赔案档案

赔案编号: {{ dossier.report_layer.case_number }} | 保险分公司: {{ dossier.report_layer.insurer_company }} | 报案时间: {{ dossier.report_layer.report_time | DateTime }}

影像件层

{% for image in dossier.images_layer %} {% endfor %}
影像件唯一标识 影像件编号 影像件名称 影像件类型
{{ image.image_guid }} {{ image.image_index }} {{ image.image_name }} {{ image.image_type }}

赔案层

出险人（被保险人）信息

姓名
{{ dossier.insured_person_layer.insured_person }}
证件类型
{{ dossier.insured_person_layer.identity_type }}
证件号码
{{ dossier.insured_person_layer.identity_number }}
证件有效期
{{ dossier.insured_person_layer.commencement_date | DateTime }} 至 {{ dossier.insured_person_layer.termination_date | DateTime }}
性别
{{ dossier.insured_person_layer.gender }}
出生
{{ dossier.insured_person_layer.birth_date | DateTime }} | {{ dossier.insured_person_layer.age }}岁
手机号
{{ dossier.insured_person_layer.phone_number }}
住址
{{ dossier.insured_person_layer.province }} {{ dossier.insured_person_layer.city }} {{ dossier.insured_person_layer.district }}
{{ dossier.insured_person_layer.detailed_address }}

领款信息

户名
{{ dossier.insured_person_layer.account }}
开户银行
{{ dossier.insured_person_layer.account_bank }}
户号
{{ dossier.insured_person_layer.account_number }}

在保个单

{% for liability in dossier.liabilities_layer %} {% endfor %}
团单号 保险分公司名称 被保险人姓名 主被保险人 与主被保险人关系 保险期 理赔责任名称
{{ liability.group_policy }} {{ liability.insurer_company }} {{ liability.insured_person }} {{ liability.master_insured_person }} {{ liability.relationship }} {{ liability.commencement_date | DateTime }} 至 {{ liability.termination_date | DateTime }} {{ liability.liability }}

票据层

{% for receipt in dossier.receipts_layer %}
{{ receipt.receipt_number }}
关联影像件序号: {{ receipt.image_index }}
{% if receipt.verification == '真票' %} {{ receipt.verification }} {% elif receipt.verification == '无法查验' %} {{ receipt.verification }} {% else %} {{ receipt.verification }} {% endif %}
出险人
{{ receipt.payer }}
票据代码
{{ receipt.code }}
校验码后六位
{{ receipt.verification_code }}
开票日期
{{ receipt.date | DateTime }}
票据金额
{{ receipt.amount }}元
出险事故
{{ receipt.accident }}
购药及就医机构
{{ receipt.institution }} | {{ receipt.institution_type }}
医疗诊断
{{ receipt.diagnosis }}
{% for item in receipt.items %} {% endfor %}
类别 药品/医疗服务 数量 金额
{{ item.category }} {{ item.medicine }} {{ item.quantity }} {{ item.amount }}元
{% for adjustment in receipt.adjustments %} {% endfor %}
个人自费可理算金额 个人自付可理算金额 合理可理算金额 理算金额
{{ adjustment.personal_self_adjustable_amount }} = {{ adjustment.personal_self_payment }} * {{ adjustment.personal_self_ratio }} % {{ adjustment.non_medical_adjustable_amount }} = {{ adjustment.non_medical_payment }} * {{ adjustment.non_medical_ratio }} % {{ adjustment.reasonable_adjustable_amount }} = {{ adjustment.reasonable_amount }} * {{ adjustment.reasonable_ratio }} % {{ adjustment.adjustment_amount }}元
总金额: {{ receipt.amount }}元
{% endfor %}