[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$apiParty6fBuHLCPZ1LTYs42XHdVbjpSDOYYPYzyxeAGwSN5Tp8":3,"$apiParty2NE6hFIvaGsa6-Kx-pq95D2pUpQf7jproFDK6gR9gzg":563,"$apiParty2NE6hFIvaGsa6-Kx-pq95D2pUpQf7jproFDK6gR9gzg$H93EERW16b":563},{"product_data":4,"scene_data":21,"task_data":407,"modality_data":441,"domain_data":478},[5,9,12,15,18],{"name":6,"value":7,"add_value":8,"describe":8},"Rivo","1","",{"name":10,"value":11,"add_value":8,"describe":8},"Cubo","2",{"name":13,"value":14,"add_value":8,"describe":8},"Moye","3",{"name":16,"value":17,"add_value":8,"describe":8},"Juro","4",{"name":19,"value":20,"add_value":8,"describe":8},"Ordo","5",[22,73,135,197,232,267,302,337,372],{"name":23,"value":7,"add_value":24,"describe":25,"children":26},"Home & Indoor","sofa","AI enhances everyday home life. 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Our datasets include clinics and hospitals to enable clinical insights and medical automation.",[140,143,146,149,152,155,158,161,164,167,170,173,176,179,182,185,188,191,194],{"name":141,"value":142},"Operating Theatre \u002F OR","37",{"name":144,"value":145},"Consultation Room","38",{"name":147,"value":148},"Treatment Room","39",{"name":150,"value":151},"Dental Clinic","40",{"name":153,"value":154},"Inpatient Ward","41",{"name":156,"value":157},"Nurse Station","42",{"name":159,"value":160},"ICU","43",{"name":162,"value":163},"NICU (Neonatal ICU)","44",{"name":165,"value":166},"Emergency Room (ER)","45",{"name":168,"value":169},"Hospital Corridor","46",{"name":171,"value":172},"Waiting Area","47",{"name":174,"value":175},"CT\u002FMRI","48",{"name":177,"value":178},"Medical Laboratory","49",{"name":180,"value":181},"Phlebotomy Room","50",{"name":183,"value":184},"Rehabilitation Gym","51",{"name":186,"value":187},"Assisted Living Room","52",{"name":189,"value":190},"Pharmacy","53",{"name":192,"value":193},"Sterile Processing Dept","54",{"name":195,"value":196},"Medical Storage","55",{"name":198,"value":17,"add_value":199,"describe":200,"children":201},"Business & Public Service","business","AI is elevating commercial and public services. 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E-commerce","智能客服：通过自然语言对话理解用户需求，提供产品推荐、订单查询、退换货支持等服务，提升客户满意度。\n个性化营销推荐：基于用户浏览、购买、偏好等行为数据，生成个性化推荐内容与优惠策略，提高转化率和客单价。\n商品内容生成：自动撰写商品标题、卖点描述、使用说明等内容，适用于海量SKU的内容生产与多语言发布。","buy",{"id":520,"value":520,"name":521,"intro":522,"add_value":523,"describe":8},10,"Security & Protection",null,"safe-shield-line",{"id":525,"value":525,"name":526,"intro":522,"add_value":527,"describe":8},11,"Environment & Climate","weather",{"id":529,"value":529,"name":530,"intro":522,"add_value":531,"describe":8},12,"Energy & Resource","energy-leaf",{"id":533,"value":533,"name":534,"intro":522,"add_value":535,"describe":8},13,"Express & Logistics","speed-outline",{"id":537,"value":537,"name":538,"intro":522,"add_value":539,"describe":8},15,"Sports","baseball-outline",{"id":541,"value":541,"name":542,"intro":522,"add_value":543,"describe":8},16,"General Data","daily-booth",{"id":545,"value":545,"name":546,"intro":522,"add_value":547,"describe":8},17,"Content & 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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":480,"download_count":572,"unit":572,"amount":573,"is_create_order":572,"enterprise_id":488,"seo_keywords":574,"seo_description":575,"data_format":576,"file_size":577,"apply_scene":578,"training_task":579,"version":580,"dataset_type_id":492,"dataset_scene_id":483,"sample_file":581,"banner":8,"unit_name":8,"cate_name":449,"icon_url":8,"banner_url":8,"sample_file_url":8,"data_dict":582,"qa_list":629,"sample_metadatas":646,"text_sample_content":675,"enterprise_name":676,"enterprise_logo":677,"data_distribution":678},1335,"ebf2742801354bd2ef1bd6f3b2dcc491","Medical Claims Coverage Reasoning Dataset","Train models to assess medical claim coverage by reasoning across policy terms, visit facts, and exclusions.","\u003Cp>This dataset organizes medical insurance claim cases around plan provisions, billed services and costs, visit details, and exclusions, with labels indicating whether a specific expense meets coverage conditions. Each example calls for multi-hop question answering that connects policy language, case facts, and exclusions to produce a coverage outcome, its rationale, relevant provisions, and any unresolved facts. It supports reasoning SFT, training, and evaluation for medical claims workflows.