}

* {{ 'MEMBER_NAME' | translate }}: {{ 'CREATE_CLAIMS_PLEASE_ENTER_MEMBER_NAME' | translate }}

* {{ 'MEMBER_ID' | translate }}: {{ 'CREATE_CLAIMS_PLEASE_ENTER_MEMBER_ID' | translate }}

* {{ 'POLICY_NO' | translate }}: {{ 'CREATE_CLAIMS_PLEASE_ENTER_POLICY_NO' | translate }}

* {{ 'DATE_OF_SERVICE' | translate }}: {{ 'CREATE_CLAIMS_PLEASE_ENTER_DATE_OF_SERVICE' | translate }}

* {{ 'CLAIM_AMOUNT' | translate }}: {{ 'CREATE_CLAIMS_PLEASE_ENTER_CLAIM_AMOUNT' | translate }}

* {{ 'PROVIDER_NAME' | translate }}: {{ 'CREATE_CLAIMS_PLEASE_ENTER_PROVIDER_NAME' | translate }}

{{ 'PROVIDER_PHONE' | translate }}: {{ 'CREATE_CLAIMS_PLEASE_ENTER_PROVIDER_PHONE' | translate }}

* {{ 'PROVIDER_EMAIL' | translate }}: {{ 'CREATE_CLAIMS_PLEASE_ENTER_PROVIDER_EMAIL' | translate }}

* {{ 'PROVIDER_CONTACT_NAME' | translate }}: {{ 'CREATE_CLAIMS_PLEASE_ENTER_PROVIDER_CONTACT_NAME' | translate }}

{{ 'CLAIM_NUMBER' | translate }}:

{{'CREATE_CLAIMS_SUCCESS_RESPONSE' | translate | updateTicketNo:ticketNumber}}
{{'CREATE_CLAIMS_SUCCESS_RESPONSE2' | translate}} {{websiteDetails.successResponse3 | translate}}