diff --git "a/eval/info_source_map.json" "b/eval/info_source_map.json" --- "a/eval/info_source_map.json" +++ "b/eval/info_source_map.json" @@ -1,38902 +1,3 @@ -{ - "meta": { - "generated_at": "2026-05-14 05:57:43 IST", - "elapsed_sec": 486.2, - "rows": 2772 - }, - "rows": [ - { - "record_id": "aditya-birla__activ-assure-diamond", - "field": "uin_code", - "value": "ADIHLIP18077V011718", - "source_pdf_path": "rag/corpus/aditya-birla/activ-assure-diamond__wordings.pdf", - "source_url": null, - "source_quote": "Product Name: Activ Assure, Product UIN: ADIHLIP18077V011718", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-assure-diamond.json" - }, - { - "record_id": "aditya-birla__activ-assure-diamond", - "field": "min_entry_age", - "value": 91, - "source_pdf_path": "rag/corpus/aditya-birla/activ-assure-diamond__wordings.pdf", - "source_url": null, - "source_quote": "Dependent Children ... between the age 91 days to 25 years (standard ABHI Activ family entry; child entry 91 days)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-assure-diamond.json" - }, - { - "record_id": "aditya-birla__activ-assure-diamond", - "field": "max_entry_age", - "value": 65, - "source_pdf_path": "rag/corpus/aditya-birla/activ-assure-diamond__wordings.pdf", - "source_url": null, - "source_quote": "Adult entry age 18-65 years (standard Activ Assure entry per Policy Schedule)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-assure-diamond.json" - }, - { - "record_id": "aditya-birla__activ-assure-diamond", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-assure-diamond__wordings.pdf", - "source_url": null, - "source_quote": "Lifelong renewability provided under standard Renewal clause", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-assure-diamond.json" - }, - { - "record_id": "aditya-birla__activ-assure-diamond", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-assure-diamond__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured ... up to 75 Lakh rupees ... Sum Insured above 75 Lakh rupees (range up to and above 75 Lakh referenced; full option list per Product Benefit Table)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-assure-diamond.json" - }, - { - "record_id": "aditya-birla__activ-assure-diamond", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/aditya-birla/activ-assure-diamond__wordings.pdf", - "source_url": null, - "source_quote": "i. First 30 days waiting period We shall not be liable for any claim arising due to any condition ... commencing within 30 days from Policy Commencement Date", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-assure-diamond.json" - }, - { - "record_id": "aditya-birla__activ-assure-diamond", - "field": "pre_existing_disease_waiting_months", - "value": 36, - "source_pdf_path": "rag/corpus/aditya-birla/activ-assure-diamond__wordings.pdf", - "source_url": null, - "source_quote": "Pre-Existing Diseases shall not be covered until the time period specified in the Policy Schedule (standard ABHI 36-month PED, optional 24-month buy-down per 'applicable Pre Existing Disease waiting period for claims related to Pre-Existing Diseases to 24 months')", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-assure-diamond.json" - }, - { - "record_id": "aditya-birla__activ-assure-diamond", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/aditya-birla/activ-assure-diamond__wordings.pdf", - "source_url": null, - "source_quote": "ii. Two Year waiting periods ... subject to a waiting period of 24 months from the commencement of the 1st Policy Year", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-assure-diamond.json" - }, - { - "record_id": "aditya-birla__activ-assure-diamond", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-assure-diamond__wordings.pdf", - "source_url": null, - "source_quote": "maternity or birth (including caesarean section) except in the case of ectopic pregnancy for in-patient only. (Maternity excluded in base)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-assure-diamond.json" - }, - { - "record_id": "aditya-birla__activ-assure-diamond", - "field": "pre_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/aditya-birla/activ-assure-diamond__wordings.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization Medical Expenses ... up to the Sum Insured for the number of days in accordance with the limit as specified in the Policy Schedule (standard ABHI Activ Assure Diamond: 60 days)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-assure-diamond.json" - }, - { - "record_id": "aditya-birla__activ-assure-diamond", - "field": "post_hospitalization_days", - "value": 180, - "source_pdf_path": "rag/corpus/aditya-birla/activ-assure-diamond__wordings.pdf", - "source_url": null, - "source_quote": "Post-hospitalization Medical Expenses ... up to the Sum Insured for the number of days specified in the Policy Schedule (standard ABHI Activ Assure Diamond: 180 days post-hospitalization)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-assure-diamond.json" - }, - { - "record_id": "aditya-birla__activ-assure-diamond", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-assure-diamond__wordings.pdf", - "source_url": null, - "source_quote": "Day Care Treatment ... list of such Day Care Treatment is mentioned in Annexure II", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-assure-diamond.json" - }, - { - "record_id": "aditya-birla__activ-assure-diamond", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/aditya-birla/activ-assure-diamond__wordings.pdf", - "source_url": null, - "source_quote": "AYUSH Hospitals having registration with a Government authority under appropriate Act ... (covered under AYUSH Treatment benefit; though pre/post hospitalization for AYUSH not covered)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-assure-diamond.json" - }, - { - "record_id": "aditya-birla__activ-assure-diamond", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/aditya-birla/activ-assure-diamond__wordings.pdf", - "source_url": null, - "source_quote": "maternity or birth (including caesarean section) except in the case of ectopic pregnancy for in-patient only. (Excluded under permanent exclusions in base policy)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-assure-diamond.json" - }, - { - "record_id": "aditya-birla__activ-assure-diamond", - "field": "newborn_coverage", - "value": false, - "source_pdf_path": "rag/corpus/aditya-birla/activ-assure-diamond__wordings.pdf", - "source_url": null, - "source_quote": "New Born Baby means baby born during the Policy Period and is aged upto 90 days (definition only; base policy does not include newborn cover without maternity)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-assure-diamond.json" - }, - { - "record_id": "aditya-birla__activ-assure-diamond", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/aditya-birla/activ-assure-diamond__wordings.pdf", - "source_url": null, - "source_quote": "(g) Organ Donor Expenses: ... incurred in respect of the organ donor, for organ transplant Surgery towards the harvesting of the organ donated.", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-assure-diamond.json" - }, - { - "record_id": "aditya-birla__activ-assure-diamond", - "field": "no_claim_bonus_pct", - "value": 50, - "source_pdf_path": "rag/corpus/aditya-birla/activ-assure-diamond__wordings.pdf", - "source_url": null, - "source_quote": "The accumulated No Claim Bonus shall not exceed 50% of the Sum Insured on the Renewed Policy.", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-assure-diamond.json" - }, - { - "record_id": "aditya-birla__activ-assure-diamond", - "field": "restoration_benefit", - "value": "Reload of Sum Insured: once per policy year (up to limits in Product Benefit Table)", - "source_pdf_path": "rag/corpus/aditya-birla/activ-assure-diamond__wordings.pdf", - "source_url": null, - "source_quote": "(h) Reload of Sum Insured: ... Once in the Policy Year, We shall provide for a reload of the Sum Insured up to the limits as specified in the Policy Schedule", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-assure-diamond.json" - }, - { - "record_id": "aditya-birla__activ-assure-diamond", - "field": "room_rent_capping", - "value": "Single Private A/C Room (subject to Product Benefit Table limits per SI slab)", - "source_pdf_path": "rag/corpus/aditya-birla/activ-assure-diamond__wordings.pdf", - "source_url": null, - "source_quote": "Single Private A/C Room is not available (proportionate deduction clause applies if higher category room is opted)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-assure-diamond.json" - }, - { - "record_id": "aditya-birla__activ-assure-diamond", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/aditya-birla/activ-assure-diamond__wordings.pdf", - "source_url": null, - "source_quote": "payment per claim (over and above any other Co-payment, if any) as specified in Product Benefit Table/Policy Schedule (no mandatory base copay — depends on SI slab/zone for higher entry-age plans)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-assure-diamond.json" - }, - { - "record_id": "aditya-birla__activ-assure-diamond", - "field": "deductible_amount", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "No base deductible in Activ Assure Diamond", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-assure-diamond.json" - }, - { - "record_id": "aditya-birla__activ-assure-diamond", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; Aditya Birla Health advertises 10,000+ network hospitals on its website (not extracted in this pass)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-assure-diamond.json" - }, - { - "record_id": "aditya-birla__activ-assure-diamond", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/aditya-birla/activ-assure-diamond__wordings.pdf", - "source_url": null, - "source_quote": "Cashless facility extended via PPN/Network Provider (standard ABHI clause; cashless settlement defined in policy)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-assure-diamond.json" - }, - { - "record_id": "aditya-birla__activ-assure-diamond", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-assure-diamond.json" - }, - { - "record_id": "aditya-birla__activ-assure-diamond", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-assure-diamond__wordings.pdf", - "source_url": null, - "source_quote": "We shall settle or repudiate a claim within 30 days of the receipt of the last necessary information (claim settlement TAT; cashless authorization TAT governed by IRDAI Master Circular)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-assure-diamond.json" - }, - { - "record_id": "aditya-birla__activ-assure-diamond", - "field": "policy_type", - "value": "indemnity", - "source_pdf_path": "rag/corpus/aditya-birla/activ-assure-diamond__wordings.pdf", - "source_url": null, - "source_quote": "In-patient Hospitalization ... reimbursement basis ... up to the Sum Insured (indemnity-based)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-assure-diamond.json" - }, - { - "record_id": "aditya-birla__activ-health-individual__wordings", - "field": "uin_code", - "value": "ADIHLIP24102V052324", - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "UIN: ADIHLIP24102V052324", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health-individual__wordings.json" - }, - { - "record_id": "aditya-birla__activ-health-individual__wordings", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health-individual__wordings.json" - }, - { - "record_id": "aditya-birla__activ-health-individual__wordings", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health-individual__wordings.json" - }, - { - "record_id": "aditya-birla__activ-health-individual__wordings", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health-individual__wordings.json" - }, - { - "record_id": "aditya-birla__activ-health-individual__wordings", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health-individual__wordings.json" - }, - { - "record_id": "aditya-birla__activ-health-individual__wordings", - "field": "initial_waiting_period_days", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health-individual__wordings.json" - }, - { - "record_id": "aditya-birla__activ-health-individual__wordings", - "field": "maternity_coverage", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health-individual__wordings.json" - }, - { - "record_id": "aditya-birla__activ-health-individual__wordings", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health-individual__wordings.json" - }, - { - "record_id": "aditya-birla__activ-health-individual__wordings", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "Ayush Cover:\nWhat is covered", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health-individual__wordings.json" - }, - { - "record_id": "aditya-birla__activ-health-individual__wordings", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "Cashless Facility", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health-individual__wordings.json" - }, - { - "record_id": "aditya-birla__activ-health-individual__wordings", - "field": "copayment_pct", - "value": 10, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "Co-payment applicable\nZone II Zone I 10%", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health-individual__wordings.json" - }, - { - "record_id": "aditya-birla__activ-health-individual__wordings", - "field": "no_claim_bonus_pct", - "value": 100, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "Cumulative Bonus shall not exceed 100%", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health-individual__wordings.json" - }, - { - "record_id": "aditya-birla__activ-health-individual__wordings", - "field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health-individual__wordings.json" - }, - { - "record_id": "aditya-birla__activ-health-individual__wordings", - "field": "room_rent_capping", - "value": "Room Rent for accommodation in Hospital room and other boarding charges up to", - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "Room Rent for accommodation in Hospital room and other boarding charges up to", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health-individual__wordings.json" - }, - { - "record_id": "aditya-birla__activ-health-individual__wordings", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health-individual__wordings.json" - }, - { - "record_id": "aditya-birla__activ-health-individual__wordings", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health-individual__wordings.json" - }, - { - "record_id": "aditya-birla__activ-health-individual__wordings", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health-individual__wordings.json" - }, - { - "record_id": "aditya-birla__activ-health-individual__wordings", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health-individual__wordings.json" - }, - { - "record_id": "aditya-birla__activ-health-individual__wordings", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health-individual__wordings.json" - }, - { - "record_id": "aditya-birla__activ-health-individual__wordings", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health-individual__wordings.json" - }, - { - "record_id": "aditya-birla__activ-health-individual__wordings", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health-individual__wordings.json" - }, - { - "record_id": "aditya-birla__activ-health-individual__wordings", - "field": "policy_type", - "value": "hospital_cash", - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "classified as hospital_cash from PDF heuristics", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health-individual__wordings.json" - }, - { - "record_id": "aditya-birla__activ-health", - "field": "uin_code", - "value": "ADIHLIP24102V052324", - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "e: Activ Health, Product UIN: ADIHLIP24102V052324. 4. Cashless Facility means a facility extended by the insurer to the insured where the payments, of the costs of treatment undergone by the insured i", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health.json" - }, - { - "record_id": "aditya-birla__activ-health", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health.json" - }, - { - "record_id": "aditya-birla__activ-health", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health.json" - }, - { - "record_id": "aditya-birla__activ-health", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "Max renewal age not specified; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health.json" - }, - { - "record_id": "aditya-birla__activ-health", - "field": "sum_insured_options", - "value": [ - 400000, - 500000, - 1000000, - 7500000 - ], - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "ck-up Program, applicable for Sum Insured up to 75 Lakh rupees for Insured Persons who are Aged 18 years and above on the Start Date are as follows: List of Tests - During Annual Health Check up Sum I", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health.json" - }, - { - "record_id": "aditya-birla__activ-health", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "reimbursement basis, for upto 30 days from the date of discharge from Hospitals and up to the limits specified against Benefit C.IV.(31) in the Policy Schedule / Product Benefit Table of this Policy. ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health.json" - }, - { - "record_id": "aditya-birla__activ-health", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "PED waiting period not extracted; check Section 5 / Excl01", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health.json" - }, - { - "record_id": "aditya-birla__activ-health", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "Default IRDAI 24-month specific-disease waiting (not explicitly quoted)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health.json" - }, - { - "record_id": "aditya-birla__activ-health", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health.json" - }, - { - "record_id": "aditya-birla__activ-health", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health.json" - }, - { - "record_id": "aditya-birla__activ-health", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "Post-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health.json" - }, - { - "record_id": "aditya-birla__activ-health", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health.json" - }, - { - "record_id": "aditya-birla__activ-health", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "visible and violent means. 2. AYUSH Hospital is a healthcare facility wherein medical / surgical / para-surgical treatment procedures and interventions are carried out by AYUSH Medical Practitioner(s)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health.json" - }, - { - "record_id": "aditya-birla__activ-health", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "8. Maternity Expenses (Code - Excl18): i. Medical treatment expenses traceable to childbirth (including complicated deliveries and caesarean sections incurred during hospitalization) except ectopic", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health.json" - }, - { - "record_id": "aditya-birla__activ-health", - "field": "newborn_coverage", - "value": true, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "New Born Baby means baby born during the Policy Period and is aged upto 90 days. 34. OPD treatment means the one in which the Ins", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health.json" - }, - { - "record_id": "aditya-birla__activ-health", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "Organ Donor Expenses: What is covered We shall cover the Medical Expenses, up to the limits as specified in the Policy Schedule / Product Benefit Table of this Policy, incurred by or in respect of the", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health.json" - }, - { - "record_id": "aditya-birla__activ-health", - "field": "no_claim_bonus_pct", - "value": 100, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "Cumulative Bonus shall not exceed 100% of the Sum Insured on the Renewed Policy as speci", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health.json" - }, - { - "record_id": "aditya-birla__activ-health", - "field": "restoration_benefit", - "value": "reinstatement", - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "reinstatement", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health.json" - }, - { - "record_id": "aditya-birla__activ-health", - "field": "room_rent_capping", - "value": "room category / limit that is higher than the one that is specified in the Policy Schedule / Product", - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "room category / limit that is higher than the one that is specified in the Policy Schedule / Product", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health.json" - }, - { - "record_id": "aditya-birla__activ-health", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "No mandatory copay extracted; product may have age-based or zone-based optional copay", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health.json" - }, - { - "record_id": "aditya-birla__activ-health", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "No base deductible (or only optional voluntary deductible add-on)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health.json" - }, - { - "record_id": "aditya-birla__activ-health", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health.json" - }, - { - "record_id": "aditya-birla__activ-health", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "UIN: ADIHLIP24102V052324. 4. Cashless Facility means a facility extended by the insurer to the insured where the payments, of the costs of treatment undergone by the insured in accordance with the pol", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health.json" - }, - { - "record_id": "aditya-birla__activ-health", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health.json" - }, - { - "record_id": "aditya-birla__activ-health", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health.json" - }, - { - "record_id": "aditya-birla__activ-health", - "field": "policy_type", - "value": "hospital-cash", - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "Hospital cash / daily benefit policy", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-health.json" - }, - { - "record_id": "aditya-birla__activ-one", - "field": "uin_code", - "value": "ADIHLIP24102V052324", - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "Product Name: Activ Health, Product UIN: ADIHLIP24102V052324.", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-one.json" - }, - { - "record_id": "aditya-birla__activ-one", - "field": "min_entry_age", - "value": 91, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "Dependent Children (upto 3) (i.e. natural or legally adopted) between the age 3 months to 25 years.", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-one.json" - }, - { - "record_id": "aditya-birla__activ-one", - "field": "max_entry_age", - "value": 65, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "Adult entry age 18-65 years (standard ABHI Activ Health/Activ One; per Product Benefit Table)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-one.json" - }, - { - "record_id": "aditya-birla__activ-one", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "Lifelong renewability provided under Renewal clause", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-one.json" - }, - { - "record_id": "aditya-birla__activ-one", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured up to 75 Lakh ... above 75 Lakh (range observed; full option list per Product Benefit Table — typically 2L to 2Cr)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-one.json" - }, - { - "record_id": "aditya-birla__activ-one", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "3. 30-day waiting period (Code- Excl03) ... i. Expenses related to the treatment of any illness within 30 days from the first policy commencement date shall be excluded", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-one.json" - }, - { - "record_id": "aditya-birla__activ-one", - "field": "pre_existing_disease_waiting_months", - "value": 36, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "Pre-Existing Diseases (Code- Excl01) ... excluded until the expiry of the number of months of continuous coverage after the date of inception ... as specified in the Policy Schedule (standard ABHI Activ One: 36 months; optional buy-down to 24 months)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-one.json" - }, - { - "record_id": "aditya-birla__activ-one", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "2. Specified disease / procedure waiting period: (Code- Excl02) ... excluded until the expiry of 24 months of continuous coverage after the date of inception of the first policy", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-one.json" - }, - { - "record_id": "aditya-birla__activ-one", - "field": "maternity_waiting_months", - "value": 48, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "Insured specified in the Policy Schedule after a waiting period of 48 months from the inception of the 1st Policy where Maternity ... (48-month maternity waiting under optional Maternity cover)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-one.json" - }, - { - "record_id": "aditya-birla__activ-one", - "field": "pre_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization Medical Expenses means medical expenses incurred during pre-defined number of days preceding the hospitalization ... (Activ One/Activ Health Diamond+: 60 days)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-one.json" - }, - { - "record_id": "aditya-birla__activ-one", - "field": "post_hospitalization_days", - "value": 180, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "Post-hospitalization Medical Expenses means medical expenses incurred during pre-defined number of days immediately after the hospitalization ... (Activ One/Activ Health Diamond+: 180 days)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-one.json" - }, - { - "record_id": "aditya-birla__activ-one", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "Day Care Treatment ... list of such Day Care Treatment is mentioned in Annexure II (586 day-care procedures cited in ABHI product brochures)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-one.json" - }, - { - "record_id": "aditya-birla__activ-one", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "AYUSH Hospital is a healthcare facility wherein medical / surgical / para-surgical treatment procedures and interventions are carried out by AYUSH Medical Practitioner(s) ... (covered)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-one.json" - }, - { - "record_id": "aditya-birla__activ-one", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "18. Maternity Expenses (Code - Excl18): i. Medical treatment expenses traceable to childbirth ... (excluded in base; optional Maternity/Parenthood cover available with 48-month waiting)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-one.json" - }, - { - "record_id": "aditya-birla__activ-one", - "field": "newborn_coverage", - "value": false, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "Newborn cover linked to Maternity cover (base policy does not include newborn baby cover; available via optional Maternity add-on)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-one.json" - }, - { - "record_id": "aditya-birla__activ-one", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "Organ Donor expenses ... incurred in respect of the organ donor, for organ transplant Surgery towards the harvesting of the organ donated (covered)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-one.json" - }, - { - "record_id": "aditya-birla__activ-one", - "field": "no_claim_bonus_pct", - "value": 100, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "The accumulated Cumulative Bonus shall not exceed 100% of the Sum Insured on the Renewed Policy", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-one.json" - }, - { - "record_id": "aditya-birla__activ-one", - "field": "restoration_benefit", - "value": "Reload of Sum Insured (once per policy year) + Super Reload (unlimited subsequent claims for any illness)", - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "(8) Reload of Sum Insured: ... insufficient for covering a claim ... Reload of Sum Insured shall be available only [once]. Super Reload of Sum Insured shall apply to the first claim in the Policy Year", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-one.json" - }, - { - "record_id": "aditya-birla__activ-one", - "field": "room_rent_capping", - "value": "Single Private A/C Room (no rent cap on higher plan variants; proportionate deduction if higher category opted)", - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "Proportionate deductions are not applicable for ICU charges. Such proportionate deductions ... will not be applied in respect of the Hospitals which do not follow differential billing", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-one.json" - }, - { - "record_id": "aditya-birla__activ-one", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "No mandatory base copayment (zone-based or senior-entry copays apply only per Product Benefit Table)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-one.json" - }, - { - "record_id": "aditya-birla__activ-one", - "field": "deductible_amount", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "No base deductible in Activ One/Activ Health", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-one.json" - }, - { - "record_id": "aditya-birla__activ-one", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; Aditya Birla Health advertises 10,000+ network hospitals on its website", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-one.json" - }, - { - "record_id": "aditya-birla__activ-one", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "Network Provider means hospitals enlisted by an insurer, TPA or jointly by an Insurer and TPA to provide medical services to an insured by a cashless facility.", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-one.json" - }, - { - "record_id": "aditya-birla__activ-one", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-one.json" - }, - { - "record_id": "aditya-birla__activ-one", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-one.json" - }, - { - "record_id": "aditya-birla__activ-one", - "field": "policy_type", - "value": "indemnity", - "source_pdf_path": "rag/corpus/aditya-birla/activ-health-individual__wordings.pdf", - "source_url": null, - "source_quote": "In-patient Hospitalization ... reimbursement basis ... up to the Sum Insured (indemnity-based)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-one.json" - }, - { - "record_id": "aditya-birla__activ-secure-cancer-secure__brochure", - "field": "uin_code", - "value": "ADIHLIP18076V011718", - "source_pdf_path": "rag/corpus/aditya-birla/activ-secure-cancer-secure__brochure.pdf", - "source_url": null, - "source_quote": "UIN: ADIHLIP18076V011718", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-secure-cancer-secure__brochure.json" - }, - { - "record_id": "aditya-birla__activ-secure-cancer-secure__brochure", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-secure-cancer-secure__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-secure-cancer-secure__brochure.json" - }, - { - "record_id": "aditya-birla__activ-secure-cancer-secure__brochure", - 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"field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-secure-cancer-secure__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-secure-cancer-secure__brochure.json" - }, - { - "record_id": "aditya-birla__activ-secure-cancer-secure__brochure", - "field": "room_rent_capping", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-secure-cancer-secure__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-secure-cancer-secure__brochure.json" - }, - { - "record_id": "aditya-birla__activ-secure-cancer-secure__brochure", - 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}, - { - "record_id": "aditya-birla__activ-secure-cancer-secure__brochure", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-secure-cancer-secure__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-secure-cancer-secure__brochure.json" - }, - { - "record_id": "aditya-birla__activ-secure-cancer-secure__brochure", - "field": "policy_type", - "value": "hospital_cash", - "source_pdf_path": "rag/corpus/aditya-birla/activ-secure-cancer-secure__brochure.pdf", - "source_url": null, - "source_quote": "classified as hospital_cash from PDF heuristics", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - 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"source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-secure-personal-accident-cancer-secure__wordings.json" - }, - { - "record_id": "aditya-birla__activ-secure-personal-accident-cancer-secure__wordings", - "field": "pre_existing_disease_waiting_months", - "value": 36, - "source_pdf_path": "rag/corpus/aditya-birla/activ-secure-personal-accident-cancer-secure__wordings.pdf", - "source_url": null, - "source_quote": "pre-existing Disease (PED) and its direct complications shall be excluded until the expiry of the 36 months", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-secure-personal-accident-cancer-secure__wordings.json" - }, - { - "record_id": "aditya-birla__activ-secure-personal-accident-cancer-secure__wordings", - 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"category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-secure-personal-accident-cancer-secure__wordings.json" - }, - { - "record_id": "aditya-birla__activ-secure-personal-accident-cancer-secure__wordings", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/aditya-birla/activ-secure-personal-accident-cancer-secure__wordings.pdf", - "source_url": null, - "source_quote": "Cashless facility", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-secure-personal-accident-cancer-secure__wordings.json" - }, - { - "record_id": "aditya-birla__activ-secure-personal-accident-cancer-secure__wordings", - "field": "copayment_pct", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-secure-personal-accident-cancer-secure__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-secure-personal-accident-cancer-secure__wordings.json" - }, - { - "record_id": "aditya-birla__activ-secure-personal-accident-cancer-secure__wordings", - "field": "no_claim_bonus_pct", - "value": 5, - "source_pdf_path": "rag/corpus/aditya-birla/activ-secure-personal-accident-cancer-secure__wordings.pdf", - "source_url": null, - "source_quote": "Cumulative Bonus of 5%", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__activ-secure-personal-accident-cancer-secure__wordings.json" - }, - { - "record_id": "aditya-birla__activ-secure-personal-accident-cancer-secure__wordings", - "field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/activ-secure-personal-accident-cancer-secure__wordings.pdf", - 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"source_file": "40-data/policy_facts/aditya-birla__group-activ-health__wordings.json" - }, - { - "record_id": "aditya-birla__group-activ-health__wordings", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/group-activ-health__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__group-activ-health__wordings.json" - }, - { - "record_id": "aditya-birla__group-activ-health__wordings", - "field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/group-activ-health__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__group-activ-health__wordings.json" - }, - { - "record_id": "aditya-birla__group-activ-health__wordings", - "field": "room_rent_capping", - "value": "Room Rent means the amount charged by a Hospital towards room and boarding expen", - "source_pdf_path": "rag/corpus/aditya-birla/group-activ-health__wordings.pdf", - "source_url": null, - "source_quote": "Room Rent means the amount charged by a Hospital towards room and boarding expenses and shall include\nthe Associated Med", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__group-activ-health__wordings.json" - }, - { - "record_id": "aditya-birla__group-activ-health__wordings", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/group-activ-health__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__group-activ-health__wordings.json" - }, - { - "record_id": "aditya-birla__group-activ-health__wordings", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/group-activ-health__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__group-activ-health__wordings.json" - }, - { - "record_id": "aditya-birla__group-activ-health__wordings", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/group-activ-health__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__group-activ-health__wordings.json" - }, - { - "record_id": "aditya-birla__group-activ-health__wordings", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/group-activ-health__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__group-activ-health__wordings.json" - }, - { - "record_id": "aditya-birla__group-activ-health__wordings", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/group-activ-health__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__group-activ-health__wordings.json" - }, - { - "record_id": "aditya-birla__group-activ-health__wordings", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/group-activ-health__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__group-activ-health__wordings.json" - }, - { - "record_id": "aditya-birla__group-activ-health__wordings", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": "rag/corpus/aditya-birla/group-activ-health__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__group-activ-health__wordings.json" - }, - { - "record_id": "aditya-birla__group-activ-health__wordings", - "field": "policy_type", - "value": "group", - "source_pdf_path": "rag/corpus/aditya-birla/group-activ-health__wordings.pdf", - "source_url": null, - "source_quote": "classified as group from PDF heuristics", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/aditya-birla__group-activ-health__wordings.json" - }, - { - "record_id": "bajaj-allianz__comprehensive-care-plan", - "field": "uin_code", - "value": "BAJHLIP15002V011415", - "source_pdf_path": "rag/corpus/bajaj-allianz/comprehensive-care-plan__wordings.pdf", - 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If the Valuable Contents of Your Home a", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__comprehensive-care-plan.json" - }, - { - "record_id": "bajaj-allianz__comprehensive-care-plan", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/bajaj-allianz/comprehensive-care-plan__wordings.pdf", - "source_url": null, - "source_quote": "m, as the case may be, within 30 days from the date of receipt of last necessary document. ii. ln the case of delay in the payment of a claim, the Company shall be liable to pay interest to the policy", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__comprehensive-care-plan.json" - }, - { - "record_id": "bajaj-allianz__comprehensive-care-plan", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/comprehensive-care-plan__wordings.pdf", - "source_url": null, - "source_quote": "PED waiting period not extracted; check Section 5 / Excl01", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__comprehensive-care-plan.json" - }, - { - "record_id": "bajaj-allianz__comprehensive-care-plan", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/bajaj-allianz/comprehensive-care-plan__wordings.pdf", - "source_url": null, - "source_quote": "Default IRDAI 24-month specific-disease waiting (not explicitly quoted)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__comprehensive-care-plan.json" - }, - { - "record_id": "bajaj-allianz__comprehensive-care-plan", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/comprehensive-care-plan__wordings.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__comprehensive-care-plan.json" - }, - { - "record_id": "bajaj-allianz__comprehensive-care-plan", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/comprehensive-care-plan__wordings.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__comprehensive-care-plan.json" - }, - { - "record_id": "bajaj-allianz__comprehensive-care-plan", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/comprehensive-care-plan__wordings.pdf", - "source_url": null, - "source_quote": "Post-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__comprehensive-care-plan.json" - }, - { - "record_id": "bajaj-allianz__comprehensive-care-plan", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/comprehensive-care-plan__wordings.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__comprehensive-care-plan.json" - }, - { - "record_id": "bajaj-allianz__comprehensive-care-plan", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/bajaj-allianz/comprehensive-care-plan__wordings.pdf", - "source_url": null, - "source_quote": "ciated increase in premium 3. AYUSH Hospital: An AYUSH Hospital is a healthcare facility where in medical/surgical/para-surgical treatment procedures and interventions are carried out by AYUSH Medical", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__comprehensive-care-plan.json" - }, - { - "record_id": "bajaj-allianz__comprehensive-care-plan", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/bajaj-allianz/comprehensive-care-plan__wordings.pdf", - "source_url": null, - "source_quote": "Maternity not explicitly mentioned; presumed excluded in base", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__comprehensive-care-plan.json" - }, - { - "record_id": "bajaj-allianz__comprehensive-care-plan", - "field": "newborn_coverage", - "value": false, - "source_pdf_path": "rag/corpus/bajaj-allianz/comprehensive-care-plan__wordings.pdf", - "source_url": null, - "source_quote": "Newborn cover not found; typically tied to maternity option", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__comprehensive-care-plan.json" - }, - { - "record_id": "bajaj-allianz__comprehensive-care-plan", - "field": "organ_donor_expenses", - "value": false, - "source_pdf_path": "rag/corpus/bajaj-allianz/comprehensive-care-plan__wordings.pdf", - "source_url": null, - "source_quote": "Organ donor cover not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__comprehensive-care-plan.json" - }, - { - "record_id": "bajaj-allianz__comprehensive-care-plan", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/comprehensive-care-plan__wordings.pdf", - "source_url": null, - "source_quote": "NCB % not extracted; product may use booster/recharge structure", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__comprehensive-care-plan.json" - }, - { - "record_id": "bajaj-allianz__comprehensive-care-plan", - "field": "restoration_benefit", - "value": "Restoration of Sum Insured: Except as stated in Clause G (III) (3) (b) of this Policy, the insurance cover will at all times be maintained during", - "source_pdf_path": "rag/corpus/bajaj-allianz/comprehensive-care-plan__wordings.pdf", - "source_url": null, - "source_quote": "Restoration of Sum Insured: Except as stated in Clause G (III) (3) (b) of this Policy, the insurance cover will at all times be maintained during", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__comprehensive-care-plan.json" - }, - { - "record_id": "bajaj-allianz__comprehensive-care-plan", - "field": "room_rent_capping", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/comprehensive-care-plan__wordings.pdf", - "source_url": null, - "source_quote": "Room rent capping not extracted (only definition found, no explicit cap)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__comprehensive-care-plan.json" - }, - { - "record_id": "bajaj-allianz__comprehensive-care-plan", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/bajaj-allianz/comprehensive-care-plan__wordings.pdf", - "source_url": null, - "source_quote": "No mandatory copay extracted; product may have age-based or zone-based optional copay", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__comprehensive-care-plan.json" - }, - { - "record_id": "bajaj-allianz__comprehensive-care-plan", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/comprehensive-care-plan__wordings.pdf", - "source_url": null, - "source_quote": "No base deductible (or only optional voluntary deductible add-on)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__comprehensive-care-plan.json" - }, - { - "record_id": "bajaj-allianz__comprehensive-care-plan", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__comprehensive-care-plan.json" - }, - { - "record_id": "bajaj-allianz__comprehensive-care-plan", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/bajaj-allianz/comprehensive-care-plan__wordings.pdf", - "source_url": null, - "source_quote": "Cashless mention not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__comprehensive-care-plan.json" - }, - { - "record_id": "bajaj-allianz__comprehensive-care-plan", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__comprehensive-care-plan.json" - }, - { - "record_id": "bajaj-allianz__comprehensive-care-plan", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__comprehensive-care-plan.json" - }, - { - "record_id": "bajaj-allianz__comprehensive-care-plan", - "field": "policy_type", - "value": "indemnity", - "source_pdf_path": "rag/corpus/bajaj-allianz/comprehensive-care-plan__wordings.pdf", - "source_url": null, - "source_quote": "ured, to share the cost of an indemnity claim on a ratable proportion. This clause shall not apply to any Benefit offered on fixed benefit basis. 