Balance by Policyholder

File Name: v2_policyholder_balances.csv

This processor receives the updated balance of available benefits for a policyholder. It can also specify the accumulated out-of-pocket contribution for stop-loss control and the updated deductible balance.

Structure

The required fields are marked in bold.

#	Field Name	Type	Description
1	insurer_slug	String[64]	Slug of the Payer provided by Osigu.
2	insured_id	String[64]	Unique identifier for the policyholder. This code must exist in a record from the `v2_policyholders.csv` file.
3	disease_code	String[16]	Disease group code declared in the `v2_disease_groups.csv` file. Optional. When populated, `maximum_benefit_available` represents the balance for the disease group.
4	currency_code	String[3] using the ISO 4217	Currency code for the expressed amounts.
5	maximum_benefit_available	Decimal(15,5)	Maximum available benefit. If `disease_code` is null, this indicates the total benefit available for the policyholder. Otherwise, it represents the balance for the disease group.
6	out_of_pocket_accrued_amount	Decimal(15,5)	Accumulated out-of-pocket amount for stop-loss control. When `disease_code` is populated, this field must be 0.
7	deductible_accrued_amount	Decimal(15,5)	Accumulated deductible amount paid by the policyholder. When `disease_code` is populated, this field must be 0.