Triple S Management Member Structure is a JSON Structure definition published by Triple-S Management.
{
"title": "Triple-S Management Member Structure",
"description": "JSON structure documentation for Triple-S health plan member and claims objects",
"version": "1.0.0",
"structures": [
{
"name": "Member",
"description": "A Triple-S health plan member with coverage and eligibility details",
"fields": [
{ "name": "memberId", "type": "string", "required": true, "description": "Unique member identifier" },
{ "name": "name", "type": "object", "required": true, "description": "Member name (first, last, middle)" },
{ "name": "dateOfBirth", "type": "date", "required": false, "description": "Member date of birth" },
{ "name": "planType", "type": "string", "required": true, "description": "Type of health plan" },
{ "name": "planId", "type": "string", "required": false, "description": "Health plan identifier" },
{ "name": "groupNumber", "type": "string", "required": false, "description": "Employer group number" },
{ "name": "effectiveDate", "type": "date", "required": false, "description": "Coverage effective date" },
{ "name": "terminationDate", "type": "date", "required": false, "description": "Coverage termination date" },
{ "name": "eligibilityStatus", "type": "string", "required": false, "description": "Active, Inactive, Terminated, Pending" },
{ "name": "primaryCareProvider", "type": "object", "required": false, "description": "Assigned PCP information" },
{ "name": "network", "type": "string", "required": false, "description": "Provider network" }
]
}
]
}
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