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请求地址：

环境	HTTP请求地址	HTTPS请求地址
正式环境	http://gw.api.taobao.com/router/rest	https://eco.taobao.com/router/rest

公共请求参数：

名称	类型	是否必须	描述
method	String	是	API接口名称。
app_key	String	是	TOP分配给应用的AppKey。
target_app_key	String	否	被调用的目标AppKey，仅当被调用的API为第三方ISV提供时有效。
sign_method	String	是	签名的摘要算法，可选值为：hmac，md5。
sign	String	是	API输入参数签名结果，签名算法介绍请点击这里。
session	String	否	用户登录授权成功后，TOP颁发给应用的授权信息，详细介绍请点击这里。当此API的标签上注明：“需要授权”，则此参数必传；“不需要授权”，则此参数不需要传；“可选授权”，则此参数为可选。
timestamp	String	是	时间戳，格式为yyyy-MM-dd HH:mm:ss，时区为GMT+8，例如：2015-01-01 12:00:00。淘宝API服务端允许客户端请求最大时间误差为10分钟。
format	String	否	响应格式。默认为xml格式，可选值：xml，json。
v	String	是	API协议版本，可选值：2.0。
partner_id	String	否	合作伙伴身份标识。
simplify	Boolean	否	是否采用精简JSON返回格式，仅当format=json时有效，默认值为：false。

名称	类型	是否必须	示例值	更多限制	描述
param0	QueryClaimSettlementRecordTopRequest	必须			查询理赔记录请求
└ insurance_policy_number String 可选 123123123 保单号 └ alihealth_claim_settlement_record_id String 可选 123123123 阿里健康理赔记录ID

名称	类型	示例值	描述
result_status	String	SUCCESS	结果状态。SUCCESS:成功；FAIL:失败；UNKNOWN 未知。批量操作，如果有一个SUCCESS就返回SUCCESS，如果没有成功但有ACCEPT就返回ACCEPT，如果没有SUCCESS和ACCEPT但有UNKNOWN就返回UNKNOWN，都是FAIL则返回FAIL。
result_code	String	PARAM_ILLEGAL	结果码，请尽量使用result status来判断结果，result code仅在打印日志或需要关心具体错误原因时才使用
result_msg	String	参数异常	结果描述
data	QueryClaimSettlementRecordTopResponse	{}	返回值
claim_settlement_records ClaimSettlementRecordTopModel [] 理赔记录 └ alihealth_claim_settlement_record_id String 123123123 阿里健康理赔记录ID └ biz_claim_settlement_report_id String 123132 业务理赔事件ID（口腔保险对应的是服务记录ID） └ insurance_policy_number String 12312313 保单号 insured_info InsuredInfoTopModel 被保人信息 └ cert_image_front_side String https://aasdasd/ 被保人证件正面照 └ cert_image_back_side String https://aasdasd/ 被保人证件背面照 └ id_no String 411**** 身份证号（加密） └ name String 李* 名字（加密） └ mobile String 164***** 手机号（加密） service_infos ClaimSettlementServiceInfo [] 服务信息 └ occurrence_time Date 2022-08-05 12:13:14 服务发生时间 └ department_name String 部门名称部门名称 └ doctor_name String 医生名称医生名称 └ service_type_codes String [] abcd 服务类型编码 └ service_credentials String [] 服务凭证图片url地址 claim_settlement_items ClaimSettlementItemInfo [] 理赔项目 └ insurer_insurance_item_id String 123123123 保司的保险项目ID └ item_name String 洗牙保险项目名称 └ compensation_ratio BigDecimal 90 赔付比例（百分比，如果赔付90%传90） └ left_insurance_amount_before_compensation Number 80000 本次理赔前，剩余保险金额单位分 └ service_total_price Number 100000 服务总费用单位分 └ insured_pay_amount_inside_compensation_ratio Number 10000 赔付比例之内的（因为剩余赔付金额不足）用户需要付的金额单位分 └ insured_pay_amount_outside_compensation_ratio Number 10000 赔付比例之外的，用户需要付的金额单位分 └ total_insured_pay_amount Number 20000 用户自费总金额单位分 └ compensation_amount Number 80000 赔付金额单位分 └ left_insurance_amount_after_compensation Number 0 本次理赔后，剩余保额单位分
status	String	CLAIMING	理赔状态 ACCIDENT_OCCURRED("已出险"), CLAIM_INFO_INPUTTING("待完善理赔信息"), CLAIMING("理赔中"), SETTLED("理赔完成"), CANCELLED("取消理赔");

