Merged in bugfix/claim_type_code (pull request #845)
Bugfix/claim type code * Added retrieval question for hybrid smart chunking CLAIM_TYPE_CD * Update on hybrid smart chunking retrival question * Merged main into bugfix/claim_type_code Approved-by: Katon Minhas
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@@ -165,7 +165,7 @@
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"prompt": "What is the Claim Type of the contract, exhibit, or services mentioned in the text? Choose ONLY from the following: {valid_values}.\n\nGuidelines:\n- Return 'Professional' if the text refers to services rendered by individual healthcare providers or provider groups (e.g., physician services, office visits, outpatient procedures).\n- Return 'Institutional' if the text refers to services provided by hospitals, facilities, or institutions (e.g., inpatient, outpatient facility, or surgery centers).\n- Return 'Ancillary' if the text refers to services such as Home Health, Durable Medical Equipment (DME), Laboratory, Radiology, Dialysis, Diagnostic Imaging, Genetic Testing, Blood Testing, Sleep Lab Services, Telemedicine, Behavioral or Mental Health, or other ancillary settings.\n- If multiple claim types are mentioned, return the one most closely associated with the compensation or service description in the context.\n- If no claim type is mentioned or cannot be determined, return 'N/A'.\nDo not infer or guess.",
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"valid_values": "VALID_CLAIM_TYPE",
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"keywords": [],
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"smart_chunking_methodology": "TBD",
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"retrieval_question": "Who is the provider in the contract? Provider is usually a physician practice, medical group, hospital, surgery center, ambulatory facility, institutional provider, home health agency, DME supplier, laboratory, radiology center, or ancillary service provider delivering healthcare services",
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"allow_na": true
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},
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{
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