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from ai_logic.intent_parser import parse_intent
from data.data_loader import list_services, load_services_data, HOSPITALS
from insurance import plans, cost_estimator
from insurance.coverage_explainer import CoverageExplainer
# Valid options for hospitals and plans (used in the conversational flow)
HOSPITAL_CHOICES = list(HOSPITALS.keys())
PLAN_CHOICES = list(plans.SAMPLE_PLANS.keys()) + ["No Insurance"]
def _extract_hospital_and_plan(text):
"""Best-effort extraction of hospital and plan names from free text."""
if not text:
return None, None
# Handle case where text might be a list (multimodal Gradio format)
if isinstance(text, list):
# Extract text content from list of content parts
text_parts = []
for part in text:
if isinstance(part, str):
text_parts.append(part)
elif isinstance(part, dict) and part.get("type") == "text":
text_parts.append(part.get("text", ""))
text = " ".join(text_parts)
if not text:
return None, None
lower = text.lower()
hospital_name = None
plan_name = None
# Match hospitals by substring
for name in HOSPITAL_CHOICES:
if name.lower() in lower:
hospital_name = name
# Match plans by key
for plan_key in plans.SAMPLE_PLANS.keys():
if plan_key.lower() in lower:
plan_name = plan_key
# Allow "no insurance" as a phrase
if "no insurance" in lower:
plan_name = "No Insurance"
return hospital_name, plan_name
def _get_current_hospital_and_plan(message, history):
"""Look through the chat history (and latest message) for the most recent
hospital & plan mentioned by the user."""
hospital_name = None
plan_name = None
# History is a list of {"role": ..., "content": ...} dicts (new Gradio format)
for msg in history or []:
# Only look at user messages for selections
if msg.get("role") == "user":
user_text = msg.get("content", "")
h, p = _extract_hospital_and_plan(user_text)
if h:
hospital_name = h
if p:
plan_name = p
# Also extract from the current message
h, p = _extract_hospital_and_plan(message)
if h:
hospital_name = h
if p:
plan_name = p
return hospital_name, plan_name
def _normalize_message(text):
"""Convert message content to a plain string (handles Gradio's multimodal format)."""
if not text:
return ""
if isinstance(text, list):
text_parts = []
for part in text:
if isinstance(part, str):
text_parts.append(part)
elif isinstance(part, dict) and part.get("type") == "text":
text_parts.append(part.get("text", ""))
return " ".join(text_parts)
return text
def respond(message, history):
"""Main response function - now asks for hospital/plan conversationally."""
# Normalize message in case it's a list (multimodal Gradio format)
message = _normalize_message(message)
# Determine the user's current hospital & plan from history/message
hospital_name, plan_name = _get_current_hospital_and_plan(message, history)
# If either is missing, show the options and ask the user to choose
if hospital_name is None or plan_name is None:
hospitals_list = "\n".join(f"β’ {name}" for name in HOSPITAL_CHOICES)
plans_list = "\n".join(f"β’ {name}" for name in PLAN_CHOICES)
# Case 1: Both missing - show full welcome message
if hospital_name is None and plan_name is None:
return f"""Hi, I'm the THICC Cost Chatbot. π₯
Before I can estimate your costs, tell me **which hospital** you're using and **what insurance plan** you have.
**Hospitals I currently support:**
{hospitals_list}
**Insurance options I support:**
{plans_list}
Please reply with something like:
β’ "I'm going to UCLA Medical Center and I have a PPO plan."
β’ "Cedars-Sinai Medical Center with No Insurance."
"""
# Case 2: Have hospital, need insurance plan
if hospital_name is not None and plan_name is None:
return f"""Great, I see you're going to **{hospital_name}**! π₯
Now, what **insurance plan** do you have?
**Insurance options I support:**
{plans_list}
Please reply with your plan, like "PPO" or "No Insurance".
"""
# Case 3: Have insurance plan, need hospital
if hospital_name is None and plan_name is not None:
return f"""Got it, you have **{plan_name}**! π
Now, which **hospital** are you going to?
**Hospitals I currently support:**
{hospitals_list}
Please reply with the hospital name, like "UCLA Medical Center".