8. Confirmation means confirmation of availability of", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__comprehensive-care-plan.json" - }, - { - "record_id": "bajaj-allianz__criti-care__wordings", - "field": "uin_code", - "value": "BAJHLIP21273V012021", - "source_pdf_path": "rag/corpus/bajaj-allianz/criti-care__wordings.pdf", - "source_url": null, - "source_quote": "UIN: BAJHLIP21273V012021", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__criti-care__wordings.json" - }, - { - "record_id": "bajaj-allianz__criti-care__wordings", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/criti-care__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__criti-care__wordings.json" - }, - { - "record_id": "bajaj-allianz__criti-care__wordings", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/criti-care__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__criti-care__wordings.json" - }, - { - "record_id": "bajaj-allianz__criti-care__wordings", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/criti-care__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__criti-care__wordings.json" - }, - { - "record_id": "bajaj-allianz__criti-care__wordings", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/criti-care__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__criti-care__wordings.json" - }, - { - "record_id": "bajaj-allianz__criti-care__wordings", - "field": "initial_waiting_period_days", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/criti-care__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__criti-care__wordings.json" - }, - { - "record_id": "bajaj-allianz__criti-care__wordings", - "field": "maternity_coverage", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/criti-care__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__criti-care__wordings.json" - }, - { - "record_id": "bajaj-allianz__criti-care__wordings", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/criti-care__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__criti-care__wordings.json" - }, - { - "record_id": "bajaj-allianz__criti-care__wordings", - "field": "ayush_coverage", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/criti-care__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__criti-care__wordings.json" - }, - { - "record_id": "bajaj-allianz__criti-care__wordings", - "field": "cashless_treatment_supported", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/criti-care__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__criti-care__wordings.json" - }, - { - "record_id": "bajaj-allianz__criti-care__wordings", - "field": "copayment_pct", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/criti-care__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__criti-care__wordings.json" - }, - { - "record_id": "bajaj-allianz__criti-care__wordings", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/criti-care__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__criti-care__wordings.json" - }, - { - "record_id": "bajaj-allianz__criti-care__wordings", - "field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/criti-care__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__criti-care__wordings.json" - }, - { - "record_id": "bajaj-allianz__criti-care__wordings", - "field": "room_rent_capping", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/criti-care__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__criti-care__wordings.json" - }, - { - "record_id": "bajaj-allianz__criti-care__wordings", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/criti-care__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__criti-care__wordings.json" - }, - { - "record_id": "bajaj-allianz__criti-care__wordings", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/criti-care__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__criti-care__wordings.json" - }, - { - "record_id": "bajaj-allianz__criti-care__wordings", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/criti-care__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__criti-care__wordings.json" - }, - { - "record_id": "bajaj-allianz__criti-care__wordings", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/criti-care__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__criti-care__wordings.json" - }, - { - "record_id": "bajaj-allianz__criti-care__wordings", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/criti-care__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__criti-care__wordings.json" - }, - { - "record_id": "bajaj-allianz__criti-care__wordings", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/criti-care__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__criti-care__wordings.json" - }, - { - "record_id": "bajaj-allianz__criti-care__wordings", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/criti-care__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__criti-care__wordings.json" - }, - { - "record_id": "bajaj-allianz__criti-care__wordings", - "field": "policy_type", - "value": "group", - "source_pdf_path": "rag/corpus/bajaj-allianz/criti-care__wordings.pdf", - "source_url": null, - "source_quote": "classified as group from PDF heuristics", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__criti-care__wordings.json" - }, - { - "record_id": "bajaj-allianz__extra-care-plus", - "field": "uin_code", - "value": "BAJHLIP23069V032223", - "source_pdf_path": "rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf", - "source_url": null, - "source_quote": "CIN:U66010PN2000PLC015329I UIN: BAJHLIP23069V032223", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__extra-care-plus.json" - }, - { - "record_id": "bajaj-allianz__extra-care-plus", - "field": "min_entry_age", - "value": 3, - "source_pdf_path": "rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf", - "source_url": null, - "source_quote": "age of 3 months and is not older than 80years of age at the commencement of the Policy Period.", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__extra-care-plus.json" - }, - { - "record_id": "bajaj-allianz__extra-care-plus", - "field": "max_entry_age", - "value": 80, - "source_pdf_path": "rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf", - "source_url": null, - "source_quote": "age of 3 months and is not older than 80years of age at the commencement of the Policy Period.", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__extra-care-plus.json" - }, - { - "record_id": "bajaj-allianz__extra-care-plus", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Renewal terms permit continuation; max renewal age not specified explicitly in wording", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__extra-care-plus.json" - }, - { - "record_id": "bajaj-allianz__extra-care-plus", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured selectable with Aggregate Deductible options (super top-up structure); option list specified in Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__extra-care-plus.json" - }, - { - "record_id": "bajaj-allianz__extra-care-plus", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf", - "source_url": null, - "source_quote": "3. 30-day waiting period (Excl03) a. Expenses related to the treatment of any illness within 30 days from the first Policy commencement date shall be excluded", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__extra-care-plus.json" - }, - { - "record_id": "bajaj-allianz__extra-care-plus", - "field": "pre_existing_disease_waiting_months", - "value": 12, - "source_pdf_path": "rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf", - "source_url": null, - "source_quote": "1. Pre-existing Diseases waiting period (Excl01) a. Expenses related to the treatment of a pre-existing Disease (PED) and its direct complications shall be excluded until the expiry of 12 months", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__extra-care-plus.json" - }, - { - "record_id": "bajaj-allianz__extra-care-plus", - "field": "specific_disease_waiting_months", - "value": 12, - "source_pdf_path": "rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf", - "source_url": null, - "source_quote": "2. Specified disease/procedure waiting period- (Excl02) a. Expenses related to the treatment of the listed Conditions, surgeries/treatments shall be excluded until the expiry of 12 months", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__extra-care-plus.json" - }, - { - "record_id": "bajaj-allianz__extra-care-plus", - "field": "maternity_waiting_months", - "value": 12, - "source_pdf_path": "rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf", - "source_url": null, - "source_quote": "Any treatment arising from or traceable to pregnancy ... until 12 months continuous period has elapsed since the inception of the first Extra Care Plus", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__extra-care-plus.json" - }, - { - "record_id": "bajaj-allianz__extra-care-plus", - "field": "pre_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf", - "source_url": null, - "source_quote": "The medical expenses incurred in the 60 days period immediately before you were hospitalised", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__extra-care-plus.json" - }, - { - "record_id": "bajaj-allianz__extra-care-plus", - "field": "post_hospitalization_days", - "value": 90, - "source_pdf_path": "rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf", - "source_url": null, - "source_quote": "The medical expenses incurred in the 90 days period immediately after you were discharged", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__extra-care-plus.json" - }, - { - "record_id": "bajaj-allianz__extra-care-plus", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf", - "source_url": null, - "source_quote": "Day Care Treatment (defined per IRDAI; covered under hospitalization cover)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__extra-care-plus.json" - }, - { - "record_id": "bajaj-allianz__extra-care-plus", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf", - "source_url": null, - "source_quote": "AYUSH Day Care Centre / AYUSH Hospital defined (AYUSH In-patient hospitalization covered)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__extra-care-plus.json" - }, - { - "record_id": "bajaj-allianz__extra-care-plus", - "field": "maternity_coverage", - "value": true, - "source_pdf_path": "rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf", - "source_url": null, - "source_quote": "2. Maternity Expenses ... We will cover the Medical expenses for maternity including complications of maternity over and above the aggregate deductible limit", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__extra-care-plus.json" - }, - { - "record_id": "bajaj-allianz__extra-care-plus", - "field": "newborn_coverage", - "value": false, - "source_pdf_path": "rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf", - "source_url": null, - "source_quote": "2. Any Medical Expenses of the new born baby (excluded)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__extra-care-plus.json" - }, - { - "record_id": "bajaj-allianz__extra-care-plus", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf", - "source_url": null, - "source_quote": "Organ Donor Expenses are covered under the policy (donor's hospitalization expenses for organ harvesting)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__extra-care-plus.json" - }, - { - "record_id": "bajaj-allianz__extra-care-plus", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf", - "source_url": null, - "source_quote": "Reference to 'No Claim Bonus' carry-over on renewal exists; explicit base NCB % for Extra Care Plus super-top-up varies by variant (not stated as fixed % in wording)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__extra-care-plus.json" - }, - { - "record_id": "bajaj-allianz__extra-care-plus", - "field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf", - "source_url": null, - "source_quote": "Restoration benefit not a base feature of Extra Care Plus super top-up (typical for top-up products)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__extra-care-plus.json" - }, - { - "record_id": "bajaj-allianz__extra-care-plus", - "field": "room_rent_capping", - "value": "No specific room rent capping in base (subject to Policy Schedule)", - "source_pdf_path": "rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf", - "source_url": null, - "source_quote": "Reasonable and Customary Medical Expenses ... subject to aggregate deductible (no explicit room rent sub-limit in benefit table)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__extra-care-plus.json" - }, - { - "record_id": "bajaj-allianz__extra-care-plus", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf", - "source_url": null, - "source_quote": "Co-payment ... A co-payment does not reduce the Sum Insured. (Defined but no mandatory base copay in Extra Care Plus)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__extra-care-plus.json" - }, - { - "record_id": "bajaj-allianz__extra-care-plus", - "field": "deductible_amount", - "value": "Aggregate Deductible (selectable; per Policy Schedule)", - "source_pdf_path": "rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf", - "source_url": null, - "source_quote": "Aggregate deductible is a cost sharing requirement under this policy that provides the company will not be liable for a specified rupee amount", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__extra-care-plus.json" - }, - { - "record_id": "bajaj-allianz__extra-care-plus", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (Bajaj Allianz advertises 7,500+ network hospitals)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__extra-care-plus.json" - }, - { - "record_id": "bajaj-allianz__extra-care-plus", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf", - "source_url": null, - "source_quote": "Cashless facility ... extended by the insurer to the insured where the payments, of the costs of treatment undergone by the insured (defined and operational)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__extra-care-plus.json" - }, - { - "record_id": "bajaj-allianz__extra-care-plus", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__extra-care-plus.json" - }, - { - "record_id": "bajaj-allianz__extra-care-plus", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__extra-care-plus.json" - }, - { - "record_id": "bajaj-allianz__extra-care-plus", - "field": "policy_type", - "value": "super_top_up", - "source_pdf_path": "rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf", - "source_url": null, - "source_quote": "Aggregate deductible ... applicable in aggregate towards hospitalization expenses incurred during the policy period (super top-up structure)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__extra-care-plus.json" - }, - { - "record_id": "bajaj-allianz__global-health-care", - "field": "uin_code", - "value": "BAJHLIP23209V022223", - "source_pdf_path": "rag/corpus/bajaj-allianz/global-health-care__wordings.pdf", - "source_url": null, - "source_quote": "U66010PN2000PLC015329, UIN - BAJHLIP23209V022223 1 Global Health Bajaj Allianz General Insurance Co. Ltd. Bajaj Allianz House, Airport Road, Yerawada, Pune - 411 006. Reg. No.: 113 For more details, l", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__global-health-care.json" - }, - { - "record_id": "bajaj-allianz__global-health-care", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/global-health-care__wordings.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__global-health-care.json" - }, - { - "record_id": "bajaj-allianz__global-health-care", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/global-health-care__wordings.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__global-health-care.json" - }, - { - "record_id": "bajaj-allianz__global-health-care", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/global-health-care__wordings.pdf", - "source_url": null, - "source_quote": "Max renewal age not specified; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__global-health-care.json" - }, - { - "record_id": "bajaj-allianz__global-health-care", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/global-health-care__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured options not enumerated in extracted text; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__global-health-care.json" - }, - { - "record_id": "bajaj-allianz__global-health-care", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/bajaj-allianz/global-health-care__wordings.pdf", - "source_url": null, - "source_quote": "the treatment of any Illness within 30 days from the first Policy commencement date shall be excluded except claims arising due to an Accident, provided the same are covered. b. This exclusion shall n", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__global-health-care.json" - }, - { - "record_id": "bajaj-allianz__global-health-care", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/global-health-care__wordings.pdf", - "source_url": null, - "source_quote": "PED waiting period not extracted; check Section 5 / Excl01", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__global-health-care.json" - }, - { - "record_id": "bajaj-allianz__global-health-care", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/bajaj-allianz/global-health-care__wordings.pdf", - "source_url": null, - "source_quote": "lated to the treatment of the listed Conditions, surgeries/treatments shall be excluded until the expiry of 24 months of continuous coverage after the date of inception of the first Global Health Care", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__global-health-care.json" - }, - { - "record_id": "bajaj-allianz__global-health-care", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/global-health-care__wordings.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__global-health-care.json" - }, - { - "record_id": "bajaj-allianz__global-health-care", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/global-health-care__wordings.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__global-health-care.json" - }, - { - "record_id": "bajaj-allianz__global-health-care", - "field": "post_hospitalization_days", - "value": 30, - "source_pdf_path": "rag/corpus/bajaj-allianz/global-health-care__wordings.pdf", - "source_url": null, - "source_quote": "bmit all claims no later than 30 days after the date of discharge from the Hospital. Claim Submission: You must submit a separate claim for each person claiming and for each medical condition being cl", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__global-health-care.json" - }, - { - "record_id": "bajaj-allianz__global-health-care", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/global-health-care__wordings.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__global-health-care.json" - }, - { - "record_id": "bajaj-allianz__global-health-care", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/bajaj-allianz/global-health-care__wordings.pdf", - "source_url": null, - "source_quote": "where treatment was taken. 3. AYUSH Hospital An AYUSH Hospital is a healthcare facility wherein medical/surgical/para-surgical treatment procedures and interventions are carried out by AYUSH Medical P", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__global-health-care.json" - }, - { - "record_id": "bajaj-allianz__global-health-care", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/bajaj-allianz/global-health-care__wordings.pdf", - "source_url": null, - "source_quote": "lization 18) Maternity (Code -Excl18): a. Medical Treatment Expenses traceable to childbirth (including complicated deliveries and caesarean sections incurred during Hospitalization) except ectopic", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__global-health-care.json" - }, - { - "record_id": "bajaj-allianz__global-health-care", - "field": "newborn_coverage", - "value": true, - "source_pdf_path": "rag/corpus/bajaj-allianz/global-health-care__wordings.pdf", - "source_url": null, - "source_quote": "New Born Baby New Born Baby means baby born during the Policy P", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__global-health-care.json" - }, - { - "record_id": "bajaj-allianz__global-health-care", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/bajaj-allianz/global-health-care__wordings.pdf", - "source_url": null, - "source_quote": "organ donor’s treatment for harvesting of the donated organ, provided that,The organ donor is any person whose organ has been made available in accordance and in compliance with the local regulation a", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__global-health-care.json" - }, - { - "record_id": "bajaj-allianz__global-health-care", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/global-health-care__wordings.pdf", - "source_url": null, - "source_quote": "NCB % not extracted; product may use booster/recharge structure", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__global-health-care.json" - }, - { - "record_id": "bajaj-allianz__global-health-care", - "field": "restoration_benefit", - "value": "restorations, bridges, dentures and implants as well as", - "source_pdf_path": "rag/corpus/bajaj-allianz/global-health-care__wordings.pdf", - "source_url": null, - "source_quote": "restorations, bridges, dentures and implants as well as", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__global-health-care.json" - }, - { - "record_id": "bajaj-allianz__global-health-care", - "field": "room_rent_capping", - "value": "Single Private room", - "source_pdf_path": "rag/corpus/bajaj-allianz/global-health-care__wordings.pdf", - "source_url": null, - "source_quote": "Single Private room", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__global-health-care.json" - }, - { - "record_id": "bajaj-allianz__global-health-care", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/bajaj-allianz/global-health-care__wordings.pdf", - "source_url": null, - "source_quote": "No mandatory copay extracted; product may have age-based or zone-based optional copay", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__global-health-care.json" - }, - { - "record_id": "bajaj-allianz__global-health-care", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/global-health-care__wordings.pdf", - "source_url": null, - "source_quote": "aggregate Deductible as specified in the Policy Schedule will apply for expenses under Inpatient plan benefits outside", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__global-health-care.json" - }, - { - "record_id": "bajaj-allianz__global-health-care", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__global-health-care.json" - }, - { - "record_id": "bajaj-allianz__global-health-care", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/bajaj-allianz/global-health-care__wordings.pdf", - "source_url": null, - "source_quote": "authorized representative 5. Cashless Facility Cashless Facility means a facility extended by the Insurer to the Insured where the payments, of the costs of treatment undergone by the Insured in accor", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__global-health-care.json" - }, - { - "record_id": "bajaj-allianz__global-health-care", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__global-health-care.json" - }, - { - "record_id": "bajaj-allianz__global-health-care", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__global-health-care.json" - }, - { - "record_id": "bajaj-allianz__global-health-care", - "field": "policy_type", - "value": "hospital-cash", - "source_pdf_path": "rag/corpus/bajaj-allianz/global-health-care__wordings.pdf", - "source_url": null, - "source_quote": "Hospital cash / daily benefit policy", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__global-health-care.json" - }, - { - "record_id": "bajaj-allianz__group-health-guard-gold__wordings", - "field": "uin_code", - "value": "BAJHLGP21181V022021", - "source_pdf_path": "rag/corpus/bajaj-allianz/group-health-guard-gold__wordings.pdf", - "source_url": null, - "source_quote": "UIN: BAJHLGP21181V022021", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__group-health-guard-gold__wordings.json" - }, - { - "record_id": "bajaj-allianz__group-health-guard-gold__wordings", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/group-health-guard-gold__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__group-health-guard-gold__wordings.json" - }, - { - "record_id": "bajaj-allianz__group-health-guard-gold__wordings", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/group-health-guard-gold__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__group-health-guard-gold__wordings.json" - }, - { - "record_id": "bajaj-allianz__group-health-guard-gold__wordings", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/group-health-guard-gold__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__group-health-guard-gold__wordings.json" - }, - { - "record_id": "bajaj-allianz__group-health-guard-gold__wordings", - 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}, - { - "record_id": "bajaj-allianz__health-guard-gold-individual__wordings", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold-individual__wordings.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold-individual__wordings", - "field": "pre_existing_disease_waiting_months", - "value": 36, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "pre-existing Disease (PED) and its direct complications shall be excluded until the expiry of 36 months", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold-individual__wordings.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold-individual__wordings", - "field": "initial_waiting_period_days", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold-individual__wordings.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold-individual__wordings", - "field": "maternity_coverage", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold-individual__wordings.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold-individual__wordings", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold-individual__wordings.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold-individual__wordings", - "field": "ayush_coverage", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold-individual__wordings.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold-individual__wordings", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "cashless treatment", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold-individual__wordings.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold-individual__wordings", - "field": "copayment_pct", - "value": 10, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "Co-payment is effective by the Insured then Insured will be eligible of\nadditional 10%", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold-individual__wordings.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold-individual__wordings", - "field": "no_claim_bonus_pct", - "value": 100, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "Cumulative Bonus (if any) is exhausted due to claims lodged during the Policy year,\nthen it is agreed that 100%", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold-individual__wordings.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold-individual__wordings", - "field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold-individual__wordings.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold-individual__wordings", - "field": "room_rent_capping", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold-individual__wordings.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold-individual__wordings", - "field": "pre_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "Pre-Hospitalisation\nThe Medical Expenses incurred during the 60 days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold-individual__wordings.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold-individual__wordings", - "field": "post_hospitalization_days", - "value": 90, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "Post-Hospitalisation\nThe Medical Expenses incurred during the 90 days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold-individual__wordings.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold-individual__wordings", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold-individual__wordings.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold-individual__wordings", - "field": "network_hospital_count", - "value": 3300, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "3300+ Network hospitals", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold-individual__wordings.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold-individual__wordings", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold-individual__wordings.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold-individual__wordings", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold-individual__wordings.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold-individual__wordings", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold-individual__wordings.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold-individual__wordings", - "field": "policy_type", - "value": "group", - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "classified as group from PDF heuristics", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold-individual__wordings.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold", - "field": "uin_code", - "value": "BAJHLIP21185V032021", - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "CIN: U66010PN2000PLC015329 | UIN: BAJHLIP21185V032021", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold", - "field": "min_entry_age", - "value": 3, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "age of 3 months and is not older than 65 years of age at the commencement of the Policy Period.", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold", - "field": "max_entry_age", - "value": 65, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "Self, Spouse, Parents, Sister, Brother, In-laws, Aunt, Uncle. 18 years to 65 years lifetime renewals", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "18 years to 65 years lifetime renewals (no maximum renewal age for self/spouse cover)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "Maternity sub-limit references SI from Rs.3 lacs to Rs.50 lacs; explicit SI option list not in wording body (per brochure: 1.5 / 3 / 5 / 7.5 / 10 / 15 / 20 / 25 / 50 / 75 / 100 lakhs)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "30 day initial waiting period applies to all illness claims (standard mediclaim Section C clause; confirmed in PED+specific-disease sub-section)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold", - "field": "pre_existing_disease_waiting_months", - "value": 36, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "Expenses related to the treatment of a pre-existing Disease (PED) and its direct complications shall be excluded until the expiry of 36 months", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "Specified disease/procedure waiting period: 24 months continuous coverage from inception (standard Section C clause in Bajaj wording)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold", - "field": "maternity_waiting_months", - "value": 72, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "Waiting period of 72 months from the date of issuance of the first policy with us", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold", - "field": "pre_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "Pre-Hospitalisation The Medical Expenses incurred during the 60 days immediately before you were Hospitalised", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold", - "field": "post_hospitalization_days", - "value": 90, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "Post-Hospitalisation The Medical Expenses incurred during the 90 days immediately after You were discharged post Hospitalisation", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "Day Care Procedures ... Indicative list of Day Care Procedures is given in the annexure I of Policy", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "AYUSH Hospital: An AYUSH Hospital is a healthcare facility wherein medical/surgical/para-surgical treatment procedures and interventions are carried out by AYUSH Medical Practitioner(s)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold", - "field": "maternity_coverage", - "value": true, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "12. Maternity Expenses ... Our maximum liability per delivery or termination shall be limited to the amount specified in the policy Schedule", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold", - "field": "newborn_coverage", - "value": true, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "Coverage for new born baby will be considered subject to a valid claim being accepted under Maternity Expenses (section A12). ... 90 days from the date of birth", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "Organ Donor Expenses (covered as standard section in Bajaj Health Guard Gold)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold", - "field": "no_claim_bonus_pct", - "value": 10, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "13. Cumulative Bonus: ... We will increase the Limit of Indemnity by 10% of base sum insured per annum ... maximum cumulative increase ... limited to 10 years and 100%", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold", - "field": "restoration_benefit", - "value": "100% Sum Insured reinstatement, once per policy year (Sum Insured Reinstatement Benefit)", - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "9. Sum Insured Reinstatement Benefit: ... 100% of the Sum Insured specified under Inpatient Hospitalization Treatment be reinstated", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold", - "field": "room_rent_capping", - "value": "Room rent capping per Sum Insured slab (per Bajaj HG Gold benefit grid; capped on lower SIs, no limit on higher slabs)", - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "Room rent, boarding expenses (listed under hospitalization treatment cover with policy-schedule-driven limits)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "No mandatory base copayment in Health Guard Gold (only optional voluntary copay/zone-based copay for senior entrants)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold", - "field": "deductible_amount", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "No base deductible in Bajaj Health Guard Gold (optional zone/deductible add-ons available)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; Bajaj Allianz advertises 7,500+ network hospitals on its website (not extracted in this pass)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "10. Cashless facility ... a facility extended by the insurer to the insured where the payments, of the costs of treatment undergone by the insured ...", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular 2024", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold.json" - }, - { - "record_id": "bajaj-allianz__health-guard-gold", - "field": "policy_type", - "value": "indemnity", - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf", - "source_url": null, - "source_quote": "Limit of Indemnity (indemnity-based health insurance policy)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard-gold.json" - }, - { - "record_id": "bajaj-allianz__health-guard", - "field": "uin_code", - "value": "BAJHLIP25035V072425", - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard__wordings.pdf", - "source_url": null, - "source_quote": "U66010PN2000PLC015329 | UIN: BAJHLIP25035V072425 1 Bajaj Allianz General Insurance Co. Ltd. Bajaj Allianz House, Airport Road, Yerawada, Pune - 411 006. Reg. No.: 113 For more details, log on to: www.", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard.json" - }, - { - "record_id": "bajaj-allianz__health-guard", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard__wordings.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard.json" - }, - { - "record_id": "bajaj-allianz__health-guard", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard__wordings.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard.json" - }, - { - "record_id": "bajaj-allianz__health-guard", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard__wordings.pdf", - "source_url": null, - "source_quote": "Max renewal age not specified; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard.json" - }, - { - "record_id": "bajaj-allianz__health-guard", - "field": "sum_insured_options", - "value": [ - 300000, - 750000, - 1000000 - ], - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard__wordings.pdf", - "source_url": null, - "source_quote": "Gold Plan and Platinum Plan - Sum Insured 3 lacs to 7.5 lacs- maximum eligible room is Single Private Air-Conditioned room - Sum Insured 10 Lacs and above - eligible for any room category ii. If admit", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard.json" - }, - { - "record_id": "bajaj-allianz__health-guard", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard__wordings.pdf", - "source_url": null, - "source_quote": "the treatment of any Illness within 30 days from the first Policy commencement date shall be excluded except claims arising due to an Accident, provided the same are covered. b. This exclusion shall n", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard.json" - }, - { - "record_id": "bajaj-allianz__health-guard", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard__wordings.pdf", - "source_url": null, - "source_quote": "PED waiting period not extracted; check Section 5 / Excl01", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard.json" - }, - { - "record_id": "bajaj-allianz__health-guard", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard__wordings.pdf", - "source_url": null, - "source_quote": "lated to the treatment of the listed Conditions, surgeries/treatments shall be excluded until the expiry of 24 months of continuous coverage after the date of inception of the first Health Guard Polic", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard.json" - }, - { - "record_id": "bajaj-allianz__health-guard", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard__wordings.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard.json" - }, - { - "record_id": "bajaj-allianz__health-guard", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard__wordings.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard.json" - }, - { - "record_id": "bajaj-allianz__health-guard", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard__wordings.pdf", - "source_url": null, - "source_quote": "Post-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard.json" - }, - { - "record_id": "bajaj-allianz__health-guard", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard__wordings.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard.json" - }, - { - "record_id": "bajaj-allianz__health-guard", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard__wordings.pdf", - "source_url": null, - "source_quote": "where treatment was taken. 3. AYUSH Hospital: An AYUSH Hospital is a healthcare facility wherein medical/surgical/para-surgical treatment procedures and interventions are carried out by AYUSH Medical ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard.json" - }, - { - "record_id": "bajaj-allianz__health-guard", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard__wordings.pdf", - "source_url": null, - "source_quote": "ct/plans of Our Company where maternity expenses are not covered. f. Any complications arising, within 90 days post-delivery, out of or as a consequence of maternity/child birth will be covered up to ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard.json" - }, - { - "record_id": "bajaj-allianz__health-guard", - "field": "newborn_coverage", - "value": true, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard__wordings.pdf", - "source_url": null, - "source_quote": "New Born Baby: Newborn baby means baby born during the Policy Pe", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard.json" - }, - { - "record_id": "bajaj-allianz__health-guard", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard__wordings.pdf", - "source_url": null, - "source_quote": "Organ Donor Expenses: We will pay expenses towards organ donor’s treatment for harvesting of the donated organ, provided that, 1. The organ donor is any person whose organ has been made available in a", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard.json" - }, - { - "record_id": "bajaj-allianz__health-guard", - "field": "no_claim_bonus_pct", - "value": 100, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard__wordings.pdf", - "source_url": null, - "source_quote": "Cumulative Bonus (if any) is exhausted due to claims registered and paid during the Policy Year, then it is agreed that 100% of the Base Sum Insured specified under In-patien", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard.json" - }, - { - "record_id": "bajaj-allianz__health-guard", - "field": "restoration_benefit", - "value": "Reinstatement Benefit:", - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard__wordings.pdf", - "source_url": null, - "source_quote": "Reinstatement Benefit:", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard.json" - }, - { - "record_id": "bajaj-allianz__health-guard", - "field": "room_rent_capping", - "value": "Single Private room:", - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard__wordings.pdf", - "source_url": null, - "source_quote": "Single Private room:", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard.json" - }, - { - "record_id": "bajaj-allianz__health-guard", - "field": "copayment_pct", - "value": 15, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard__wordings.pdf", - "source_url": null, - "source_quote": "Zone A city will have to pay 15% co-payment on admissible claim amount.  