JAVA
.NET
PHP
CURL
Python
C/C++
NodeJS

TaobaoClient client = new DefaultTaobaoClient(url, appkey, secret);
AlibabaAlihealthMedicalInsuranceClaimSettlementRecordQueryRequest req = new AlibabaAlihealthMedicalInsuranceClaimSettlementRecordQueryRequest();
AlibabaAlihealthMedicalInsuranceClaimSettlementRecordQueryRequest.QueryClaimSettlementRecordTopRequest obj1 = new AlibabaAlihealthMedicalInsuranceClaimSettlementRecordQueryRequest.QueryClaimSettlementRecordTopRequest();
obj1.setInsurancePolicyNumber("123123123");
obj1.setAlihealthClaimSettlementRecordId("123123123");
req.setParam0(obj1);
AlibabaAlihealthMedicalInsuranceClaimSettlementRecordQueryResponse rsp = client.execute(req);
System.out.println(rsp.getBody());

ITopClient client = new DefaultTopClient(url, appkey, secret);
AlibabaAlihealthMedicalInsuranceClaimSettlementRecordQueryRequest req = new AlibabaAlihealthMedicalInsuranceClaimSettlementRecordQueryRequest();
AlibabaAlihealthMedicalInsuranceClaimSettlementRecordQueryRequest.QueryClaimSettlementRecordTopRequestDomain obj1 = new AlibabaAlihealthMedicalInsuranceClaimSettlementRecordQueryRequest.QueryClaimSettlementRecordTopRequestDomain();
obj1.InsurancePolicyNumber = "123123123";
obj1.AlihealthClaimSettlementRecordId = "123123123";
req.Param0_ = obj1;
AlibabaAlihealthMedicalInsuranceClaimSettlementRecordQueryResponse rsp = client.Execute(req);
Console.WriteLine(rsp.Body);

$c = new TopClient;
$c->appkey = $appkey;
$c->secretKey = $secret;
$req = new AlibabaAlihealthMedicalInsuranceClaimSettlementRecordQueryRequest;
$param0 = new QueryClaimSettlementRecordTopRequest;
$param0->insurance_policy_number="123123123";
$param0->alihealth_claim_settlement_record_id="123123123";
$req->setParam0(json_encode($param0));
$resp = $c->execute($req);

curl -X POST 'http://gw.api.taobao.com/router/rest' \
-H 'Content-Type:application/x-www-form-urlencoded;charset=utf-8' \
-d 'app_key=12129701' \
-d 'format=json' \
-d 'method=alibaba.alihealth.medical.insurance.claim.settlement.record.query' \
-d 'partner_id=apidoc' \
-d 'sign=32ED6929B5407E182996507AD76A5A07' \
-d 'sign_method=hmac' \
-d 'timestamp=2026-04-19+11%3A38%3A14' \
-d 'v=2.0' \
-d 'param0=null'

# -*- coding: utf-8 -*-
import top.api

req=top.api.AlibabaAlihealthMedicalInsuranceClaimSettlementRecordQueryRequest(url,port)
req.set_app_info(top.appinfo(appkey,secret))

req.param0="数据结构示例JSON格式"
try:
	resp= req.getResponse()
	print(resp)
except Exception,e:
	print(e)

pTopRequest pRequest = alloc_top_request();
pTopResponse pResponse = NULL;
pTaobaoClient pClient = alloc_taobao_client(url, appkey, appsecret);
set_api_name(pRequest,"alibaba.alihealth.medical.insurance.claim.settlement.record.query");
add_param(pRequest,"param0","数据结构JSON示例");
pResponse = top_execute(pClient,pRequest,NULL);
printf("ret code:%d\n",pResponse->code);
if(pResponse->code == 0){
	pTopResponseIterator ite = init_response_iterator(pResponse);
	pResultItem pResultItem = alloc_result_item();
	while(parseNext(ite, pResultItem) == 0){
		printf("%s:%s\n",pResultItem->key,pResultItem->value);
	}
	destroy_response_iterator(ite);
	destroy_result_item(pResultItem);
}
destroy_top_request(pRequest);
destroy_top_response(pResponse);
destroy_taobao_client(pClient);

TopClient = require('./topClient').TopClient;
var client = new TopClient({
	'appkey': 'appkey',
	'appsecret': 'secret',
	'url': 'http://gw.api.taobao.com/router/rest'
});

client.execute('alibaba.alihealth.medical.insurance.claim.settlement.record.query', {
	'param0':'数据结构JSON示例'
}, function(error, response) {
	if (!error) console.log(response);
	else console.log(error);
})

