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amponce/payload.json

Created July 2, 2024 21:06
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payload.json
{
"personalIdentification": {
"ssn": "3018",
"fileNumber": "3018",
"fsrReason": "Waiver"
},
"personalData": {
"veteranFullName": {
"first": "Travis",
"middle": "D",
"last": "Jones"
},
"address": {
"addresslineOne": "1200 Park Ave",
"addresslineTwo": "c/o Pixar",
"addresslineThree": "",
"city": "Emeryville",
"stateOrProvince": "CA",
"zipOrPostalCode": "94608",
"countryName": "US"
},
"telephoneNumber": "(510) 922-4444",
"dateOfBirth": "09/06/1950",
"married": false,
"spouseFullName": {
"first": "",
"middle": "",
"last": ""
},
"agesOfOtherDependents": [],
"employmentHistory": [
{
"veteranOrSpouse": "VETERAN",
"occupationName": "Full time",
"from": "01/2018",
"to": "",
"present": true,
"employerName": "Testing",
"employerAddress": {
"addresslineOne": "",
"addresslineTwo": "",
"addresslineThree": "",
"city": "",
"stateOrProvince": "",
"zipOrPostalCode": "",
"countryName": ""
}
}
]
},
"income": [
{
"veteranOrSpouse": "VETERAN",
"monthlyGrossSalary": "5366.66",
"deductions": {
"taxes": "620.69",
"retirement": "0.00",
"socialSecurity": "0.00",
"otherDeductions": {
"name": "",
"amount": "0.00"
}
},
"totalDeductions": "620.69",
"netTakeHomePay": "4745.97",
"otherIncome": {
"name": "",
"amount": "0.00"
},
"totalMonthlyNetIncome": "4745.97"
},
{
"veteranOrSpouse": "SPOUSE",
"monthlyGrossSalary": "0.00",
"deductions": {
"taxes": "0.00",
"retirement": "0.00",
"socialSecurity": "0.00",
"otherDeductions": {
"name": "",
"amount": "0.00"
}
},
"totalDeductions": "0.00",
"netTakeHomePay": "0.00",
"otherIncome": {
"name": "",
"amount": "0.00"
},
"totalMonthlyNetIncome": "0.00"
}
],
"expenses": {
"rentOrMortgage": "3000.00",
"food": "0.00",
"utilities": "0.00",
"otherLivingExpenses": {
"name": "",
"amount": "0.00"
},
"expensesInstallmentContractsAndOtherDebts": "0.00",
"totalMonthlyExpenses": "3000.00"
},
"discretionaryIncome": {
"netMonthlyIncomeLessExpenses": "1745.97",
"amountCanBePaidTowardDebt": "0.00"
},
"assets": {
"cashInBank": "100.00",
"cashOnHand": "100.00",
"usSavingsBonds": "0.00",
"stocksAndOtherBonds": "0.00",
"realEstateOwned": "0.00",
"totalAssets": "200.00"
},
"installmentContractsAndOtherDebts": [],
"totalOfInstallmentContractsAndOtherDebts": {
"originalAmount": "0.00",
"unpaidBalance": "0.00",
"amountDueMonthly": "0.00",
"amountPastDue": "0.00"
},
"additionalData": {
"bankruptcy": {
"hasBeenAdjudicatedBankrupt": false
},
"additionalComments": "12"
},
"applicantCertifications": {
"veteranSignature": "Travis D Jones",
"veteranDateSigned": "07/02/2024"
},
"selectedDebtsAndCopays": [
{
"resolutionWaiverCheck": true,
"resolutionOption": "waiver",
"id": "f4385298-08a6-42f8-a86f-50e97033fb85",
"pSSeqNum": "506.00",
"pSTotSeqNum": "588.00",
"pSFacilityNum": "534",
"pSFacPhoneNum": null,
"pSTotStatement": "27.00",
"pSStatementVal": "0000018255H",
"pSStatementDate": "11152019",
"pSStatementDateOutput": "11/15/2019",
"pSProcessDate": "11112019",
"pSProcessDateOutput": "11/11/2019",
"pHPatientLstNme": "JONES",
