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Culture","lang",{"id":564,"unique_code":565,"title":566,"icon":8,"intro":567,"cate":483,"detail":568,"create_time":569,"update_time":570,"price":571,"view_count":572,"download_count":573,"unit":573,"amount":574,"is_create_order":573,"enterprise_id":488,"seo_keywords":575,"seo_description":576,"data_format":577,"file_size":578,"apply_scene":579,"training_task":580,"version":581,"dataset_type_id":492,"dataset_scene_id":483,"sample_file":582,"banner":8,"unit_name":8,"cate_name":449,"icon_url":8,"banner_url":8,"sample_file_url":8,"data_dict":583,"qa_list":635,"sample_metadatas":652,"text_sample_content":694,"enterprise_name":695,"enterprise_logo":696,"data_distribution":697},1123,"65dfba66fb6368d283b72924d528c01f","Evidence Verification Dataset for Medical Expense Claims Based on Insurance Policies and Contracts","Train more reliable medical claims verifiers with traceable evidence judgments linking policy wording to claim requirements.","\u003Cp>Designed for medical expense claims, this dataset pairs insurance contracts, policy wording, endorsements, and other legal documents with claim requirements to verify whether the documents support specific expenses or coverage conditions. Annotations cover policy version alignment, applicable conditions, supporting evidence spans, and conflicts between documents. The data supports training and evaluating claims evidence verifiers, as well as assisting claims review and legal document analysis.\u003C\u002Fp>","2026-10-10 17:56:15","2026-10-19 16:31:18","0.00",35,0,5000,"medical claims dataset, insurance contract evidence, policy wording analysis, claims review training data, evidence sufficiency, endorsement version matching, legal document understanding, claims verifier training","Evidence judgments linking insurance contracts and policy wording to medical claims, with labels for version alignment, conditions, and document conflicts.","JSON","0.5GB","medical insurance claims verification, insurance policy compliance, healthcare expense reimbursement assessment","evidence verification, policy-based reasoning, claim eligibility assessment","V1.0","rivo\u002Fsample-packages\u002Fed4e42cb-fb38-4d72-a9d0-0ff1716e5d23\u002F20261010.zip",[584,589,594,600,605,610,615,620,625,630],{"id":573,"name":585,"field":586,"intro":587,"type":588},"File Name","file_name","File name","string",{"id":590,"name":591,"field":592,"intro":593,"type":588},8151,"Evidence Support Level","support_level","The overall degree to which the source documents support the claim requirement being verified.",{"id":595,"name":596,"field":597,"intro":598,"type":599},8152,"Evidence Clauses and Support Relations","evidence_spans","Document clauses or source passages used in the judgment, with their relationship to the claim requirement.","array",{"id":601,"name":602,"field":603,"intro":604,"type":588},8153,"Policy Version Alignment","version_alignment","Whether the cited policy wording version applies to the relevant policy and claim.",{"id":606,"name":607,"field":608,"intro":609,"type":588},8154,"Decision Rationale","decision_rationale","A concise explanation of the overall judgment based on the evidence spans, version alignment, and applicable conditions.",{"id":611,"name":612,"field":613,"intro":614,"type":599},8155,"Conflicts Between Documents","document_conflicts","Relevant conflicts between contracts, policy wording, endorsements, or other documents. Use an empty array when no conflicts are identified.",{"id":616,"name":617,"field":618,"intro":619,"type":588},8156,"Applicable Condition Assessment","condition_assessment","Whether the conditions specified in the documents are met, missing, or contradicted by the available information.",{"id":621,"name":622,"field":623,"intro":624,"type":588},8157,"Source Document Text","source_documents_text","Text of source documents such as insurance contracts, policy wording, and endorsements. Clearly separate multiple documents and retain their names, versions, and clause details.",{"id":626,"name":627,"field":628,"intro":629,"type":588},8158,"Claim Requirement to Verify","claim_requirement_text","The medical expense item, coverage condition, or specific claim assertion that needs verification.",{"id":631,"name":632,"field":633,"intro":634,"type":599},8159,"Missing or Unmet