\u003C\u002Fp>","2026-10-19 12:24:53","2026-10-19 17:18:35","0.00",0,5000,"medical claims dataset,insurance coverage reasoning,medical claims question answering,insurance policy QA,claims reasoning training data,multi-hop QA dataset,claims automation,medical insurance SFT","Combines policy terms, billed services, visit details, and exclusions for multi-hop medical claim coverage reasoning training and evaluation.","JSON","0.3GB","medical insurance claims assessment, healthcare coverage verification, insurance policy compliance","coverage eligibility reasoning, policy exclusion analysis, evidence-based reasoning","V1.0","rivo\u002Fsample-packages\u002F94d31965-2338-418b-ac87-b6e31631b9a5\u002F20261019.zip",[583,588,593,598,603,608,614,619,624],{"id":572,"name":584,"field":585,"intro":586,"type":587},"File Name","file_name","File name","string",{"id":589,"name":590,"field":591,"intro":592,"type":587},9835,"Policy Terms","policy_terms","Source text containing the applicable insurance plan provisions, coverage limits, and benefit conditions.",{"id":594,"name":595,"field":596,"intro":597,"type":587},9836,"Coverage Status","coverage_status","Determination of whether the claimed service is covered, partially covered, not covered, or cannot be determined from the available information.",{"id":599,"name":600,"field":601,"intro":602,"type":587},9837,"Exclusion Terms","exclusion_terms","Source text containing applicable exclusions, limitations, and exceptions that may affect coverage.",{"id":604,"name":605,"field":606,"intro":607,"type":587},9838,"Service Details","service_details","Source text describing the billed medical service, procedure, or item and its claimed cost.",{"id":609,"name":610,"field":611,"intro":612,"type":613},9839,"Unresolved Facts","unresolved_facts","Missing or ambiguous facts that materially limit the coverage determination; an empty array indicates that no such facts remain.","array",{"id":615,"name":616,"field":617,"intro":618,"type":587},9840,"Visit Information","visit_information","Source text describing the relevant encounter, including dates, diagnoses, provider, and other claim circumstances.",{"id":620,"name":621,"field":622,"intro":623,"type":587},9841,"Coverage Reasoning","coverage_reasoning","Explanation connecting relevant plan provisions and exclusions to the service and visit facts.",{"id":625,"name":626,"field":627,"intro":628,"type":613},9842,"Supporting Provisions","supporting_provisions","Specific policy clauses or exclusion provisions that support the coverage determination.",[630,634,638,642],{"id":631,"question":632,"answer":633},6794,"What does the dataset contain?","Each example is organized around a medical expense claim and includes policy terms, service and cost details, visit information, exclusions, and fields for the coverage outcome, reasoning, supporting provisions, and unresolved facts.",{"id":635,"question":636,"answer":637},6795,"Which capabilities can it train or evaluate?","It supports training and evaluation of multi-hop question answering across policy terms and case facts, including coverage determination, evidence linking, policy provision retrieval, and explanation of conclusions.",{"id":639,"question":640,"answer":641},6796,"Can it be used to make actual claim decisions?","The dataset can support model training, evaluation, and claims assistance workflows, but it should not replace formal review by an insurer, verification of complete documentation, or professional judgment. Actual coverage decisions must be confirmed against the applicable policy and case details.",{"id":643,"question":644,"answer":645},6797,"How can I obtain the dataset and confirm usage rights?","Check the dataset product page or the platform where it is offered for available versions, delivery options, and licensing terms. Access conditions and permitted uses are governed by the relevant listing or license agreement.",[647,663],{"id":648,"relate_table":649,"relate_id":650,"file_size":572,"file_name":651,"path":8,"duration":572,"cate":483,"file_format":652,"audio_rate":8,"audio_channel":522,"audio_bit_depth":522,"quality":8,"annotation":653,"cate_name":654,"policy_terms":655,"coverage_status":656,"exclusion_terms":657,"service_details":658,"unresolved_facts":659,"visit_information":660,"coverage_reasoning":661,"supporting_provisions":662},15399,"union_cubo",1084635472,"样例_2.json","json","{\"policy_terms\": \"Surgical benefits (Section 6.1): Medically necessary surgery performed by a participating provider is eligible for coverage, subject to applicable exclusions and required authorization. Cosmetic procedures are not eligible unless they meet the reconstructive exception stated in the exclusions.\", \"coverage_status\": \"not_covered\", \"exclusion_terms\": \"Cosmetic surgery performed primarily to improve appearance is excluded. The exclusion does not apply to reconstructive surgery needed to restore function after an accidental injury when functional impairment is documented in the medical record and the plan approves the procedure in advance.\", \"service_details\": \"The claim is for a proposed rhinoplasty with a billed charge of $7,800. The surgeon's treatment plan describes the procedure as reshaping the nasal bridge.\", \"unresolved_facts\": \"[]\", \"visit_information\": \"At a consultation on October 6, 2025, the participating surgeon documented that the requested procedure was intended to change the appearance of the nasal bridge. The medical record states that the member has no nasal obstruction or breathing impairment. No accidental injury or functional impairment was documented.