Ingredient Exclusions by Plan

File Name: v2_ph_exclusions_by_ingredient.csv

This processor accepts a list of active ingredients that must be permanently excluded for an insured individual belonging to a specific policy/plan.

The ingredient names must exist in Osigu's active ingredient catalog. This catalog 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 in the `v2_policies.csv` file.
3	ingredient_name	String[64]	Name of the active ingredient.

This file defines active ingredients that are permanently excluded from coverage for all insured individuals under the specified policy/plan.

The active ingredient names must match those provided in the Osigu active ingredient catalog to ensure accurate processing.
The exclusions defined in this file are enforced during authorization and claims processing.