Merged in bugfix/DAIP2-1701-issue-tracker-fixes-methodology-breakout (pull request #885)

Bugfix/DAIP2-1701 issue tracker fixes methodology breakout

* testing fee schedules issues

* logging debug added for lesser of

* Merged DEV into bugfix/DAIP2-1701-issue-tracker-fixes-methodology-breakout

* special case term fix

* updated lesser of distribution prompt

* Merged DEV into bugfix/DAIP2-1701-issue-tracker-fixes-methodology-breakout

* refactor: use f-string for special case term concatenation


Approved-by: Siddhant Medar

src/pipelines/shared/extraction/one_to_n_funcs.py

@@ -239,7 +239,7 @@ def process_single_carveout(
 
         return ("reimbursement", answer_dict)
     elif reimbursement_categorization in special_case_definitions.keys():
-        answer_dict[reimbursement_categorization] = reimb_term
+        answer_dict[reimbursement_categorization] = f"{service_term} - {reimb_term}"
         answer_dict.pop("REIMB_TERM", None)
         answer_dict.pop("SERVICE_TERM", None)
         return ("special_case", answer_dict)

src/prompts/prompt_templates.py

@@ -678,6 +678,15 @@ DECISION LOGIC:
 
    If nothing applies → return N/A
 
+   CONDITIONAL METHODOLOGY RULE:
+   -If a “lesser of” or “not to exceed” statement:
+     →Applies only under a specific condition (e.g., “where there is no rate,” “if not listed,” “when no fee schedule exists”), and
+     →Defines an alternative reimbursement method rather than limiting the base METHODOLOGY,
+   -Treat it as a separate reimbursement methodology.
+   -Do NOT apply it as a constraint to the primary METHODOLOGY.
+   -Do NOT merge it into the output.
+   -Only include “lesser of” or “not to exceed” language when it operates as an overarching ceiling that applies to the base METHODOLOGY itself.   
+
 3. COMBINE & FORMAT
 
    Substitution: