Coverage Determination on Medical Coverage Documents Plan #5 1.0 (test)
92AccuracyRule-based (FR)
Evaluation Results
| Method | Links | ||
|---|---|---|---|
| Rule-based (FR)Retriever Setting=Finetuned, System Type=Neuro-symbolic2026.01 | 92 | 96 | |
| Rule-based (ZR)Retriever Setting=Zero-shot, System Type=Neuro-symbolic2026.01 | 90 | 94 | |
| GPT-4.1Type=Vanilla Prompting, Model=GPT-4.12026.01 | 83 | 90 |