\", \"coverage_reasoning\": \"The proposed procedure is described as appearance-related, and the consultation record states that there is no nasal obstruction or breathing impairment. The record also documents no accidental injury or functional impairment. Therefore, the procedure falls within the cosmetic-surgery exclusion and does not meet the stated reconstructive exception. The available facts support a not-covered determination under these provisions.\", \"supporting_provisions\": \"[\\\"Section 6.1: Medically necessary surgery by a participating provider is eligible subject to applicable exclusions and required authorization.\\\", \\\"Exclusion terms: Cosmetic surgery performed primarily to improve appearance is excluded.\\\", \\\"Exclusion terms: The reconstructive exception requires functional impairment documented in the medical record after an accidental injury and advance plan approval.\\\"]\"}","文本","Surgical benefits (Section 6.1): Medically necessary surgery performed by a participating provider is eligible for coverage, subject to applicable exclusions and required authorization. Cosmetic procedures are not eligible unless they meet the reconstructive exception stated in the exclusions.","not_covered","Cosmetic surgery performed primarily to improve appearance is excluded. The exclusion does not apply to reconstructive surgery needed to restore function after an accidental injury when functional impairment is documented in the medical record and the plan approves the procedure in advance.","The claim is for a proposed rhinoplasty with a billed charge of $7,800. The surgeon's treatment plan describes the procedure as reshaping the nasal bridge.","[]","At a consultation on October 6, 2025, the participating surgeon documented that the requested procedure was intended to change the appearance of the nasal bridge. The medical record states that the member has no nasal obstruction or breathing impairment. No accidental injury or functional impairment was documented.","The proposed procedure is described as appearance-related, and the consultation record states that there is no nasal obstruction or breathing impairment. The record also documents no accidental injury or functional impairment. Therefore, the procedure falls within the cosmetic-surgery exclusion and does not meet the stated reconstructive exception. The available facts support a not-covered determination under these provisions.","[\"Section 6.1: Medically necessary surgery by a participating provider is eligible subject to applicable exclusions and required authorization.\", \"Exclusion terms: Cosmetic surgery performed primarily to improve appearance is excluded.\", \"Exclusion terms: The reconstructive exception requires functional impairment documented in the medical record after an accidental injury and advance plan approval.\"]",{"id":664,"relate_table":649,"relate_id":665,"file_size":572,"file_name":666,"path":8,"duration":572,"cate":483,"file_format":652,"audio_rate":8,"audio_channel":522,"audio_bit_depth":522,"quality":8,"annotation":667,"cate_name":654,"policy_terms":668,"coverage_status":669,"exclusion_terms":670,"service_details":671,"unresolved_facts":659,"visit_information":672,"coverage_reasoning":673,"supporting_provisions":674},15398,807990468,"样例_1.json","{\"policy_terms\": \"Outpatient rehabilitation benefit (Section 4.2): Medically necessary physical therapy prescribed by a licensed clinician and received from a participating provider is eligible for coverage following an acute injury. The plan pays 80% of the lesser of the billed charge or $140 per visit after the annual deductible is met. The benefit is limited to 12 visits per benefit year.\", \"coverage_status\": \"partially_covered\", \"exclusion_terms\": \"Physical therapy visits beyond the 12-visit annual limit are not covered unless the plan approves an extension in writing before the additional visit. Charges above the per-visit reimbursable amount are not eligible for payment.\", \"service_details\": \"The claim is for one outpatient physical therapy session for ankle rehabilitation. The provider billed $180 for the session.\", \"unresolved_facts\": \"[]\", \"visit_information\": \"The session took place on September 18, 2025, at a participating clinic. The treating clinician prescribed therapy after an acute ankle injury. The member's annual deductible had already been met. This was the member's 12th physical therapy visit in the benefit year; 11 earlier visits were completed.\", \"coverage_reasoning\": \"The session meets the stated eligibility conditions: it was prescribed for rehabilitation following an acute injury, delivered by a participating provider, and the deductible was met. It was also within the 12-visit annual limit. However, the plan calculates the benefit using the lesser of the $180 billed charge and the $140 per-visit maximum, then pays 80% of that amount. Accordingly, $112 is payable under the stated benefit; the remainder of the billed charge is not paid by the plan, so the claim is partially covered.