Conditions","missing_or_unmet_conditions","Conditions required by the documents that the available claim information does not establish as met, or that are explicitly unmet. Use an empty array when there are none.",[636,640,644,648],{"id":637,"question":638,"answer":639},5938,"What does the dataset contain?","Each example includes source documents such as insurance contracts, policy wording, or endorsements, along with a medical expense item, coverage condition, or claim assertion to verify. Labels cover support level, version alignment, applicable conditions, evidence spans, and conflicts between documents.",{"id":641,"question":642,"answer":643},5939,"How does the dataset assess whether claim evidence is sufficient?","It records an overall support level and identifies relevant clauses and their relationship to the claim requirement. It also captures missing or unmet conditions, version mismatches, and document conflicts so that judgments can be traced to their supporting evidence.",{"id":645,"question":646,"answer":647},5940,"What are the intended use cases?","The data can be used to train or evaluate evidence verifiers for medical expense claims and to support claims review, insurance document retrieval and analysis, and evidence-support classification.",{"id":649,"question":650,"answer":651},5941,"How can I obtain the data and confirm its licensing terms?","Contact the data provider or platform for available delivery options. Before use, review the license, document provenance, and applicable privacy and compliance requirements. The provider's published terms determine the permitted uses.",[653,670,683],{"id":654,"relate_table":655,"relate_id":656,"file_size":573,"file_name":657,"path":8,"duration":573,"cate":483,"file_format":658,"audio_rate":8,"audio_channel":522,"audio_bit_depth":522,"quality":8,"annotation":659,"cate_name":660,"support_level":661,"evidence_spans":662,"version_alignment":663,"decision_rationale":664,"document_conflicts":665,"condition_assessment":666,"source_documents_text":667,"claim_requirement_text":668,"missing_or_unmet_conditions":669},14767,"union_cubo",669107815,"样例_3.json","json","{\"support_level\": \"Not supported\", \"evidence_spans\": \"[{\\\"document_label\\\": \\\"Policy Schedule — Form D-8, revision 2025-02\\\", \\\"clause_reference\\\": \\\"Coverage period and form designation\\\", \\\"quotation\\\": \\\"This form replaces the 2022 wording and all prior forms for this coverage period.\\\", \\\"support_role\\\": \\\"Rebuttal\\\"}, {\\\"document_label\\\": \\\"Form D-8, revision 2022-03\\\", \\\"clause_reference\\\": \\\"Section 8.4\\\", \\\"quotation\\\": \\\"Medically necessary dental repair following accidental injury is covered when performed within 90 days of the injury.\\\", \\\"support_role\\\": \\\"Background only\\\"}, {\\\"document_label\\\": \\\"Form D-8, revision 2025-02\\\", \\\"clause_reference\\\": \\\"Section 8.4\\\", \\\"quotation\\\": \\\"Dental treatment, including implants, is excluded. The exclusion does not apply to emergency stabilization of a natural tooth performed within 24 hours of the injury.\\\", \\\"support_role\\\": \\\"Rebuttal\\\"}]\", \"version_alignment\": \"Version mismatch\", \"decision_rationale\": \"The schedule identifies revision 2025-02 as the form applicable to the stated coverage period and expressly replaces the 2022 wording. The applicable clause excludes implants, and the claim does not establish the narrow emergency-stabilization exception. The older clause is therefore background only and does not support the requested implant expense.\", \"document_conflicts\": \"[{\\\"conflict_description\\\": \\\"The 2022 wording covers certain dental repairs after accidental injury, while the 2025 wording excludes implants. The schedule identifies the 2025 form as replacing the 2022 wording for this coverage period, so the apparent conflict is resolved by the version designation and the older provision does not support this claim.\\\", \\\"conflicting_evidence\\\": [\\\"Form D-8, revision 2022-03, Section 8.4: Medically necessary dental repair following accidental injury is covered when performed within 90 days of the injury.\\\", \\\"Policy Schedule — Form D-8, revision 2025-02: This form replaces the 2022 wording and all prior forms for this coverage period.