Group Coverages
File Name: v2_gr_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] | 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 | coverage_type | Enum ( PRESCRIPTION_DRUGS | DIAGNOSTIC_TESTS | OUTPATIENT_CARE ) | Type of coverage being added to the insured individual. |
| 5 | direct_billing_enabled | Boolean (string) | Indicates whether the coverage is available for direct billing. |
Notes
- This file is used to define coverages at the group level within a policy/plan.
- The
group_codemust match the code specified in thev2_groups.csvfile. - The
coverage_typedetermines the type of services covered, such as prescription drugs, diagnostic tests, or outpatient care. - The
direct_billing_enabledfield specifies whether the group members can use direct billing for the specified coverage.
Updated 5 months ago