\", \"supporting_provisions\": \"[\\\"Section 4.2: Medically necessary physical therapy prescribed by a licensed clinician and received from a participating provider is eligible following an acute injury.\\\", \\\"Section 4.2: After the annual deductible is met, the plan pays 80% of the lesser of the billed charge or $140 per visit.\\\", \\\"Section 4.2: The benefit is limited to 12 visits per benefit year.\\\", \\\"Exclusion terms: Charges above the per-visit reimbursable amount are not eligible for payment.\\\"]\"}","Outpatient rehabilitation benefit (Section 4.2): Medically necessary physical therapy prescribed by a licensed clinician and received from a participating provider is eligible for coverage following an acute injury. The plan pays 80% of the lesser of the billed charge or $140 per visit after the annual deductible is met. The benefit is limited to 12 visits per benefit year.","partially_covered","Physical therapy visits beyond the 12-visit annual limit are not covered unless the plan approves an extension in writing before the additional visit. Charges above the per-visit reimbursable amount are not eligible for payment.","The claim is for one outpatient physical therapy session for ankle rehabilitation. The provider billed $180 for the session.","The session took place on September 18, 2025, at a participating clinic. The treating clinician prescribed therapy after an acute ankle injury. The member's annual deductible had already been met. This was the member's 12th physical therapy visit in the benefit year; 11 earlier visits were completed.","The session meets the stated eligibility conditions: it was prescribed for rehabilitation following an acute injury, delivered by a participating provider, and the deductible was met. It was also within the 12-visit annual limit. However, the plan calculates the benefit using the lesser of the $180 billed charge and the $140 per-visit maximum, then pays 80% of that amount. Accordingly, $112 is payable under the stated benefit; the remainder of the billed charge is not paid by the plan, so the claim is partially covered.","[\"Section 4.2: Medically necessary physical therapy prescribed by a licensed clinician and received from a participating provider is eligible following an acute injury.\", \"Section 4.2: After the annual deductible is met, the plan pays 80% of the lesser of the billed charge or $140 per visit.\", \"Section 4.2: The benefit is limited to 12 visits per benefit year.\", \"Exclusion terms: Charges above the per-visit reimbursable amount are not eligible for payment.\"]","{\"policy_terms\":\"Surgical benefits (Section 6.1): Medically necessary surgery performed by a participating provider is eligible for coverage, subject to applicable exclusions and required authorization. Cosmetic procedures are not eligible unless they meet the reconstructive exception stated in the exclusions.\",\"coverage_status\":\"not_covered\",\"exclusion_terms\":\"Cosmetic surgery performed primarily to improve appearance is excluded. The exclusion does not apply to reconstructive surgery needed to restore function after an accidental injury when functional impairment is documented in the medical record and the plan approves the procedure in advance.\",\"service_details\":\"The claim is for a proposed rhinoplasty with a billed charge of $7,800. The surgeon's treatment plan describes the procedure as reshaping the nasal bridge.\",\"unresolved_facts\":\"[]\",\"visit_information\":\"At a consultation on October 6, 2025, the participating surgeon documented that the requested procedure was intended to change the appearance of the nasal bridge. The medical record states that the member has no nasal obstruction or breathing impairment. No accidental injury or functional impairment was documented.\",\"coverage_reasoning\":\"The proposed procedure is described as appearance-related, and the consultation record states that there is no nasal obstruction or breathing impairment. The record also documents no accidental injury or functional impairment. Therefore, the procedure falls within the cosmetic-surgery exclusion and does not meet the stated reconstructive exception. The available facts support a not-covered determination under these provisions.\",\"supporting_provisions\":\"[\\\"Section 6.1: Medically necessary surgery by a participating provider is eligible subject to applicable exclusions and required authorization.\\\", \\\"Exclusion terms: Cosmetic surgery performed primarily to improve appearance is excluded.\\\", \\\"Exclusion terms: The reconstructive exception requires functional impairment documented in the medical record after an accidental injury and advance plan approval.\\\"]\"}","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",[679,685],{"type":680,"title":681,"count_data":682},"bar","Length distribution",[683],{"name":684,"value":480},"1k lower",{"type":686,"title":687,"count_data":688},"pie","Language distribution",[689],{"name":690,"value":480},"English"]