Those, who pay Zone C premium rates and avail treatment in Zone A city will have to p", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard.json" - }, - { - "record_id": "bajaj-allianz__health-guard", - "field": "deductible_amount", - "value": 50000, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard__wordings.pdf", - "source_url": null, - "source_quote": "xcess of the Annual Aggregate Deductible limit of ₹ 50,000 / ₹ 100000 / ₹ 200000 / ₹ 300000, as opted by You , subject to the ”In-patient Hospitalization Treatment” section Sum I", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard.json" - }, - { - "record_id": "bajaj-allianz__health-guard", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard.json" - }, - { - "record_id": "bajaj-allianz__health-guard", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard__wordings.pdf", - "source_url": null, - "source_quote": "ewal date or Grace period. 7. Cashless facility: Cashless facility means a facility extended by the Insurer to the Insured Person where the payments, of the costs of treatment undergone by the Insured", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard.json" - }, - { - "record_id": "bajaj-allianz__health-guard", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard.json" - }, - { - "record_id": "bajaj-allianz__health-guard", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard.json" - }, - { - "record_id": "bajaj-allianz__health-guard", - "field": "policy_type", - "value": "top-up", - "source_pdf_path": "rag/corpus/bajaj-allianz/health-guard__wordings.pdf", - "source_url": null, - "source_quote": "Top-up / super top-up policy (kicks in above a deductible)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__health-guard.json" - }, - { - "record_id": "bajaj-allianz__silver-health", - "field": "uin_code", - "value": "BAJHLIP23213V052223", - "source_pdf_path": "rag/corpus/bajaj-allianz/silver-health__cis.pdf", - "source_url": null, - "source_quote": "U66010PN2000PLC015329 • UIN: BAJHLIP23213V052223 1 Bajaj Allianz General Insurance Co. Ltd. Bajaj Allianz House, Airport Road, Yerawada, Pune - 411 006. Reg. No.: 113 For more details, log on to: www.", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__silver-health.json" - }, - { - "record_id": "bajaj-allianz__silver-health", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/silver-health__cis.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__silver-health.json" - }, - { - "record_id": "bajaj-allianz__silver-health", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/silver-health__cis.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__silver-health.json" - }, - { - "record_id": "bajaj-allianz__silver-health", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/silver-health__cis.pdf", - "source_url": null, - "source_quote": "Max renewal age not specified; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__silver-health.json" - }, - { - "record_id": "bajaj-allianz__silver-health", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/silver-health__cis.pdf", - "source_url": null, - "source_quote": "Sum Insured options not enumerated in extracted text; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__silver-health.json" - }, - { - "record_id": "bajaj-allianz__silver-health", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/bajaj-allianz/silver-health__cis.pdf", - "source_url": null, - "source_quote": "Default IRDAI 30-day waiting period applies (not explicitly quoted in extracted snippet)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__silver-health.json" - }, - { - "record_id": "bajaj-allianz__silver-health", - "field": "pre_existing_disease_waiting_months", - "value": 12, - "source_pdf_path": "rag/corpus/bajaj-allianz/silver-health__cis.pdf", - "source_url": null, - "source_quote": "ariatric Surgery 13. Fistulae Pre-existing diseases waiting period: 12 months 36 months (plan A) & 24 Months (plan B) – for below procedure 1. Joint replacement surgery unless necessitated by accident", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__silver-health.json" - }, - { - "record_id": "bajaj-allianz__silver-health", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/bajaj-allianz/silver-health__cis.pdf", - "source_url": null, - "source_quote": "Default IRDAI 24-month specific-disease waiting (not explicitly quoted)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__silver-health.json" - }, - { - "record_id": "bajaj-allianz__silver-health", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/silver-health__cis.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__silver-health.json" - }, - { - "record_id": "bajaj-allianz__silver-health", - "field": "pre_hospitalization_days", - "value": 30, - "source_pdf_path": "rag/corpus/bajaj-allianz/silver-health__cis.pdf", - "source_url": null, - "source_quote": ". Pre-Hospitalization - up to 30 days prior to date of admission in hospital Section C2 Post-Hospitalization- up to 60 days from date of discharge from the hospital Section C3 Road Ambulance - max. up", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__silver-health.json" - }, - { - "record_id": "bajaj-allianz__silver-health", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/silver-health__cis.pdf", - "source_url": null, - "source_quote": "Post-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__silver-health.json" - }, - { - "record_id": "bajaj-allianz__silver-health", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/silver-health__cis.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__silver-health.json" - }, - { - "record_id": "bajaj-allianz__silver-health", - "field": "ayush_coverage", - "value": false, - "source_pdf_path": "rag/corpus/bajaj-allianz/silver-health__cis.pdf", - "source_url": null, - "source_quote": "AYUSH coverage not found in extracted text", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__silver-health.json" - }, - { - "record_id": "bajaj-allianz__silver-health", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/bajaj-allianz/silver-health__cis.pdf", - "source_url": null, - "source_quote": "Maternity not explicitly mentioned; presumed excluded in base", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__silver-health.json" - }, - { - "record_id": "bajaj-allianz__silver-health", - "field": "newborn_coverage", - "value": false, - "source_pdf_path": "rag/corpus/bajaj-allianz/silver-health__cis.pdf", - "source_url": null, - "source_quote": "Newborn cover not found; typically tied to maternity option", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__silver-health.json" - }, - { - "record_id": "bajaj-allianz__silver-health", - "field": "organ_donor_expenses", - "value": false, - "source_pdf_path": "rag/corpus/bajaj-allianz/silver-health__cis.pdf", - "source_url": null, - "source_quote": "Organ donor cover not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__silver-health.json" - }, - { - "record_id": "bajaj-allianz__silver-health", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/silver-health__cis.pdf", - "source_url": null, - "source_quote": "NCB % not extracted; product may use booster/recharge structure", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__silver-health.json" - }, - { - "record_id": "bajaj-allianz__silver-health", - "field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/silver-health__cis.pdf", - "source_url": null, - "source_quote": "Restoration benefit not found in extracted text", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__silver-health.json" - }, - { - "record_id": "bajaj-allianz__silver-health", - "field": "room_rent_capping", - "value": "room rent limit of 1%", - "source_pdf_path": "rag/corpus/bajaj-allianz/silver-health__cis.pdf", - "source_url": null, - "source_quote": "room rent limit of 1%", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__silver-health.json" - }, - { - "record_id": "bajaj-allianz__silver-health", - "field": "copayment_pct", - "value": 10, - "source_pdf_path": "rag/corpus/bajaj-allianz/silver-health__cis.pdf", - "source_url": null, - "source_quote": "l Plan B Which will be claims 10% co-payment deducted from (Each and every admissible claim) total claim amount Co-payment on Non- 20% on each and every admissi", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__silver-health.json" - }, - { - "record_id": "bajaj-allianz__silver-health", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/silver-health__cis.pdf", - "source_url": null, - "source_quote": "No base deductible (or only optional voluntary deductible add-on)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__silver-health.json" - }, - { - "record_id": "bajaj-allianz__silver-health", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__silver-health.json" - }, - { - "record_id": "bajaj-allianz__silver-health", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/bajaj-allianz/silver-health__cis.pdf", - "source_url": null, - "source_quote": "ver is lower 10 Claims/claims Cashless Claim processCashless treatment is only available at Network Section E 21 procedure Hospitals A & B  You or Your representative must intimate Us 48 hours before", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__silver-health.json" - }, - { - "record_id": "bajaj-allianz__silver-health", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__silver-health.json" - }, - { - "record_id": "bajaj-allianz__silver-health", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__silver-health.json" - }, - { - "record_id": "bajaj-allianz__silver-health", - "field": "policy_type", - "value": "indemnity", - "source_pdf_path": "rag/corpus/bajaj-allianz/silver-health__cis.pdf", - "source_url": null, - "source_quote": "Default indemnity (no explicit alternate type detected)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__silver-health.json" - }, - { - "record_id": "bajaj-allianz__tax-gain", - "field": "uin_code", - "value": "BAJHLIP21184V022021", - "source_pdf_path": "rag/corpus/bajaj-allianz/tax-gain__cis.pdf", - "source_url": null, - "source_quote": "U66010PN2000PLC015329 • UIN: BAJHLIP21184V022021 1 Bajaj Allianz General Insurance Co. Ltd. Bajaj Allianz House, Airport Road, Yerawada, Pune - 411 006. Reg. No.: 113 For more details, log on to: www.", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__tax-gain.json" - }, - { - "record_id": "bajaj-allianz__tax-gain", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/tax-gain__cis.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__tax-gain.json" - }, - { - "record_id": "bajaj-allianz__tax-gain", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/tax-gain__cis.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__tax-gain.json" - }, - { - "record_id": "bajaj-allianz__tax-gain", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/tax-gain__cis.pdf", - "source_url": null, - "source_quote": "Max renewal age not specified; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__tax-gain.json" - }, - { - "record_id": "bajaj-allianz__tax-gain", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/tax-gain__cis.pdf", - "source_url": null, - "source_quote": "Sum Insured options not enumerated in extracted text; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__tax-gain.json" - }, - { - "record_id": "bajaj-allianz__tax-gain", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/bajaj-allianz/tax-gain__cis.pdf", - "source_url": null, - "source_quote": "Default IRDAI 30-day waiting period applies (not explicitly quoted in extracted snippet)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__tax-gain.json" - }, - { - "record_id": "bajaj-allianz__tax-gain", - "field": "pre_existing_disease_waiting_months", - "value": 36, - "source_pdf_path": "rag/corpus/bajaj-allianz/tax-gain__cis.pdf", - "source_url": null, - "source_quote": "’s Disease 19. Mental Illness Pre-existing diseases waiting period: 36 months Other waiting period 1. Cost of spectacles in the first year of the policy. (This cost is payable in the second year of co", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__tax-gain.json" - }, - { - "record_id": "bajaj-allianz__tax-gain", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/bajaj-allianz/tax-gain__cis.pdf", - "source_url": null, - "source_quote": "Default IRDAI 24-month specific-disease waiting (not explicitly quoted)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__tax-gain.json" - }, - { - "record_id": "bajaj-allianz__tax-gain", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/tax-gain__cis.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__tax-gain.json" - }, - { - "record_id": "bajaj-allianz__tax-gain", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/tax-gain__cis.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__tax-gain.json" - }, - { - "record_id": "bajaj-allianz__tax-gain", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/tax-gain__cis.pdf", - "source_url": null, - "source_quote": "Post-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__tax-gain.json" - }, - { - "record_id": "bajaj-allianz__tax-gain", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/tax-gain__cis.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__tax-gain.json" - }, - { - "record_id": "bajaj-allianz__tax-gain", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/bajaj-allianz/tax-gain__cis.pdf", - "source_url": null, - "source_quote": "dern medicine (allopathy) and AYUSH therapies. II Specific Exclusion 1. Any expenses for treatment taken without the doctor advising the same and which is not duly supported by prescriptions. 2. Any e", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__tax-gain.json" - }, - { - "record_id": "bajaj-allianz__tax-gain", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/bajaj-allianz/tax-gain__cis.pdf", - "source_url": null, - "source_quote": "Maternity not explicitly mentioned; presumed excluded in base", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__tax-gain.json" - }, - { - "record_id": "bajaj-allianz__tax-gain", - "field": "newborn_coverage", - "value": false, - "source_pdf_path": "rag/corpus/bajaj-allianz/tax-gain__cis.pdf", - "source_url": null, - "source_quote": "Newborn cover not found; typically tied to maternity option", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__tax-gain.json" - }, - { - "record_id": "bajaj-allianz__tax-gain", - "field": "organ_donor_expenses", - "value": false, - "source_pdf_path": "rag/corpus/bajaj-allianz/tax-gain__cis.pdf", - "source_url": null, - "source_quote": "Organ donor cover not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__tax-gain.json" - }, - { - "record_id": "bajaj-allianz__tax-gain", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/tax-gain__cis.pdf", - "source_url": null, - "source_quote": "NCB % not extracted; product may use booster/recharge structure", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__tax-gain.json" - }, - { - "record_id": "bajaj-allianz__tax-gain", - "field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/tax-gain__cis.pdf", - "source_url": null, - "source_quote": "Restoration benefit not found in extracted text", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__tax-gain.json" - }, - { - "record_id": "bajaj-allianz__tax-gain", - "field": "room_rent_capping", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/tax-gain__cis.pdf", - "source_url": null, - "source_quote": "Room rent capping not extracted (only definition found, no explicit cap)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__tax-gain.json" - }, - { - "record_id": "bajaj-allianz__tax-gain", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/bajaj-allianz/tax-gain__cis.pdf", - "source_url": null, - "source_quote": "No mandatory copay extracted; product may have age-based or zone-based optional copay", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__tax-gain.json" - }, - { - "record_id": "bajaj-allianz__tax-gain", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/bajaj-allianz/tax-gain__cis.pdf", - "source_url": null, - "source_quote": "No base deductible (or only optional voluntary deductible add-on)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__tax-gain.json" - }, - { - "record_id": "bajaj-allianz__tax-gain", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__tax-gain.json" - }, - { - "record_id": "bajaj-allianz__tax-gain", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/bajaj-allianz/tax-gain__cis.pdf", - "source_url": null, - "source_quote": "uing Office: 10 Claims/claims Cashless Claim process Section E 29 procedure Cashless treatment is only available at Network Hospitals  You or Your representative must intimate Us 48 hours before the ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__tax-gain.json" - }, - { - "record_id": "bajaj-allianz__tax-gain", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__tax-gain.json" - }, - { - "record_id": "bajaj-allianz__tax-gain", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__tax-gain.json" - }, - { - "record_id": "bajaj-allianz__tax-gain", - "field": "policy_type", - "value": "indemnity", - "source_pdf_path": "rag/corpus/bajaj-allianz/tax-gain__cis.pdf", - "source_url": null, - "source_quote": "Default indemnity (no explicit alternate type detected)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/bajaj-allianz__tax-gain.json" - }, - { - "record_id": "care-health__care-advantage-add-ons-protect-plus-care-shield__brochure", - "field": "uin_code", - "value": "CHIHLIP26049V042526", - "source_pdf_path": "rag/corpus/care-health/care-advantage-add-ons-protect-plus-care-shield__brochure.pdf", - "source_url": null, - "source_quote": "UIN:CHIHLIP26049V042526", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage-add-ons-protect-plus-care-shield__brochure.json" - }, - { - "record_id": "care-health__care-advantage-add-ons-protect-plus-care-shield__brochure", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-advantage-add-ons-protect-plus-care-shield__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage-add-ons-protect-plus-care-shield__brochure.json" - }, - { - "record_id": "care-health__care-advantage-add-ons-protect-plus-care-shield__brochure", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-advantage-add-ons-protect-plus-care-shield__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage-add-ons-protect-plus-care-shield__brochure.json" - }, - { - "record_id": "care-health__care-advantage-add-ons-protect-plus-care-shield__brochure", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-advantage-add-ons-protect-plus-care-shield__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage-add-ons-protect-plus-care-shield__brochure.json" - }, - { - "record_id": "care-health__care-advantage-add-ons-protect-plus-care-shield__brochure", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-advantage-add-ons-protect-plus-care-shield__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage-add-ons-protect-plus-care-shield__brochure.json" - }, - { - "record_id": "care-health__care-advantage-add-ons-protect-plus-care-shield__brochure", - "field": "initial_waiting_period_days", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-advantage-add-ons-protect-plus-care-shield__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage-add-ons-protect-plus-care-shield__brochure.json" - }, - { - "record_id": "care-health__care-advantage-add-ons-protect-plus-care-shield__brochure", - "field": "maternity_coverage", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-advantage-add-ons-protect-plus-care-shield__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage-add-ons-protect-plus-care-shield__brochure.json" - }, - { - "record_id": "care-health__care-advantage-add-ons-protect-plus-care-shield__brochure", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-advantage-add-ons-protect-plus-care-shield__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage-add-ons-protect-plus-care-shield__brochure.json" - }, - { - "record_id": "care-health__care-advantage-add-ons-protect-plus-care-shield__brochure", - "field": "ayush_coverage", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-advantage-add-ons-protect-plus-care-shield__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage-add-ons-protect-plus-care-shield__brochure.json" - }, - { - "record_id": "care-health__care-advantage-add-ons-protect-plus-care-shield__brochure", - "field": "cashless_treatment_supported", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-advantage-add-ons-protect-plus-care-shield__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage-add-ons-protect-plus-care-shield__brochure.json" - }, - { - "record_id": "care-health__care-advantage-add-ons-protect-plus-care-shield__brochure", - "field": "copayment_pct", - "value": 20, - "source_pdf_path": "rag/corpus/care-health/care-advantage-add-ons-protect-plus-care-shield__brochure.pdf", - "source_url": null, - "source_quote": "co-payment of 20%", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage-add-ons-protect-plus-care-shield__brochure.json" - }, - { - "record_id": "care-health__care-advantage-add-ons-protect-plus-care-shield__brochure", - "field": "no_claim_bonus_pct", - "value": 50, - "source_pdf_path": "rag/corpus/care-health/care-advantage-add-ons-protect-plus-care-shield__brochure.pdf", - "source_url": null, - "source_quote": "NCBS)\n(50%", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage-add-ons-protect-plus-care-shield__brochure.json" - }, - { - "record_id": "care-health__care-advantage-add-ons-protect-plus-care-shield__brochure", - "field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-advantage-add-ons-protect-plus-care-shield__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage-add-ons-protect-plus-care-shield__brochure.json" - }, - { - "record_id": "care-health__care-advantage-add-ons-protect-plus-care-shield__brochure", - "field": "room_rent_capping", - "value": "Room rent/ room category No sub-limit No sub-limit\nICU charges No sub-limit No s", - "source_pdf_path": "rag/corpus/care-health/care-advantage-add-ons-protect-plus-care-shield__brochure.pdf", - "source_url": null, - "source_quote": "Room rent/ room category No sub-limit No sub-limit\nICU charges No sub-limit No sub-limit\nIn-patient care Up to", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage-add-ons-protect-plus-care-shield__brochure.json" - }, - { - "record_id": "care-health__care-advantage-add-ons-protect-plus-care-shield__brochure", - "field": "pre_hospitalization_days", - "value": 30, - "source_pdf_path": "rag/corpus/care-health/care-advantage-add-ons-protect-plus-care-shield__brochure.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization medical Pre-hospitalization for 30 days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage-add-ons-protect-plus-care-shield__brochure.json" - }, - { - "record_id": "care-health__care-advantage-add-ons-protect-plus-care-shield__brochure", - "field": "post_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/care-health/care-advantage-add-ons-protect-plus-care-shield__brochure.pdf", - "source_url": null, - "source_quote": "post-hospitalization post-hospitalization for 60 days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage-add-ons-protect-plus-care-shield__brochure.json" - }, - { - "record_id": "care-health__care-advantage-add-ons-protect-plus-care-shield__brochure", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-advantage-add-ons-protect-plus-care-shield__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage-add-ons-protect-plus-care-shield__brochure.json" - }, - { - "record_id": "care-health__care-advantage-add-ons-protect-plus-care-shield__brochure", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-advantage-add-ons-protect-plus-care-shield__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage-add-ons-protect-plus-care-shield__brochure.json" - }, - { - "record_id": "care-health__care-advantage-add-ons-protect-plus-care-shield__brochure", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-advantage-add-ons-protect-plus-care-shield__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage-add-ons-protect-plus-care-shield__brochure.json" - }, - { - "record_id": "care-health__care-advantage-add-ons-protect-plus-care-shield__brochure", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-advantage-add-ons-protect-plus-care-shield__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage-add-ons-protect-plus-care-shield__brochure.json" - }, - { - "record_id": "care-health__care-advantage-add-ons-protect-plus-care-shield__brochure", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-advantage-add-ons-protect-plus-care-shield__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage-add-ons-protect-plus-care-shield__brochure.json" - }, - { - "record_id": "care-health__care-advantage-add-ons-protect-plus-care-shield__brochure", - "field": "policy_type", - "value": "group", - "source_pdf_path": "rag/corpus/care-health/care-advantage-add-ons-protect-plus-care-shield__brochure.pdf", - "source_url": null, - "source_quote": "classified as group from PDF heuristics", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage-add-ons-protect-plus-care-shield__brochure.json" - }, - { - "record_id": "care-health__care-advantage", - "field": "uin_code", - "value": "CHIHLIP26049V042526", - "source_pdf_path": "rag/corpus/care-health/care-advantage__brochure.pdf", - "source_url": null, - "source_quote": "007PLC161503 UAN:25076804 UIN:CHIHLIP26049V042526 IRDAI Registration Number - 148 www.careinsurance.com Quick quote & buy Online renewals Customer support Claim centre PA/52/raM:reV REACH US @ WhatsAp", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage.json" - }, - { - "record_id": "care-health__care-advantage", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-advantage__brochure.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage.json" - }, - { - "record_id": "care-health__care-advantage", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-advantage__brochure.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage.json" - }, - { - "record_id": "care-health__care-advantage", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-advantage__brochure.pdf", - "source_url": null, - "source_quote": "Lifelong renewability", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage.json" - }, - { - "record_id": "care-health__care-advantage", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-advantage__brochure.pdf", - "source_url": null, - "source_quote": "Sum Insured options not enumerated in extracted text; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage.json" - }, - { - "record_id": "care-health__care-advantage", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/care-health/care-advantage__brochure.pdf", - "source_url": null, - "source_quote": "Default IRDAI 30-day waiting period applies (not explicitly quoted in extracted snippet)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage.json" - }, - { - "record_id": "care-health__care-advantage", - "field": "pre_existing_disease_waiting_months", - "value": 36, - "source_pdf_path": "rag/corpus/care-health/care-advantage__brochure.pdf", - "source_url": null, - "source_quote": "Ailment wait Period 24 Months Pre-Existing Disease 36 Months Wait Period Pricing Zones Zone 1 - Delhi NCR, Surat, Mathura, Aligarh Zone 2 - Mumbai (incl. MMR), Telangana, Indore, Nashik Zone 3 - Pune,", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage.json" - }, - { - "record_id": "care-health__care-advantage", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/care-health/care-advantage__brochure.pdf", - "source_url": null, - "source_quote": "r Initial Wait Period 30 Days Named Ailment wait Period 24 Months Pre-Existing Disease 36 Months Wait Period Pricing Zones Zone 1 - Delhi NCR, Surat, Mathura, Aligarh Zone 2 - Mumbai (incl. MMR), Tela", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage.json" - }, - { - "record_id": "care-health__care-advantage", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-advantage__brochure.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage.json" - }, - { - "record_id": "care-health__care-advantage", - "field": "pre_hospitalization_days", - "value": 30, - "source_pdf_path": "rag/corpus/care-health/care-advantage__brochure.pdf", - "source_url": null, - "source_quote": "um Insured Treatment Expenses Pre Hospitalisation/ 30 days pre hospitalization Post Hospitalisation and 60 days post hospitalization Automatic Recharge Yes, once in a Policy Year Ambulance Cover Up to", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage.json" - }, - { - "record_id": "care-health__care-advantage", - "field": "post_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/care-health/care-advantage__brochure.pdf", - "source_url": null, - "source_quote": "/ 30 days pre hospitalization Post Hospitalisation and 60 days post hospitalization Automatic Recharge Yes, once in a Policy Year Ambulance Cover Up to Sum Insured Organ Donor Expenses Up to Sum Insur", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage.json" - }, - { - "record_id": "care-health__care-advantage", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-advantage__brochure.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage.json" - }, - { - "record_id": "care-health__care-advantage", - "field": "ayush_coverage", - "value": false, - "source_pdf_path": "rag/corpus/care-health/care-advantage__brochure.pdf", - "source_url": null, - "source_quote": "AYUSH coverage not found in extracted text", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage.json" - }, - { - "record_id": "care-health__care-advantage", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/care-health/care-advantage__brochure.pdf", - "source_url": null, - "source_quote": "Maternity not explicitly mentioned; presumed excluded in base", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage.json" - }, - { - "record_id": "care-health__care-advantage", - "field": "newborn_coverage", - "value": false, - "source_pdf_path": "rag/corpus/care-health/care-advantage__brochure.pdf", - "source_url": null, - "source_quote": "Newborn cover not found; typically tied to maternity option", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage.json" - }, - { - "record_id": "care-health__care-advantage", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/care-health/care-advantage__brochure.pdf", - "source_url": null, - "source_quote": "Organ Donor Expenses Up to Sum Insured 10% increase in SI per Policy Year in No Claim Bonus (NCB) case of claim-free year; Max up to 50% of SI OPTIONAL BENEFITS: 50% increase in SI per Policy Year in ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage.json" - }, - { - "record_id": "care-health__care-advantage", - "field": "no_claim_bonus_pct", - "value": 50, - "source_pdf_path": "rag/corpus/care-health/care-advantage__brochure.pdf", - "source_url": null, - "source_quote": "No Claim Bonus will not exceed 50% of Sum Insured under the policy and in the event", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage.json" - }, - { - "record_id": "care-health__care-advantage", - "field": "restoration_benefit", - "value": "recharge of Sum Insured", - "source_pdf_path": "rag/corpus/care-health/care-advantage__brochure.pdf", - "source_url": null, - "source_quote": "recharge of Sum Insured", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage.json" - }, - { - "record_id": "care-health__care-advantage", - "field": "room_rent_capping", - "value": "Room Rent No Sub-Limit", - "source_pdf_path": "rag/corpus/care-health/care-advantage__brochure.pdf", - "source_url": null, - "source_quote": "Room Rent No Sub-Limit", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage.json" - }, - { - "record_id": "care-health__care-advantage", - "field": "copayment_pct", - "value": 20, - "source_pdf_path": "rag/corpus/care-health/care-advantage__brochure.pdf", - "source_url": null, - "source_quote": "part of Smart Select Network: 20% co-payment on all claims Note : check the list of hospitals covered under smart select on https://www.careinsurance.com/ smart", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage.json" - }, - { - "record_id": "care-health__care-advantage", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-advantage__brochure.pdf", - "source_url": null, - "source_quote": "No base deductible (or only optional voluntary deductible add-on)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage.json" - }, - { - "record_id": "care-health__care-advantage", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage.json" - }, - { - "record_id": "care-health__care-advantage", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/care-health/care-advantage__brochure.pdf", - "source_url": null, - "source_quote": "at a very affordable premium. CASHLESS MEDICAL SERVICES AT NETWORK OF 24000+ HEALTHCARE PROVIDERS Care Advantage gives you the advantage of cashless treatment which ensures you concentrate only on you", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage.json" - }, - { - "record_id": "care-health__care-advantage", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage.json" - }, - { - "record_id": "care-health__care-advantage", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage.json" - }, - { - "record_id": "care-health__care-advantage", - "field": "policy_type", - "value": "indemnity", - "source_pdf_path": "rag/corpus/care-health/care-advantage__brochure.pdf", - "source_url": null, - "source_quote": "Default indemnity (no explicit alternate type detected)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-advantage.json" - }, - { - "record_id": "care-health__care-classic", - "field": "uin_code", - "value": "CHIHLIP22071V012122", - "source_pdf_path": "rag/corpus/care-health/care-classic__wordings.pdf", - "source_url": null, - "source_quote": "Care Classic - CHIHLIP22071V012122", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-classic.json" - }, - { - "record_id": "care-health__care-classic", - "field": "min_entry_age", - "value": 91, - "source_pdf_path": "rag/corpus/care-health/care-classic__wordings.pdf", - "source_url": null, - "source_quote": "Newborn baby ... Period and is aged up to 90 days. (Standard Care Classic entry: 91 days for dependent children)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-classic.json" - }, - { - "record_id": "care-health__care-classic", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-classic__wordings.pdf", - "source_url": null, - "source_quote": "Adult entry per Policy Schedule (Care Classic per CHI brochure: 5 years onwards / parents up to 99 years)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-classic.json" - }, - { - "record_id": "care-health__care-classic", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-classic__wordings.pdf", - "source_url": null, - "source_quote": "Lifelong renewability per Renewal clause", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-classic.json" - }, - { - "record_id": "care-health__care-classic", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-classic__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured options per Policy Schedule (Annual Health Check-up table references SI buckets <5L / 5-10L / >10L)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-classic.json" - }, - { - "record_id": "care-health__care-classic", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/care-health/care-classic__wordings.pdf", - "source_url": null, - "source_quote": "30-day waiting period - Code- Excl03 ... any illness within 30 days from the first policy commencement date", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-classic.json" - }, - { - "record_id": "care-health__care-classic", - "field": "pre_existing_disease_waiting_months", - "value": 36, - "source_pdf_path": "rag/corpus/care-health/care-classic__wordings.pdf", - "source_url": null, - "source_quote": "Pre-Existing Disease ... complications shall be excluded until the expiry of 36 months of continuous coverage", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-classic.json" - }, - { - "record_id": "care-health__care-classic", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/care-health/care-classic__wordings.pdf", - "source_url": null, - "source_quote": "Specific Waiting Period: Code- Excl02 ... shall be excluded until the expiry of 24 months of continuous coverage", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-classic.json" - }, - { - "record_id": "care-health__care-classic", - "field": "maternity_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/care-health/care-classic__wordings.pdf", - "source_url": null, - "source_quote": "Maternity & New Born Cover (Optional Benefit): ... Claims will not be admissible ... related to any Maternity & New Born Expenses until 24 months of continuous coverage has elapsed", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-classic.json" - }, - { - "record_id": "care-health__care-classic", - "field": "pre_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/care-health/care-classic__wordings.pdf", - "source_url": null, - "source_quote": "period of 60 days immediately prior to the [in-patient admission]", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-classic.json" - }, - { - "record_id": "care-health__care-classic", - "field": "post_hospitalization_days", - "value": 90, - "source_pdf_path": "rag/corpus/care-health/care-classic__wordings.pdf", - "source_url": null, - "source_quote": "period of 90 days immediately after the [discharge from Hospital]", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-classic.json" - }, - { - "record_id": "care-health__care-classic", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-classic__wordings.pdf", - "source_url": null, - "source_quote": "Day Care Treatment ... all Day Care Treatments (no fixed count enumerated in wording)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-classic.json" - }, - { - "record_id": "care-health__care-classic", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/care-health/care-classic__wordings.pdf", - "source_url": null, - "source_quote": "AYUSH Day Care Centre means and includes Community Health Centre (CHC), Primary Health Centre (PHC) ... (AYUSH Treatment is a covered benefit)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-classic.json" - }, - { - "record_id": "care-health__care-classic", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/care-health/care-classic__wordings.pdf", - "source_url": null, - "source_quote": "Maternity & New Born Cover (Optional Benefit) — not part of base; available with 24-month waiting if opted", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-classic.json" - }, - { - "record_id": "care-health__care-classic", - "field": "newborn_coverage", - "value": false, - "source_pdf_path": "rag/corpus/care-health/care-classic__wordings.pdf", - "source_url": null, - "source_quote": "Maternity & New Born Cover is Optional Benefit; newborn covered only if maternity option opted", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-classic.json" - }, - { - "record_id": "care-health__care-classic", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/care-health/care-classic__wordings.pdf", - "source_url": null, - "source_quote": "Organ Donor Cover listed under utilizable benefits for accrued NCB (covered for organ harvesting)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-classic.json" - }, - { - "record_id": "care-health__care-classic", - "field": "no_claim_bonus_pct", - "value": 25, - "source_pdf_path": "rag/corpus/care-health/care-classic__wordings.pdf", - "source_url": null, - "source_quote": "At the end of each Policy Year, the Company will enhance the Sum Insured by 25% flat, on a cumulative basis, as a No Claims Bonus ... shall not exceed 150% of the Sum Insured", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-classic.json" - }, - { - "record_id": "care-health__care-classic", - "field": "restoration_benefit", - "value": "Unlimited Automatic Recharge of base Sum Insured for same/different illnesses", - "source_pdf_path": "rag/corpus/care-health/care-classic__wordings.pdf", - "source_url": null, - "source_quote": "3.1.5 Benefit : Unlimited Automatic Recharge ... Recharge shall be utilized only after the base [SI exhausted]", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-classic.json" - }, - { - "record_id": "care-health__care-classic", - "field": "room_rent_capping", - "value": "Per Policy Schedule (commonly Single Private AC room; subject to plan variant)", - "source_pdf_path": "rag/corpus/care-health/care-classic__wordings.pdf", - "source_url": null, - "source_quote": "Room Rent ... as specified in the Policy Schedule (Care Classic plan grid)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-classic.json" - }, - { - "record_id": "care-health__care-classic", - "field": "copayment_pct", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-classic__wordings.pdf", - "source_url": null, - "source_quote": "Co-payment defined; applicability per Policy Schedule (typically 20% for entrants ≥61 years in Care Classic)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-classic.json" - }, - { - "record_id": "care-health__care-classic", - "field": "deductible_amount", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "No base deductible in Care Classic", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-classic.json" - }, - { - "record_id": "care-health__care-classic", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; Care Health Insurance advertises 21,100+ network hospitals", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-classic.json" - }, - { - "record_id": "care-health__care-classic", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/care-health/care-classic__wordings.pdf", - "source_url": null, - "source_quote": "Cashless facility through Network Provider (defined)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-classic.json" - }, - { - "record_id": "care-health__care-classic", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-classic.json" - }, - { - "record_id": "care-health__care-classic", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-classic.json" - }, - { - "record_id": "care-health__care-classic", - "field": "policy_type", - "value": "indemnity", - "source_pdf_path": "rag/corpus/care-health/care-classic__wordings.pdf", - "source_url": null, - "source_quote": "Hospitalization Expenses ... indemnify the Insured Person ... (indemnity-based)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-classic.json" - }, - { - "record_id": "care-health__care-heart__brochure", - "field": "uin_code", - "value": "RHIHLIP19066V011819", - "source_pdf_path": "rag/corpus/care-health/care-heart__brochure.pdf", - "source_url": null, - "source_quote": "UIN: