Groups
File Name: v2_groups.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 | code | String[32] | Group code, must be unique within the groups of the policy/plan. If the Payer does not use segmentation, send a constant value like "GP01". |
| 4 | name | String[128] | Name of the segmentation or group. If the Payer does not use segmentation, send a constant value like "Default". |
| 5 | currency_code | String[3] using the ISO 4217 | Currency code in which amounts are expressed. |
| 6 | max_lifetime_benefit | Decimal(15,5) | Maximum lifetime benefit applicable to each group member. If max_annual_benefit has a value greater than 0, this must be 0. |
| 7 | max_annual_benefit | Decimal(15,5) | Maximum benefit applicable during the policy term. If max_lifetime_benefit has a value greater than 0, this must be 0. |
| 8 | deductible_amount | Decimal(15,5) | Deductible amount applicable to each group member. |
| 9 | reimbursement_base_amount | Decimal(15,5) | Base reimbursement amount, applicable for Mexico. For other countries, send 0. |
| 10 | status | Enum ( ENABLED | DISABLED ) | Status of the group. |
Notes
- This file is used to define groups within a policy/plan, allowing for segmentation of insured individuals.
- Groups can have distinct configurations for benefits, deductibles, and reimbursement amounts.
- The
reimbursement_base_amountfield is specific to Mexico and should be set to 0 for other regions.
Updated 18 days ago