Policyholder Diagnosis Exclusions

Version 2

File Name: v2_ph_exclusions_by_diagnoses.csv

This version accepts only ICD-10 diagnosis codes. If another coding system or version of the ICD is required, Osigu can provide an updated processor that accepts alternate coding systems and converts them to the corresponding ICD-10 codes.

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	diagnosis_code	String[32]	ICD-10 diagnosis code.

Version 3

File Name: v3_ph_exclusions_by_diagnoses.csv

This version supports both ICD-9 and ICD-10 codes. The column coding_system must specify the coding version used.

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	diagnosis_code	String[32]	Diagnosis code.
4	coding_system	Enum ( ICD-9 \| ICD-10 )	Specifies the coding system and version used.