RHIHLIP19066V011819", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-heart__brochure.json" - }, - { - "record_id": "care-health__care-heart__brochure", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-heart__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-heart__brochure.json" - }, - { - "record_id": "care-health__care-heart__brochure", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-heart__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-heart__brochure.json" - }, - { - "record_id": "care-health__care-heart__brochure", - "field": "max_renewal_age", - "value": 99, - "source_pdf_path": "rag/corpus/care-health/care-heart__brochure.pdf", - "source_url": null, - "source_quote": "Life long Quick quote & buy Online renew", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-heart__brochure.json" - }, - { - "record_id": "care-health__care-heart__brochure", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-heart__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-heart__brochure.json" - }, - { - "record_id": "care-health__care-heart__brochure", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/care-health/care-heart__brochure.pdf", - "source_url": null, - "source_quote": "Initial Waiting\n30 Days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-heart__brochure.json" - }, - { - "record_id": "care-health__care-heart__brochure", - "field": "maternity_coverage", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-heart__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-heart__brochure.json" - }, - { - "record_id": "care-health__care-heart__brochure", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-heart__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-heart__brochure.json" - }, - { - "record_id": "care-health__care-heart__brochure", - "field": "ayush_coverage", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-heart__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-heart__brochure.json" - }, - { - "record_id": "care-health__care-heart__brochure", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/care-health/care-heart__brochure.pdf", - "source_url": null, - "source_quote": "Cashless or Reimbursement Facility", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-heart__brochure.json" - }, - { - "record_id": "care-health__care-heart__brochure", - "field": "copayment_pct", - "value": 30, - "source_pdf_path": "rag/corpus/care-health/care-heart__brochure.pdf", - "source_url": null, - "source_quote": "Co-payment\nmedical and alternative treatments such as Ayurveda, Unani, Sidha and 30%", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-heart__brochure.json" - }, - { - "record_id": "care-health__care-heart__brochure", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-heart__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-heart__brochure.json" - }, - { - "record_id": "care-health__care-heart__brochure", - "field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-heart__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-heart__brochure.json" - }, - { - "record_id": "care-health__care-heart__brochure", - "field": "room_rent_capping", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-heart__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-heart__brochure.json" - }, - { - "record_id": "care-health__care-heart__brochure", - "field": "pre_hospitalization_days", - "value": 30, - "source_pdf_path": "rag/corpus/care-health/care-heart__brochure.pdf", - "source_url": null, - "source_quote": "Pre-Hospitalization for 30 days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-heart__brochure.json" - }, - { - "record_id": "care-health__care-heart__brochure", - "field": "post_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/care-health/care-heart__brochure.pdf", - "source_url": null, - "source_quote": "Post-Hospitalization for 60 days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-heart__brochure.json" - }, - { - "record_id": "care-health__care-heart__brochure", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-heart__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-heart__brochure.json" - }, - { - "record_id": "care-health__care-heart__brochure", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-heart__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-heart__brochure.json" - }, - { - "record_id": "care-health__care-heart__brochure", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-heart__brochure.pdf", - "source_url": null, - "source_quote": "Sum Insured and different Optional ", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-heart__brochure.json" - }, - { - "record_id": "care-health__care-heart__brochure", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-heart__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-heart__brochure.json" - }, - { - "record_id": "care-health__care-heart__brochure", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-heart__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-heart__brochure.json" - }, - { - "record_id": "care-health__care-heart__brochure", - "field": "policy_type", - "value": "group", - "source_pdf_path": "rag/corpus/care-health/care-heart__brochure.pdf", - "source_url": null, - "source_quote": "classified as group from PDF heuristics", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-heart__brochure.json" - }, - { - "record_id": "care-health__care-senior", - "field": "uin_code", - "value": "RHIHLIP21017V052021", - "source_pdf_path": "rag/corpus/care-health/care-senior__brochure.pdf", - "source_url": null, - "source_quote": "CIN:U66000DL2007PLC161503 UAN:21034556 UIN:RHIHLIP21017V052021", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-senior.json" - }, - { - "record_id": "care-health__care-senior", - "field": "min_entry_age", - "value": 61, - "source_pdf_path": "rag/corpus/care-health/care-senior__brochure.pdf", - "source_url": null, - "source_quote": "If your age is 61 years or more, we provide you an option to choose for co-payment of 20% per claim (senior-citizens product; min entry typically 61 years)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-senior.json" - }, - { - "record_id": "care-health__care-senior", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-senior__brochure.pdf", - "source_url": null, - "source_quote": "No upper entry age cap stated in brochure (senior-citizens plan; per policy schedule)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-senior.json" - }, - { - "record_id": "care-health__care-senior", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-senior__brochure.pdf", - "source_url": null, - "source_quote": "Renewal Lifelong Renewability", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-senior.json" - }, - { - "record_id": "care-health__care-senior", - "field": "sum_insured_options", - "value": [ - 300000, - 500000, - 700000, - 1000000 - ], - "source_pdf_path": "rag/corpus/care-health/care-senior__brochure.pdf", - "source_url": null, - "source_quote": "Benefits/Plan in ` (SI) 3 Lacs 5,7,10 Lacs", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-senior.json" - }, - { - "record_id": "care-health__care-senior", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/care-health/care-senior__brochure.pdf", - "source_url": null, - "source_quote": "Waiting period 30 days for any illness except injury", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-senior.json" - }, - { - "record_id": "care-health__care-senior", - "field": "pre_existing_disease_waiting_months", - "value": 48, - "source_pdf_path": "rag/corpus/care-health/care-senior__brochure.pdf", - "source_url": null, - "source_quote": "Waiting period for pre-existing illness 4 years of continuous coverage", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-senior.json" - }, - { - "record_id": "care-health__care-senior", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/care-health/care-senior__brochure.pdf", - "source_url": null, - "source_quote": "Waiting period for named ailments 2 years of continuous coverage", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-senior.json" - }, - { - "record_id": "care-health__care-senior", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-senior__brochure.pdf", - "source_url": null, - "source_quote": "Maternity not applicable / not offered in senior-citizens plan (no maternity row in benefit table)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-senior.json" - }, - { - "record_id": "care-health__care-senior", - "field": "pre_hospitalization_days", - "value": 30, - "source_pdf_path": "rag/corpus/care-health/care-senior__brochure.pdf", - "source_url": null, - "source_quote": "Pre-Hospitalization & Post Hospitalization Up to SI, 30 days/60 days", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-senior.json" - }, - { - "record_id": "care-health__care-senior", - "field": "post_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/care-health/care-senior__brochure.pdf", - "source_url": null, - "source_quote": "Pre-Hospitalization & Post Hospitalization Up to SI, 30 days/60 days", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-senior.json" - }, - { - "record_id": "care-health__care-senior", - "field": "day_care_treatments_count", - "value": 541, - "source_pdf_path": "rag/corpus/care-health/care-senior__brochure.pdf", - "source_url": null, - "source_quote": "Day Care Treatments Up to SI, 541 Procedures", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-senior.json" - }, - { - "record_id": "care-health__care-senior", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/care-health/care-senior__brochure.pdf", - "source_url": null, - "source_quote": "Alternative Treatments Up to ` 15,000 / Up to ` 20,000 (AYUSH cover with cash sub-limit)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-senior.json" - }, - { - "record_id": "care-health__care-senior", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/care-health/care-senior__brochure.pdf", - "source_url": null, - "source_quote": "No maternity benefit listed in Care Senior brochure benefit table", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-senior.json" - }, - { - "record_id": "care-health__care-senior", - "field": "newborn_coverage", - "value": false, - "source_pdf_path": "rag/corpus/care-health/care-senior__brochure.pdf", - "source_url": null, - "source_quote": "Senior-citizens product; no newborn benefit", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-senior.json" - }, - { - "record_id": "care-health__care-senior", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/care-health/care-senior__brochure.pdf", - "source_url": null, - "source_quote": "Organ Donor Cover Up to ` 50,000 / Up to ` 1,00,000", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-senior.json" - }, - { - "record_id": "care-health__care-senior", - "field": "no_claim_bonus_pct", - "value": 10, - "source_pdf_path": "rag/corpus/care-health/care-senior__brochure.pdf", - "source_url": null, - "source_quote": "No Claim Bonus 10% increase in SI per Policy Year in case of claim-free year; Max up to 50% of SI", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-senior.json" - }, - { - "record_id": "care-health__care-senior", - "field": "restoration_benefit", - "value": "Automatic Recharge of Sum Insured (once per policy year)", - "source_pdf_path": "rag/corpus/care-health/care-senior__brochure.pdf", - "source_url": null, - "source_quote": "Automatic Recharge of Sum Insured Yes to SI (Once in a Policy Year) / Yes, Up to SI (Once in a Policy Year)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-senior.json" - }, - { - "record_id": "care-health__care-senior", - "field": "room_rent_capping", - "value": "1% of SI per day (3 Lacs plan); Single Private AC Room with max 1% SI per day (5/7/10 Lacs plan)", - "source_pdf_path": "rag/corpus/care-health/care-senior__brochure.pdf", - "source_url": null, - "source_quote": "Room Eligibility 1% SI per day / Single Private AC Room (Max. up to 1% of SI per day)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-senior.json" - }, - { - "record_id": "care-health__care-senior", - "field": "copayment_pct", - "value": 20, - "source_pdf_path": "rag/corpus/care-health/care-senior__brochure.pdf", - "source_url": null, - "source_quote": "If your age is 61 years or more, we provide you an option to choose for co-payment of 20% per claim (over & above any other co-payment, If any) which applies to you.", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-senior.json" - }, - { - "record_id": "care-health__care-senior", - "field": "deductible_amount", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "No base deductible in Care Senior", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-senior.json" - }, - { - "record_id": "care-health__care-senior", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (Care Health 21,100+); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-senior.json" - }, - { - "record_id": "care-health__care-senior", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/care-health/care-senior__brochure.pdf", - "source_url": null, - "source_quote": "Smart select a discount of 15% on premium payable ## Additional 20% Co-Pay applicable per claim if hospitalization done outside SMART SELECT network hospitals (cashless facility implied via network)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-senior.json" - }, - { - "record_id": "care-health__care-senior", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-senior.json" - }, - { - "record_id": "care-health__care-senior", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in brochure", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-senior.json" - }, - { - "record_id": "care-health__care-senior", - "field": "policy_type", - "value": "indemnity", - "source_pdf_path": "rag/corpus/care-health/care-senior__brochure.pdf", - "source_url": null, - "source_quote": "In-Patient Hospitalization Up to Sum Insured (indemnity-based senior citizens plan)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-senior.json" - }, - { - "record_id": "care-health__care-supreme-enhance", - "field": "uin_code", - "value": "CHIHLIP25036V012425", - "source_pdf_path": "rag/corpus/care-health/care-supreme-enhance__wordings.pdf", - "source_url": null, - "source_quote": "(s) on SUPREME ENHANCE - UIN: CHIHLIP25036V012425 4 1 day care basis without in-patient services and 2.1.11. Day Care Centre means any institution must comply with all the following criterion: establi", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme-enhance.json" - }, - { - "record_id": "care-health__care-supreme-enhance", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-supreme-enhance__wordings.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme-enhance.json" - }, - { - "record_id": "care-health__care-supreme-enhance", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-supreme-enhance__wordings.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme-enhance.json" - }, - { - "record_id": "care-health__care-supreme-enhance", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-supreme-enhance__wordings.pdf", - "source_url": null, - "source_quote": "Max renewal age not specified; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme-enhance.json" - }, - { - "record_id": "care-health__care-supreme-enhance", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-supreme-enhance__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured options not enumerated in extracted text; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme-enhance.json" - }, - { - "record_id": "care-health__care-supreme-enhance", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/care-health/care-supreme-enhance__wordings.pdf", - "source_url": null, - "source_quote": "rion: please inform us within 30 days from the date of receipt of the policy, failing which the details relating to the person/s covered i. Having at least 5 in-patient beds; would be taken as correct", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme-enhance.json" - }, - { - "record_id": "care-health__care-supreme-enhance", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-supreme-enhance__wordings.pdf", - "source_url": null, - "source_quote": "PED waiting period not extracted; check Section 5 / Excl01", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme-enhance.json" - }, - { - "record_id": "care-health__care-supreme-enhance", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/care-health/care-supreme-enhance__wordings.pdf", - "source_url": null, - "source_quote": "Default IRDAI 24-month specific-disease waiting (not explicitly quoted)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme-enhance.json" - }, - { - "record_id": "care-health__care-supreme-enhance", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-supreme-enhance__wordings.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme-enhance.json" - }, - { - "record_id": "care-health__care-supreme-enhance", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-supreme-enhance__wordings.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme-enhance.json" - }, - { - "record_id": "care-health__care-supreme-enhance", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-supreme-enhance__wordings.pdf", - "source_url": null, - "source_quote": "Post-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme-enhance.json" - }, - { - "record_id": "care-health__care-supreme-enhance", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-supreme-enhance__wordings.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme-enhance.json" - }, - { - "record_id": "care-health__care-supreme-enhance", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/care-health/care-supreme-enhance__wordings.pdf", - "source_url": null, - "source_quote": "e Provisions of Indian 2.1.2. AYUSH Hospital is a healthcare facility Contract Act, 1872, shall hold good in this regard. The references wherein medical/surgical/para-surgical to the singular include ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme-enhance.json" - }, - { - "record_id": "care-health__care-supreme-enhance", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/care-health/care-supreme-enhance__wordings.pdf", - "source_url": null, - "source_quote": "tment in 15. Maternity: (Code Excl18) any hospital or by any Medical Practitioner or any other provider specifically excluded a. Medical treatment expenses traceable to by the Insurer and disclosed", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme-enhance.json" - }, - { - "record_id": "care-health__care-supreme-enhance", - "field": "newborn_coverage", - "value": true, - "source_pdf_path": "rag/corpus/care-health/care-supreme-enhance__wordings.pdf", - "source_url": null, - "source_quote": "Newborn baby means baby born during the Policy Period and is aged up to 90 days. 2.1.27.", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme-enhance.json" - }, - { - "record_id": "care-health__care-supreme-enhance", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/care-health/care-supreme-enhance__wordings.pdf", - "source_url": null, - "source_quote": "Organ Donor Cover, available as twin sharing rooms in that Hospital Optional Benefits: Daily Cash Allowance, Air Ambulance Cover in the event giving rise to a Claim under Benefit “In- patient Care” sh", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme-enhance.json" - }, - { - "record_id": "care-health__care-supreme-enhance", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-supreme-enhance__wordings.pdf", - "source_url": null, - "source_quote": "NCB % not extracted; product may use booster/recharge structure", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme-enhance.json" - }, - { - "record_id": "care-health__care-supreme-enhance", - "field": "restoration_benefit", - "value": "restore him to the position in which he was in, Policy Schedule against that benefit for that Insured", - "source_pdf_path": "rag/corpus/care-health/care-supreme-enhance__wordings.pdf", - "source_url": null, - "source_quote": "restore him to the position in which he was in, Policy Schedule against that benefit for that Insured", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme-enhance.json" - }, - { - "record_id": "care-health__care-supreme-enhance", - "field": "room_rent_capping", - "value": "Single Private AC Room means an air", - "source_pdf_path": "rag/corpus/care-health/care-supreme-enhance__wordings.pdf", - "source_url": null, - "source_quote": "Single Private AC Room means an air", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme-enhance.json" - }, - { - "record_id": "care-health__care-supreme-enhance", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/care-health/care-supreme-enhance__wordings.pdf", - "source_url": null, - "source_quote": "No mandatory copay extracted; product may have age-based or zone-based optional copay", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme-enhance.json" - }, - { - "record_id": "care-health__care-supreme-enhance", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-supreme-enhance__wordings.pdf", - "source_url": null, - "source_quote": "No base deductible (or only optional voluntary deductible add-on)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme-enhance.json" - }, - { - "record_id": "care-health__care-supreme-enhance", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme-enhance.json" - }, - { - "record_id": "care-health__care-supreme-enhance", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/care-health/care-supreme-enhance__wordings.pdf", - "source_url": null, - "source_quote": "secutive hours because 2.1.6. Cashless Facility means a facility extended by of technological advancement, and the insurer to the Insured where the payments, of b. which would have otherwise required ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme-enhance.json" - }, - { - "record_id": "care-health__care-supreme-enhance", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme-enhance.json" - }, - { - "record_id": "care-health__care-supreme-enhance", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme-enhance.json" - }, - { - "record_id": "care-health__care-supreme-enhance", - "field": "policy_type", - "value": "top-up", - "source_pdf_path": "rag/corpus/care-health/care-supreme-enhance__wordings.pdf", - "source_url": null, - "source_quote": "Top-up / super top-up policy (per product name)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme-enhance.json" - }, - { - "record_id": "care-health__care-supreme", - "field": "uin_code", - "value": "CHIHLIP23128V012223", - "source_pdf_path": "rag/corpus/care-health/care-supreme__wordings.pdf", - "source_url": null, - "source_quote": "Care Supreme- CHIHLIP23128V012223", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme.json" - }, - { - "record_id": "care-health__care-supreme", - "field": "min_entry_age", - "value": 91, - "source_pdf_path": "rag/corpus/care-health/care-supreme__wordings.pdf", - "source_url": null, - "source_quote": "Newborn baby ... Policy Period and is aged up to 90 days. (Standard Care Supreme entry: 91 days for dependent children)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme.json" - }, - { - "record_id": "care-health__care-supreme", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-supreme__wordings.pdf", - "source_url": null, - "source_quote": "No maximum entry age cap in base wording — adult entry 18+; child 91 days to 25 years", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme.json" - }, - { - "record_id": "care-health__care-supreme", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-supreme__wordings.pdf", - "source_url": null, - "source_quote": "Lifelong renewability per Renewal clause", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme.json" - }, - { - "record_id": "care-health__care-supreme", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-supreme__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured options per Policy Schedule (Care Supreme commercial variants: 7L / 10L / 15L / 25L / 50L / 1Cr / 3Cr / 6Cr / Unlimited)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme.json" - }, - { - "record_id": "care-health__care-supreme", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/care-health/care-supreme__wordings.pdf", - "source_url": null, - "source_quote": "(iii) 30-day waiting period- Code- Excl03 ... any illness within 30 days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme.json" - }, - { - "record_id": "care-health__care-supreme", - "field": "pre_existing_disease_waiting_months", - "value": 36, - "source_pdf_path": "rag/corpus/care-health/care-supreme__wordings.pdf", - "source_url": null, - "source_quote": "Pre-Existing Diseases ... shall be excluded until the expiry of 36 months of continuous coverage after the date of inception of the first policy with insurer.", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme.json" - }, - { - "record_id": "care-health__care-supreme", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/care-health/care-supreme__wordings.pdf", - "source_url": null, - "source_quote": "Named Ailment Waiting Period: Code- Excl02 ... excluded until the expiry of 24 months of continuous coverage", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme.json" - }, - { - "record_id": "care-health__care-supreme", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-supreme__wordings.pdf", - "source_url": null, - "source_quote": "Maternity expenses defined but NOT a base benefit in Care Supreme (optional cover or not offered in base policy)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme.json" - }, - { - "record_id": "care-health__care-supreme", - "field": "pre_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/care-health/care-supreme__wordings.pdf", - "source_url": null, - "source_quote": "(i) For a period of 60 days immediately prior to the Insured Person's date of in-patient admission", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme.json" - }, - { - "record_id": "care-health__care-supreme", - "field": "post_hospitalization_days", - "value": 180, - "source_pdf_path": "rag/corpus/care-health/care-supreme__wordings.pdf", - "source_url": null, - "source_quote": "i) For a period of 180 days immediately ... days after the completion of 180 days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme.json" - }, - { - "record_id": "care-health__care-supreme", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/care-health/care-supreme__wordings.pdf", - "source_url": null, - "source_quote": "Benefit: Day Care Treatment ... all Day Care Treatments through Cashless (no fixed count in wording; Care Supreme brochure cites 540+)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme.json" - }, - { - "record_id": "care-health__care-supreme", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/care-health/care-supreme__wordings.pdf", - "source_url": null, - "source_quote": "AYUSH Day Care Centre means and includes Community Health Centre (CHC), Primary Health Centre (PHC) ... (AYUSH covered)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme.json" - }, - { - "record_id": "care-health__care-supreme", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/care-health/care-supreme__wordings.pdf", - "source_url": null, - "source_quote": "Maternity expenses defined but not included as a base benefit in Care Supreme wording (separately offered via 'Care Supreme Enhance' add-on)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme.json" - }, - { - "record_id": "care-health__care-supreme", - "field": "newborn_coverage", - "value": false, - "source_pdf_path": "rag/corpus/care-health/care-supreme__wordings.pdf", - "source_url": null, - "source_quote": "Newborn baby ... aged up to 90 days (definition only; coverage tied to maternity which is not a base benefit)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme.json" - }, - { - "record_id": "care-health__care-supreme", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/care-health/care-supreme__wordings.pdf", - "source_url": null, - "source_quote": "Organ Donor expenses covered for organ harvesting; pre/post hospitalization of donor excluded", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme.json" - }, - { - "record_id": "care-health__care-supreme", - "field": "no_claim_bonus_pct", - "value": 50, - "source_pdf_path": "rag/corpus/care-health/care-supreme__wordings.pdf", - "source_url": null, - "source_quote": "At the end of each Policy Year, the Company will enhance the Sum Insured by 50% flat, on a cumulative basis, as a Cumulative Bonus ... accrued Cumulative Bonus, shall not exceed 100% of the Sum Insured", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme.json" - }, - { - "record_id": "care-health__care-supreme", - "field": "restoration_benefit", - "value": "Unlimited Automatic Recharge of base Sum Insured (unlimited times per policy year)", - "source_pdf_path": "rag/corpus/care-health/care-supreme__wordings.pdf", - "source_url": null, - "source_quote": "3.1.4 Benefit : Unlimited Automatic Recharge ... automatically make the re-instatement of up to the base Sum Insured unlimited times in a policy year", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme.json" - }, - { - "record_id": "care-health__care-supreme", - "field": "room_rent_capping", - "value": "No limit on Room Rent and ICU charges (base benefit)", - "source_pdf_path": "rag/corpus/care-health/care-supreme__wordings.pdf", - "source_url": null, - "source_quote": "i. The eligible Room Rent or Room Category applicable for the Insured Person under the Policy is 'No limit' ... ii. Intensive Care Unit Charges (ICU Charges) ... 'No limit'", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme.json" - }, - { - "record_id": "care-health__care-supreme", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/care-health/care-supreme__wordings.pdf", - "source_url": null, - "source_quote": "co-payment does not reduce the sum insured (base copay 0% for under-61 entrants; additional copay only if treatment outside Annexure III hospitals)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme.json" - }, - { - "record_id": "care-health__care-supreme", - "field": "deductible_amount", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "No base deductible in Care Supreme", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme.json" - }, - { - "record_id": "care-health__care-supreme", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; Care Health Insurance advertises 21,100+ network hospitals on its website (not extracted)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme.json" - }, - { - "record_id": "care-health__care-supreme", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/care-health/care-supreme__wordings.pdf", - "source_url": null, - "source_quote": "Cashless Facility provided through Network Provider (defined in Section 2.1.30)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme.json" - }, - { - "record_id": "care-health__care-supreme", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme.json" - }, - { - "record_id": "care-health__care-supreme", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT governed by IRDAI Master Circular; not explicit in wording", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme.json" - }, - { - "record_id": "care-health__care-supreme", - "field": "policy_type", - "value": "indemnity", - "source_pdf_path": "rag/corpus/care-health/care-supreme__wordings.pdf", - "source_url": null, - "source_quote": "Hospitalization Expenses ... indemnify the Insured Person ... up to the Sum Insured (indemnity-based)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__care-supreme.json" - }, - { - "record_id": "care-health__supreme-enhance__brochure", - "field": "uin_code", - "value": "CHIHLIP25036V012425", - "source_pdf_path": "rag/corpus/care-health/supreme-enhance__brochure.pdf", - "source_url": null, - "source_quote": "UIN:CHIHLIP25036V012425", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__supreme-enhance__brochure.json" - }, - { - "record_id": "care-health__supreme-enhance__brochure", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/care-health/supreme-enhance__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__supreme-enhance__brochure.json" - }, - { - "record_id": "care-health__supreme-enhance__brochure", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/care-health/supreme-enhance__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__supreme-enhance__brochure.json" - }, - { - "record_id": "care-health__supreme-enhance__brochure", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/care-health/supreme-enhance__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__supreme-enhance__brochure.json" - }, - { - "record_id": "care-health__supreme-enhance__brochure", - "field": "pre_existing_disease_waiting_months", - "value": 36, - "source_pdf_path": "rag/corpus/care-health/supreme-enhance__brochure.pdf", - "source_url": null, - "source_quote": "Pre-existing disease wait 36 Months", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__supreme-enhance__brochure.json" - }, - { - "record_id": "care-health__supreme-enhance__brochure", - "field": "initial_waiting_period_days", - "value": null, - "source_pdf_path": "rag/corpus/care-health/supreme-enhance__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__supreme-enhance__brochure.json" - }, - { - "record_id": "care-health__supreme-enhance__brochure", - "field": "maternity_coverage", - "value": null, - "source_pdf_path": "rag/corpus/care-health/supreme-enhance__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__supreme-enhance__brochure.json" - }, - { - "record_id": "care-health__supreme-enhance__brochure", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/care-health/supreme-enhance__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__supreme-enhance__brochure.json" - }, - { - "record_id": "care-health__supreme-enhance__brochure", - "field": "ayush_coverage", - "value": null, - "source_pdf_path": "rag/corpus/care-health/supreme-enhance__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__supreme-enhance__brochure.json" - }, - { - "record_id": "care-health__supreme-enhance__brochure", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/care-health/supreme-enhance__brochure.pdf", - "source_url": null, - "source_quote": "Cashless Treatment", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__supreme-enhance__brochure.json" - }, - { - "record_id": "care-health__supreme-enhance__brochure", - "field": "copayment_pct", - "value": null, - "source_pdf_path": "rag/corpus/care-health/supreme-enhance__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__supreme-enhance__brochure.json" - }, - { - "record_id": "care-health__supreme-enhance__brochure", - "field": "no_claim_bonus_pct", - "value": 100, - "source_pdf_path": "rag/corpus/care-health/supreme-enhance__brochure.pdf", - "source_url": null, - "source_quote": "cumulative bonus upto 100%", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__supreme-enhance__brochure.json" - }, - { - "record_id": "care-health__supreme-enhance__brochure", - "field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/care-health/supreme-enhance__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__supreme-enhance__brochure.json" - }, - { - "record_id": "care-health__supreme-enhance__brochure", - "field": "room_rent_capping", - "value": "Room Rent Most Economical Single Pvt Room Most Economical Single Pvt Room\nRoom R", - "source_pdf_path": "rag/corpus/care-health/supreme-enhance__brochure.pdf", - "source_url": null, - "source_quote": "Room Rent Most Economical Single Pvt Room Most Economical Single Pvt Room\nRoom Rent Modification** No Limit", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__supreme-enhance__brochure.json" - }, - { - "record_id": "care-health__supreme-enhance__brochure", - "field": "pre_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/care-health/supreme-enhance__brochure.pdf", - "source_url": null, - "source_quote": "Pre-Hospitalization - We cover medical expenses like examination, tests, medication etc. incurred by you up to 60 days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__supreme-enhance__brochure.json" - }, - { - "record_id": "care-health__supreme-enhance__brochure", - "field": "post_hospitalization_days", - "value": 90, - "source_pdf_path": "rag/corpus/care-health/supreme-enhance__brochure.pdf", - "source_url": null, - "source_quote": "Post-Hospitalization Medical\n90 Days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__supreme-enhance__brochure.json" - }, - { - "record_id": "care-health__supreme-enhance__brochure", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/care-health/supreme-enhance__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__supreme-enhance__brochure.json" - }, - { - "record_id": "care-health__supreme-enhance__brochure", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": "rag/corpus/care-health/supreme-enhance__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__supreme-enhance__brochure.json" - }, - { - "record_id": "care-health__supreme-enhance__brochure", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/care-health/supreme-enhance__brochure.pdf", - "source_url": null, - "source_quote": "Sum Insured options ar", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__supreme-enhance__brochure.json" - }, - { - "record_id": "care-health__supreme-enhance__brochure", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": "rag/corpus/care-health/supreme-enhance__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__supreme-enhance__brochure.json" - }, - { - "record_id": "care-health__supreme-enhance__brochure", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": "rag/corpus/care-health/supreme-enhance__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__supreme-enhance__brochure.json" - }, - { - "record_id": "care-health__supreme-enhance__brochure", - "field": "policy_type", - "value": "group", - "source_pdf_path": "rag/corpus/care-health/supreme-enhance__brochure.pdf", - "source_url": null, - "source_quote": "classified as group from PDF heuristics", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__supreme-enhance__brochure.json" - }, - { - "record_id": "care-health__ultimate-care", - "field": "uin_code", - "value": "CHIHLIP25044V012425", - "source_pdf_path": "rag/corpus/care-health/ultimate-care__wordings.pdf", - "source_url": null, - "source_quote": "ch 2025 Ultimate Care - UIN : CHIHLIP25044V012425 1. PREAMBLE: The proposal and declaration given by the proposer and other documents if any shall form the basis of this Contract and is deemed to be i", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__ultimate-care.json" - }, - { - "record_id": "care-health__ultimate-care", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/care-health/ultimate-care__wordings.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__ultimate-care.json" - }, - { - "record_id": "care-health__ultimate-care", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/care-health/ultimate-care__wordings.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__ultimate-care.json" - }, - { - "record_id": "care-health__ultimate-care", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/care-health/ultimate-care__wordings.pdf", - "source_url": null, - "source_quote": "Max renewal age not specified; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__ultimate-care.json" - }, - { - "record_id": "care-health__ultimate-care", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/care-health/ultimate-care__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured options not enumerated in extracted text; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__ultimate-care.json" - }, - { - "record_id": "care-health__ultimate-care", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/care-health/ultimate-care__wordings.pdf", - "source_url": null, - "source_quote": "ancy, please inform us within 30 days from the date of receipt of the policy, failing which the details relating to the person/s covered would be taken as correct. So also the coverage details may als", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__ultimate-care.json" - }, - { - "record_id": "care-health__ultimate-care", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/care-health/ultimate-care__wordings.pdf", - "source_url": null, - "source_quote": "PED waiting period not extracted; check Section 5 / Excl01", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__ultimate-care.json" - }, - { - "record_id": "care-health__ultimate-care", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/care-health/ultimate-care__wordings.pdf", - "source_url": null, - "source_quote": "Default IRDAI 24-month specific-disease waiting (not explicitly quoted)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__ultimate-care.json" - }, - { - "record_id": "care-health__ultimate-care", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/care-health/ultimate-care__wordings.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__ultimate-care.json" - }, - { - "record_id": "care-health__ultimate-care", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/care-health/ultimate-care__wordings.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__ultimate-care.json" - }, - { - "record_id": "care-health__ultimate-care", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/care-health/ultimate-care__wordings.pdf", - "source_url": null, - "source_quote": "Post-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__ultimate-care.json" - }, - { - "record_id": "care-health__ultimate-care", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/care-health/ultimate-care__wordings.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__ultimate-care.json" - }, - { - "record_id": "care-health__ultimate-care", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/care-health/ultimate-care__wordings.pdf", - "source_url": null, - "source_quote": "ble and violent means. 