\\\", \\\"Form D-8, revision 2025-02, Section 8.4: Dental treatment, including implants, is excluded, except for emergency stabilization of a natural tooth performed within 24 hours of the injury.\\\"]}]\", \"condition_assessment\": \"Conditions not met or contradictions exist\", \"source_documents_text\": \"Policy Schedule — Form D-8, revision 2025-02; coverage period: 1 March 2025 through 28 February 2026. The schedule states: This form replaces the 2022 wording and all prior forms for this coverage period. Form D-8, revision 2022-03, Section 8.4: Medically necessary dental repair following accidental injury is covered when performed within 90 days of the injury. Form D-8, revision 2025-02, Section 8.4: Dental treatment, including implants, is excluded. The exclusion does not apply to emergency stabilization of a natural tooth performed within 24 hours of the injury.\", \"claim_requirement_text\": \"Coverage is requested for an implant placed 10 days after an accidental tooth injury. The claim cites Form D-8, revision 2022-03, and describes the implant as medically necessary. It does not state that emergency stabilization of a natural tooth was performed within 24 hours.\", \"missing_or_unmet_conditions\": \"[\\\"The current-form exception requires emergency stabilization of a natural tooth within 24 hours of the injury; the claim describes an implant placed 10 days after the injury and does not state that this exception applies.\\\"]\"}","文本","Not supported","[{\"document_label\": \"Policy Schedule — Form D-8, revision 2025-02\", \"clause_reference\": \"Coverage period and form designation\", \"quotation\": \"This form replaces the 2022 wording and all prior forms for this coverage period.\", \"support_role\": \"Rebuttal\"}, {\"document_label\": \"Form D-8, revision 2022-03\", \"clause_reference\": \"Section 8.4\", \"quotation\": \"Medically necessary dental repair following accidental injury is covered when performed within 90 days of the injury.\", \"support_role\": \"Background only\"}, {\"document_label\": \"Form D-8, revision 2025-02\", \"clause_reference\": \"Section 8.4\", \"quotation\": \"Dental treatment, including implants, is excluded. The exclusion does not apply to emergency stabilization of a natural tooth performed within 24 hours of the injury.\", \"support_role\": \"Rebuttal\"}]","Version mismatch","The schedule identifies revision 2025-02 as the form applicable to the stated coverage period and expressly replaces the 2022 wording. The applicable clause excludes implants, and the claim does not establish the narrow emergency-stabilization exception. The older clause is therefore background only and does not support the requested implant expense.","[{\"conflict_description\": \"The 2022 wording covers certain dental repairs after accidental injury, while the 2025 wording excludes implants. The schedule identifies the 2025 form as replacing the 2022 wording for this coverage period, so the apparent conflict is resolved by the version designation and the older provision does not support this claim.\", \"conflicting_evidence\": [\"Form D-8, revision 2022-03, Section 8.4: Medically necessary dental repair following accidental injury is covered when performed within 90 days of the injury.\", \"Policy Schedule — Form D-8, revision 2025-02: This form replaces the 2022 wording and all prior forms for this coverage period.\", \"Form D-8, revision 2025-02, Section 8.4: Dental treatment, including implants, is excluded, except for emergency stabilization of a natural tooth performed within 24 hours of the injury.\"]}]","Conditions not met or contradictions exist","Policy Schedule — Form D-8, revision 2025-02; coverage period: 1 March 2025 through 28 February 2026. The schedule states: This form replaces the 2022 wording and all prior forms for this coverage period. Form D-8, revision 2022-03, Section 8.4: Medically necessary dental repair following accidental injury is covered when performed within 90 days of the injury. Form D-8, revision 2025-02, Section 8.4: Dental treatment, including implants, is excluded. The exclusion does not apply to emergency stabilization of a natural tooth performed within 24 hours of the injury.","Coverage is requested for an implant placed 10 days after an accidental tooth injury. The claim cites Form D-8, revision 2022-03, and describes the implant as medically necessary. It does not state that emergency stabilization of a natural tooth was performed within 24 hours.","[\"The current-form exception requires emergency stabilization of a natural tooth within 24 hours of the injury; the claim describes an implant placed 10 days after the injury and does not state that this exception applies.