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Coverage Determination on Medical Coverage Documents Plan #5 1.0 (test)

92AccuracyRule-based (FR)
82.6485.0787.589.93Jan 3, 2026

Evaluation results

MethodLinks
Rule-based (FR)Retriever Setting=Finetuned, System Type=Neuro-symbolic2026.019296
Rule-based (ZR)Retriever Setting=Zero-shot, System Type=Neuro-symbolic2026.019094
GPT-4.1Type=Vanilla Prompting, Model=GPT-4.12026.018390