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shadiff

Category A

shadiff
Sep 13th, 2023
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  1. {
  2. "code": "A",
  3. "description": "CATEGORY A",
  4. "categoryBenefits": [
  5. {
  6. "benefitDescription": {
  7. "code": "OP",
  8. "preAuthBenefit": 1,
  9. "pkid": 81,
  10. "description": "Out-Patient"
  11. },
  12. "bedType": null,
  13. "hmo": null,
  14. "pooled": false,
  15. "perPerson": false,
  16. "coPayAmount": 0.0,
  17. "coPayPercent": 0.0,
  18. "reimbursementAmount": -1.0,
  19. "reimbursementPercent": 100.0,
  20. "empDrawSpouse": 0,
  21. "spouseDrawEmp": 0,
  22. "depDrawSpouse": 0,
  23. "spouseDrawDep": 0,
  24. "depDrawEmp": 0,
  25. "empDrawDep": 0,
  26. "ip": 0,
  27. "op": 1,
  28. "payLessNhif": true,
  29. "maxBedDays": 0,
  30. "dailyBedLimit": 0.0000,
  31. "benefitSelfFundedInsured": 6,
  32. "hybridBenefitSforInsured": 2,
  33. "insurer": 36,
  34. "payBenefitinFull": 0,
  35. "wpp": false,
  36. "coverLayeringLevel": 0,
  37. "coverLayerType": "S",
  38. "pooledPerCategory": false,
  39. "pooledPerScheme": false,
  40. "perFamily": true,
  41. "binderType": 2,
  42. "recoverable": false,
  43. "policyNo": "",
  44. "preauthorisable": 0,
  45. "coExcessAmount": 0.0,
  46. "coExcessPercent": 0.0,
  47. "coverSelf": 1,
  48. "coverSpouse": 1,
  49. "coverChild": 1,
  50. "limitAmount": 100000.0,
  51. "pkid": 221002
  52. },
  53. {
  54. "benefitDescription": {
  55. "code": "IP",
  56. "preAuthBenefit": 1,
  57. "pkid": 82,
  58. "description": "In-Patient"
  59. },
  60. "bedType": null,
  61. "hmo": null,
  62. "pooled": false,
  63. "perPerson": false,
  64. "coPayAmount": 0.0,
  65. "coPayPercent": 0.0,
  66. "reimbursementAmount": -1.0,
  67. "reimbursementPercent": 100.0,
  68. "empDrawSpouse": 0,
  69. "spouseDrawEmp": 0,
  70. "depDrawSpouse": 0,
  71. "spouseDrawDep": 0,
  72. "depDrawEmp": 0,
  73. "empDrawDep": 0,
  74. "ip": 1,
  75. "op": 0,
  76. "payLessNhif": true,
  77. "maxBedDays": 0,
  78. "dailyBedLimit": 0.0000,
  79. "benefitSelfFundedInsured": 6,
  80. "hybridBenefitSforInsured": 2,
  81. "insurer": 36,
  82. "payBenefitinFull": 0,
  83. "wpp": false,
  84. "coverLayeringLevel": 0,
  85. "coverLayerType": "S",
  86. "pooledPerCategory": false,
  87. "pooledPerScheme": false,
  88. "perFamily": true,
  89. "binderType": 2,
  90. "recoverable": false,
  91. "policyNo": "",
  92. "preauthorisable": 0,
  93. "coExcessAmount": 0.0,
  94. "coExcessPercent": 0.0,
  95. "coverSelf": 1,
  96. "coverSpouse": 1,
  97. "coverChild": 1,
  98. "limitAmount": 1000000.0,
  99. "pkid": 221003
  100. },
  101. {
  102. "benefitDescription": {
  103. "code": "DEN",
  104. "preAuthBenefit": 1,
  105. "pkid": 84,
  106. "description": "Dental"
  107. },
  108. "bedType": null,
  109. "hmo": null,
  110. "pooled": false,
  111. "perPerson": true,
  112. "coPayAmount": 0.0,
  113. "coPayPercent": 0.0,
  114. "reimbursementAmount": -1.0,
  115. "reimbursementPercent": 100.0,
  116. "empDrawSpouse": 0,
  117. "spouseDrawEmp": 0,
  118. "depDrawSpouse": 0,
  119. "spouseDrawDep": 0,
  120. "depDrawEmp": 0,
  121. "empDrawDep": 0,
  122. "ip": 0,
  123. "op": 1,
  124. "payLessNhif": true,
  125. "maxBedDays": 0,