\"]",{"id":671,"relate_table":655,"relate_id":672,"file_size":573,"file_name":673,"path":8,"duration":573,"cate":483,"file_format":658,"audio_rate":8,"audio_channel":522,"audio_bit_depth":522,"quality":8,"annotation":674,"cate_name":660,"support_level":675,"evidence_spans":676,"version_alignment":677,"decision_rationale":678,"document_conflicts":679,"condition_assessment":666,"source_documents_text":680,"claim_requirement_text":681,"missing_or_unmet_conditions":682},14766,46185891,"样例_2.json","{\"support_level\": \"Partial support\", \"evidence_spans\": \"[{\\\"document_label\\\": \\\"Policy Schedule — Form PT-12, revision 2024-06\\\", \\\"clause_reference\\\": \\\"Section 5.6\\\", \\\"quotation\\\": \\\"Up to 10 outpatient physiotherapy visits per injury episode are eligible when prescribed by a treating physician.\\\", \\\"support_role\\\": \\\"Support\\\"}, {\\\"document_label\\\": \\\"Policy Schedule — Form PT-12, revision 2024-06\\\", \\\"clause_reference\\\": \\\"Section 5.6.1\\\", \\\"quotation\\\": \\\"Prior written authorization is required before the seventh visit. Visits seven through ten without prior written authorization are not payable.\\\", \\\"support_role\\\": \\\"Limited or conditional support\\\"}]\", \"version_alignment\": \"Version match\", \"decision_rationale\": \"The schedule version matches the stated coverage period. The physician prescription supports eligibility under Section 5.6, but Section 5.6.1 makes authorization a condition for visits seven through ten. The records indicate that this condition was not met, so the terms support the first six visits but not the full eight-visit request.\", \"document_conflicts\": \"[]\", \"condition_assessment\": \"Conditions not met or contradictions exist\", \"source_documents_text\": \"Policy Schedule — Form PT-12, revision 2024-06; coverage period: 1 July 2024 through 30 June 2025. Section 5.6, Physiotherapy benefit: Up to 10 outpatient physiotherapy visits per injury episode are eligible when prescribed by a treating physician. Section 5.6.1: Prior written authorization is required before the seventh visit. Visits seven through ten without prior written authorization are not payable.\", \"claim_requirement_text\": \"Reimbursement is requested for eight outpatient physiotherapy visits for one injury episode. The visits were prescribed by a treating physician, and the claim records list all eight as completed. The records also state that no prior written authorization was obtained before the seventh visit.\", \"missing_or_unmet_conditions\": \"[\\\"Prior written authorization before the seventh visit; the claim records state that no authorization was obtained.\\\"]\"}","Partial support","[{\"document_label\": \"Policy Schedule — Form PT-12, revision 2024-06\", \"clause_reference\": \"Section 5.6\", \"quotation\": \"Up to 10 outpatient physiotherapy visits per injury episode are eligible when prescribed by a treating physician.\", \"support_role\": \"Support\"}, {\"document_label\": \"Policy Schedule — Form PT-12, revision 2024-06\", \"clause_reference\": \"Section 5.6.1\", \"quotation\": \"Prior written authorization is required before the seventh visit. Visits seven through ten without prior written authorization are not payable.\", \"support_role\": \"Limited or conditional support\"}]","Version match","The schedule version matches the stated coverage period. The physician prescription supports eligibility under Section 5.6, but Section 5.6.1 makes authorization a condition for visits seven through ten. The records indicate that this condition was not met, so the terms support the first six visits but not the full eight-visit request.","[]","Policy Schedule — Form PT-12, revision 2024-06; coverage period: 1 July 2024 through 30 June 2025. Section 5.6, Physiotherapy benefit: Up to 10 outpatient physiotherapy visits per injury episode are eligible when prescribed by a treating physician. Section 5.6.1: Prior written authorization is required before the seventh visit. Visits seven through ten without prior written authorization are not payable.","Reimbursement is requested for eight outpatient physiotherapy visits for one injury episode. The visits were prescribed by a treating physician, and the claim records list all eight as completed. The records also state that no prior written authorization was obtained before the seventh visit.","[\"Prior written authorization before the seventh visit; the claim records state that no authorization was obtained.