jacob-mathison/doczyai-pipelines
1
0
Fork 0
Code Issues Pull Requests Actions Packages Projects Releases Activity

Merged in bugfix/outlier_terms (pull request #771)

Browse Source 
Bugfix/outlier terms to main

* added split sepcial term

* additional instrcution added

* Merged main into bugfix/outlier_terms

* modified special case primary

* removed split special case primary

* remove additional instruction

* remove print statements

* removed print statements

* updated special case primary prompt

* Merged main into bugfix/outlier_terms


Approved-by: Katon Minhas
This commit is contained in:
VenkataKrishna Reddy Avula
2025-11-12 15:11:16 +00:00
committed by Katon Minhas
parent 4142992c5e
commit 1045dccbbe
1 changed files with 53 additions and 9 deletions
Download Patch File Download Diff File Expand all files Collapse all files
fieldExtraction/src/prompts/prompt_templates.py
+53 -9
View File
@@ -422,19 +422,25 @@ Extract relevant excerpts from this payer-provider contract section. The output
[OUTPUT FORMAT]
Return a JSON dictionary with attributes specified in the prompt.
[GUIDELINES]
[GUIDELINES FOR EXTRACTION]
- For each attribute, extract all paragraphs or table entries that meet the specified criteria and return them as a list of strings.
- If no items meet the criteria, return an empty list [].
- When tables are present (marked with "Table Start" and "Table End"):
- Treat each row as a complete term; if any cell in a row meets the criteria, return the entire row (all columns) exactly as shown.
- Match column headers with their corresponding row values and combine them into readable phrases while preserving exact wording.
- Include any table-level headers, footers, notes, or references (including text appearing before, within, or after the table but not part of a row) with each relevant extracted row, and append such contextual text at the end of the row entry.
- Maintain the original order, spacing, punctuation, and wording — do not rephrase or summarize.
- When multiple terms relate to the same service type, COMBINE them into one entry by concatenating exact terms (use semicolons or line breaks).
- Do NOT modify, summarize, or rephrase the original terms — preserve exact text.
- Some contract sections may not contain any relevant terms — this is acceptable.
[EXAMPLE]
[GUIDELINES FOR GROUPING TERMS OR SPLITTING TERMS]
- When tables are present (marked with "Table Start" and "Table End"):
- Treat each row as a complete term
- Match column headers with their corresponding row values and combine them into readable phrases while preserving exact wording.
- Include any table-level headers, footers, notes, or references (including text appearing before, within, or after the table but not part of a row) with each relevant extracted row, and append such contextual text at the end of the row entry.
- Maintain the original order, spacing, punctuation, and wording — do not rephrase or summarize.
- If multiple related terms are found that logically belong together (e.g., "Outlier Day Threshold" and "Days in Excess of Threshold" for the same service), combine them into a single entry separated by a semicolon (;).
- Ensure that combined entries maintain the exact wording of each individual term.
- If a single term contains multiple distinct concepts that should be separated (e.g., different thresholds for different services), split them into separate entries.
- Ensure that split entries maintain the exact wording of each individual concept.
- Identify text at the end of the term or within in the term that applies to all components and append them to each item as needed for clarity.
[GROUPING EXAMPLE]
Given these separate terms:
- "Specialized Neurological Services Outlier Day Threshold - # of Days: 15"
- "Specialized Neurological Services Days in Excess of Threshold - Per Diem: $6,369"
@@ -445,6 +451,44 @@ Should be combined into single entries preserving exact wording:
- "Specialized Neurological Services Outlier Day Threshold - # of Days: 15; Specialized Neurological Services Days in Excess of Threshold - Per Diem: $6,369"
- "Cardiac Services Outlier Day Threshold - # of Days: 12; Cardiac Services Days in Excess of Threshold - Per Diem: $6,368"
[SPLITTING EXAMPLES]
Example1:
Given this combined term and common term at the end:
"Type of Transplant | Bone Marrow Transplant Per Case Rate | Outlier Threshold
Standard - Bone Marrow Transplant Autologous | $80,000 | $105,000
Related: Allogeneic Myeloablative (Standard) Related Blood and Marrow Transplant | $134,000 | $176,000
Unrelated: Allogeneic Myeloablative (Standard) Unrelated Blood and Marrow Transplant | $157,000 | $206,000
If Billed Charges exceed the Outlier Threshold, payment is the Bone Marrow Transplant Per Case Rate plus 79% of the Billed Charges that exceed the Outlier Threshold."
Should be split into separate entries preserving exact wording and appending the common term at the end:
[
"The per-case rate for a standard autologous bone marrow transplant is $80,000, and the outlier threshold is $105,000. If Billed Charges exceed the Outlier Threshold, payment is the Bone Marrow Transplant Per Case Rate plus 79% of the Billed Charges that exceed the Outlier Threshold.",
"The per-case rate for a standard related allogeneic myeloablative blood and marrow transplant is $134,000, and the outlier threshold is $176,000. If Billed Charges exceed the Outlier Threshold, payment is the Bone Marrow Transplant Per Case Rate plus 79% of the Billed Charges that exceed the Outlier Threshold.",
"The per-case rate for a standard unrelated allogeneic myeloablative blood and marrow transplant is $157,000, and the outlier threshold is $206,000. If Billed Charges exceed the Outlier Threshold, payment is the Bone Marrow Transplant Per Case Rate plus 79% of the Billed Charges that exceed the Outlier Threshold."
]
Example 2:
Given this combined term:
"Specialized Neurological Services Outlier Day Threshold - # of Days: 15; Specialized Neurological Services Days in Excess of Threshold - Per Diem: $6,369; Cardiac Services Outlier Day Threshold - # of Days: 12; Cardiac Services Days in Excess of Threshold - Per Diem: $6,368"
Should be split into separate entries preserving exact wording:
[
"Specialized Neurological Services Outlier Day Threshold - # of Days: 15; Specialized Neurological Services Days in Excess of Threshold - Per Diem: $6,369",
"Cardiac Services Outlier Day Threshold - # of Days: 12; Cardiac Services Days in Excess of Threshold - Per Diem: $6,368"
]
Example 3:
Given this combined term:
"DRG 1 CRANIOTOMY EX TRAUMA >17 Outlyer Threshold $37,247.14; DRG 2 CRANIOTOMY FOR TRAUMA >17 Outlyer Threshold $75,228.66; DRG 3 CRANIOTOMY <18 Outlyer Threshold $28,628.44;"
Should be split into separate entries preserving exact wording:
[
"DRG 1 CRANIOTOMY EX TRAUMA >17 Outlyer Threshold $37,247.14",
"DRG 2 CRANIOTOMY FOR TRAUMA >17 Outlyer Threshold $75,228.66",
"DRG 3 CRANIOTOMY <18 Outlyer Threshold $28,628.44"
]
Keep all original terms exactly as they appear - do not modify the language.
[ANALYSIS CONTEXT]"""