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==Sample POST to SmartSimple==
<pre><HTML>
<HEAD>
<TITLE>Integration Provider Sample Submission</TITLE>
</HEAD>
<BODY>
<form action="http://hcai.smartsimple.biz/ex/provider/billing.jsp" method="POST" target="_blank">
<table border=1 cellspaing=0 cellpadding=1>
<tr>
<td width=400px>Provider Key</td>
<td><textarea rows=1 cols=25 name=providerkey>xxx key goes here xxx</textarea></td>
</tr>
<tr>
<td width=400px>Test Submission Flag</td>
<td><textarea rows=1 cols=25 name=isprod>0</textarea></td>
</tr>
<tr>
<td width=400px>Case ID</td>
<td><textarea rows=1 cols=25 name=caseid>123456</textarea></td>
</tr>
<tr>
<td width=400px>Service ID</td>
<td><textarea rows=1 cols=25 name=serviceid>88888</textarea></td>
</tr>
<tr>
<td width=400px>Type of Service </td>
<td><textarea rows=1 cols=25 name=typeofservice>typeofservice</textarea></td>
</tr>
<tr>
<td width=400px>Client Alias </td>
<td><textarea rows=1 cols=25 name=client>client</textarea></td>
</tr>
<tr>
<td width=400px>Client Type</td>
<td><textarea rows=1 cols=25 name=source>10</textarea></td>
</tr>
<tr>
<td width=400px>GAP Code </td>
<td><textarea rows=1 cols=25 name=gapcode>gapcode</textarea></td>
</tr>
<tr>
<td width=400px>Rate for service</td>
<td><textarea rows=1 cols=25 name=rate>10.00</textarea></td>
</tr>
<tr>
<td width=400px>Unit Measure </td>
<td><textarea rows=1 cols=25 name=measure>measure</textarea></td>
</tr>
<tr>
<td width=400px>Quantity</td>
<td><textarea rows=1 cols=25 name=quantity>quantity</textarea></td>
</tr>
<tr>
<td width=400px>Tax</td>
<td><textarea rows=1 cols=25 name=tax>tax</textarea></td>
</tr>
<tr>
<td width=400px>Tax Type</td>
<td><textarea rows=1 cols=25 name=taxtype>taxtype</textarea></td>
</tr>
<tr>
<td width=400px>Total</td>
<td><textarea rows=1 cols=25 name=total>total</textarea></td>
</tr>
<tr>
<td width=400px>Tax Amount</td>
<td><textarea rows=1 cols=25 name=taxamt>taxamt</textarea></td>
</tr>
<tr>
<td width=400px>Gross Total</td>
<td><textarea rows=1 cols=25 name=grossamt>grossamt</textarea></td>
</tr>
<tr>
<td width=400px>Reference #</td>
<td><textarea rows=1 cols=25 name=reference>reference</textarea></td>
</tr>
<tr>
<td width=400px>Confirmation #</td>
<td><textarea rows=1 cols=25 name=confirmationnum>#12345-eee</textarea></td>
</tr>
<tr>
<td width=400px>Provider Name</td>
<td><textarea rows=1 cols=25 name=provider>provider</textarea></td>
</tr>
<tr>
<td width=400px>Provider Emailr</td>
<td><textarea rows=1 cols=25 name=provideremail>provideremail</textarea></td>
</tr>
<tr>
<td width=400px>Notes</td>
<td><textarea rows=1 cols=25 name=notes>notes</textarea></td>
</tr>
<tr>
<td width=400px><Input type="submit" value="Submit to SmartSimple"></td>
</tr>
</table>
</form>
</BODY>
</HTML>
</pre>
==See Also==
* [[Service Provider Integration Fields]]
