JSON being used to generate the fields:
[
{
"SetOID": 12572424,
"ObjectDesc": "CLAIM",
"SetDesc": "Administrative Fields",
"FieldID": "HOW REPORTED",
"FieldLabel": "How was the claim reported?",
"SortOrder": 1,
"IsRequired": 1,
"FieldLen": 50,
"FieldTypeDesc": "Selection",
"DictionaryValues": [
{
"DictionaryKey": "EMAIL",
"DictionaryValue": "Email"
},
{
"DictionaryKey": "FAX",
"DictionaryValue": "Fax"
},
{
"DictionaryKey": "MAIL",
"DictionaryValue": "Mail"
},
{
"DictionaryKey": "PHONE",
"DictionaryValue": "Phone"
},
{
"DictionaryKey": "WEB",
"DictionaryValue": "Web"
},
{
"DictionaryKey": "APP",
"DictionaryValue": "Phone App"
}
]
},
{
"SetOID": 12572424,
"ObjectDesc": "CLAIM",
"SetDesc": "Administrative Fields",
"FieldID": "WHO REPORTED",
"FieldLabel": "Relationship to Claim",
"SortOrder": 2,
"IsRequired": 1,
"FieldLen": 50,
"FieldTypeDesc": "Selection",
"DictionaryValues": [
{
"DictionaryKey": "POLICY",
"DictionaryValue": "Policyholder"
},
{
"DictionaryKey": "ATTY",
"DictionaryValue": "Attorney"
},
{
"DictionaryKey": "AGENT",
"DictionaryValue": "Agent"
},
{
"DictionaryKey": "PA",
"DictionaryValue": "Public Adjuster"
},
{
"DictionaryKey": "OTHER",
"DictionaryValue": "Other"
},
{
"DictionaryKey": "CLAIMANT",
"DictionaryValue": "Claimant"
}
]
},
{
"SetOID": 12572424,
"ObjectDesc": "CLAIM",
"SetDesc": "Administrative Fields",
"FieldID": "LARGE LOSS REPORT?",
"FieldLabel": "Large Loss Report Required?",
"SortOrder": 3,
"IsRequired": 1,
"FieldLen": 50,
"FieldTypeDesc": "Selection",
"DictionaryValues": [
{
"DictionaryKey": "NO",
"DictionaryValue": "No - Not Reportable as a Large Loss"
},
{
"DictionaryKey": "RELEASED",
"DictionaryValue": "No - No Additional Reports Required"
},
{
"DictionaryKey": "YES",
"DictionaryValue": "Yes - Currently On Report or First Report Pending"
}
]
},
{
"SetOID": 12572424,
"ObjectDesc": "CLAIM",
"SetDesc": "Administrative Fields",
"FieldID": "LARGE LOSS REPORT DUE DATE",
"FieldLabel": "Large Loss Report Due Date",
"SortOrder": 4,
"IsRequired": 0,
"FieldLen": 10,
"FieldTypeDesc": "Date",
"DictionaryValues": []
},
{
"SetOID": 12572424,
"ObjectDesc": "CLAIM",
"SetDesc": "Administrative Fields",
"FieldID": "LLR REPORTABLE",
"FieldLabel": "Large Loss Reportable?",
"SortOrder": 8,
"IsRequired": 0,
"FieldLen": 50,
"FieldTypeDesc": "Selection",
"DictionaryValues": [
{
"DictionaryKey": "Y_INJURY",
"DictionaryValue": "Y - Severity of Injury"
},
{
"DictionaryKey": "Y_PROP_DAM",
"DictionaryValue": "Y - Severity of Property Damage"
},
{
"DictionaryKey": "N_NO",
"DictionaryValue": "No"
}
]
},
{
"SetOID": 12572424,
"ObjectDesc": "CLAIM",
"SetDesc": Administrative Fields",
"FieldID": "NYLL",
"FieldLabel": "New York Labor Law Applies?",
"SortOrder": 9,
"IsRequired": 0,
"FieldLen": 50,
"FieldTypeDesc": "Selection",
"DictionaryValues": [
{
"DictionaryKey": "YES",
"DictionaryValue": "Yes"
},
{
"DictionaryKey": "NO",
"DictionaryValue": "NO"
},
{
"DictionaryKey": "NA",
"DictionaryValue": "N/A"
}
]
}
]