\"]",{"id":684,"relate_table":655,"relate_id":685,"file_size":573,"file_name":686,"path":8,"duration":573,"cate":483,"file_format":658,"audio_rate":8,"audio_channel":522,"audio_bit_depth":522,"quality":8,"annotation":687,"cate_name":660,"support_level":688,"evidence_spans":689,"version_alignment":677,"decision_rationale":690,"document_conflicts":679,"condition_assessment":691,"source_documents_text":692,"claim_requirement_text":693,"missing_or_unmet_conditions":679},14765,1430663701,"样例_1.json","{\"support_level\": \"Sufficient support\", \"evidence_spans\": \"[{\\\"document_label\\\": \\\"Policy Schedule — Form GM-4, revision 2025-01\\\", \\\"clause_reference\\\": \\\"Section 4.2\\\", \\\"quotation\\\": \\\"Medically necessary room and board during a covered inpatient admission is reimbursable at the actual daily charge, subject to a maximum of USD 250 per day.\\\", \\\"support_role\\\": \\\"Support\\\"}, {\\\"document_label\\\": \\\"Policy Schedule — Form GM-4, revision 2025-01\\\", \\\"clause_reference\\\": \\\"Section 4.2.1\\\", \\\"quotation\\\": \\\"The covered amount is limited to charges incurred during the coverage period.\\\", \\\"support_role\\\": \\\"Limited or conditional support\\\"}]\", \"version_alignment\": \"Version match\", \"decision_rationale\": \"The schedule identifies Form GM-4 as applicable to the stated coverage period. The claim describes medically necessary inpatient room charges incurred during that period at USD 180 per day, below the USD 250 daily limit. The cited terms therefore support the requested room-and-board charges.\", \"document_conflicts\": \"[]\", \"condition_assessment\": \"Conditions met\", \"source_documents_text\": \"Policy Schedule — Form GM-4, revision 2025-01; coverage period: 1 January 2025 through 31 December 2025. Section 4.2, Inpatient room and board: Medically necessary room and board during a covered inpatient admission is reimbursable at the actual daily charge, subject to a maximum of USD 250 per day. Section 4.2.1: The covered amount is limited to charges incurred during the coverage period.\", \"claim_requirement_text\": \"Reimbursement is requested for three inpatient room-and-board charges of USD 180 per day for an admission from 12 April through 15 April 2025. The admission was during the stated coverage period, and the treating physician documented that inpatient care was medically necessary.\", \"missing_or_unmet_conditions\": \"[]\"}","Sufficient support","[{\"document_label\": \"Policy Schedule — Form GM-4, revision 2025-01\", \"clause_reference\": \"Section 4.2\", \"quotation\": \"Medically necessary room and board during a covered inpatient admission is reimbursable at the actual daily charge, subject to a maximum of USD 250 per day.\", \"support_role\": \"Support\"}, {\"document_label\": \"Policy Schedule — Form GM-4, revision 2025-01\", \"clause_reference\": \"Section 4.2.1\", \"quotation\": \"The covered amount is limited to charges incurred during the coverage period.\", \"support_role\": \"Limited or conditional support\"}]","The schedule identifies Form GM-4 as applicable to the stated coverage period. The claim describes medically necessary inpatient room charges incurred during that period at USD 180 per day, below the USD 250 daily limit. The cited terms therefore support the requested room-and-board charges.","Conditions met","Policy Schedule — Form GM-4, revision 2025-01; coverage period: 1 January 2025 through 31 December 2025. Section 4.2, Inpatient room and board: Medically necessary room and board during a covered inpatient admission is reimbursable at the actual daily charge, subject to a maximum of USD 250 per day. Section 4.2.1: The covered amount is limited to charges incurred during the coverage period.","Reimbursement is requested for three inpatient room-and-board charges of USD 180 per day for an admission from 12 April through 15 April 2025. The admission was during the stated coverage period, and the treating physician documented that inpatient care was medically necessary.","{\"support_level\":\"Not supported\",\"evidence_spans\":\"[{\\\"document_label\\\": \\\"Policy Schedule — Form D-8, revision 2025-02\\\", \\\"clause_reference\\\": \\\"Coverage period and form designation\\\", \\\"quotation\\\": \\\"This form replaces the 2022 wording and all prior forms for this coverage period.