Diagnostic Test Exclusions by Group
File Name: v2_gr_exclusions_by_diagnostic_test.csv
This processor accepts a list of diagnostic tests that must be permanently excluded for a beneficiary who belongs to a group within a policy/plan.
The expected diagnostic test names must exist within Osigu's product catalog. This list is provided to each payer during the integration process.
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] | Policy/plan number, must match a record included in the v2_policies.csv file. |
| 3 | group_code | String[32] | Group code belonging to the policy, specified in the v2_groups.csv file. |
| 4 | diagnostic_test_name | String[64] | Name of the diagnostic test. |
Notes
- Use this file to define diagnostic test exclusions at the group level within a policy.
- Ensure diagnostic test names match those in the Osigu product catalog to avoid processing errors.
Updated 5 days ago