Maximum Benefit per Disease by Policyholder
File Name: v2_ph_max_benefits_per_disease.csv
This file defines the maximum benefit allowed per disease group for an individual policyholder.
The disease groups must be defined in the v2_disease_groups.csv file, and the data must be aligned with the corresponding policyholder records in v2_policyholders.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 | insured_id | String[64] | Unique identifier for the policyholder. This code must exist in a record from the v2_policyholders.csv file. |
| 3 | disease_code | String[16] | Disease group code as defined in the v2_disease_groups.csv file. |
| 4 | currency_code | String[3] using the ISO 4217 | Currency code representing the currency of the maximum benefit amount. |
| 5 | max_benefit | Decimal(15,5) | Maximum benefit amount allowed for the specified disease group. |
Updated 7 days ago