\\\", \\\"support_role\\\": \\\"Rebuttal\\\"}, {\\\"document_label\\\": \\\"Form D-8, revision 2022-03\\\", \\\"clause_reference\\\": \\\"Section 8.4\\\", \\\"quotation\\\": \\\"Medically necessary dental repair following accidental injury is covered when performed within 90 days of the injury.\\\", \\\"support_role\\\": \\\"Background only\\\"}, {\\\"document_label\\\": \\\"Form D-8, revision 2025-02\\\", \\\"clause_reference\\\": \\\"Section 8.4\\\", \\\"quotation\\\": \\\"Dental treatment, including implants, is excluded. The exclusion does not apply to emergency stabilization of a natural tooth performed within 24 hours of the injury.\\\", \\\"support_role\\\": \\\"Rebuttal\\\"}]\",\"version_alignment\":\"Version mismatch\",\"decision_rationale\":\"The schedule identifies revision 2025-02 as the form applicable to the stated coverage period and expressly replaces the 2022 wording. The applicable clause excludes implants, and the claim does not establish the narrow emergency-stabilization exception. The older clause is therefore background only and does not support the requested implant expense.\",\"document_conflicts\":\"[{\\\"conflict_description\\\": \\\"The 2022 wording covers certain dental repairs after accidental injury, while the 2025 wording excludes implants. The schedule identifies the 2025 form as replacing the 2022 wording for this coverage period, so the apparent conflict is resolved by the version designation and the older provision does not support this claim.\\\", \\\"conflicting_evidence\\\": [\\\"Form D-8, revision 2022-03, Section 8.4: Medically necessary dental repair following accidental injury is covered when performed within 90 days of the injury.\\\", \\\"Policy Schedule — Form D-8, revision 2025-02: This form replaces the 2022 wording and all prior forms for this coverage period.\\\", \\\"Form D-8, revision 2025-02, Section 8.4: Dental treatment, including implants, is excluded, except for emergency stabilization of a natural tooth performed within 24 hours of the injury.\\\"]}]\",\"condition_assessment\":\"Conditions not met or contradictions exist\",\"source_documents_text\":\"Policy Schedule — Form D-8, revision 2025-02; coverage period: 1 March 2025 through 28 February 2026. The schedule states: This form replaces the 2022 wording and all prior forms for this coverage period. Form D-8, revision 2022-03, Section 8.4: Medically necessary dental repair following accidental injury is covered when performed within 90 days of the injury. Form D-8, revision 2025-02, Section 8.4: Dental treatment, including implants, is excluded. The exclusion does not apply to emergency stabilization of a natural tooth performed within 24 hours of the injury.\",\"claim_requirement_text\":\"Coverage is requested for an implant placed 10 days after an accidental tooth injury. The claim cites Form D-8, revision 2022-03, and describes the implant as medically necessary. It does not state that emergency stabilization of a natural tooth was performed within 24 hours.\",\"missing_or_unmet_conditions\":\"[\\\"The current-form exception requires emergency stabilization of a natural tooth within 24 hours of the injury; the claim describes an implant placed 10 days after the injury and does not state that this exception applies.\\\"]\"}","MOBIUSI INC","https:\u002F\u002Fstatic.mobiusi.com\u002Fmobiwusi\u002F20250829\u002F7bf4ac62b4533e2b809998a6f1c5491e.png?Expires=1792463130&OSSAccessKeyId=LTAI5tH8MQqhgeiAtrzCHrxM&Signature=v6Tr8jBrdm4s5wU1SnnyGsYg%2Bhw%3D&x-oss-process=image%2Fresize%2Cm_fill%2Cw_35%2Ch_35",[698,704],{"type":699,"title":700,"count_data":701},"bar","Length distribution",[702],{"name":703,"value":483},"1k lower",{"type":705,"title":706,"count_data":707},"pie","Language distribution",[708],{"name":709,"value":483},"English"]