2.1.2. AYUSH Hospital is a healthcare facility wherein medical/ surgical/ para-surgical treatment procedures and interventions are carried out by AYUSH Medical Practitioner(s) c", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__ultimate-care.json" - }, - { - "record_id": "care-health__ultimate-care", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/care-health/ultimate-care__wordings.pdf", - "source_url": null, - "source_quote": "Maternity not explicitly mentioned; presumed excluded in base", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__ultimate-care.json" - }, - { - "record_id": "care-health__ultimate-care", - "field": "newborn_coverage", - "value": true, - "source_pdf_path": "rag/corpus/care-health/ultimate-care__wordings.pdf", - "source_url": null, - "source_quote": "Newborn baby means baby born during the Policy Period and is aged up to 90 days. 2.1.34. Non-Network Provider: Non-", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__ultimate-care.json" - }, - { - "record_id": "care-health__ultimate-care", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/care-health/ultimate-care__wordings.pdf", - "source_url": null, - "source_quote": "Organ Donor Cover, Ambulance Cover, Optional Benefit- Unlimited Care, Pre–Post Hospitalization Expenses Modification , Claim Shield, Durable Medical Equipment, and the event giving rise to a Claim und", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__ultimate-care.json" - }, - { - "record_id": "care-health__ultimate-care", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/care-health/ultimate-care__wordings.pdf", - "source_url": null, - "source_quote": "NCB % not extracted; product may use booster/recharge structure", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__ultimate-care.json" - }, - { - "record_id": "care-health__ultimate-care", - "field": "restoration_benefit", - "value": "restore him to the", - "source_pdf_path": "rag/corpus/care-health/ultimate-care__wordings.pdf", - "source_url": null, - "source_quote": "restore him to the", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__ultimate-care.json" - }, - { - "record_id": "care-health__ultimate-care", - "field": "room_rent_capping", - "value": "Single Private AC Room means an air conditioned room in a", - "source_pdf_path": "rag/corpus/care-health/ultimate-care__wordings.pdf", - "source_url": null, - "source_quote": "Single Private AC Room means an air conditioned room in a", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__ultimate-care.json" - }, - { - "record_id": "care-health__ultimate-care", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/care-health/ultimate-care__wordings.pdf", - "source_url": null, - "source_quote": "No mandatory copay extracted; product may have age-based or zone-based optional copay", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__ultimate-care.json" - }, - { - "record_id": "care-health__ultimate-care", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/care-health/ultimate-care__wordings.pdf", - "source_url": null, - "source_quote": "No base deductible (or only optional voluntary deductible add-on)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__ultimate-care.json" - }, - { - "record_id": "care-health__ultimate-care", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__ultimate-care.json" - }, - { - "record_id": "care-health__ultimate-care", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/care-health/ultimate-care__wordings.pdf", - "source_url": null, - "source_quote": "CHIHLIP25044V012425 2 2.1.6. Cashless Facility means a facility extended by the insurer to the Insured where the payments, of the costs of treatment undergone by the insured in accordance with the Pol", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__ultimate-care.json" - }, - { - "record_id": "care-health__ultimate-care", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__ultimate-care.json" - }, - { - "record_id": "care-health__ultimate-care", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__ultimate-care.json" - }, - { - "record_id": "care-health__ultimate-care", - "field": "policy_type", - "value": "hospital-cash", - "source_pdf_path": "rag/corpus/care-health/ultimate-care__wordings.pdf", - "source_url": null, - "source_quote": "Hospital cash / daily benefit policy", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/care-health__ultimate-care.json" - }, - { - "record_id": "hdfc-ergo__energy-diabetes-hypertension__wordings", - "field": "uin_code", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/energy-diabetes-hypertension__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__energy-diabetes-hypertension__wordings.json" - }, - { - "record_id": "hdfc-ergo__energy-diabetes-hypertension__wordings", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/energy-diabetes-hypertension__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__energy-diabetes-hypertension__wordings.json" - }, - { - "record_id": "hdfc-ergo__energy-diabetes-hypertension__wordings", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/energy-diabetes-hypertension__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__energy-diabetes-hypertension__wordings.json" - }, - { - "record_id": "hdfc-ergo__energy-diabetes-hypertension__wordings", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/energy-diabetes-hypertension__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__energy-diabetes-hypertension__wordings.json" - }, - { - "record_id": "hdfc-ergo__energy-diabetes-hypertension__wordings", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/energy-diabetes-hypertension__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__energy-diabetes-hypertension__wordings.json" - }, - { - "record_id": "hdfc-ergo__energy-diabetes-hypertension__wordings", - "field": "initial_waiting_period_days", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/energy-diabetes-hypertension__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__energy-diabetes-hypertension__wordings.json" - }, - { - "record_id": "hdfc-ergo__energy-diabetes-hypertension__wordings", - "field": "maternity_coverage", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/energy-diabetes-hypertension__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__energy-diabetes-hypertension__wordings.json" - }, - { - "record_id": "hdfc-ergo__energy-diabetes-hypertension__wordings", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/energy-diabetes-hypertension__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__energy-diabetes-hypertension__wordings.json" - }, - { - "record_id": "hdfc-ergo__energy-diabetes-hypertension__wordings", - "field": "ayush_coverage", - "value": false, - "source_pdf_path": "rag/corpus/hdfc-ergo/energy-diabetes-hypertension__wordings.pdf", - "source_url": null, - "source_quote": "AYUSH treatment (i) undertaken under General or Local\nexpenses are not covered", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__energy-diabetes-hypertension__wordings.json" - }, - { - "record_id": "hdfc-ergo__energy-diabetes-hypertension__wordings", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/hdfc-ergo/energy-diabetes-hypertension__wordings.pdf", - "source_url": null, - "source_quote": "Cashless facility", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__energy-diabetes-hypertension__wordings.json" - }, - { - "record_id": "hdfc-ergo__energy-diabetes-hypertension__wordings", - "field": "copayment_pct", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/energy-diabetes-hypertension__wordings.pdf", - 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"source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__group-health-insurance__wordings.json" - }, - { - "record_id": "hdfc-ergo__group-health-insurance__wordings", - "field": "initial_waiting_period_days", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/group-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__group-health-insurance__wordings.json" - }, - { - "record_id": "hdfc-ergo__group-health-insurance__wordings", - "field": "maternity_coverage", - "value": true, - "source_pdf_path": "rag/corpus/hdfc-ergo/group-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "Maternity Cover does not have an independent Sum Insured, hence any claim admissible\nunder this cover shall reduce the S", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__group-health-insurance__wordings.json" - }, - { - "record_id": "hdfc-ergo__group-health-insurance__wordings", - "field": "maternity_waiting_months", - "value": 48, - "source_pdf_path": "rag/corpus/hdfc-ergo/group-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "Maternity Cover does not have an independent Sum Insured, hence any claim admissible\nunder this cover shall reduce the S", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__group-health-insurance__wordings.json" - }, - { - "record_id": "hdfc-ergo__group-health-insurance__wordings", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/hdfc-ergo/group-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "AYUSH Treatment\nWe will indemnify Medical Expenses covered", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__group-health-insurance__wordings.json" - }, - { - "record_id": "hdfc-ergo__group-health-insurance__wordings", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/hdfc-ergo/group-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "Cashless Facility", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__group-health-insurance__wordings.json" - }, - { - "record_id": "hdfc-ergo__group-health-insurance__wordings", - "field": "copayment_pct", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/group-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__group-health-insurance__wordings.json" - }, - { - "record_id": "hdfc-ergo__group-health-insurance__wordings", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/group-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__group-health-insurance__wordings.json" - }, - { - "record_id": "hdfc-ergo__group-health-insurance__wordings", - "field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/group-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__group-health-insurance__wordings.json" - }, - { - "record_id": "hdfc-ergo__group-health-insurance__wordings", - "field": "room_rent_capping", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/group-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__group-health-insurance__wordings.json" - }, - { - "record_id": "hdfc-ergo__group-health-insurance__wordings", - "field": "pre_hospitalization_days", - "value": 30, - "source_pdf_path": "rag/corpus/hdfc-ergo/group-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "Pre-Hospitalization Medical Expenses incurred during the 30 days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__group-health-insurance__wordings.json" - }, - { - "record_id": "hdfc-ergo__group-health-insurance__wordings", - "field": "post_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/hdfc-ergo/group-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "Post-Hospitalization Medical Expenses Cover\nWe will indemnify the Post-HospitalizationMedical Expenses incurred upto 60 ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__group-health-insurance__wordings.json" - }, - { - "record_id": "hdfc-ergo__group-health-insurance__wordings", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/group-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__group-health-insurance__wordings.json" - }, - { - "record_id": "hdfc-ergo__group-health-insurance__wordings", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/group-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__group-health-insurance__wordings.json" - }, - { - "record_id": "hdfc-ergo__group-health-insurance__wordings", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/group-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__group-health-insurance__wordings.json" - }, - { - "record_id": "hdfc-ergo__group-health-insurance__wordings", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/group-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "��� no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__group-health-insurance__wordings.json" - }, - { - "record_id": "hdfc-ergo__group-health-insurance__wordings", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/group-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__group-health-insurance__wordings.json" - }, - { - "record_id": "hdfc-ergo__group-health-insurance__wordings", - "field": "policy_type", - "value": "group", - "source_pdf_path": "rag/corpus/hdfc-ergo/group-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "classified as group from PDF heuristics", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__group-health-insurance__wordings.json" - }, - { - "record_id": "hdfc-ergo__my-health-medisure-prime", - "field": "uin_code", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-medisure-prime__wordings.pdf", - "source_url": null, - "source_quote": "UIN not found in extracted text", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-medisure-prime.json" - }, - { - "record_id": "hdfc-ergo__my-health-medisure-prime", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-medisure-prime__wordings.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-medisure-prime.json" - }, - { - "record_id": "hdfc-ergo__my-health-medisure-prime", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-medisure-prime__wordings.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-medisure-prime.json" - }, - { - "record_id": "hdfc-ergo__my-health-medisure-prime", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-medisure-prime__wordings.pdf", - "source_url": null, - "source_quote": "Max renewal age not specified; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-medisure-prime.json" - }, - { - "record_id": "hdfc-ergo__my-health-medisure-prime", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-medisure-prime__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured options not enumerated in extracted text; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-medisure-prime.json" - }, - { - "record_id": "hdfc-ergo__my-health-medisure-prime", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-medisure-prime__wordings.pdf", - "source_url": null, - "source_quote": "Default IRDAI 30-day waiting period applies (not explicitly quoted in extracted snippet)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-medisure-prime.json" - }, - { - "record_id": "hdfc-ergo__my-health-medisure-prime", - "field": "pre_existing_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-medisure-prime__wordings.pdf", - "source_url": null, - "source_quote": "any of the following: 1. All pre-existing diseases / illness / injury / conditions as defined in the Policy, until 24 months of continuous covers have elapsed since inception of the first Policy with ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-medisure-prime.json" - }, - { - "record_id": "hdfc-ergo__my-health-medisure-prime", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-medisure-prime__wordings.pdf", - "source_url": null, - "source_quote": "Default IRDAI 24-month specific-disease waiting (not explicitly quoted)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-medisure-prime.json" - }, - { - "record_id": "hdfc-ergo__my-health-medisure-prime", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-medisure-prime__wordings.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-medisure-prime.json" - }, - { - "record_id": "hdfc-ergo__my-health-medisure-prime", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-medisure-prime__wordings.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-medisure-prime.json" - }, - { - "record_id": "hdfc-ergo__my-health-medisure-prime", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-medisure-prime__wordings.pdf", - "source_url": null, - "source_quote": "Post-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-medisure-prime.json" - }, - { - "record_id": "hdfc-ergo__my-health-medisure-prime", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-medisure-prime__wordings.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-medisure-prime.json" - }, - { - "record_id": "hdfc-ergo__my-health-medisure-prime", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-medisure-prime__wordings.pdf", - "source_url": null, - "source_quote": "e by a medical practitioner. “Alternative Treatment” Alternative treatments are forms of treatments other than treatment under “Allopathy” or “Modern Medicine” and includes Ayurveda, Unani, Sidha and ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-medisure-prime.json" - }, - { - "record_id": "hdfc-ergo__my-health-medisure-prime", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-medisure-prime__wordings.pdf", - "source_url": null, - "source_quote": "Maternity not explicitly mentioned; presumed excluded in base", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-medisure-prime.json" - }, - { - "record_id": "hdfc-ergo__my-health-medisure-prime", - "field": "newborn_coverage", - "value": true, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-medisure-prime__wordings.pdf", - "source_url": null, - "source_quote": "New Born Baby” mean those babies born to the Insured and his/her lawfully wedded spouse during the Policy Period Aged between 1 day and 90 days, bot", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-medisure-prime.json" - }, - { - "record_id": "hdfc-ergo__my-health-medisure-prime", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-medisure-prime__wordings.pdf", - "source_url": null, - "source_quote": "Organ donor is any person in accordance with the Transplantation of Human Organs Act 1994 (amended) and other applicable laws and rules,  The Organ donated is for the use of the Insured Person. Cover", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-medisure-prime.json" - }, - { - "record_id": "hdfc-ergo__my-health-medisure-prime", - "field": "no_claim_bonus_pct", - "value": 50, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-medisure-prime__wordings.pdf", - "source_url": null, - "source_quote": "cumulative bonus can be accumulated up to a maximum of 50% and will be reduced to 0% in the event of a claim", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-medisure-prime.json" - }, - { - "record_id": "hdfc-ergo__my-health-medisure-prime", - "field": "restoration_benefit", - "value": "restoration of the previous state of health", - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-medisure-prime__wordings.pdf", - "source_url": null, - "source_quote": "restoration of the previous state of health", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-medisure-prime.json" - }, - { - "record_id": "hdfc-ergo__my-health-medisure-prime", - "field": "room_rent_capping", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-medisure-prime__wordings.pdf", - "source_url": null, - "source_quote": "Room rent capping not extracted (only definition found, no explicit cap)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-medisure-prime.json" - }, - { - "record_id": "hdfc-ergo__my-health-medisure-prime", - "field": "copayment_pct", - "value": 25, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-medisure-prime__wordings.pdf", - "source_url": null, - "source_quote": "o the foregoing an additional co-payment of 25% of the admissible claim is to be borne by any Insured/Insured Person above 70 years irrespective of the Zone of treatme", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-medisure-prime.json" - }, - { - "record_id": "hdfc-ergo__my-health-medisure-prime", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-medisure-prime__wordings.pdf", - "source_url": null, - "source_quote": "No base deductible (or only optional voluntary deductible add-on)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-medisure-prime.json" - }, - { - "record_id": "hdfc-ergo__my-health-medisure-prime", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-medisure-prime.json" - }, - { - "record_id": "hdfc-ergo__my-health-medisure-prime", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-medisure-prime__wordings.pdf", - "source_url": null, - "source_quote": "ollowing disease/illness: 30 “Cashless Service” means a facility extended by the insurer to the insured where the payments, of the costs of treatment undergone by the insured in accordance with the Po", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-medisure-prime.json" - }, - { - "record_id": "hdfc-ergo__my-health-medisure-prime", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-medisure-prime.json" - }, - { - "record_id": "hdfc-ergo__my-health-medisure-prime", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-medisure-prime.json" - }, - { - "record_id": "hdfc-ergo__my-health-medisure-prime", - "field": "policy_type", - "value": "hospital-cash", - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-medisure-prime__wordings.pdf", - "source_url": null, - "source_quote": "Hospital cash / daily benefit policy", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-medisure-prime.json" - }, - { - "record_id": "hdfc-ergo__my-health-sampoorna-suraksha", - "field": "uin_code", - "value": "HDFHLIP21005V022122", - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-sampoorna-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "UIN: my:Sampoorna Suraksha - HDFHLIP21005V022122. HDFC ERGO General Insurance Company Limited Prospectus my: Sampoorna Suraksha iv. Any other Medical Expenses or Hospitalization consequent to 3. my: H", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-sampoorna-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-sampoorna-suraksha", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-sampoorna-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-sampoorna-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-sampoorna-suraksha", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-sampoorna-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-sampoorna-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-sampoorna-suraksha", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-sampoorna-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Max renewal age not specified; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-sampoorna-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-sampoorna-suraksha", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-sampoorna-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Sum Insured options not enumerated in extracted text; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-sampoorna-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-sampoorna-suraksha", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-sampoorna-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Schedule for up to maximum of 30 days Waiting Period for Preexisting conditions 12 Months 2. Companion Benefit General Waiting Period 30 Days We will pay additional amount upto the limit specified on ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-sampoorna-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-sampoorna-suraksha", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-sampoorna-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "PED waiting period not extracted; check Section 5 / Excl01", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-sampoorna-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-sampoorna-suraksha", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-sampoorna-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Default IRDAI 24-month specific-disease waiting (not explicitly quoted)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-sampoorna-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-sampoorna-suraksha", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-sampoorna-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-sampoorna-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-sampoorna-suraksha", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-sampoorna-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-sampoorna-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-sampoorna-suraksha", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-sampoorna-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Post-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-sampoorna-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-sampoorna-suraksha", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-sampoorna-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-sampoorna-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-sampoorna-suraksha", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-sampoorna-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "tment of Insured Person in an AYUSH Hospital OR for the below Alternative Treatments prescribed by the Medical • burning total of 900 calories upto maximum of 300 calories in Practitioner one exercise", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-sampoorna-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-sampoorna-suraksha", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-sampoorna-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Maternity not explicitly mentioned; presumed excluded in base", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-sampoorna-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-sampoorna-suraksha", - "field": "newborn_coverage", - "value": true, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-sampoorna-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "New Born iii. Treatment for impotency, treatment to effect inf", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-sampoorna-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-sampoorna-suraksha", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-sampoorna-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Organ Donor Expenses amount under each and every Claim If Co-payment under Section We will pay Medical Expenses as listed under Section I.1.A1 towards I.1.C-14 is opted and specified in the Schedule o", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-sampoorna-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-sampoorna-suraksha", - "field": "no_claim_bonus_pct", - "value": 50, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-sampoorna-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Cumulative Bonus can be accumulated upto 50% of Basic Sum • In case of Increase in Sum Insured", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-sampoorna-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-sampoorna-suraksha", - "field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-sampoorna-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Restoration benefit not found in extracted text", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-sampoorna-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-sampoorna-suraksha", - "field": "room_rent_capping", - "value": "Room Rent, boarding and Nursing – limit of 1% of the Basic Sum", - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-sampoorna-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Room Rent, boarding and Nursing – limit of 1% of the Basic Sum", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-sampoorna-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-sampoorna-suraksha", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-sampoorna-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "No mandatory copay extracted; product may have age-based or zone-based optional copay", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-sampoorna-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-sampoorna-suraksha", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-sampoorna-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Aggregate Deductible and subject to a maximum of the Sum", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-sampoorna-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-sampoorna-suraksha", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-sampoorna-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-sampoorna-suraksha", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-sampoorna-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Cover can be availed through Cashless Facility only as procedure Policy Schedule given under Claims Procedure - Section IV. Insured Person shall bear specified percentage of admissible Claim 8. Organ ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-sampoorna-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-sampoorna-suraksha", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-sampoorna-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-sampoorna-suraksha", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-sampoorna-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-sampoorna-suraksha", - "field": "policy_type", - "value": "hospital-cash", - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-sampoorna-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Hospital cash / daily benefit policy", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-sampoorna-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-suraksha", - "field": "uin_code", - "value": "HDFHLIP24079V072324", - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "le. UIN: my:health Suraksha - HDFHLIP24079V072324 | my:Health Hospital Cash Benefit (Add-on) - 1 HDFHLIA21271V022021 | my: health Critical Illness - HDFHLIA22141V032122. HDFC ERGO General Insurance Co", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-suraksha", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-suraksha", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-suraksha", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Max renewal age not specified; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-suraksha", - "field": "sum_insured_options", - "value": [ - 100000, - 50000000 - ], - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Practitioner and 1. Multiple sum insured options ranging from 1 Lac to Rs. 5 Cr available ii. the condition the Insured Person is such that he/she could not under this policy. be removed to a Hospital", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-suraksha", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "after the expiry of 48 months 30 days from the first Policy commencement date shall for any pre-existing disease is subject to the same being be excluded except claims arising due to an Accident, decl", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-suraksha", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "PED waiting period not extracted; check Section 5 / Excl01", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-suraksha", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Default IRDAI 24-month specific-disease waiting (not explicitly quoted)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-suraksha", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-suraksha", - "field": "pre_hospitalization_days", - "value": 30, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "ration of the policy at least 30 days before the policy renewal Person opts for Hospitalization with Room Rent up to Rs 2,500 date as per IRDAI guidelines on Migration. If such person is presently per", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-suraksha", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Post-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-suraksha", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-suraksha", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "tment of Insured Person in an AYUSH Hospital for the below Alternative Treatments prescribed by the Medical OR Practitioner • burning total of 900 calories upto maximum of 300 calories • Ayurvedic in ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-suraksha", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "doctor xv. Maternity: Code – Excl18 b. The surgery/procedure conducted should be supported by a. Medical treatment expenses traceable to childbirth clinical protocols (including complicated deliv", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-suraksha", - "field": "newborn_coverage", - "value": true, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "New Born baby cover: We will pay/cover following expenses towards Chil", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-suraksha", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Organ Donor Expenses Healthcare for Medically Necessary Treatment of Illnesses, if We will pay Medical Expenses as listed under Section A1 towards prescribed by treating Medical Practitioner. We will ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-suraksha", - "field": "no_claim_bonus_pct", - "value": 50, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Cumulative Bonus can be accumulated upto 50% of Basic Sum Insured. • For Policies covering mor", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-suraksha", - "field": "restoration_benefit", - "value": "Restore (Add-", - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Restore (Add-", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-suraksha", - "field": "room_rent_capping", - "value": "Room Rent, boarding & Nursing – limit of 1% of the Basic Sum", - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Room Rent, boarding & Nursing – limit of 1% of the Basic Sum", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-suraksha", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "No mandatory copay extracted; product may have age-based or zone-based optional copay", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-suraksha", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "No base deductible (or only optional voluntary deductible add-on)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-suraksha", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-suraksha", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Cover can be availed through Cashless Facility only as procedure • The organ donor is any person whose organ has been given under Claims Procedure. made available in accordance and in compliance with ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-suraksha", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-suraksha", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-suraksha", - "field": "policy_type", - "value": "hospital-cash", - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Hospital cash / daily benefit policy", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-women-suraksha", - "field": "uin_code", - "value": "HDFHLIP22142V032122", - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "N: my:health Women Suraksha - HDFHLIP22142V032122. UID: 17332.", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-women-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-women-suraksha", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-women-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-women-suraksha", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-women-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-women-suraksha", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Max renewal age not specified; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-women-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-women-suraksha", - "field": "sum_insured_options", - "value": [ - 100000, - 50000000 - ], - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "**As per filed document, the sum insured option available is from ` 1 lakh to ` 5 crores my:health Women Suraksha Sum Insured ` ` 1 1 to Lakh Crore (Multiples of 1 lakh) Plans Women Cancer Plus Plan -", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-women-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-women-suraksha", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Default IRDAI 30-day waiting period applies (not explicitly quoted in extracted snippet)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-women-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-women-suraksha", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "PED waiting period not extracted; check Section 5 / Excl01", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-women-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-women-suraksha", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Default IRDAI 24-month specific-disease waiting (not explicitly quoted)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-women-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-women-suraksha", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-women-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-women-suraksha", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-women-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-women-suraksha", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Post-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-women-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-women-suraksha", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-women-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-women-suraksha", - "field": "ayush_coverage", - "value": false, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "AYUSH coverage not found in extracted text", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-women-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-women-suraksha", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Maternity not explicitly mentioned; presumed excluded in base", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-women-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-women-suraksha", - "field": "newborn_coverage", - "value": true, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "newborn baby coach, etc. for maintenance complications of good", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-women-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-women-suraksha", - "field": "organ_donor_expenses", - "value": false, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Organ donor cover not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-women-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-women-suraksha", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "NCB % not extracted; product may use booster/recharge structure", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-women-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-women-suraksha", - "field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Restoration benefit not found in extracted text", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-women-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-women-suraksha", - "field": "room_rent_capping", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Room rent capping not extracted (only definition found, no explicit cap)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-women-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-women-suraksha", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "No mandatory copay extracted; product may have age-based or zone-based optional copay", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-women-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-women-suraksha", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "No base deductible (or only optional voluntary deductible add-on)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-women-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-women-suraksha", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-women-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-women-suraksha", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Cashless mention not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-women-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-women-suraksha", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-women-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-women-suraksha", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-women-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-health-women-suraksha", - "field": "policy_type", - "value": "indemnity", - "source_pdf_path": "rag/corpus/hdfc-ergo/my-health-women-suraksha__brochure.pdf", - "source_url": null, - "source_quote": "Default indemnity (no explicit alternate type detected)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-health-women-suraksha.json" - }, - { - "record_id": "hdfc-ergo__my-optima-secure-older-variant__wordings", - "field": "uin_code", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-optima-secure-older-variant__wordings.json" - }, - { - "record_id": "hdfc-ergo__my-optima-secure-older-variant__wordings", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-optima-secure-older-variant__wordings.json" - }, - { - "record_id": "hdfc-ergo__my-optima-secure-older-variant__wordings", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-optima-secure-older-variant__wordings.json" - }, - { - "record_id": "hdfc-ergo__my-optima-secure-older-variant__wordings", - "field": "max_renewal_age", - "value": 99, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf", - "source_url": null, - "source_quote": "Lifelong Renew", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-optima-secure-older-variant__wordings.json" - }, - { - "record_id": "hdfc-ergo__my-optima-secure-older-variant__wordings", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-optima-secure-older-variant__wordings.json" - }, - { - "record_id": "hdfc-ergo__my-optima-secure-older-variant__wordings", - "field": "initial_waiting_period_days", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-optima-secure-older-variant__wordings.json" - }, - { - "record_id": "hdfc-ergo__my-optima-secure-older-variant__wordings", - "field": "maternity_coverage", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-optima-secure-older-variant__wordings.json" - }, - { - "record_id": "hdfc-ergo__my-optima-secure-older-variant__wordings", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-optima-secure-older-variant__wordings.json" - }, - { - "record_id": "hdfc-ergo__my-optima-secure-older-variant__wordings", - "field": "ayush_coverage", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf", - 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"source_file": "40-data/policy_facts/hdfc-ergo__my-optima-secure__wordings.json" - }, - { - "record_id": "hdfc-ergo__my-optima-secure__wordings", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-optima-secure__wordings.json" - }, - { - "record_id": "hdfc-ergo__my-optima-secure__wordings", - "field": "policy_type", - "value": "hospital_cash", - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf", - "source_url": null, - "source_quote": "classified as hospital_cash from PDF heuristics", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__my-optima-secure__wordings.json" - }, - { - "record_id": "hdfc-ergo__optima-enhance", - "field": "uin_code", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-enhance__wordings.pdf", - "source_url": null, - "source_quote": "UIN not found in extracted text", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-enhance.json" - }, - { - "record_id": "hdfc-ergo__optima-enhance", - "field": "min_entry_age", - "value": 91, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-enhance__wordings.pdf", - "source_url": null, - "source_quote": "o be married to You; ii) Your children Aged between 91 days and 25 years if they are unmarried iii) Your natural parents or parents that have legally adopted You, provided that the parent was below 70", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-enhance.json" - }, - { - "record_id": "hdfc-ergo__optima-enhance", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-enhance__wordings.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-enhance.json" - }, - { - "record_id": "hdfc-ergo__optima-enhance", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-enhance__wordings.pdf", - "source_url": null, - "source_quote": "Max renewal age not specified; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-enhance.json" - }, - { - "record_id": "hdfc-ergo__optima-enhance", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-enhance__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured options not enumerated in extracted text; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-enhance.json" - }, - { - "record_id": "hdfc-ergo__optima-enhance", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-enhance__wordings.pdf", - "source_url": null, - "source_quote": "t, in any case not later than 30 days from the date of receipt of last necessary document. In such cases, We shall settle the claim within 45 days from the date of receipt of last necessary document. ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-enhance.json" - }, - { - "record_id": "hdfc-ergo__optima-enhance", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-enhance__wordings.pdf", - "source_url": null, - "source_quote": "PED waiting period not extracted; check Section 5 / Excl01", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-enhance.json" - }, - { - "record_id": "hdfc-ergo__optima-enhance", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-enhance__wordings.pdf", - "source_url": null, - "source_quote": "Default IRDAI 24-month specific-disease waiting (not explicitly quoted)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-enhance.json" - }, - { - "record_id": "hdfc-ergo__optima-enhance", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-enhance__wordings.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-enhance.json" - }, - { - "record_id": "hdfc-ergo__optima-enhance", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-enhance__wordings.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-enhance.json" - }, - { - "record_id": "hdfc-ergo__optima-enhance", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-enhance__wordings.pdf", - "source_url": null, - "source_quote": "Post-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-enhance.json" - }, - { - "record_id": "hdfc-ergo__optima-enhance", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-enhance__wordings.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-enhance.json" - }, - { - "record_id": "hdfc-ergo__optima-enhance", - "field": "ayush_coverage", - "value": false, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-enhance__wordings.pdf", - "source_url": null, - "source_quote": "AYUSH coverage not found in extracted text", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-enhance.json" - }, - { - "record_id": "hdfc-ergo__optima-enhance", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-enhance__wordings.pdf", - "source_url": null, - "source_quote": "Maternity not explicitly mentioned; presumed excluded in base", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-enhance.json" - }, - { - "record_id": "hdfc-ergo__optima-enhance", - "field": "newborn_coverage", - "value": true, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-enhance__wordings.pdf", - "source_url": null, - "source_quote": "New born baby means baby born during the Policy Period and is aged upto 90 days. Def. 38. Non Network means any Hospital, day car", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-enhance.json" - }, - { - "record_id": "hdfc-ergo__optima-enhance", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-enhance__wordings.pdf", - "source_url": null, - "source_quote": "Organ Donor: i) Claims which have NOT been admitted otherwise required Medical and surgical Expenses of the under 1a) for the insured person. hospitalization of more organ donor for harvesting the org", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-enhance.json" - }, - { - "record_id": "hdfc-ergo__optima-enhance", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-enhance__wordings.pdf", - "source_url": null, - "source_quote": "NCB % not extracted; product may use booster/recharge structure", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-enhance.json" - }, - { - "record_id": "hdfc-ergo__optima-enhance", - "field": "restoration_benefit", - "value": "restoration of surface continuity of the skin and subcutaneous tissues", - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-enhance__wordings.pdf", - "source_url": null, - "source_quote": "restoration of surface continuity of the skin and subcutaneous tissues", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-enhance.json" - }, - { - "record_id": "hdfc-ergo__optima-enhance", - "field": "room_rent_capping", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-enhance__wordings.pdf", - "source_url": null, - "source_quote": "Room rent capping not extracted (only definition found, no explicit cap)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-enhance.json" - }, - { - "record_id": "hdfc-ergo__optima-enhance", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-enhance__wordings.pdf", - "source_url": null, - "source_quote": "No mandatory copay extracted; product may have age-based or zone-based optional copay", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-enhance.json" - }, - { - "record_id": "hdfc-ergo__optima-enhance", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-enhance__wordings.pdf", - "source_url": null, - "source_quote": "No base deductible (or only optional voluntary deductible add-on)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-enhance.json" - }, - { - "record_id": "hdfc-ergo__optima-enhance", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-enhance.json" - }, - { - "record_id": "hdfc-ergo__optima-enhance", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-enhance__wordings.pdf", - "source_url": null, - "source_quote": "ion 1)a): hospitalisation. e. Cashless Service: Toll Free 1800-102-0333 www.apollomunichinsurance.com Email: customerservice@apollomunichinsurance.com Page 7 of 24 Policy Wordings – Optima Enhance We/", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-enhance.json" - }, - { - "record_id": "hdfc-ergo__optima-enhance", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-enhance.json" - }, - { - "record_id": "hdfc-ergo__optima-enhance", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-enhance.json" - }, - { - "record_id": "hdfc-ergo__optima-enhance", - "field": "policy_type", - "value": "top-up", - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-enhance__wordings.pdf", - "source_url": null, - "source_quote": "Top-up / super top-up policy (per product name)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-enhance.json" - }, - { - "record_id": "hdfc-ergo__optima-plus", - "field": "uin_code", - "value": "HDHHLIP21336V022021", - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-plus__wordings.pdf", - "source_url": null, - "source_quote": "400 059. UIN: Optima Plus- 1 HDHHLIP21336V022021 HDFC ERGO General Insurance Company Limited Policy Wording Optima Plus Preamble HDFC ERGO General Insurance Company Limited will provide the insurance ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-plus.json" - }, - { - "record_id": "hdfc-ergo__optima-plus", - "field": "min_entry_age", - "value": 91, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-plus__wordings.pdf", - "source_url": null, - "source_quote": "o be married to You; ii) Your children Aged between 91 days and 21 years if they are unmarried. iii) Your natural parents or parents that have legally adopted You, provided that: a) The parent was bel", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-plus.json" - }, - { - "record_id": "hdfc-ergo__optima-plus", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-plus__wordings.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-plus.json" - }, - { - "record_id": "hdfc-ergo__optima-plus", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-plus__wordings.pdf", - "source_url": null, - "source_quote": "Lifelong renewability: s an Insured Person. There is no maximum cover ceasing age under this Policy. We may apply a risk loading on the premium payable (based upon the declarations made in the proposal form and the health s", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-plus.json" - }, - { - "record_id": "hdfc-ergo__optima-plus", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-plus__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured options not enumerated in extracted text; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-plus.json" - }, - { - "record_id": "hdfc-ergo__optima-plus", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-plus__wordings.pdf", - "source_url": null, - "source_quote": "the treatment of any illness within 30 days from the first policy commencement date shall be excluded except claims arising due to an accident, provided the same are covered. II. This exclusion shall ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-plus.json" - }, - { - "record_id": "hdfc-ergo__optima-plus", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-plus__wordings.pdf", - "source_url": null, - "source_quote": "PED waiting period not extracted; check Section 5 / Excl01", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-plus.json" - }, - { - "record_id": "hdfc-ergo__optima-plus", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-plus__wordings.pdf", - "source_url": null, - "source_quote": "Default IRDAI 24-month specific-disease waiting (not explicitly quoted)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-plus.json" - }, - { - "record_id": "hdfc-ergo__optima-plus", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-plus__wordings.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-plus.json" - }, - { - "record_id": "hdfc-ergo__optima-plus", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-plus__wordings.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-plus.json" - }, - { - "record_id": "hdfc-ergo__optima-plus", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-plus__wordings.pdf", - "source_url": null, - "source_quote": "Post-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-plus.json" - }, - { - "record_id": "hdfc-ergo__optima-plus", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-plus__wordings.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-plus.json" - }, - { - "record_id": "hdfc-ergo__optima-plus", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-plus__wordings.pdf", - "source_url": null, - "source_quote": "ysical bodily injury. Def. 2. AYUSH Day Care Centre means and includes Community Health Centre (CHC), Primary Health Centre (PHC), Dispensary, Clinic, Polyclinic or any such health centre which is reg", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-plus.json" - }, - { - "record_id": "hdfc-ergo__optima-plus", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-plus__wordings.pdf", - "source_url": null, - "source_quote": "ization xv. Maternity: Code – Excl18 a. Medical treatment expenses traceable to childbirth (including complicated deliveries and caesarean sections incurred during hospitalization) except ectopic", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-plus.json" - }, - { - "record_id": "hdfc-ergo__optima-plus", - "field": "newborn_coverage", - "value": false, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-plus__wordings.pdf", - "source_url": null, - "source_quote": "Newborn cover not found; typically tied to maternity option", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-plus.json" - }, - { - "record_id": "hdfc-ergo__optima-plus", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-plus__wordings.pdf", - "source_url": null, - "source_quote": "Organ Donor The Medical Expenses for an organ donor’s treatment for the harvesting of the organ donated, provided that: i) The organ donor is any person whose organ has been made available in accordan", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-plus.json" - }, - { - "record_id": "hdfc-ergo__optima-plus", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-plus__wordings.pdf", - "source_url": null, - "source_quote": "NCB % not extracted; product may use booster/recharge structure", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-plus.json" - }, - { - "record_id": "hdfc-ergo__optima-plus", - "field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-plus__wordings.pdf", - "source_url": null, - "source_quote": "Restoration benefit not found in extracted text", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-plus.json" - }, - { - "record_id": "hdfc-ergo__optima-plus", - "field": "room_rent_capping", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-plus__wordings.pdf", - "source_url": null, - "source_quote": "Room rent capping not extracted (only definition found, no explicit cap)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-plus.json" - }, - { - "record_id": "hdfc-ergo__optima-plus", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-plus__wordings.pdf", - "source_url": null, - "source_quote": "No mandatory copay extracted; product may have age-based or zone-based optional copay", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-plus.json" - }, - { - "record_id": "hdfc-ergo__optima-plus", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-plus__wordings.pdf", - "source_url": null, - "source_quote": "No base deductible (or only optional voluntary deductible add-on)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-plus.json" - }, - { - "record_id": "hdfc-ergo__optima-plus", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-plus.json" - }, - { - "record_id": "hdfc-ergo__optima-plus", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-plus__wordings.pdf", - "source_url": null, - "source_quote": "l services to an insured by a Cashless facility. Def. 20. Non Network means any Hospital, day care centre or other provider that is not part of the network. Def. 21. Pre-existing Condition means any c", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-plus.json" - }, - { - "record_id": "hdfc-ergo__optima-plus", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-plus.json" - }, - { - "record_id": "hdfc-ergo__optima-plus", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-plus.json" - }, - { - "record_id": "hdfc-ergo__optima-plus", - "field": "policy_type", - "value": "indemnity", - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-plus__wordings.pdf", - "source_url": null, - "source_quote": "from one or more insurers to indemnify treatment costs, the insured person shall have the right to require a settlement of his/her claim in terms of any of his/her policies. In all such cases the i", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-plus.json" - }, - { - "record_id": "hdfc-ergo__optima-restore", - "field": "uin_code", - "value": "HDHHLIP21322V062021", - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-restore__brochure.pdf", - "source_url": null, - "source_quote": "Optima Restore UIN: HDHHLIP21322V062021", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-restore.json" - }, - { - "record_id": "hdfc-ergo__optima-restore", - "field": "min_entry_age", - "value": 91, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-restore__brochure.pdf", - "source_url": null, - "source_quote": "Minimum Age: The minimum entry age is 91 days. Children between 91 days and 5 years can be insured provided either parent is getting insured under this Policy.", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-restore.json" - }, - { - "record_id": "hdfc-ergo__optima-restore", - "field": "max_entry_age", - "value": 65, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-restore__brochure.pdf", - "source_url": null, - "source_quote": "Maximum Age: The maximum entry age is 65 years. There is no maximum cover ceasing age in this Policy.", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-restore.json" - }, - { - "record_id": "hdfc-ergo__optima-restore", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-restore__brochure.pdf", - "source_url": null, - "source_quote": "Life-long Renewal: We offer life-long renewal regardless of your health status or previous claims", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-restore.json" - }, - { - "record_id": "hdfc-ergo__optima-restore", - "field": "sum_insured_options", - "value": [ - 300000, - 500000, - 1000000, - 1500000, - 2000000, - 2500000, - 5000000 - ], - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-restore__brochure.pdf", - "source_url": null, - "source_quote": "Basic Sum Insured per Insured Person per Policy Year (Rs. in Lakh) 3.00 5.00 10.00 15.00 20.00, 25.00, 50.00", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-restore.json" - }, - { - "record_id": "hdfc-ergo__optima-restore", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-restore__brochure.pdf", - "source_url": null, - "source_quote": "Any treatment within first 30 days of cover except any accidental injury.", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-restore.json" - }, - { - "record_id": "hdfc-ergo__optima-restore", - "field": "pre_existing_disease_waiting_months", - "value": 36, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-restore__brochure.pdf", - "source_url": null, - "source_quote": "Any Pre-existing diseases/conditions will be covered after a waiting period of 3 years.", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-restore.json" - }, - { - "record_id": "hdfc-ergo__optima-restore", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-restore__brochure.pdf", - "source_url": null, - "source_quote": "2 years exclusion for specific diseases like cataract, hernia, hysterectomy, joint replacement etc.", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-restore.json" - }, - { - "record_id": "hdfc-ergo__optima-restore", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-restore__brochure.pdf", - "source_url": null, - "source_quote": "Pregnancy, dental treatment, external aids and appliances. (listed under MAJOR EXCLUSIONS)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-restore.json" - }, - { - "record_id": "hdfc-ergo__optima-restore", - "field": "pre_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-restore__brochure.pdf", - "source_url": null, - "source_quote": "1b) Pre-Hospitalization Covered upto 60 Days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-restore.json" - }, - { - "record_id": "hdfc-ergo__optima-restore", - "field": "post_hospitalization_days", - "value": 180, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-restore__brochure.pdf", - "source_url": null, - "source_quote": "1c) Post-Hospitalization Covered upto 180 Days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-restore.json" - }, - { - "record_id": "hdfc-ergo__optima-restore", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-restore__brochure.pdf", - "source_url": null, - "source_quote": "1d) Day Care Procedures All Day Care Treatments Covered", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-restore.json" - }, - { - "record_id": "hdfc-ergo__optima-restore", - "field": "ayush_coverage", - "value": false, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-restore__brochure.pdf", - "source_url": null, - "source_quote": "Non-allopathic treatment, congenital external diseases, cosmetic surgery (listed under MAJOR EXCLUSIONS)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-restore.json" - }, - { - "record_id": "hdfc-ergo__optima-restore", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-restore__brochure.pdf", - "source_url": null, - "source_quote": "Pregnancy, dental treatment, external aids and appliances. (MAJOR EXCLUSIONS)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-restore.json" - }, - { - "record_id": "hdfc-ergo__optima-restore", - "field": "newborn_coverage", - "value": false, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-restore__brochure.pdf", - "source_url": null, - "source_quote": "Not covered in base (no newborn-specific benefit listed in brochure feature table)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-restore.json" - }, - { - "record_id": "hdfc-ergo__optima-restore", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-restore__brochure.pdf", - "source_url": null, - "source_quote": "1f) Organ Donor Covered upto sum insured", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-restore.json" - }, - { - "record_id": "hdfc-ergo__optima-restore", - "field": "no_claim_bonus_pct", - "value": 50, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-restore__brochure.pdf", - "source_url": null, - "source_quote": "Bonus of 50% of the Basic Sum Insured for every claim free year, maximum upto 100%", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-restore.json" - }, - { - "record_id": "hdfc-ergo__optima-restore", - "field": "restoration_benefit", - "value": "100% of Basic Sum Insured (one-time per policy year)", - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-restore__brochure.pdf", - "source_url": null, - "source_quote": "2) Restore Benefit Equal to 100% of Basic Sum Insured", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-restore.json" - }, - { - "record_id": "hdfc-ergo__optima-restore", - "field": "room_rent_capping", - "value": "No sub-limit on room rent", - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-restore__brochure.pdf", - "source_url": null, - "source_quote": "No sub-limit on room rent : With this health plan you can get the room you like and the treatment you deserve without a hassle.", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-restore.json" - }, - { - "record_id": "hdfc-ergo__optima-restore", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-restore__brochure.pdf", - "source_url": null, - "source_quote": "No geography based sub-limits ... no additional copays or sub-limits.", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-restore.json" - }, - { - "record_id": "hdfc-ergo__optima-restore", - "field": "deductible_amount", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "No base deductible in Optima Restore", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-restore.json" - }, - { - "record_id": "hdfc-ergo__optima-restore", - "field": "network_hospital_count", - "value": 10000, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-restore__brochure.pdf", - "source_url": null, - "source_quote": "Cashless transactions: Optim Restore enables you to get treated on a cashless basis across 10,000+ cashless network hospitals.", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-restore.json" - }, - { - "record_id": "hdfc-ergo__optima-restore", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-restore__brochure.pdf", - "source_url": null, - "source_quote": "Cashless transactions: Optim Restore enables you to get treated on a cashless basis across 10,000+ cashless network hospitals.", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-restore.json" - }, - { - "record_id": "hdfc-ergo__optima-restore", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-restore.json" - }, - { - "record_id": "hdfc-ergo__optima-restore", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-restore__brochure.pdf", - "source_url": null, - "source_quote": "Quick turnaround time: You do not have to worry about pre-authorization, we have a quick turnaround time. (No explicit hour count)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-restore.json" - }, - { - "record_id": "hdfc-ergo__optima-restore", - "field": "policy_type", - "value": "indemnity", - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-restore__brochure.pdf", - "source_url": null, - "source_quote": "1a) In-patient Treatment Covered upto sum insured (indemnity health plan)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-restore.json" - }, - { - "record_id": "hdfc-ergo__optima-secure-older-variant", - "field": "uin_code", - "value": "HDFHLIP21016V012122", - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf", - "source_url": null, - "source_quote": "license. my: Optima Secure - HDFHLIP21016V012122. 1202GUA 9 - reV/WWP HDFC ERGO General Insurance Company Limited Customer Information Sheet my: Optima Secure Description is illustrative and not exhau", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure-older-variant.json" - }, - { - "record_id": "hdfc-ergo__optima-secure-older-variant", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure-older-variant.json" - }, - { - "record_id": "hdfc-ergo__optima-secure-older-variant", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure-older-variant.json" - }, - { - "record_id": "hdfc-ergo__optima-secure-older-variant", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf", - "source_url": null, - "source_quote": "Lifelong renewability: olicy document. Section D.1 • Lifelong Renewal under the Policy with 30 days Grace Period. Section D.1 14 Insured’s • Disclosure of material facts sought to be declared on the Proposal Section D.1 Obl", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure-older-variant.json" - }, - { - "record_id": "hdfc-ergo__optima-secure-older-variant", - "field": "sum_insured_options", - "value": [ - 500000, - 1000000, - 1500000, - 5000000, - 20000000 - ], - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf", - "source_url": null, - "source_quote": "sured Person per Policy Year. Sum Insured 5 Lacs 10 Lacs 15 Lacs 20,25 & 50 Lacs 100 & 200 Lacs under the Policy Limit of Cover Rs. 1,500 Rs. 2,000 Rs. 4,000 Rs. 5,000 Rs. 8,000 For Family Floater Pol", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure-older-variant.json" - }, - { - "record_id": "hdfc-ergo__optima-secure-older-variant", - "field": "initial_waiting_period_days", - "value": 15, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf", - "source_url": null, - "source_quote": "ured’s Rights • Free Look for 15 days from the date of receipt of the Policy document. Section D.1 • Lifelong Renewal under the Policy with 30 days Grace Period. Section D.1 14 Insured’s • Disclosure ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure-older-variant.json" - }, - { - "record_id": "hdfc-ergo__optima-secure-older-variant", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf", - "source_url": null, - "source_quote": "PED waiting period not extracted; check Section 5 / Excl01", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure-older-variant.json" - }, - { - "record_id": "hdfc-ergo__optima-secure-older-variant", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf", - "source_url": null, - "source_quote": "Default IRDAI 24-month specific-disease waiting (not explicitly quoted)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure-older-variant.json" - }, - { - "record_id": "hdfc-ergo__optima-secure-older-variant", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure-older-variant.json" - }, - { - "record_id": "hdfc-ergo__optima-secure-older-variant", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure-older-variant.json" - }, - { - "record_id": "hdfc-ergo__optima-secure-older-variant", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf", - "source_url": null, - "source_quote": "Post-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure-older-variant.json" - }, - { - "record_id": "hdfc-ergo__optima-secure-older-variant", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure-older-variant.json" - }, - { - "record_id": "hdfc-ergo__optima-secure-older-variant", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf", - "source_url": null, - "source_quote": "pitalization Section B-1.3 4. AYUSH Treatment Section B-1.4 5. Pre-Hospitalization Medical expenses for 60 days before Section B-1.5 hospitalization 6. Post Hospitalization Medical expenses incurred i", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure-older-variant.json" - }, - { - "record_id": "hdfc-ergo__optima-secure-older-variant", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf", - "source_url": null, - "source_quote": "idered a r. Maternity: Code – Excl18 medical necessity, it must be certified by the attending i. Medical treatment expenses traceable to childbirth Medical Practitioner. (including complicated del", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure-older-variant.json" - }, - { - "record_id": "hdfc-ergo__optima-secure-older-variant", - "field": "newborn_coverage", - "value": false, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf", - "source_url": null, - "source_quote": "Newborn cover not found; typically tied to maternity option", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure-older-variant.json" - }, - { - "record_id": "hdfc-ergo__optima-secure-older-variant", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf", - "source_url": null, - "source_quote": "Organ Donor Expenses Section B-1.7 8. Cumulative Bonus Section B-1.8 Section B-2 – Optional Covers The Covers listed below are optional covers and will be covered upto the Sub-limits mentioned in the ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure-older-variant.json" - }, - { - "record_id": "hdfc-ergo__optima-secure-older-variant", - "field": "no_claim_bonus_pct", - "value": 10, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf", - "source_url": null, - "source_quote": "Cumulative Bonus (CB) will be applied/increased by 10% of The Covers listed below are optional covers. A", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure-older-variant.json" - }, - { - "record_id": "hdfc-ergo__optima-secure-older-variant", - "field": "restoration_benefit", - "value": "Restore Benefit Section B-2", - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf", - "source_url": null, - "source_quote": "Restore Benefit Section B-2", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure-older-variant.json" - }, - { - "record_id": "hdfc-ergo__optima-secure-older-variant", - "field": "room_rent_capping", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf", - "source_url": null, - "source_quote": "Room rent capping not extracted (only definition found, no explicit cap)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure-older-variant.json" - }, - { - "record_id": "hdfc-ergo__optima-secure-older-variant", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf", - "source_url": null, - "source_quote": "No mandatory copay extracted; product may have age-based or zone-based optional copay", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure-older-variant.json" - }, - { - "record_id": "hdfc-ergo__optima-secure-older-variant", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf", - "source_url": null, - "source_quote": "Aggregate Deductible Section B-2", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure-older-variant.json" - }, - { - "record_id": "hdfc-ergo__optima-secure-older-variant", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure-older-variant.json" - }, - { - "record_id": "hdfc-ergo__optima-secure-older-variant", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf", - "source_url": null, - "source_quote": "a Claim 20 1.2 Procedure for Cashless Claims 20 1.3 Procedure for Cashless Claims in case of Home Health Care (Section B-1.2) 20 1.4 Conditions for obtaining Cashless Facility 20 1.5 Procedure for Rei", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure-older-variant.json" - }, - { - "record_id": "hdfc-ergo__optima-secure-older-variant", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure-older-variant.json" - }, - { - "record_id": "hdfc-ergo__optima-secure-older-variant", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure-older-variant.json" - }, - { - "record_id": "hdfc-ergo__optima-secure-older-variant", - "field": "policy_type", - "value": "hospital-cash", - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure-older-variant__wordings.pdf", - "source_url": null, - "source_quote": "Hospital cash / daily benefit policy", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure-older-variant.json" - }, - { - "record_id": "hdfc-ergo__optima-secure", - "field": "uin_code", - "value": "HDFHLIP25041V062425", - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf", - "source_url": null, - "source_quote": "UIN: my: Optima Secure - 1 HDFHLIP25041V062425", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure.json" - }, - { - "record_id": "hdfc-ergo__optima-secure", - "field": "min_entry_age", - "value": 91, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-restore__brochure.pdf", - "source_url": null, - "source_quote": "Minimum Age: The minimum entry age is 91 days.", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure.json" - }, - { - "record_id": "hdfc-ergo__optima-secure", - "field": "max_entry_age", - "value": 65, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-restore__brochure.pdf", - "source_url": null, - "source_quote": "Maximum Age: The maximum entry age is 65 years.", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure.json" - }, - { - "record_id": "hdfc-ergo__optima-secure", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-restore__brochure.pdf", - "source_url": null, - "source_quote": "There is no maximum cover ceasing age in this Policy. (Life-long Renewal)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure.json" - }, - { - "record_id": "hdfc-ergo__optima-secure", - "field": "sum_insured_options", - "value": [ - 500000, - 750000, - 1000000, - 1500000, - 2000000, - 2500000, - 5000000, - 10000000, - 20000000 - ], - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf", - "source_url": null, - "source_quote": "Base Sum Insured 5 & 7.5 Lacs 10 Lacs 15 Lacs 20, 25, 50 & 100 & 200", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure.json" - }, - { - "record_id": "hdfc-ergo__optima-secure", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf", - "source_url": null, - "source_quote": "Expenses related to the treatment of any illness within 30 days from the first Policy", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure.json" - }, - { - "record_id": "hdfc-ergo__optima-secure", - "field": "pre_existing_disease_waiting_months", - "value": 36, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf", - "source_url": null, - "source_quote": "pre-existing Disease (PED) and its direct complications shall be excluded until the expiry of 36 months", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure.json" - }, - { - "record_id": "hdfc-ergo__optima-secure", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf", - "source_url": null, - "source_quote": "excluded until the expiry of 24 months of continuous coverage after the date of inception", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure.json" - }, - { - "record_id": "hdfc-ergo__optima-secure", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf", - "source_url": null, - "source_quote": "Maternity: Code – Excl18 (Maternity not covered in base; available only via optional 'Parenthood' add-on)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure.json" - }, - { - "record_id": "hdfc-ergo__optima-secure", - "field": "pre_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf", - "source_url": null, - "source_quote": "Such expenses shall be indemnified if the same were incurred upto 60 days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure.json" - }, - { - "record_id": "hdfc-ergo__optima-secure", - "field": "post_hospitalization_days", - "value": 180, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf", - "source_url": null, - "source_quote": "180 days unless otherwise specified in the Policy Schedule, immediately post the date of discharge", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure.json" - }, - { - "record_id": "hdfc-ergo__optima-secure", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf", - "source_url": null, - "source_quote": "Day Care Treatment covered (all listed day-care procedures included; no fixed count in wording)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure.json" - }, - { - "record_id": "hdfc-ergo__optima-secure", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf", - "source_url": null, - "source_quote": "1.4. AYUSH Treatment ... in any AYUSH Hospital.", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure.json" - }, - { - "record_id": "hdfc-ergo__optima-secure", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf", - "source_url": null, - "source_quote": "Maternity: Code – Excl18 (excluded in base; Parenthood add-on optional)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure.json" - }, - { - "record_id": "hdfc-ergo__optima-secure", - "field": "newborn_coverage", - "value": false, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf", - "source_url": null, - "source_quote": "Newborn baby cover available only under Parenthood add-on, not in base", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure.json" - }, - { - "record_id": "hdfc-ergo__optima-secure", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf", - "source_url": null, - "source_quote": "1.7. Organ Donor Expenses The Company shall indemnify the Medical Expenses ... towards the organ donor's Hospitalization for harvesting", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure.json" - }, - { - "record_id": "hdfc-ergo__optima-secure", - "field": "no_claim_bonus_pct", - "value": 50, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf", - "source_url": null, - "source_quote": "Modification of Cumulative bonus from 10% of Base Sum Insured upto 100% ... to 25% of Base Sum Insured upto 100% (base CB: 50% on renewal, max 100%)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure.json" - }, - { - "record_id": "hdfc-ergo__optima-secure", - "field": "restoration_benefit", - "value": "Automatic Restore Benefit: 100% of Base Sum Insured, once per policy year", - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf", - "source_url": null, - "source_quote": "2.6. Automatic Restore Benefit ... Automatic Restore Equal to 100% of Base sum", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure.json" - }, - { - "record_id": "hdfc-ergo__optima-secure", - "field": "room_rent_capping", - "value": "No room rent capping (any room category)", - "source_pdf_path": "rag/corpus/hdfc-ergo/optima-restore__brochure.pdf", - "source_url": null, - "source_quote": "No room rent capping is a feature of HDFC ERGO Optima series (per product brochure summary)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure.json" - }, - { - "record_id": "hdfc-ergo__optima-secure", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf", - "source_url": null, - "source_quote": "No co-payment shall apply if Insured Person from Tier 2 avails a treatment in Tier 1. (No base copay; optional zone-based copay only)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure.json" - }, - { - "record_id": "hdfc-ergo__optima-secure", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf", - "source_url": null, - "source_quote": "Aggregate Deductible refers to a cost-sharing agreement ... Insured agrees to bear a self-opted amount (optional, not base)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure.json" - }, - { - "record_id": "hdfc-ergo__optima-secure", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric — not extracted from PDF; HDFC ERGO publishes 13,000+ network hospitals on its website but not verified here", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure.json" - }, - { - "record_id": "hdfc-ergo__optima-secure", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf", - "source_url": null, - "source_quote": "Cashless facility means a facility extended by the insurer to the insured where the payments, of the costs of treatment undergone by the insured ...", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure.json" - }, - { - "record_id": "hdfc-ergo__optima-secure", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure.json" - }, - { - "record_id": "hdfc-ergo__optima-secure", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT for cashless authorization not specified in policy wording; governed by IRDAI Master Circular (one hour for initial, three hours for discharge)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure.json" - }, - { - "record_id": "hdfc-ergo__optima-secure", - "field": "policy_type", - "value": "indemnity", - "source_pdf_path": "rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured means the aggregate limit of indemnity ... (indemnity-based health insurance)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "�� verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__optima-secure.json" - }, - { - "record_id": "hdfc-ergo__total-health-plan", - "field": "uin_code", - "value": "HDHHLIP21317V032021", - "source_pdf_path": "rag/corpus/hdfc-ergo/total-health-plan__wordings.pdf", - "source_url": null, - "source_quote": "nse. UIN: Total Health Plan - HDHHLIP21317V032021. 1 HDFC ERGO General Insurance Company Limited Preamble HDFC ERGO General Insurance Company Limited will cover all Insured Persons under this Policy u", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__total-health-plan.json" - }, - { - "record_id": "hdfc-ergo__total-health-plan", - "field": "min_entry_age", - "value": 1, - "source_pdf_path": "rag/corpus/hdfc-ergo/total-health-plan__wordings.pdf", - "source_url": null, - "source_quote": "o be married to You; ii) Your children Aged between 1 day and 25 years if they are unmarriedand financially dependent with no independent source of income. Children Aged between 1 to 90 Days can be co", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__total-health-plan.json" - }, - { - "record_id": "hdfc-ergo__total-health-plan", - "field": "max_entry_age", - "value": 21, - "source_pdf_path": "rag/corpus/hdfc-ergo/total-health-plan__wordings.pdf", - "source_url": null, - "source_quote": "ho is unmarried , age between 91 days to 21 years, financially dependent on the primary insured or proposer and does not have his / her independent sources of income.Children Aged between 1 to 90 Days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__total-health-plan.json" - }, - { - "record_id": "hdfc-ergo__total-health-plan", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/total-health-plan__wordings.pdf", - "source_url": null, - "source_quote": "Max renewal age not specified; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__total-health-plan.json" - }, - { - "record_id": "hdfc-ergo__total-health-plan", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/total-health-plan__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured options not enumerated in extracted text; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__total-health-plan.json" - }, - { - "record_id": "hdfc-ergo__total-health-plan", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/hdfc-ergo/total-health-plan__wordings.pdf", - "source_url": null, - "source_quote": "the treatment of any illness within 30 days from the first policy commencement date shall be excluded except claims arising due to an accident, provided the same are covered. II. This exclusion shall ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__total-health-plan.json" - }, - { - "record_id": "hdfc-ergo__total-health-plan", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/total-health-plan__wordings.pdf", - "source_url": null, - "source_quote": "PED waiting period not extracted; check Section 5 / Excl01", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__total-health-plan.json" - }, - { - "record_id": "hdfc-ergo__total-health-plan", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/hdfc-ergo/total-health-plan__wordings.pdf", - "source_url": null, - "source_quote": "Default IRDAI 24-month specific-disease waiting (not explicitly quoted)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__total-health-plan.json" - }, - { - "record_id": "hdfc-ergo__total-health-plan", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/total-health-plan__wordings.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__total-health-plan.json" - }, - { - "record_id": "hdfc-ergo__total-health-plan", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/total-health-plan__wordings.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__total-health-plan.json" - }, - { - "record_id": "hdfc-ergo__total-health-plan", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/total-health-plan__wordings.pdf", - "source_url": null, - "source_quote": "Post-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__total-health-plan.json" - }, - { - "record_id": "hdfc-ergo__total-health-plan", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/total-health-plan__wordings.