"pHPatientFstNme": "TRAVIS",
"pHPatientMidNme": "D",
"pHAddress1": "1885 SHORE DR S APT 327",
"pHAddress2": null,
"pHAddress3": null,
"pHCity": "SAVANNAH",
"pHState": "FL",
"pHZipCde": "314104413",
"pHZipCdeOutput": "31410-4413",
"pHCtryNme": null,
"pHAmtDue": "15.00",
"pHAmtDueOutput": "15.00  ",
"pHPrevBal": "135.00",
"pHPrevBalOutput": "135.00  ",
"pHTotCharges": "15.00",
"pHTotChargesOutput": "15.00  ",
"pHTotCredits": "-135.00",
"pHTotCreditsOutput": "135.00- ",
"pHNewBalance": "15.00",
"pHNewBalanceOutput": "15.00  ",
"pHSpecialNotes": "To pay your statement online, go to www.pay.gov or call 1-888-827-4817.",
"pHroParaCdes": "304050556065708085",
"pHNumOfLines": "10.00",
"pHDfnNumber": "346310.00",
"pHCernerStatementNumber": "1005154223.00",
"pHCernerPatientId": "1005154223",
"pHCernerAccountNumber": "1005154223",
"pHIcnNumber": "1012845638V677813",
"pHAccountNumber": "0.00",
"pHLargeFontIndcator": "0.00",
"details": [
{
"pDDatePosted": "10072019",
"pDDatePostedOutput": "10/07/2019",
"pDTransDesc": "OUTPATIENT CARE(NSC)",
"pDTransDescOutput": "OUTPATIENT CARE",
"pDTransAmt": "-15.00",
"pDTransAmtOutput": "15.00- ",
"pDRefNo": "534-K90HEWN"
},
{
"pDDatePosted": "10072019",
"pDDatePostedOutput": "10/07/2019",
"pDTransDesc": "OUTPATIENT CARE(NSC)",
"pDTransDescOutput": "OUTPATIENT CARE",
"pDTransAmt": "-15.00",
"pDTransAmtOutput": "15.00- ",
"pDRefNo": "534-K90HEWN"
},
{
"pDDatePosted": "10072019",
"pDDatePostedOutput": "10/07/2019",
"pDTransDesc": "OUTPATIENT CARE(NSC)",
"pDTransDescOutput": "OUTPATIENT CARE",
"pDTransAmt": "-15.00",
"pDTransAmtOutput": "15.00- ",
"pDRefNo": "534-K90HEWN"
},
{
"pDDatePosted": "10072019",
"pDDatePostedOutput": "10/07/2019",
"pDTransDesc": "OUTPATIENT CARE(NSC)",
"pDTransDescOutput": "OUTPATIENT CARE",
"pDTransAmt": "-15.00",
"pDTransAmtOutput": "15.00- ",
"pDRefNo": "534-K90HEWN"
},
{
"pDDatePosted": "10072019",
"pDDatePostedOutput": "10/07/2019",
"pDTransDesc": "OUTPATIENT CARE(NSC)",
"pDTransDescOutput": "OUTPATIENT CARE",
"pDTransAmt": "-15.00",
"pDTransAmtOutput": "15.00- ",
"pDRefNo": "534-K90HEWN"
},
{
"pDDatePosted": "10072019",
"pDDatePostedOutput": "10/07/2019",
"pDTransDesc": "OUTPATIENT CARE(NSC)",
"pDTransDescOutput": "OUTPATIENT CARE",
"pDTransAmt": "-15.00",
"pDTransAmtOutput": "15.00- ",
"pDRefNo": "534-K90HEWN"
},
{
"pDDatePosted": "10072019",
"pDDatePostedOutput": "10/07/2019",
"pDTransDesc": "OUTPATIENT CARE(NSC)",
"pDTransDescOutput": "OUTPATIENT CARE",
"pDTransAmt": "-15.00",
"pDTransAmtOutput": "15.00- ",
"pDRefNo": "534-K90HEWN"
},
{
"pDDatePosted": "10072019",
"pDDatePostedOutput": "10/07/2019",
"pDTransDesc": "OUTPATIENT CARE(NSC)",
"pDTransDescOutput": "OUTPATIENT CARE",
"pDTransAmt": "-15.00",
"pDTransAmtOutput": "15.00- ",
"pDRefNo": "534-K90HEWN"
},
{
"pDDatePosted": "10072019",
"pDDatePostedOutput": "10/07/2019",
"pDTransDesc": "OUTPATIENT CARE(NSC)",
"pDTransDescOutput": "OUTPATIENT CARE",
"pDTransAmt": "-15.00",
"pDTransAmtOutput": "15.00- ",
"pDRefNo": "534-K90HEWN"
},
{
"pDDatePosted": "10152019",
"pDDatePostedOutput": "10/15/2019",
"pDTransDesc": "OUTPATIENT CARE(NSC) VISIT DATE: 09/07/2018",
