Reimbursement Payment Notification

U024 - Reimbursement Payment Notification
Articles 65(6), 65(7) of Regulation (EC) No 883/2004, Article 70 of Regulation (EC) No 987/2009

SED API version: 0.16.2 build 2
Model version: 4.2.0

Local case numbers

Local Case Number

Country *

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Case number *

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Institution

Institution ID *

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Institution Name *

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Local Case Number

General information *

Reimbursement request ID *

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Reimbursement payment notification ID *

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Amount reimbursed *

Amount *

Amount *

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Currency *

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Date of payment *

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Bank information *

SEPA Bank Details *

IBAN *

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BIC-SWIFT

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Bank transfer: subject or transaction reference *

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Individual claims to which the payment relates *

Individual claim to which the payment relates *

Reimbursement request ID *

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Reimbursement Payment Notification ID *

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Sequential number of Individual claim *

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Contested individual claim ID

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Amended contested individual claim ID

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Individual claim Payment Notification ID *

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Person *

Family name(s) *

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Forename(s) *

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Date of birth *

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Sex *

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Individual claim to which the payment relates

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