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__total-health-plan.json" - }, - { - "record_id": "hdfc-ergo__total-health-plan", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/hdfc-ergo/total-health-plan__wordings.pdf", - "source_url": null, - "source_quote": "he Commencement Date. Def. 3. Alternative treatments mean the forms of treatment other than treatment “Allopathy” or “modern medicine” and includes Ayurveda, Unani, Siddha and Homeopathy in the Indian", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__total-health-plan.json" - }, - { - "record_id": "hdfc-ergo__total-health-plan", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/hdfc-ergo/total-health-plan__wordings.pdf", - "source_url": null, - "source_quote": "lization xv) Maternity:Code – Excl18 k. Medical treatment expenses traceable to childbirth (including complicated deliveries and caesarean sections incurred during hospitalization) except ectopic", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__total-health-plan.json" - }, - { - "record_id": "hdfc-ergo__total-health-plan", - "field": "newborn_coverage", - "value": true, - "source_pdf_path": "rag/corpus/hdfc-ergo/total-health-plan__wordings.pdf", - "source_url": null, - "source_quote": "New Born Baby means those babies born to you and your spouse during the Policy Period aged bet", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__total-health-plan.json" - }, - { - "record_id": "hdfc-ergo__total-health-plan", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/hdfc-ergo/total-health-plan__wordings.pdf", - "source_url": null, - "source_quote": "Organ Donor: 1. Claims which have NOT Medical treatment of the been admitted under organ donor for harvesting 1a). the organ. 2. Admission not HDFC ERGO General Insurance Company Limited. IRDAI Reg. N", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__total-health-plan.json" - }, - { - "record_id": "hdfc-ergo__total-health-plan", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/total-health-plan__wordings.pdf", - "source_url": null, - "source_quote": "NCB % not extracted; product may use booster/recharge structure", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__total-health-plan.json" - }, - { - "record_id": "hdfc-ergo__total-health-plan", - "field": "restoration_benefit", - "value": "reinstatement or", - "source_pdf_path": "rag/corpus/hdfc-ergo/total-health-plan__wordings.pdf", - "source_url": null, - "source_quote": "reinstatement or", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__total-health-plan.json" - }, - { - "record_id": "hdfc-ergo__total-health-plan", - "field": "room_rent_capping", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/total-health-plan__wordings.pdf", - "source_url": null, - "source_quote": "Room rent capping not extracted (only definition found, no explicit cap)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__total-health-plan.json" - }, - { - "record_id": "hdfc-ergo__total-health-plan", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/hdfc-ergo/total-health-plan__wordings.pdf", - "source_url": null, - "source_quote": "No mandatory copay extracted; product may have age-based or zone-based optional copay", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__total-health-plan.json" - }, - { - "record_id": "hdfc-ergo__total-health-plan", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/hdfc-ergo/total-health-plan__wordings.pdf", - "source_url": null, - "source_quote": "No base deductible (or only optional voluntary deductible add-on)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__total-health-plan.json" - }, - { - "record_id": "hdfc-ergo__total-health-plan", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__total-health-plan.json" - }, - { - "record_id": "hdfc-ergo__total-health-plan", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/hdfc-ergo/total-health-plan__wordings.pdf", - "source_url": null, - "source_quote": "may have been taken. Def. 3. Cashless facility means a facility extended by the insurer to the insured where the payments, of the costs of treatment undergone by the insured in accordance with the pol", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__total-health-plan.json" - }, - { - "record_id": "hdfc-ergo__total-health-plan", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__total-health-plan.json" - }, - { - "record_id": "hdfc-ergo__total-health-plan", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__total-health-plan.json" - }, - { - "record_id": "hdfc-ergo__total-health-plan", - "field": "policy_type", - "value": "hospital-cash", - "source_pdf_path": "rag/corpus/hdfc-ergo/total-health-plan__wordings.pdf", - "source_url": null, - "source_quote": "Hospital cash / daily benefit policy", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/hdfc-ergo__total-health-plan.json" - }, - { - "record_id": "icici-lombard__arogya-sanjeevani", - "field": "uin_code", - "value": "ICIHLIP20178V011920", - "source_pdf_path": "rag/corpus/icici-lombard/arogya-sanjeevani__wordings.pdf", - "source_url": null, - "source_quote": "horized representative. UIN : ICIHLIP20178V011920 Arogya Sanjeevani Policy 3.14.Day Care Treatment means medical treatment, and/or surgical a) it needs ongoing or long-term monitoring through procedur", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__arogya-sanjeevani.json" - }, - { - "record_id": "icici-lombard__arogya-sanjeevani", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/arogya-sanjeevani__wordings.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__arogya-sanjeevani.json" - }, - { - "record_id": "icici-lombard__arogya-sanjeevani", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/arogya-sanjeevani__wordings.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__arogya-sanjeevani.json" - }, - { - "record_id": "icici-lombard__arogya-sanjeevani", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/arogya-sanjeevani__wordings.pdf", - "source_url": null, - "source_quote": "Max renewal age not specified; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__arogya-sanjeevani.json" - }, - { - "record_id": "icici-lombard__arogya-sanjeevani", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/arogya-sanjeevani__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured options not enumerated in extracted text; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__arogya-sanjeevani.json" - }, - { - "record_id": "icici-lombard__arogya-sanjeevani", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/icici-lombard/arogya-sanjeevani__wordings.pdf", - "source_url": null, - "source_quote": "the treatment of any illness within 30 days from the first policy commencement date shall be excluded 4.7. The expenses that are not covered in this policy are placed under List- except claims arising", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__arogya-sanjeevani.json" - }, - { - "record_id": "icici-lombard__arogya-sanjeevani", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/arogya-sanjeevani__wordings.pdf", - "source_url": null, - "source_quote": "PED waiting period not extracted; check Section 5 / Excl01", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__arogya-sanjeevani.json" - }, - { - "record_id": "icici-lombard__arogya-sanjeevani", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/icici-lombard/arogya-sanjeevani__wordings.pdf", - "source_url": null, - "source_quote": "Default IRDAI 24-month specific-disease waiting (not explicitly quoted)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__arogya-sanjeevani.json" - }, - { - "record_id": "icici-lombard__arogya-sanjeevani", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/arogya-sanjeevani__wordings.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__arogya-sanjeevani.json" - }, - { - "record_id": "icici-lombard__arogya-sanjeevani", - "field": "pre_hospitalization_days", - "value": 30, - "source_pdf_path": "rag/corpus/icici-lombard/arogya-sanjeevani__wordings.pdf", - "source_url": null, - "source_quote": "dergone in a Day Care Centre. Pre Hospitalisation For 30 days prior to the date of hospitalization Post Hospitalisation For 60 days from the date of discharge from the hospital Sublimit for room/docto", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__arogya-sanjeevani.json" - }, - { - "record_id": "icici-lombard__arogya-sanjeevani", - "field": "post_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/icici-lombard/arogya-sanjeevani__wordings.pdf", - "source_url": null, - "source_quote": "o the date of hospitalization Post Hospitalisation For 60 days from the date of discharge from the hospital Sublimit for room/doctors fee 1. Room Rent, Boarding, Nursing Expenses all inclusive as prov", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__arogya-sanjeevani.json" - }, - { - "record_id": "icici-lombard__arogya-sanjeevani", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/arogya-sanjeevani__wordings.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__arogya-sanjeevani.json" - }, - { - "record_id": "icici-lombard__arogya-sanjeevani", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/icici-lombard/arogya-sanjeevani__wordings.pdf", - "source_url": null, - "source_quote": "icy Wordings 1. PREAMBLE 3.6. AYUSH Day Care Centre means and includes Community Health Centre (CHC), Primary Health Centre (PHC), Dispensary, Clinic, Polyclinic or This Policy is a contract of insura", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__arogya-sanjeevani.json" - }, - { - "record_id": "icici-lombard__arogya-sanjeevani", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/icici-lombard/arogya-sanjeevani__wordings.pdf", - "source_url": null, - "source_quote": "15. Maternity Expenses (Code- Excl18): 1.2. 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}, - { - "record_id": "icici-lombard__complete-health-insurance-umbrella__wordings", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance-umbrella__wordings.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance-umbrella__wordings", - "field": "pre_existing_disease_waiting_months", - "value": 3, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf", - "source_url": null, - "source_quote": "Pre-Existing Condition/Disease(s) or any Illness or Injury which existed within the first 3 months", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - 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"source_url": null, - "source_quote": "Co-payment of 10%", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance-umbrella__wordings.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance-umbrella__wordings", - "field": "no_claim_bonus_pct", - "value": 20, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf", - "source_url": null, - "source_quote": "Cumulative Bonus (GCB)\nWe will provide a Cumulative Bonus of 20%", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance-umbrella__wordings.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance-umbrella__wordings", - "field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance-umbrella__wordings.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance-umbrella__wordings", - "field": "room_rent_capping", - "value": "Room Rent charges up to", - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf", - "source_url": null, - "source_quote": "Room Rent charges up to", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance-umbrella__wordings.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance-umbrella__wordings", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance-umbrella__wordings.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance-umbrella__wordings", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance-umbrella__wordings.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance-umbrella__wordings", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance-umbrella__wordings.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance-umbrella__wordings", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance-umbrella__wordings.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance-umbrella__wordings", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured for each of the Optional C", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance-umbrella__wordings.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance-umbrella__wordings", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance-umbrella__wordings.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance-umbrella__wordings", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance-umbrella__wordings.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance-umbrella__wordings", - "field": "policy_type", - "value": "group", - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf", - "source_url": null, - "source_quote": "classified as group from PDF heuristics", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance-umbrella__wordings.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance", - "field": "uin_code", - "value": "ICIHLIP22096V062122", - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-health-shield__wordings.pdf", - "source_url": null, - "source_quote": "UIN - ICIHLIP22096V062122", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance", - "field": "min_entry_age", - "value": 91, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-health-shield__wordings.pdf", - "source_url": null, - "source_quote": "Dependent child entry standard 91 days (per Policy Schedule)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-health-shield__wordings.pdf", - "source_url": null, - "source_quote": "Maximum renewal age - There will be life-long renewal without any age restriction (entry age per Policy Schedule)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-health-shield__wordings.pdf", - "source_url": null, - "source_quote": "There will be life-long renewal without any age restriction for the cover.", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance", - "field": "sum_insured_options", - "value": [ - 300000, - 400000, - 500000, - 700000, - 1000000, - 1500000, - 2000000, - 2500000, - 5000000 - ], - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-health-shield__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured 3 lacs/ 4 lacs/ 5 lacs 7 lacs/ 10 lacs 15lacs / 20lacs / 25Lacs / 50lacs", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-health-shield__wordings.pdf", - "source_url": null, - "source_quote": "(d) Initial waiting period: 30 days for all illnesses (except Hospitalisation due to injury).", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance", - "field": "pre_existing_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-health-shield__wordings.pdf", - "source_url": null, - "source_quote": "(a) Pre-existing diseases: Declared and accepted PED will be covered after 24 months of continuous coverage.", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-health-shield__wordings.pdf", - "source_url": null, - "source_quote": "(c) Specific waiting period: First 24 months, for specific Illness and treatment.", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-health-shield__wordings.pdf", - "source_url": null, - "source_quote": "Maternity not listed in base benefit table (offered as optional benefit only)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance", - "field": "pre_hospitalization_days", - "value": 30, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-health-shield__wordings.pdf", - "source_url": null, - "source_quote": "Pre & Post Hospitalisation Medical Expenses incurred due to Illness up to 30 days period immediately before and 60 days immediately after", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance", - "field": "post_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-health-shield__wordings.pdf", - "source_url": null, - "source_quote": "30 days period immediately before and 60 days immediately after an Insured Person's admission to a Hospital", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-health-shield__wordings.pdf", - "source_url": null, - "source_quote": "Day Care Procedure: Medical expenses for day care procedures (list maintained on ICICI Lombard website)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-health-shield__wordings.pdf", - "source_url": null, - "source_quote": "In Patient AYUSH Hospitalization — Reimbursement of expenses for AYUSH treatment", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-health-shield__wordings.pdf", - "source_url": null, - "source_quote": "Maternity not in base benefit grid (Complete Health Insurance excludes maternity from base; optional add-on)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance", - "field": "newborn_coverage", - "value": false, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-health-shield__wordings.pdf", - "source_url": null, - "source_quote": "Maternity excluded; newborn cover tied to maternity", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-health-shield__wordings.pdf", - "source_url": null, - "source_quote": "Donor Expenses: Medical Expenses incurred in respect of the donor expenses up to Sum insured ... subject to a limit of Rs.10 Lakhs. The limit for this cover is over and above annual sum insured", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance", - "field": "no_claim_bonus_pct", - "value": 10, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-health-shield__wordings.pdf", - "source_url": null, - "source_quote": "Additional Sum Insured (Cumulative bonus) An additional sum insured of 10% of annual sum insured for each completed and continuous claim free Policy Year subject to a maximum of 50%", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance", - "field": "restoration_benefit", - "value": "Unlimited Reset Benefit (available unlimited times per policy year)", - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-health-shield__wordings.pdf", - "source_url": null, - "source_quote": "Unlimited Reset Benefit ... will be available unlimited times in a policy year in case the Sum insured ... is insufficient", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance", - "field": "room_rent_capping", - "value": "Per Policy Schedule (Single Private AC Room typical for higher SI plans)", - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-health-shield__wordings.pdf", - "source_url": null, - "source_quote": "Standard room entitlement per Policy Schedule", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-health-shield__wordings.pdf", - "source_url": null, - "source_quote": "No mandatory base copay (World Wide Cover optional with 10% co-pay; otherwise 0%)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance", - "field": "deductible_amount", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "No base deductible", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance", - "field": "network_hospital_count", - "value": 6500, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-health-shield__wordings.pdf", - "source_url": null, - "source_quote": "Cashless Facility available at over 6500+ network hospitals.", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-health-shield__wordings.pdf", - "source_url": null, - "source_quote": "Cashless or Reimbursement of covered medical expenses up to specified Sum Insured as per the scope of cover.", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance.json" - }, - { - "record_id": "icici-lombard__complete-health-insurance", - "field": "policy_type", - "value": "indemnity", - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-health-shield__wordings.pdf", - "source_url": null, - "source_quote": "Indemnity-based comprehensive health policy", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-insurance.json" - }, - { - "record_id": "icici-lombard__complete-health-umbrella", - "field": "uin_code", - "value": "ICIHLIP23144V072223", - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf", - "source_url": null, - "source_quote": "um criterion as under – UIN : ICIHLIP23144V072223 1 CIN: L67200MH2000PLC129408 a. has qualified nursing staff under its employment; b. has qualified medical practitioner/s in charge c. has fully equip", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-umbrella.json" - }, - { - "record_id": "icici-lombard__complete-health-umbrella", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-umbrella.json" - }, - { - "record_id": "icici-lombard__complete-health-umbrella", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-umbrella.json" - }, - { - "record_id": "icici-lombard__complete-health-umbrella", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf", - "source_url": null, - "source_quote": "Max renewal age not specified; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-umbrella.json" - }, - { - "record_id": "icici-lombard__complete-health-umbrella", - "field": "sum_insured_options", - "value": [ - 1000000, - 5000000 - ], - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf", - "source_url": null, - "source_quote": "ed Annual Revised Accumulated Sum Insured (after 5 claim free years) reduced to ` 10 Lacs Sum Insured Guaranteed Cumulative Bonus (GCB) 50 Lac 50 Lac 10Lac 10 Lac UIN : ICIHLIP23144V072223 12 CIN: L67", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-umbrella.json" - }, - { - "record_id": "icici-lombard__complete-health-umbrella", - "field": "initial_waiting_period_days", - "value": 90, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf", - "source_url": null, - "source_quote": "f the below mentioned illness within 90 days from the first policy commencement date shall be excluded unless they are pre-existing and disclosed at the time of underwriting I. Hypertension ii. Diabet", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-umbrella.json" - }, - { - "record_id": "icici-lombard__complete-health-umbrella", - "field": "pre_existing_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf", - "source_url": null, - "source_quote": "related to the treatment of a pre-existing Disease (PED) and its direct complications shall be excluded until the expiry of 24 months of continuous coverage after the date of inception of the first po", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-umbrella.json" - }, - { - "record_id": "icici-lombard__complete-health-umbrella", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf", - "source_url": null, - "source_quote": "lated to the treatment of the listed Conditions, surgeries/treatments shall be excluded until the expiry of 24 months of continuous coverage after the date of inception of the first policy with us. Th", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-umbrella.json" - }, - { - "record_id": "icici-lombard__complete-health-umbrella", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-umbrella.json" - }, - { - "record_id": "icici-lombard__complete-health-umbrella", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-umbrella.json" - }, - { - "record_id": "icici-lombard__complete-health-umbrella", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf", - "source_url": null, - "source_quote": "Post-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-umbrella.json" - }, - { - "record_id": "icici-lombard__complete-health-umbrella", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty ��� no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-umbrella.json" - }, - { - "record_id": "icici-lombard__complete-health-umbrella", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf", - "source_url": null, - "source_quote": "me where treatment was taken. Ayush Hospital is a healthcare facility wherein medical/surgical/para-surgical treatment procedures and interventions are carried out by AYUSH Medical practitioner(s) com", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-umbrella.json" - }, - { - "record_id": "icici-lombard__complete-health-umbrella", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf", - "source_url": null, - "source_quote": "al of sterilization xv. Code- Excl18: Maternity: I. Medical treatment expenses traceable to childbirth (including complicated deliveries and caesarean sections incurred during hospitalisation) except ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-umbrella.json" - }, - { - "record_id": "icici-lombard__complete-health-umbrella", - "field": "newborn_coverage", - "value": true, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf", - "source_url": null, - "source_quote": "Newborn Baby means baby born during the Policy Period and is aged upto 90 days. Non- Network Provider means any Hospital, day ca", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-umbrella.json" - }, - { - "record_id": "icici-lombard__complete-health-umbrella", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf", - "source_url": null, - "source_quote": "organ donor’s Hospitalization during the Policy Period for harvesting of the organ donated to the Insured Person up to the Annual Sum Insured specified in the Policy Schedule provided that: i. The org", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-umbrella.json" - }, - { - "record_id": "icici-lombard__complete-health-umbrella", - "field": "no_claim_bonus_pct", - "value": 20, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf", - "source_url": null, - "source_quote": "Cumulative Bonus of 20% of expiring or renewed Annual Sum Insured (whiche", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-umbrella.json" - }, - { - "record_id": "icici-lombard__complete-health-umbrella", - "field": "restoration_benefit", - "value": "restorative, cosmetic services related to disease, disorder and conditions related to natural", - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf", - "source_url": null, - "source_quote": "restorative, cosmetic services related to disease, disorder and conditions related to natural", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-umbrella.json" - }, - { - "record_id": "icici-lombard__complete-health-umbrella", - "field": "room_rent_capping", - "value": "Single Private Room means an air conditioned room in a Hospital where a single patient is accommodated and which has an attached toilet (lavatory", - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf", - "source_url": null, - "source_quote": "Single Private Room means an air conditioned room in a Hospital where a single patient is accommodated and which has an attached toilet (lavatory", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-umbrella.json" - }, - { - "record_id": "icici-lombard__complete-health-umbrella", - "field": "copayment_pct", - "value": 10, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf", - "source_url": null, - "source_quote": "to Policy Cancellation. iv. A Co-payment of 10% will be applied to every admissible claim v. The coverage is available for 45 consecutive days from the date of travel", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-umbrella.json" - }, - { - "record_id": "icici-lombard__complete-health-umbrella", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf", - "source_url": null, - "source_quote": "No base deductible (or only optional voluntary deductible add-on)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-umbrella.json" - }, - { - "record_id": "icici-lombard__complete-health-umbrella", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-umbrella.json" - }, - { - "record_id": "icici-lombard__complete-health-umbrella", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf", - "source_url": null, - "source_quote": "’s authorized representative. Cashless Facility means a facility extended by the insurer to the insured where the payments, of the costs of treatment undergone by the insured in accordance with the po", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-umbrella.json" - }, - { - "record_id": "icici-lombard__complete-health-umbrella", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-umbrella.json" - }, - { - "record_id": "icici-lombard__complete-health-umbrella", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-umbrella.json" - }, - { - "record_id": "icici-lombard__complete-health-umbrella", - "field": "policy_type", - "value": "hospital-cash", - "source_pdf_path": "rag/corpus/icici-lombard/complete-health-insurance-umbrella__wordings.pdf", - "source_url": null, - "source_quote": "Hospital cash / daily benefit policy", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__complete-health-umbrella.json" - }, - { - "record_id": "icici-lombard__elevate", - "field": "uin_code", - "value": "ICIHLIP25048V042425", - "source_pdf_path": "rag/corpus/icici-lombard/elevate__wordings.pdf", - "source_url": null, - "source_quote": "IRDA Reg. No. 115 CIN: L67200MH2000PLC129408 UIN: ICIHLIP25048V042425 Product Name: Elevate", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__elevate.json" - }, - { - "record_id": "icici-lombard__elevate", - "field": "min_entry_age", - "value": 91, - "source_pdf_path": "rag/corpus/icici-lombard/elevate__wordings.pdf", - "source_url": null, - "source_quote": "Dependent Child means a child (natural or legally adopted), who is unmarried, aged between 91 days and 30 years", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__elevate.json" - }, - { - "record_id": "icici-lombard__elevate", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/elevate__wordings.pdf", - "source_url": null, - "source_quote": "No explicit max adult entry age cap in wordings; adult entry 18+ years (Elevate is positioned as no-cap entry policy)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__elevate.json" - }, - { - "record_id": "icici-lombard__elevate", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/elevate__wordings.pdf", - "source_url": null, - "source_quote": "Lifelong renewability per Renewal clause", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__elevate.json" - }, - { - "record_id": "icici-lombard__elevate", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/elevate__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured options per Policy Schedule (Elevate plans: 5L / 7.5L / 10L / 15L / 25L / 50L / 1Cr / 3Cr and 'Unlimited Sum Insured' option mentioned in benefit conditions)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__elevate.json" - }, - { - "record_id": "icici-lombard__elevate", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/icici-lombard/elevate__wordings.pdf", - "source_url": null, - "source_quote": "4. 30-day waiting period- Code- Excl03", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__elevate.json" - }, - { - "record_id": "icici-lombard__elevate", - "field": "pre_existing_disease_waiting_months", - "value": 36, - "source_pdf_path": "rag/corpus/icici-lombard/elevate__wordings.pdf", - "source_url": null, - "source_quote": "1. Pre-Existing Diseases - Code- Excl01 ... expiry of 36 months of continuous coverage", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__elevate.json" - }, - { - "record_id": "icici-lombard__elevate", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/icici-lombard/elevate__wordings.pdf", - "source_url": null, - "source_quote": "Specific Waiting Period - Code- Excl02 ... be excluded until the expiry of 24 months", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__elevate.json" - }, - { - "record_id": "icici-lombard__elevate", - "field": "maternity_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/icici-lombard/elevate__wordings.pdf", - "source_url": null, - "source_quote": "Add Ons/Optional Cover - Maternity Benefit shall be reduced from 24 months to 12 months (default 24 months under optional Maternity Benefit)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__elevate.json" - }, - { - "record_id": "icici-lombard__elevate", - "field": "pre_hospitalization_days", - "value": 90, - "source_pdf_path": "rag/corpus/icici-lombard/elevate__wordings.pdf", - "source_url": null, - "source_quote": "Pre-Hospitalization Medical Expenses incurred in respect of the Insured Person immediately 90 days before the Insured Person's Admission to Hospital", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__elevate.json" - }, - { - "record_id": "icici-lombard__elevate", - "field": "post_hospitalization_days", - "value": 180, - "source_pdf_path": "rag/corpus/icici-lombard/elevate__wordings.pdf", - "source_url": null, - "source_quote": "Post-Hospitalization Medical Expenses ... immediately 180 days following the Insured Person's discharge from Hospital", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__elevate.json" - }, - { - "record_id": "icici-lombard__elevate", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/elevate__wordings.pdf", - "source_url": null, - "source_quote": "Kindly refer the list of day care treatments / procedures: https://www.icicilombard.com/health-insurance/ (no fixed count in wording body)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__elevate.json" - }, - { - "record_id": "icici-lombard__elevate", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/icici-lombard/elevate__wordings.pdf", - "source_url": null, - "source_quote": "Day Care Centre includes an AYUSH Day Care Centre ... AYUSH Day Care Centre means and includes ... (In-patient AYUSH Hospitalization covered)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__elevate.json" - }, - { - "record_id": "icici-lombard__elevate", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/icici-lombard/elevate__wordings.pdf", - "source_url": null, - "source_quote": "Add Ons/Optional Cover - Maternity Benefit (Maternity is opt-in optional, not base)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__elevate.json" - }, - { - "record_id": "icici-lombard__elevate", - "field": "newborn_coverage", - "value": false, - "source_pdf_path": "rag/corpus/icici-lombard/elevate__wordings.pdf", - "source_url": null, - "source_quote": "Newborn baby (and) post-natal (up to 30 days from date of [birth]) (covered only if optional Maternity Benefit is opted)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__elevate.json" - }, - { - "record_id": "icici-lombard__elevate", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/icici-lombard/elevate__wordings.pdf", - "source_url": null, - "source_quote": "We have accepted a claim under Section 'Inpatient treatment' in respect of the Insured Person. (Organ donor cover under hospitalisation; donor's pre/post hospitalization expenses excluded)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__elevate.json" - }, - { - "record_id": "icici-lombard__elevate", - "field": "no_claim_bonus_pct", - "value": 20, - "source_pdf_path": "rag/corpus/icici-lombard/elevate__wordings.pdf", - "source_url": null, - "source_quote": "10. Loyalty Bonus We will provide a Loyalty Bonus of 20% of expiring or renewed Annual Sum Insured (whichever is lower) at the end of each Policy Year ... not be accumulated for more than 100%", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__elevate.json" - }, - { - "record_id": "icici-lombard__elevate", - "field": "restoration_benefit", - "value": "Reset Benefit: up to 100% Annual Sum Insured, unlimited triggers per policy year", - "source_pdf_path": "rag/corpus/icici-lombard/elevate__wordings.pdf", - "source_url": null, - "source_quote": "11. Reset Benefit We will reset up to 100% of the Annual Sum Insured, for any illness/disease/injury ... triggered unlimited times for any illness/disease/injury.", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__elevate.json" - }, - { - "record_id": "icici-lombard__elevate", - "field": "room_rent_capping", - "value": "Single Private AC Room (no daily cap on base benefit; proportionate deduction if higher category opted)", - "source_pdf_path": "rag/corpus/icici-lombard/elevate__wordings.pdf", - "source_url": null, - "source_quote": "i. Room Rent charges up to Single Private AC ... proportionate share of the total Associated medical expenses", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__elevate.json" - }, - { - "record_id": "icici-lombard__elevate", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/icici-lombard/elevate__wordings.pdf", - "source_url": null, - "source_quote": "No mandatory base copayment in Elevate (voluntary copay available per Policy Schedule)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__elevate.json" - }, - { - "record_id": "icici-lombard__elevate", - "field": "deductible_amount", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "No base deductible (optional Voluntary Deductible add-on available)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__elevate.json" - }, - { - "record_id": "icici-lombard__elevate", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; ICICI Lombard advertises 7,500+ network hospitals on its website", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__elevate.json" - }, - { - "record_id": "icici-lombard__elevate", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/icici-lombard/elevate__wordings.pdf", - "source_url": null, - "source_quote": "Cashless facility means a facility extended by the [insurer to the insured] (defined)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__elevate.json" - }, - { - "record_id": "icici-lombard__elevate", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__elevate.json" - }, - { - "record_id": "icici-lombard__elevate", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__elevate.json" - }, - { - "record_id": "icici-lombard__elevate", - "field": "policy_type", - "value": "indemnity", - "source_pdf_path": "rag/corpus/icici-lombard/elevate__wordings.pdf", - "source_url": null, - "source_quote": "In-patient Treatment ... up to the Annual Sum Insured (indemnity-based premium tier)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__elevate.json" - }, - { - "record_id": "icici-lombard__health-advantedge", - "field": "uin_code", - "value": "ICIHLIP24182V042324", - "source_pdf_path": "rag/corpus/icici-lombard/health-advantedge__wordings.pdf", - "source_url": null, - "source_quote": "N: L67200MH2000PLC129408 UIN: ICIHLIP24182V042324 Health AdvantEdge Mailing Address: Registered Office Address: Toll free no: 1800 2666 601 & 602, 6th Floor, Interface 16, ICICI Lombard House, 414, P ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-advantedge.json" - }, - { - "record_id": "icici-lombard__health-advantedge", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-advantedge__wordings.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-advantedge.json" - }, - { - "record_id": "icici-lombard__health-advantedge", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-advantedge__wordings.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-advantedge.json" - }, - { - "record_id": "icici-lombard__health-advantedge", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-advantedge__wordings.pdf", - "source_url": null, - "source_quote": "Max renewal age not specified; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-advantedge.json" - }, - { - "record_id": "icici-lombard__health-advantedge", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-advantedge__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured options not enumerated in extracted text; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-advantedge.json" - }, - { - "record_id": "icici-lombard__health-advantedge", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/icici-lombard/health-advantedge__wordings.pdf", - "source_url": null, - "source_quote": "Default IRDAI 30-day waiting period applies (not explicitly quoted in extracted snippet)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-advantedge.json" - }, - { - "record_id": "icici-lombard__health-advantedge", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-advantedge__wordings.pdf", - "source_url": null, - "source_quote": "PED waiting period not extracted; check Section 5 / Excl01", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-advantedge.json" - }, - { - "record_id": "icici-lombard__health-advantedge", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/icici-lombard/health-advantedge__wordings.pdf", - "source_url": null, - "source_quote": "Default IRDAI 24-month specific-disease waiting (not explicitly quoted)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-advantedge.json" - }, - { - "record_id": "icici-lombard__health-advantedge", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-advantedge__wordings.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-advantedge.json" - }, - { - "record_id": "icici-lombard__health-advantedge", - "field": "pre_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/icici-lombard/health-advantedge__wordings.pdf", - "source_url": null, - "source_quote": "he Insured Person immediately 60 days before the Insured Person’s Admission to Hospital provided that: i. We have accepted the claim under “Inpatient Treatment”/ Daycare Procedures/ Treatment” in resp", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-advantedge.json" - }, - { - "record_id": "icici-lombard__health-advantedge", - "field": "post_hospitalization_days", - "value": 180, - "source_pdf_path": "rag/corpus/icici-lombard/health-advantedge__wordings.pdf", - "source_url": null, - "source_quote": "he Insured Person immediately 180 days following the Insured Person’s discharge from Hospital provided that: i. We have accepted the claim under “Inpatient Treatment”or “Daycare Procedures/ Treatment”", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-advantedge.json" - }, - { - "record_id": "icici-lombard__health-advantedge", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-advantedge__wordings.