  126. "dailyBedLimit": 0.0000,
  127. "benefitSelfFundedInsured": 6,
  128. "hybridBenefitSforInsured": 2,
  129. "insurer": 36,
  130. "payBenefitinFull": 0,
  131. "wpp": false,
  132. "coverLayeringLevel": 0,
  133. "coverLayerType": "S",
  134. "pooledPerCategory": false,
  135. "pooledPerScheme": false,
  136. "perFamily": false,
  137. "binderType": 2,
  138. "recoverable": false,
  139. "policyNo": "",
  140. "preauthorisable": 0,
  141. "coExcessAmount": 0.0,
  142. "coExcessPercent": 0.0,
  143. "coverSelf": 1,
  144. "coverSpouse": 1,
  145. "coverChild": 1,
  146. "limitAmount": 10000.0,
  147. "pkid": 221005
  148. },
  149. {
  150. "benefitDescription": {
  151. "code": "OPT",
  152. "preAuthBenefit": 1,
  153. "pkid": 85,
  154. "description": "Optical"
  155. },
  156. "bedType": null,
  157. "hmo": null,
  158. "pooled": false,
  159. "perPerson": true,
  160. "coPayAmount": 0.0,
  161. "coPayPercent": 0.0,
  162. "reimbursementAmount": -1.0,
  163. "reimbursementPercent": 100.0,
  164. "empDrawSpouse": 0,
  165. "spouseDrawEmp": 0,
  166. "depDrawSpouse": 0,
  167. "spouseDrawDep": 0,
  168. "depDrawEmp": 0,
  169. "empDrawDep": 0,
  170. "ip": 0,
  171. "op": 1,
  172. "payLessNhif": true,
  173. "maxBedDays": 0,
  174. "dailyBedLimit": 0.0000,
  175. "benefitSelfFundedInsured": 6,
  176. "hybridBenefitSforInsured": 2,
  177. "insurer": 36,
  178. "payBenefitinFull": 0,
  179. "wpp": false,
  180. "coverLayeringLevel": 0,
  181. "coverLayerType": "S",
  182. "pooledPerCategory": false,
  183. "pooledPerScheme": false,
  184. "perFamily": false,
  185. "binderType": 2,
  186. "recoverable": false,
  187. "policyNo": "",
  188. "preauthorisable": 0,
  189. "coExcessAmount": 0.0,
  190. "coExcessPercent": 0.0,
  191. "coverSelf": 1,
  192. "coverSpouse": 1,
  193. "coverChild": 1,
  194. "limitAmount": 10000.0,
  195. "pkid": 221004
  196. },
  197. {
  198. "benefitDescription": {
  199. "code": "MAT",
  200. "preAuthBenefit": 1,
  201. "pkid": 86,
  202. "description": "Maternity"
  203. },
  204. "bedType": null,
  205. "hmo": null,
  206. "pooled": false,
  207. "perPerson": false,
  208. "coPayAmount": 0.0,
  209. "coPayPercent": 0.0,
  210. "reimbursementAmount": -1.0,
  211. "reimbursementPercent": 100.0,
  212. "empDrawSpouse": 0,
  213. "spouseDrawEmp": 0,
  214. "depDrawSpouse": 0,
  215. "spouseDrawDep": 0,
  216. "depDrawEmp": 0,
  217. "empDrawDep": 0,
  218. "ip": 1,
  219. "op": 0,
  220. "payLessNhif": true,
  221. "maxBedDays": 0,
  222. "dailyBedLimit": 0.0000,
  223. "benefitSelfFundedInsured": 6,
  224. "hybridBenefitSforInsured": 2,
  225. "insurer": 36,
  226. "payBenefitinFull": 0,
  227. "wpp": false,
  228. "coverLayeringLevel": 0,
  229. "coverLayerType": "S",
  230. "pooledPerCategory": false,
  231. "pooledPerScheme": false,
  232. "perFamily": true,
  233. "binderType": 2,
  234. "recoverable": false,
  235. "policyNo": "",
  236. "preauthorisable": 0,
  237. "coExcessAmount": 0.0,
  238. "coExcessPercent": 0.0,
  239. "coverSelf": 1,
  240. "coverSpouse": 1,
  241. "coverChild": 1,
  242. "limitAmount": 200000.0,
  243. "pkid": 221006
  244. }
  245. ],
  246. "pkid": 35541
  247. },
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