| oscar_member_id |
string |
14-character Oscar ID |
14-character Oscar ID |
OSC12345678-01 |
14 |
y |
| platform_member_id |
string |
Platform-specified member ID |
vendor-specific |
vendor-specific |
|
n |
| name_first |
string |
Member's first name |
First |
Joe |
|
y |
| name_last |
string |
Membr's last name |
Last |
Schmoe |
|
y |
| ssn |
string |
9-character member tax id |
9-character member tax id |
123456789 |
9 |
n |
| contract_id |
string |
Oscar internal contract_id UUID |
UUID |
|
|
y |
| coverage_start |
string |
First day of coverage |
YYYY-MM-DD |
2024-01-01 |
10 |
y |
| coverage_end |
string |
Last day of coverage |
YYYY-MM-DD |
2024-01-01 |
10 |
y |
| exchange_status |
enum (on/off) |
Indicates if a member is enrolled on-exchange or off-exchange |
ON, OFF |
OFF |
|
y |
| plan_state |
string |
US state in which member is enrolled. |
2 digit state abbv. |
NY |
2 |
y |
| effectuated |
bool |
Boolean indicating if a member has paid their binder payment and is therefore effectuated (TRUE) or uneffectuated (FALSE). |
TRUE, FALSE |
TRUE |
|
y |
| effectuation_date |
string |
Date eligibility status became "EFFECTUATED" |
YYYY-MM-DD |
2024-01-01 |
10 |
y |
| policy_status |
enum |
Indicates the eligibility state of the member's health insurance policy. |
EFFECTUATED, UNEFFECTUATED, PRECOVERAGE_EFFECTUATED, GRACE_PERIOD, TERMINATED, CANCELLED, DELINQUENCY, POST_COVERAGE |
EFFECTUATED |
|
y |
| policy_status_reason |
string |
Status reason |
See Supported Policy Status Reasons |
Paid |
|
y |
| month |
string |
The month that premium and eligibility status applies to |
YYYY-MM-01 |
2024-01-01 |
10 |
y |
| total_premium |
string |
Total monthly premium for policy (member + aptc) |
Valid decimal value |
999.99 |
|
y |
| member_responsible |
string |
Member's monthly premium owed |
Valid decimal value |
999.99 |
|
y |
| aptc |
string |
Aptc applied to policy, if applicable |
Valid decimal value |
999.99 |
|
y |
| balance |
string |
Member's outstanding balance at time of file generation, including future 'UNPAID' charges |
Valid decimal value |
999.99 |
|
y |
| oldest_unpaid_due_date |
string |
Oldest unpaid due date |
YYYY-MM-DD |
2024-01-01 |
10 |
y |
| past_due_balance |
string |
Sum of unpaid charges with a due date in the past |
Valid decimal value |
999.99 |
|
y |
| email |
string |
Member's primary email |
email@email.com |
joe.schmoe@gmail.com |
|
n |
| address |
string |
Member's residential address |
|
123 Main St, Apt 3 |
|
y |
| city |
string |
Member's residential city |
|
Anytown |
|
y |
| state |
string |
Member's residential state, 2 letter code |
XX |
NY |
2 |
y |
| zip |
string |
Member's residential 5-digit zip code |
00000 |
12345 |
5 |
y |
| policy_relation |
enum |
Member's policy relation |
Subscriber, Spouse, Child, Dependent, Unknown |
Subscriber |
|
y |