| Name | Description | Type | Additional information |
|---|---|---|---|
| PaymentGatewayPatientToken | string |
String length: inclusive between 0 and 50 |
|
| PaymentGatewayPaymentToken | string |
Required String length: inclusive between 0 and 50 |
|
| EnrollmentType | integer |
None. |
|
| AddressLine1 | string |
None. |
|
| AddressLine2 | string |
None. |
|
| AddressCity | string |
None. |
|
| AddressState | string |
None. |
|
| AddressZip | string |
None. |