Coverages by Plan
File Name: v2_po_coverages.csv
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 | policy_number | String[32] | Plan/policy number must match a record in the v2_policies.csv file. |
3 | coverage_type | Enum ( PRESCRIPTION_DRUGS | DIAGNOSTIC_TESTS | OUTPATIENT_CARE ) | Type of coverage being added to the insured individual. |
4 | direct_billing_enabled | Boolean (string) | Indicates whether the coverage is available for direct billing. |
Notes
This file defines the types of coverages available for a specific plan. Coverages can be customized per policy and are critical for determining eligibility and benefits during the authorization process.
Updated 5 days ago