Merged in feature/daip2-95 (pull request #396)

Feature/daip2 95

* testing carveout

* Merge branch 'main' into feature/daip2-95
pulled latest changes from main

* CONTRACT_DEFAULT_IND logic changed

* Merge branch 'main' into feature/daip2-95
pulled latest changes from main

* prompt updated to remove mention of last carveout

* Merged main into feature/daip2-95

* Merged main into feature/daip2-95

* prompt updated

* Merge branch 'feature/daip2-95' of https://bitbucket.org/aarete/doczy.ai into feature/daip2-95
latest changes pulled


Approved-by: Katon Minhas
This commit is contained in:
Mayank Aamseek
2025-02-18 17:05:26 +00:00
committed by Katon Minhas
parent 722d8aa14a
commit 4c98fcb230
2 changed files with 3 additions and 3 deletions
@@ -376,8 +376,8 @@
{
"field_name": "CONTRACT_DEFAULT_IND",
"relationship": "one_to_n",
"field_type": "TBD",
"prompt": "TBD"
"field_type": "methodology_breakout",
"prompt": "DEFAULT_INDICATOR:\nIndicates whether this methodology serves as a default/fallback payment rate when no other payment methods apply. The default/fallback payment rate is typically a low rate and based on billed charges.\nOutput 'Y' if ANY of these conditions are met in the methodology:\n1. Specifies a rate that applies to:\nservices not listed in the fee schedule\nservices for which no other payment method is specified\nall other services\nservices not otherwise specified\n2. Explicitly labeled as:\n'default rate' or 'default payment'\nOutput 'N' if:\nThe methodology is specific to listed services/procedures\nNo default/fallback language is present"
},
{
"field_name": "CPT4_PROC_CD",
@@ -469,7 +469,7 @@ Service: {service}
Methodology: {methodology}
Determine if the Service and Methodology match any of the Carveout descriptions.
If so, write the name of the Carveout. If they do not, simply write N/A. The answer will be somewhat explicitly written - do not attempt to force an answer if it is not the obvious answer.
If so, write the name of the Carveout. If they do not, simply write N/A.
{PIPE_FORMAT_INSTRUCTIONS}
"""