Maximum Benefit per Disease by Plan
File Name: v2_ph_max_benefits_per_disease.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 in the v2_policies.csv file. |
| 3 | disease_code | String[16] | Disease group code declared in the v2_disease_groups.csv file. |
| 4 | currency_code | String[3] using the ISO 4217 | Currency code in which the maximum benefit amount is expressed. |
| 5 | max_benefit | Decimal(15,5) | Maximum benefit amount per disease. |
Notes
- This file defines the maximum coverage amount for specific disease groups under a policy/plan.
- Disease group codes must correspond to those declared in the
v2_disease_groups.csvfile. - The maximum benefit is expressed in the currency specified by the
currency_codefield.
Updated 5 months ago