"""
# --- 1) Coverage questions first ---
if CoverageExplainer.identify_coverage_question(message):
# Figure out which term (deductible, copay, coinsurance, etc.)
term = CoverageExplainer.get_matching_term(message)
if term:
# Explain the specific term (NOT the whole message)
explanation = CoverageExplainer.explain_term(term)
# Add plan-specific context if a sample plan is selected
if plan_name != "No Insurance" and plan_name in plans.SAMPLE_PLANS:
plan = plans.SAMPLE_PLANS[plan_name]
plan_details = {
"deductible": plan.deductible,
"copay": plan.copay,
"coinsurance": plan.coinsurance,
}
explanation += "\n\n---\n\n"
explanation += CoverageExplainer.format_plan_coverage_summary(
plan_name, plan_details
)
return explanation
else:
# If we can't match a specific term, give the full coverage explainer
return CoverageExplainer.explain_all_terms()
# --- 2) Service cost estimation path ---
hospital_data_path = HOSPITALS.get(hospital_name)
services_data = load_services_data(hospital_data_path)
requested_info = parse_intent(message, services_data, hospital_name=hospital_name)
if requested_info is None or requested_info == "list_services":
services_list = list_services(services_data)
response = (
"**Available services:**\n"
+ "\n".join(f"β’ {service}" for service in services_list)
)
response += (
"\n\nπ‘ **Tip**: You can ask me about insurance terms like "
"'What is a deductible?' or 'Explain coinsurance'."
)
return response
service_data = services_data[
services_data["intent"].str.contains(requested_info, case=False, na=False)
]
if service_data.empty:
return (
"Sorry, no information found for your request.\n\nYou can:\n"
"β’ Ask about available services\n"
"β’ Ask about insurance terms (e.g., 'What is a copay?')\n"
"β’ Get cost estimates for specific procedures"
)
service_description = service_data.iloc[0]["description"]
price = service_data.iloc[0]["negotiated_rate"]
# Map plan name -> InsurancePlan object
if plan_name == "No Insurance":
plan = plans.NO_INSURANCE_PLAN
else:
plan = plans.SAMPLE_PLANS.get(plan_name, plans.NO_INSURANCE_PLAN)
cost = cost_estimator.estimate_cost(price, plan, deductible_met=True)
# --- 3) Format response with cost breakdown ---
# Special handling for No Insurance so messaging isn't confusing
if plan_name == "No Insurance":
response = f"""**Cost Estimate for {service_description}**
β’ Hospital: {hospital_name}
β’ Insurance Plan: {plan_name}
β’ Estimated Cost: **${cost:.2f}**
Because you selected **No Insurance**, this demo assumes you pay the full negotiated rate.
π‘ **Understanding your cost**:
β’ Negotiated rate: ${price:.2f}
β’ Your insurance covers: $0.00
β’ You pay: ${cost:.2f}
If you want to see how deductibles, copays, and coinsurance work, try asking:
β’ "What is a deductible?"
β’ "Explain coinsurance"
"""
return response
# For actual plans
response = f"""**Cost Estimate for {service_description}**
β’ Hospital: {hospital_name}
β’ Insurance Plan: {plan_name}
β’ Estimated Cost: **${cost:.2f}**
This estimate assumes your deductible has been met.
π‘ **Understanding your cost**:
β’ Negotiated rate: ${price:.2f}
β’ Your insurance covers: ${price - cost:.2f}
β’ You pay: ${cost:.2f}"""
# Explain payment type
if getattr(plan, "copay", None) and cost == plan.copay:
response += (
f"\n\n*You're paying a fixed copay of ${plan.copay:.2f} for this service.*"
)
elif getattr(plan, "coinsurance", None) and plan.coinsurance > 0:
response += (
f"\n\n*You're paying {plan.coinsurance*100:.0f}% coinsurance "
f"({plan.coinsurance*100:.0f}% of ${price:.2f}).*"
)
response += (
"\n\n**Need help?** Ask me 'What is coinsurance?' "
"or any other insurance term!"
)
return response
# Gradio interface
demo = gr.ChatInterface(
fn=respond,
title="THICC Cost Chatbot π₯",
description="""Get healthcare cost estimates and understand your insurance coverage.
**What you can ask:**
β’ Cost estimates: "How much does an MRI cost?"
β’ Coverage terms: "What is a deductible?" or "Explain coinsurance"
β’ Available services: "What services are available?"
""",
chatbot=gr.Chatbot(height="70vh"),
)
if __name__ == "__main__":
demo.launch(ssr_mode=False) |