High-Deductible Health Plan Cost-Sharing Question Answering Dataset
#cost-sharing calculation #insurance policy interpretation #multi-step reasoning #high-deductible health plan analysis #patient cost estimation #health insurance benefit assessment
- 5000
- 0.4GB
- JSON
- CATL
MOBIUSI INC
Updated:2026-10-19
AI Analysis & Value Prop
This dataset covers deductibles, coinsurance, copayments, and out-of-pocket maximums in high-deductible health plans through plan terms, care scenarios, and cost-related questions and answers. Each example requires applying plan provisions to a specific care scenario and includes a step-by-step explanation of the resulting cost-sharing treatment. It supports training and evaluation of models that interpret insurance terms, answer healthcare cost questions, and perform multi-hop cost reasoning.
Dataset Insights
Sample Examples
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Technical Specifications
| Field | Type | Description |
|---|---|---|
| file_name | string | File name |
| answer | string | A direct response explaining the applicable cost-sharing outcome for the scenario. |
| reasoning | string | A step-by-step explanation connecting plan provisions to the scenario and resulting cost-sharing treatment. |
| care_scenario | string | The patient's care situation, including relevant services, timing, and any stated costs or coverage details. |
| cost_question | string | A question about how plan terms apply to the care scenario and what costs the patient may owe. |
| plan_document | string | Source plan text containing relevant deductible, copayment, coinsurance, and out-of-pocket maximum provisions. |
| cost_breakdown | object | A structured summary of calculated cost-sharing amounts when supported by the source information. |
Compliance Statement
| Authorization Type | Proprietary - Commercial AI Training License (No Redistribution) |
| Commercial Use | Requires exclusive subscription or authorization contract (monthly or per-invocation charging) |
| Privacy and Anonymization | No PII, no real company names, simulated scenarios follow industry standards |
| Compliance System | Compliant with China's Data Security Law / EU GDPR / supports enterprise data access logs |
Frequently Asked Questions
- What does the dataset contain?
- Examples include health plan text, care scenarios, cost questions, and answers. They may also include step-by-step reasoning and structured cost breakdowns to help models connect plan provisions with specific healthcare services.
- Which capabilities can this data support?
- It supports multi-hop question answering, health insurance term interpretation, cost-sharing decisions, and healthcare cost explanations. It can also be used for reasoning supervised fine-tuning and evaluation of related tasks.
- Can the cost answers be used for actual claims or personal medical decisions?
- The data is intended for model training and evaluation, not as a substitute for official plan documents, confirmation from an insurer, or professional advice. Actual costs may depend on network status, service codes, local rules, and plan versions.
- How can the dataset be obtained, and what are the licensing terms?
- Availability, delivery format, and permitted uses depend on the current product page or platform agreement. Before use, confirm that the license covers your intended training, evaluation, or commercial application.
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Verified for Enterprise UseCite this Work
@dataset{Mobiusi2026,
title={High-Deductible Health Plan Cost-Sharing Question Answering Dataset},
author={MOBIUSI INC},
year={2026},
url={https://www.mobiusi.com/datasets/3b5af8a58a9e3217981b16a8638f2811?dataset_scene_id=3},
urldate={2026-10-19},
keywords={high-deductible health plan,health insurance QA,cost-sharing reasoning,deductible calculation,coinsurance,copayment,out-of-pocket maximum,healthcare cost questions},
version={1.0}
}Using this in research? Please cite us.
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