XML示例
JSON示例

<alibaba_alihealth_medical_insurance_claim_settlement_record_query_response>
    <result_status>SUCCESS</result_status>
    <result_code>PARAM_ILLEGAL</result_code>
    <result_msg>参数异常</result_msg>
    <data>
        <claim_settlement_records>
            <claim_settlement_record_top_model>
                <alihealth_claim_settlement_record_id>123123123</alihealth_claim_settlement_record_id>
                <biz_claim_settlement_report_id>123132</biz_claim_settlement_report_id>
                <insurance_policy_number>12312313</insurance_policy_number>
                <insured_info>
                    <cert_image_front_side>https://aasdasd/</cert_image_front_side>
                    <cert_image_back_side>https://aasdasd/</cert_image_back_side>
                    <id_no>411******</id_no>
                    <name>李***</name>
                    <mobile>164*****</mobile>
                </insured_info>
                <service_infos>
                    <claim_settlement_service_info>
                        <occurrence_time>2022-08-05 12:13:14</occurrence_time>
                        <department_name>部门名称</department_name>
                        <doctor_name>医生名称</doctor_name>
                        <service_type_codes>
                            <string>abcd</string>
                        </service_type_codes>
                    </claim_settlement_service_info>
                </service_infos>
                <claim_settlement_items>
                    <claim_settlement_item_info>
                        <insurer_insurance_item_id>123123123</insurer_insurance_item_id>
                        <item_name>洗牙</item_name>
                        <compensation_ratio>90</compensation_ratio>
                        <left_insurance_amount_before_compensation>80000</left_insurance_amount_before_compensation>
                        <service_total_price>100000</service_total_price>
                        <insured_pay_amount_inside_compensation_ratio>10000</insured_pay_amount_inside_compensation_ratio>
                        <insured_pay_amount_outside_compensation_ratio>10000</insured_pay_amount_outside_compensation_ratio>
                        <total_insured_pay_amount>20000</total_insured_pay_amount>
                        <compensation_amount>80000</compensation_amount>
                        <left_insurance_amount_after_compensation>0</left_insurance_amount_after_compensation>
                    </claim_settlement_item_info>
                </claim_settlement_items>
            </claim_settlement_record_top_model>
        </claim_settlement_records>
    </data>
    <status>CLAIMING</status>
</alibaba_alihealth_medical_insurance_claim_settlement_record_query_response>

{
    "alibaba_alihealth_medical_insurance_claim_settlement_record_query_response":{
        "result_status":"SUCCESS",
        "result_code":"PARAM_ILLEGAL",
        "result_msg":"参数异常",
        "data":{
            "claim_settlement_records":{
                "claim_settlement_record_top_model":[
                    {
                        "alihealth_claim_settlement_record_id":"123123123",
                        "biz_claim_settlement_report_id":"123132",
                        "insurance_policy_number":"12312313",
                        "insured_info":{
                            "cert_image_front_side":"https:\/\/aasdasd\/",
                            "cert_image_back_side":"https:\/\/aasdasd\/",
                            "id_no":"411******",
                            "name":"李***",
                            "mobile":"164*****"
                        },
                        "service_infos":{
                            "claim_settlement_service_info":[
                                {
                                    "occurrence_time":"2022-08-05 12:13:14",
                                    "department_name":"部门名称",
                                    "doctor_name":"医生名称",
                                    "service_type_codes":{
                                        "string":[
                                            "abcd"
                                        ]
                                    }
                                }
                            ]
                        },
                        "claim_settlement_items":{
                            "claim_settlement_item_info":[
                                {
                                    "insurer_insurance_item_id":"123123123",
                                    "item_name":"洗牙",
                                    "compensation_ratio":"90",
                                    "left_insurance_amount_before_compensation":80000,
                                    "service_total_price":100000,
                                    "insured_pay_amount_inside_compensation_ratio":10000,
                                    "insured_pay_amount_outside_compensation_ratio":10000,
                                    "total_insured_pay_amount":20000,
                                    "compensation_amount":80000,
                                    "left_insurance_amount_after_compensation":0
                                }
                            ]
                        }
                    }
                ]
            }
        },
        "status":"CLAIMING"
    }
}

XML示例
JSON示例

<error_response>
    <code>50</code>
    <msg>Remote service error</msg>
    <sub_code>isv.invalid-parameter</sub_code>
    <sub_msg>非法参数</sub_msg>
</error_response>

{
	"error_response":{
		"msg":"Remote service error",
		"code":50,
		"sub_msg":"非法参数",
		"sub_code":"isv.invalid-parameter"
	}
}

错误码	错误描述	解决方案

API测试工具错误码查询工具 SDK下载

开放平台

阿里健康-消费医疗-保险合作

alibaba.alihealth.medical.insurance.claim.settlement.record.query (阿里健康消费医疗保险理赔记录查询)

公共参数

请求参数

响应参数

请求示例

响应示例

异常示例

错误码解释

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