"pDTransDescOutput": "OUTPATIENT CARE VISIT DATE: 09/07/2018",
"pDTransAmt": "15.00",
"pDTransAmtOutput": "15.00  ",
"pDRefNo": "534-K009FK8"
}
],
"station": {
"facilitYNum": "534",
"visNNum": "07",
"facilitYDesc": "RALPH H. JOHNSON VA MEDICAL CENTER (534)",
"cyclENum": "012",
"remiTToFlag": "L",
"maiLInsertFlag": "0",
"staTAddress1": "ACCOUNTS RECEIVABLE (04AR)",
"staTAddress2": "109 BEE ST",
"staTAddress3": null,
"city": "Charleston",
"state": "SC",
"ziPCde": "294015703",
"ziPCdeOutput": "29401-5703",
"baRCde": "*294015703090*",
"teLNumFlag": "P",
"teLNum": "1-866-258-2772",
"teLNum2": null,
"contacTInfo": null,
"dM2TelNum": null,
"contacTInfo2": null,
"toPTelNum": null,
"lbXFedexAddress1": null,
"lbXFedexAddress2": null,
"lbXFedexAddress3": null,
"lbXFedexCity": null,
"lbXFedexState": null,
"lbXFedexZipCde": null,
"lbXFedexBarCde": null,
"lbXFedexContact": null,
"lbXFedexContactTelNum": null,
"facilityName": "Ralph H. Johnson Department of Veterans Affairs Medical Center"
},
"debtType": "COPAY",
"resolutionComment": ""
}
],
"streamlined": {
"value": false,
"type": "none"
}
}
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amponce commented Jul 2, 2024

Response

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                    "/usr/local/bundle/cache/ruby/3.2.0/gems/actionpack-7.1.3.4/lib/action_dispatch/middleware/executor.rb:14:in `call'",
                    "/usr/local/bundle/cache/ruby/3.2.0/gems/actionpack-7.1.3.4/lib/action_dispatch/middleware/static.rb:25:in `call'",
                    "/usr/local/bundle/cache/ruby/3.2.0/gems/rack-2.2.9/lib/rack/sendfile.rb:110:in `call'",
                    "/usr/local/bundle/cache/ruby/3.2.0/gems/actionpack-7.1.3.4/lib/action_dispatch/middleware/host_authorization.rb:141:in `call'",
                    "/usr/local/bundle/cache/ruby/3.2.0/gems/rack-cors-2.0.2/lib/rack/cors.rb:102:in `call'",
                    "/app/lib/http_method_not_allowed.rb:13:in `call'",
                    "/usr/local/bundle/cache/ruby/3.2.0/gems/utf8-cleaner-1.0.0/lib/utf8-cleaner/middleware.rb:21:in `call'",
                    "/usr/local/bundle/cache/ruby/3.2.0/gems/railties-7.1.3.4/lib/rails/engine.rb:536:in `call'",
                    "/usr/local/bundle/cache/ruby/3.2.0/gems/puma-6.4.2/lib/puma/configuration.rb:272:in `call'",
                    "/usr/local/bundle/cache/ruby/3.2.0/gems/puma-6.4.2/lib/puma/request.rb:100:in `block in handle_request'",
                    "/usr/local/bundle/cache/ruby/3.2.0/gems/puma-6.4.2/lib/puma/thread_pool.rb:378:in `with_force_shutdown'",
                    "/usr/local/bundle/cache/ruby/3.2.0/gems/puma-6.4.2/lib/puma/request.rb:99:in `handle_request'",
                    "/usr/local/bundle/cache/ruby/3.2.0/gems/puma-6.4.2/lib/puma/server.rb:464:in `process_client'",
                    "/usr/local/bundle/cache/ruby/3.2.0/gems/puma-6.4.2/lib/puma/server.rb:245:in `block in run'",
                    "/usr/local/bundle/cache/ruby/3.2.0/gems/puma-6.4.2/lib/puma/thread_pool.rb:155:in `block in spawn_thread'"
                ]
            }
        }
    ]
}

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