Spaces:
Sleeping
Sleeping
| """ | |
| Single source of truth for case-database schema knowledge. | |
| Eliminates the previous drift hazard where the environment's table-tracking | |
| list (`step()`) and the grader's per-typology source map (`compute_agentic_recall`) | |
| duplicated the same knowledge in two places. | |
| Anything that needs to *know* what tables/sources exist or which sources back | |
| which fraud typology MUST import from this module β no string literals scattered | |
| through the codebase. | |
| """ | |
| from __future__ import annotations | |
| # ββ SQL tables present in every generated case database βββββββββββββββββββββ | |
| SQL_TABLES: tuple[str, ...] = ( | |
| # CMS SynPUF β claims & beneficiaries | |
| "beneficiary_summary", | |
| "carrier_claims", | |
| "inpatient_claims", | |
| "outpatient_claims", | |
| "prescription_drug_events", | |
| # Corporate / forensic accounting | |
| "corporate_registry", | |
| "general_ledger", | |
| "referral_payments", | |
| # Government contracting | |
| "government_contracts", | |
| "contract_invoices", | |
| "contract_deliveries", | |
| # PPP / pandemic | |
| "loan_applications", | |
| "payroll_records", | |
| "foreign_affiliations", | |
| # Multi-modal evidence index | |
| "evidence_documents", | |
| ) | |
| # ββ Off-database evidence directories under each case dir βββββββββββββββββββ | |
| FILESYSTEM_EVIDENCE_DIRS: tuple[str, ...] = ( | |
| "intercepted_comms", | |
| "scanned_claims", | |
| ) | |
| # Aggregate set used by the environment to track which sources the agent has | |
| # touched (for agentic-recall scoring). | |
| ALL_QUERYABLE_SOURCES: frozenset[str] = frozenset(SQL_TABLES + FILESYSTEM_EVIDENCE_DIRS) | |
| # ββ Per-typology source map βββββββββββββββββββββββββββββββββββββββββββββββββ | |
| # For each fraud typology, the set of sources the agent SHOULD consult to | |
| # uncover that typology. Used by `compute_agentic_recall`. | |
| TYPOLOGY_SOURCES: dict[str, frozenset[str]] = { | |
| "aks_violation": frozenset({ | |
| "prescription_drug_events", "general_ledger", "referral_payments", | |
| "intercepted_comms", "scanned_claims", "evidence_documents", | |
| }), | |
| "dead_patient_claim": frozenset({ | |
| "beneficiary_summary", "carrier_claims", | |
| "scanned_claims", "evidence_documents", | |
| }), | |
| "duplicate_bill": frozenset({"carrier_claims", "evidence_documents"}), | |
| "upcoding": frozenset({ | |
| "carrier_claims", "scanned_claims", "evidence_documents", | |
| }), | |
| "unbundling": frozenset({"carrier_claims"}), | |
| "phantom_beneficiary": frozenset({"carrier_claims", "beneficiary_summary"}), | |
| "off_label_marketing": frozenset({ | |
| "prescription_drug_events", "carrier_claims", | |
| }), | |
| "double_billing": frozenset({"government_contracts", "contract_invoices"}), | |
| "cost_pricing_fraud": frozenset({"government_contracts"}), | |
| "product_substitution": frozenset({ | |
| "government_contracts", "contract_deliveries", | |
| }), | |
| "ppp_fraud": frozenset({"loan_applications", "payroll_records"}), | |
| "foreign_affiliation": frozenset({ | |
| "foreign_affiliations", "corporate_registry", | |
| }), | |
| } | |
| # Ground-truth-kind β source set (used when typology isn't in payload) | |
| GT_KIND_SOURCES: dict[str, frozenset[str]] = { | |
| "entity": frozenset({"corporate_registry", "beneficiary_summary"}), | |
| "shell_link": frozenset({"corporate_registry"}), | |
| } | |
| __all__ = [ | |
| "SQL_TABLES", | |
| "FILESYSTEM_EVIDENCE_DIRS", | |
| "ALL_QUERYABLE_SOURCES", | |
| "TYPOLOGY_SOURCES", | |
| "GT_KIND_SOURCES", | |
| ] | |