Coverages by Plan

File Name: v2_po_coverages.csv


Structure

The required fields are marked in bold.

#Field NameTypeDescription
1insurer_slugString[64]Slug of the Payer provided by Osigu.
2policy_numberString[32]Plan/policy number must match a record in the v2_policies.csv file.
3coverage_typeEnum ( PRESCRIPTION_DRUGS | DIAGNOSTIC_TESTS | OUTPATIENT_CARE )Type of coverage being added to the insured individual.
4direct_billing_enabledBoolean (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.