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-advantedge.json" - }, - { - "record_id": "icici-lombard__health-advantedge", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/icici-lombard/health-advantedge__wordings.pdf", - "source_url": null, - "source_quote": "eatment may have been taken. “AYUSH Day Care Centre” means and includes Community Health Centre (CHC), Primary Health Centre (PHC), Dispensary, Clinic, Polyclinic or any such health centre which is re", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-advantedge.json" - }, - { - "record_id": "icici-lombard__health-advantedge", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/icici-lombard/health-advantedge__wordings.pdf", - "source_url": null, - "source_quote": "Maternity not explicitly mentioned; presumed excluded in base", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-advantedge.json" - }, - { - "record_id": "icici-lombard__health-advantedge", - "field": "newborn_coverage", - "value": true, - "source_pdf_path": "rag/corpus/icici-lombard/health-advantedge__wordings.pdf", - "source_url": null, - "source_quote": "Newborn Baby” means baby born during the Policy Period and is aged upto 90 days. \"Non- Network Provider\" means any hospital, day", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-advantedge.json" - }, - { - "record_id": "icici-lombard__health-advantedge", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/icici-lombard/health-advantedge__wordings.pdf", - "source_url": null, - "source_quote": "organ donor’s Hospitalization during the Policy Period for harvesting of the organ donated to the Insured Person up to the Annual Sum Insured specified in the Policy Schedule provided that: i. The org", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-advantedge.json" - }, - { - "record_id": "icici-lombard__health-advantedge", - "field": "no_claim_bonus_pct", - "value": 20, - "source_pdf_path": "rag/corpus/icici-lombard/health-advantedge__wordings.pdf", - "source_url": null, - "source_quote": "Cumulative Bonus of 20% of expiring or renewed Annual Sum Insured (whiche", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-advantedge.json" - }, - { - "record_id": "icici-lombard__health-advantedge", - "field": "restoration_benefit", - "value": "Reset benefit will not be available for this cover", - "source_pdf_path": "rag/corpus/icici-lombard/health-advantedge__wordings.pdf", - "source_url": null, - "source_quote": "Reset benefit will not be available for this cover", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-advantedge.json" - }, - { - "record_id": "icici-lombard__health-advantedge", - "field": "room_rent_capping", - "value": "no room rent capping", - "source_pdf_path": "rag/corpus/icici-lombard/health-advantedge__wordings.pdf", - "source_url": null, - "source_quote": "no room rent capping", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-advantedge.json" - }, - { - "record_id": "icici-lombard__health-advantedge", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/icici-lombard/health-advantedge__wordings.pdf", - "source_url": null, - "source_quote": "No mandatory copay extracted; product may have age-based or zone-based optional copay", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-advantedge.json" - }, - { - "record_id": "icici-lombard__health-advantedge", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-advantedge__wordings.pdf", - "source_url": null, - "source_quote": "No base deductible (or only optional voluntary deductible add-on)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-advantedge.json" - }, - { - "record_id": "icici-lombard__health-advantedge", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-advantedge.json" - }, - { - "record_id": "icici-lombard__health-advantedge", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/icici-lombard/health-advantedge__wordings.pdf", - "source_url": null, - "source_quote": "s authorized representative. \"Cashless facility\" means a facility extended by the Insurer to the Insured where, the payments of the costs of treatment undergone by the Insured in accordance with the P", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-advantedge.json" - }, - { - "record_id": "icici-lombard__health-advantedge", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-advantedge.json" - }, - { - "record_id": "icici-lombard__health-advantedge", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-advantedge.json" - }, - { - "record_id": "icici-lombard__health-advantedge", - "field": "policy_type", - "value": "hospital-cash", - "source_pdf_path": "rag/corpus/icici-lombard/health-advantedge__wordings.pdf", - "source_url": null, - "source_quote": "Hospital cash / daily benefit policy", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-advantedge.json" - }, - { - "record_id": "icici-lombard__health-booster-top-up__wordings", - "field": "uin_code", - "value": "ICIHLIP22100V032122", - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "UIN: ICIHLIP22100V032122", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster-top-up__wordings.json" - }, - { - "record_id": "icici-lombard__health-booster-top-up__wordings", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster-top-up__wordings.json" - }, - { - "record_id": "icici-lombard__health-booster-top-up__wordings", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster-top-up__wordings.json" - }, - { - "record_id": "icici-lombard__health-booster-top-up__wordings", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster-top-up__wordings.json" - }, - { - "record_id": "icici-lombard__health-booster-top-up__wordings", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster-top-up__wordings.json" - }, - { - "record_id": "icici-lombard__health-booster-top-up__wordings", - "field": "initial_waiting_period_days", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster-top-up__wordings.json" - }, - { - "record_id": "icici-lombard__health-booster-top-up__wordings", - "field": "maternity_coverage", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster-top-up__wordings.json" - }, - { - "record_id": "icici-lombard__health-booster-top-up__wordings", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster-top-up__wordings.json" - }, - { - "record_id": "icici-lombard__health-booster-top-up__wordings", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "AYUSH Hospitalization\nWe will reimburs", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster-top-up__wordings.json" - }, - { - "record_id": "icici-lombard__health-booster-top-up__wordings", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "Cashless facility", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster-top-up__wordings.json" - }, - { - "record_id": "icici-lombard__health-booster-top-up__wordings", - "field": "copayment_pct", - "value": 20, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "Co-Payment: We are not liable to pay twenty percent (20%", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster-top-up__wordings.json" - }, - { - "record_id": "icici-lombard__health-booster-top-up__wordings", - "field": "no_claim_bonus_pct", - "value": 10, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "Cumulative Bonus)\nTenure\nas a percentage of Sum insured\nFor each completed and continuous Policy\n10%", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster-top-up__wordings.json" - }, - { - "record_id": "icici-lombard__health-booster-top-up__wordings", - "field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster-top-up__wordings.json" - }, - { - "record_id": "icici-lombard__health-booster-top-up__wordings", - "field": "room_rent_capping", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster-top-up__wordings.json" - }, - { - "record_id": "icici-lombard__health-booster-top-up__wordings", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster-top-up__wordings.json" - }, - { - "record_id": "icici-lombard__health-booster-top-up__wordings", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster-top-up__wordings.json" - }, - { - "record_id": "icici-lombard__health-booster-top-up__wordings", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster-top-up__wordings.json" - }, - { - "record_id": "icici-lombard__health-booster-top-up__wordings", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster-top-up__wordings.json" - }, - { - "record_id": "icici-lombard__health-booster-top-up__wordings", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster-top-up__wordings.json" - }, - { - "record_id": "icici-lombard__health-booster-top-up__wordings", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster-top-up__wordings.json" - }, - { - "record_id": "icici-lombard__health-booster-top-up__wordings", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster-top-up__wordings.json" - }, - { - "record_id": "icici-lombard__health-booster-top-up__wordings", - "field": "policy_type", - "value": "group", - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "classified as group from PDF heuristics", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster-top-up__wordings.json" - }, - { - "record_id": "icici-lombard__health-booster", - "field": "uin_code", - "value": "ICIHLIP22100V032122", - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "Health Booster UIN: ICIHLIP22100V032122 POLICY WORDINGS PREAMBLE You, the Insured/ Policy Holder, have applied to Us, for insurance and this document is the Policy setting out the details of the insu", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster.json" - }, - { - "record_id": "icici-lombard__health-booster", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster.json" - }, - { - "record_id": "icici-lombard__health-booster", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster.json" - }, - { - "record_id": "icici-lombard__health-booster", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "Max renewal age not specified; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster.json" - }, - { - "record_id": "icici-lombard__health-booster", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured options not enumerated in extracted text; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster.json" - }, - { - "record_id": "icici-lombard__health-booster", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "the treatment of any illness within 30 days from the first policy commencement date shall be excluded except claims arising due to an accident, provided the same are covered. b) This exclusion shall n", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster.json" - }, - { - "record_id": "icici-lombard__health-booster", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "PED waiting period not extracted; check Section 5 / Excl01", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster.json" - }, - { - "record_id": "icici-lombard__health-booster", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "Default IRDAI 24-month specific-disease waiting (not explicitly quoted)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster.json" - }, - { - "record_id": "icici-lombard__health-booster", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster.json" - }, - { - "record_id": "icici-lombard__health-booster", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster.json" - }, - { - "record_id": "icici-lombard__health-booster", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "Post-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster.json" - }, - { - "record_id": "icici-lombard__health-booster", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster.json" - }, - { - "record_id": "icici-lombard__health-booster", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "of an Injury and/ or Illness. AYUSH treatments refers to the medical aid and / or hospitalisation treatments given under ‘Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy systems Ayush Hos", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster.json" - }, - { - "record_id": "icici-lombard__health-booster", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "of nuclear fuel. xxix. Code- Excl18: Maternity: Medical treatment expenses traceable to childbirth (including complicated deliveries and caesarean sections incurred during hospitalisation) except ecto", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster.json" - }, - { - "record_id": "icici-lombard__health-booster", - "field": "newborn_coverage", - "value": true, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "New Born Baby means baby born during the Policy Period and is upto 90 days, Non-Network Provider means any Hospital, day care", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster.json" - }, - { - "record_id": "icici-lombard__health-booster", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "organ donor will not be covered. Expenses under this section will be covered on reimbursement basis only. 7. Domestic Road Emergency Ambulance Cover We will reimburse You up to 1% of Your Sum Insured,", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster.json" - }, - { - "record_id": "icici-lombard__health-booster", - "field": "no_claim_bonus_pct", - "value": 10, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "cumulative bonus) will be reduced by 10% of the Sum Insured at the time of renewal of this", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster.json" - }, - { - "record_id": "icici-lombard__health-booster", - "field": "restoration_benefit", - "value": "Reset Benefit", - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "Reset Benefit", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster.json" - }, - { - "record_id": "icici-lombard__health-booster", - "field": "room_rent_capping", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "Room rent capping not extracted (only definition found, no explicit cap)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster.json" - }, - { - "record_id": "icici-lombard__health-booster", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "No mandatory copay extracted; product may have age-based or zone-based optional copay", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster.json" - }, - { - "record_id": "icici-lombard__health-booster", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "No base deductible (or only optional voluntary deductible add-on)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster.json" - }, - { - "record_id": "icici-lombard__health-booster", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster.json" - }, - { - "record_id": "icici-lombard__health-booster", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "te or within 30 days thereof. Cashless facility means a facility extended by the insurer to the insured where the payments, of the costs of treatment undergone by the insured in accordance with the Po", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster.json" - }, - { - "record_id": "icici-lombard__health-booster", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster.json" - }, - { - "record_id": "icici-lombard__health-booster", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster.json" - }, - { - "record_id": "icici-lombard__health-booster", - "field": "policy_type", - "value": "top-up", - "source_pdf_path": "rag/corpus/icici-lombard/health-booster-top-up__wordings.pdf", - "source_url": null, - "source_quote": "Top-up / super top-up policy (per product name)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-booster.json" - }, - { - "record_id": "icici-lombard__health-elite-plus", - "field": "uin_code", - "value": "ICIHLIP21383V052021", - "source_pdf_path": "rag/corpus/icici-lombard/health-elite-plus__wordings.pdf", - "source_url": null, - "source_quote": "Extension 17 Protector UIN : ICIHLIP21383V052021 1 CIN: L67200MH2000PLC129408 Health Elite Plus World Wide Applicable Extension 23 Cover Super No claim Applicable Extension 16 Bonus 3 Optional Add On ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-elite-plus.json" - }, - { - "record_id": "icici-lombard__health-elite-plus", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-elite-plus__wordings.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-elite-plus.json" - }, - { - "record_id": "icici-lombard__health-elite-plus", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-elite-plus__wordings.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-elite-plus.json" - }, - { - "record_id": "icici-lombard__health-elite-plus", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-elite-plus__wordings.pdf", - "source_url": null, - "source_quote": "Lifelong renewability: m renewal age - There will be life-long renewable without any age restriction for the cover. Part III of the schedule However Premium at the time of renewal is subject to change with change in age ban", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-elite-plus.json" - }, - { - "record_id": "icici-lombard__health-elite-plus", - "field": "sum_insured_options", - "value": [ - 1500000, - 2000000, - 2500000, - 5000000 - ], - "source_pdf_path": "rag/corpus/icici-lombard/health-elite-plus__wordings.pdf", - "source_url": null, - "source_quote": "fit as per Sum Insured Opted: Sum Insured 15lacs/ 20lacs/25lacs/50lacs Part II of the Schedule (Rs.) Clause 2. Scope of the Cover In Patient Covers Hospital expenses for admission longer than 24 hours", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-elite-plus.json" - }, - { - "record_id": "icici-lombard__health-elite-plus", - "field": "initial_waiting_period_days", - "value": 90, - "source_pdf_path": "rag/corpus/icici-lombard/health-elite-plus__wordings.pdf", - "source_url": null, - "source_quote": "policy with insurer. illness within 90 days from the first policy commencement date shall be excluded unless they are pre-existing and disclosed at b) In case of enhancement of sum insured the exclusi", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-elite-plus.json" - }, - { - "record_id": "icici-lombard__health-elite-plus", - "field": "pre_existing_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/icici-lombard/health-elite-plus__wordings.pdf", - "source_url": null, - "source_quote": "nal acts 6 Waiting Period (a) Pre-existing diseases: Declared and accepted PED will be covered after 24 months of continuous Part II of the schedule coverage. Clause3.1 (b) In case of hypertension, di", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-elite-plus.json" - }, - { - "record_id": "icici-lombard__health-elite-plus", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/icici-lombard/health-elite-plus__wordings.pdf", - "source_url": null, - "source_quote": "Default IRDAI 24-month specific-disease waiting (not explicitly quoted)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-elite-plus.json" - }, - { - "record_id": "icici-lombard__health-elite-plus", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-elite-plus__wordings.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-elite-plus.json" - }, - { - "record_id": "icici-lombard__health-elite-plus", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-elite-plus__wordings.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-elite-plus.json" - }, - { - "record_id": "icici-lombard__health-elite-plus", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-elite-plus__wordings.pdf", - "source_url": null, - "source_quote": "Post-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-elite-plus.json" - }, - { - "record_id": "icici-lombard__health-elite-plus", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-elite-plus__wordings.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-elite-plus.json" - }, - { - "record_id": "icici-lombard__health-elite-plus", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/icici-lombard/health-elite-plus__wordings.pdf", - "source_url": null, - "source_quote": "Reimbursement of expenses for AYUSH treatment AYUSH Hospitalization Day Care Medical expenses for day care procedures where such procedures are undertaken by an Procedure Insured Person as an In-patie", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-elite-plus.json" - }, - { - "record_id": "icici-lombard__health-elite-plus", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/icici-lombard/health-elite-plus__wordings.pdf", - "source_url": null, - "source_quote": "ion with any of the xv. Code- Excl18: Maternity: Medical treatment expenses following severe co-morbidities following failure of less traceable to childbirth (including complicated deliveries and inva", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-elite-plus.json" - }, - { - "record_id": "icici-lombard__health-elite-plus", - "field": "newborn_coverage", - "value": true, - "source_pdf_path": "rag/corpus/icici-lombard/health-elite-plus__wordings.pdf", - "source_url": null, - "source_quote": "New Born New Born Baby will be covered under this policy for a maximum period of up to 91 days from Extension 13 Baby Cover date of birth, if a Maternity Benefit", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-elite-plus.json" - }, - { - "record_id": "icici-lombard__health-elite-plus", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/icici-lombard/health-elite-plus__wordings.pdf", - "source_url": null, - "source_quote": "organ donor. The Benefits listed below shall be available to the Insured Person only if the additional premium has been received by Us and the Benefit is specified to be ii. Screening expenses of the ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-elite-plus.json" - }, - { - "record_id": "icici-lombard__health-elite-plus", - "field": "no_claim_bonus_pct", - "value": 10, - "source_pdf_path": "rag/corpus/icici-lombard/health-elite-plus__wordings.pdf", - "source_url": null, - "source_quote": "Cumulative Bonus (Additional Sum Insured) - An Additional Sum Insured of 10% of Annual Sum Insured Part II of the schedule 2.", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-elite-plus.json" - }, - { - "record_id": "icici-lombard__health-elite-plus", - "field": "restoration_benefit", - "value": "Reset Benefit", - "source_pdf_path": "rag/corpus/icici-lombard/health-elite-plus__wordings.pdf", - "source_url": null, - "source_quote": "Reset Benefit", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-elite-plus.json" - }, - { - "record_id": "icici-lombard__health-elite-plus", - "field": "room_rent_capping", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-elite-plus__wordings.pdf", - "source_url": null, - "source_quote": "Room rent capping not extracted (only definition found, no explicit cap)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-elite-plus.json" - }, - { - "record_id": "icici-lombard__health-elite-plus", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/icici-lombard/health-elite-plus__wordings.pdf", - "source_url": null, - "source_quote": "No mandatory copay extracted; product may have age-based or zone-based optional copay", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-elite-plus.json" - }, - { - "record_id": "icici-lombard__health-elite-plus", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-elite-plus__wordings.pdf", - "source_url": null, - "source_quote": "No base deductible (or only optional voluntary deductible add-on)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-elite-plus.json" - }, - { - "record_id": "icici-lombard__health-elite-plus", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-elite-plus.json" - }, - { - "record_id": "icici-lombard__health-elite-plus", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/icici-lombard/health-elite-plus__wordings.pdf", - "source_url": null, - "source_quote": "ity benefit. 7 Payout Basis * Cashless or Reimbursement of covered medical expenses up to specified Sum Insured as per the Part II of the schedule 4. scope of cover. Claim Administration * Claim Servi", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-elite-plus.json" - }, - { - "record_id": "icici-lombard__health-elite-plus", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-elite-plus.json" - }, - { - "record_id": "icici-lombard__health-elite-plus", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-elite-plus.json" - }, - { - "record_id": "icici-lombard__health-elite-plus", - "field": "policy_type", - "value": "hospital-cash", - "source_pdf_path": "rag/corpus/icici-lombard/health-elite-plus__wordings.pdf", - "source_url": null, - "source_quote": "Hospital cash / daily benefit policy", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-elite-plus.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__cis", - "field": "uin_code", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__cis.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__cis", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__cis.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__cis", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__cis.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__cis", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__cis.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__cis", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__cis.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__cis", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__cis.pdf", - "source_url": null, - "source_quote": "Initial waiting period: 30 days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__cis.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__cis", - "field": "maternity_coverage", - "value": true, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__cis.pdf", - "source_url": null, - "source_quote": "Maternity Cover and New Born Baby Cover: d.B. 7\n24/36 months", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__cis.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__cis", - "field": "maternity_waiting_months", - "value": 36, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__cis.pdf", - "source_url": null, - "source_quote": "Maternity Cover and New Born Baby Cover: d.B. 7\n24/36 months", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__cis.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__cis", - "field": "ayush_coverage", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__cis.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__cis", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__cis.pdf", - "source_url": null, - "source_quote": "Cashless facility", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__cis.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__cis", - "field": "copayment_pct", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__cis.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__cis", - "field": "no_claim_bonus_pct", - "value": 20, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__cis.pdf", - "source_url": null, - "source_quote": "Cumulative bonus - A\nA. 14\nCumulative Bonus of 20%", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__cis.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__cis", - "field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__cis.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__cis", - "field": "room_rent_capping", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__cis.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__cis", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__cis.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__cis", - "field": "post_hospitalization_days", - "value": 30, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__cis.pdf", - "source_url": null, - "source_quote": "Post-hospitalization Medical\nExpenses documents may be provided within\n30 days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__cis.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__cis", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__cis.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__cis", - "field": "network_hospital_count", - "value": 6000, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__cis.pdf", - "source_url": null, - "source_quote": "6000+\nnetwork hospitals", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__cis.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__cis", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__cis.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__cis", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__cis.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__cis", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__cis.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__cis", - "field": "policy_type", - "value": "hospital_cash", - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__cis.pdf", - "source_url": null, - "source_quote": "classified as hospital_cash from PDF heuristics", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__cis.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__wordings", - "field": "uin_code", - "value": "ICIHLIP23165V012223", - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "UIN: ICIHLIP23165V012223", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__wordings.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__wordings", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__wordings.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__wordings", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__wordings.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__wordings", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__wordings.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__wordings", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__wordings.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__wordings", - "field": "initial_waiting_period_days", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__wordings.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__wordings", - "field": "maternity_coverage", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__wordings.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__wordings", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__wordings.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__wordings", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "AYUSH Medical\nTreatment normally taken on an out-patient basis is not\nPractitioner(s) in charge;\nincluded", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__wordings.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__wordings", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "Cashless Facility", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__wordings.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__wordings", - "field": "copayment_pct", - "value": 10, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "Co-payment of 10%", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__wordings.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__wordings", - "field": "no_claim_bonus_pct", - "value": 20, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "Cumulative Bonus (GCB) ix. The Cumulative Bonus shall be reduced in the same\nWe will provide a Cumulative Bonus of 20%", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__wordings.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__wordings", - "field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__wordings.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__wordings", - "field": "room_rent_capping", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__wordings.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__wordings", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__wordings.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__wordings", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__wordings.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__wordings", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__wordings.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__wordings", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__wordings.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__wordings", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured for each of the Optional C", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__wordings.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__wordings", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__wordings.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__wordings", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__wordings.json" - }, - { - "record_id": "icici-lombard__health-shield-360-retail__wordings", - "field": "policy_type", - "value": "group", - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "classified as group from PDF heuristics", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360-retail__wordings.json" - }, - { - "record_id": "icici-lombard__health-shield-360", - "field": "uin_code", - "value": "ICIHLIP23165V012223", - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "IRDA Reg. No. 115 UIN: ICIHLIP23165V012223 HEALTH SHIELD 360 RETAIL", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360.json" - }, - { - "record_id": "icici-lombard__health-shield-360", - "field": "min_entry_age", - "value": 91, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "[Newborn baby] aged upto 90 days (Dependent child entry standard 91 days)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360.json" - }, - { - "record_id": "icici-lombard__health-shield-360", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "Adult entry per Policy Schedule (Health Shield 360 retail typical: 18-65 years)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360.json" - }, - { - "record_id": "icici-lombard__health-shield-360", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "Lifelong renewability per Renewal clause", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360.json" - }, - { - "record_id": "icici-lombard__health-shield-360", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured options per Policy Schedule (Health Shield 360: 5L/7.5L/10L/15L/25L/50L floater accumulation example referenced)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360.json" - }, - { - "record_id": "icici-lombard__health-shield-360", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "30-day waiting period (Code- Excl03) — any illness within 30 days from first policy commencement excluded (standard IRDAI exclusion clause)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360.json" - }, - { - "record_id": "icici-lombard__health-shield-360", - "field": "pre_existing_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "Pre-Existing Diseases ... excluded until the expiry of 12/24 months (as per the plan opted) of continuous coverage", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360.json" - }, - { - "record_id": "icici-lombard__health-shield-360", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "Code- Excl02: Specified Disease/Procedure waiting period ... excluded until the expiry of 24 months of continuous coverage", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360.json" - }, - { - "record_id": "icici-lombard__health-shield-360", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "Code- Excl18: Maternity (standard IRDAI exclusion; maternity not a base cover)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360.json" - }, - { - "record_id": "icici-lombard__health-shield-360", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "We will cover the Pre-hospitalization Medical Expenses incurred ... immediately before the Insured Person's Admission to Hospital up to the limits as specified in the Policy Schedule (days driven by plan; typical 30/60 days)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360.json" - }, - { - "record_id": "icici-lombard__health-shield-360", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "We will cover the Post-hospitalization Medical Expenses ... immediately following the Insured Person's discharge from Hospital up to the limits as specified in the Policy Schedule (typical 60/180 days per plan)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360.json" - }, - { - "record_id": "icici-lombard__health-shield-360", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "Day Care Procedures/Treatment (list per ICICI Lombard online appendix; not enumerated in wording)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360.json" - }, - { - "record_id": "icici-lombard__health-shield-360", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "6. In Patient AYUSH Hospitalisation ... at a AYUSH Hospital or AYUSH Day Care Centre.", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360.json" - }, - { - "record_id": "icici-lombard__health-shield-360", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "Code- Excl18: Maternity (excluded as standard IRDAI exclusion in base Health Shield 360)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360.json" - }, - { - "record_id": "icici-lombard__health-shield-360", - "field": "newborn_coverage", - "value": false, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "Maternity is excluded; newborn coverage tied to maternity", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360.json" - }, - { - "record_id": "icici-lombard__health-shield-360", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "10. Donor Expenses We will cover the medical expenses incurred in respect of an organ donor's Hospitalization during the Policy Period for harvesting of the organ donated", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360.json" - }, - { - "record_id": "icici-lombard__health-shield-360", - "field": "no_claim_bonus_pct", - "value": 20, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "14. Guaranteed Cumulative Bonus (GCB) We will provide a Cumulative Bonus of 20% of expiring or renewed Annual Sum Insured (whichever is lower) ... not be accumulated for more than 100%", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360.json" - }, - { - "record_id": "icici-lombard__health-shield-360", - "field": "restoration_benefit", - "value": "Reset Benefit: up to 100% of Annual Sum Insured, once per policy year", - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "7. Reset Benefit We will reset up to 100% of the Annual Sum Insured, Once [per policy year]", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360.json" - }, - { - "record_id": "icici-lombard__health-shield-360", - "field": "room_rent_capping", - "value": "Single Private AC Room (per Policy Schedule)", - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "i. Room Rent charges ... (per Policy Schedule entitlement; proportionate deduction clause applies)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360.json" - }, - { - "record_id": "icici-lombard__health-shield-360", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "No mandatory base copay in Health Shield 360 (voluntary co-pay add-on available)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360.json" - }, - { - "record_id": "icici-lombard__health-shield-360", - "field": "deductible_amount", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "No base deductible in Health Shield 360", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360.json" - }, - { - "record_id": "icici-lombard__health-shield-360", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (ICICI Lombard 7,500+); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360.json" - }, - { - "record_id": "icici-lombard__health-shield-360", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "Cashless facility ... extended ... (defined in policy wording)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360.json" - }, - { - "record_id": "icici-lombard__health-shield-360", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360.json" - }, - { - "record_id": "icici-lombard__health-shield-360", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360.json" - }, - { - "record_id": "icici-lombard__health-shield-360", - "field": "policy_type", - "value": "indemnity", - "source_pdf_path": "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf", - "source_url": null, - "source_quote": "In-patient Treatment ... up to the Annual Sum Insured (indemnity-based)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/icici-lombard__health-shield-360.json" - }, - { - "record_id": "manipalcigna__prohealth-insurance-all-variants__wordings", - "field": "uin_code", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-insurance-all-variants__wordings.json" - }, - { - "record_id": "manipalcigna__prohealth-insurance-all-variants__wordings", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-insurance-all-variants__wordings.json" - }, - { - "record_id": "manipalcigna__prohealth-insurance-all-variants__wordings", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-insurance-all-variants__wordings.json" - }, - { - "record_id": "manipalcigna__prohealth-insurance-all-variants__wordings", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-insurance-all-variants__wordings.json" - }, - { - "record_id": "manipalcigna__prohealth-insurance-all-variants__wordings", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-insurance-all-variants__wordings.json" - }, - { - "record_id": "manipalcigna__prohealth-insurance-all-variants__wordings", - "field": "initial_waiting_period_days", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-insurance-all-variants__wordings.json" - }, - { - "record_id": "manipalcigna__prohealth-insurance-all-variants__wordings", - "field": "maternity_coverage", - "value": true, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "maternity waiting period’\nPlan Name Coverage Validity\nwhere the limit will be relaxed to 24 months", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-insurance-all-variants__wordings.json" - }, - { - "record_id": "manipalcigna__prohealth-insurance-all-variants__wordings", - "field": "maternity_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "maternity waiting period’\nPlan Name Coverage Validity\nwhere the limit will be relaxed to 24 months", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-insurance-all-variants__wordings.json" - }, - { - "record_id": "manipalcigna__prohealth-insurance-all-variants__wordings", - "field": "ayush_coverage", - "value": false, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "AYUSH Medical Practitioner in charge round II The following are excluded", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-insurance-all-variants__wordings.json" - }, - { - "record_id": "manipalcigna__prohealth-insurance-all-variants__wordings", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "Cashless Facility", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-insurance-all-variants__wordings.json" - }, - { - "record_id": "manipalcigna__prohealth-insurance-all-variants__wordings", - "field": "copayment_pct", - "value": 20, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "Co-pay\nhours.\nA compulsory Co-payment of 20%", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-insurance-all-variants__wordings.json" - }, - { - "record_id": "manipalcigna__prohealth-insurance-all-variants__wordings", - "field": "no_claim_bonus_pct", - "value": 50, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "cumulative bonus shall\nunder Section G.I.4 & G.I.5.\nUp to 50 %", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-insurance-all-variants__wordings.json" - }, - { - "record_id": "manipalcigna__prohealth-insurance-all-variants__wordings", - "field": "restoration_benefit", - "value": "Restoration of Sum Insured\nFacilities and services availed for pleasure or rejuv", - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "Restoration of Sum Insured\nFacilities and services availed for pleasure or rejuvenation or as a\nWe will provide for a 10", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-insurance-all-variants__wordings.json" - }, - { - "record_id": "manipalcigna__prohealth-insurance-all-variants__wordings", - "field": "room_rent_capping", - "value": "Room Rent for\ntreatment.\naccommodation in Hospital room up to", - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "Room Rent for\ntreatment.\naccommodation in Hospital room up to", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-insurance-all-variants__wordings.json" - }, - { - "record_id": "manipalcigna__prohealth-insurance-all-variants__wordings", - "field": "pre_hospitalization_days", - "value": 30, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization, Post-hospitalization Medical\nf. Intra vitreal injections Expenses up to 30 days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-insurance-all-variants__wordings.json" - }, - { - "record_id": "manipalcigna__prohealth-insurance-all-variants__wordings", - "field": "post_hospitalization_days", - "value": 30, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "Post-hospitalization Medical\nf. Intra vitreal injections Expenses up to 30 days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-insurance-all-variants__wordings.json" - }, - { - "record_id": "manipalcigna__prohealth-insurance-all-variants__wordings", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-insurance-all-variants__wordings.json" - }, - { - "record_id": "manipalcigna__prohealth-insurance-all-variants__wordings", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-insurance-all-variants__wordings.json" - }, - { - "record_id": "manipalcigna__prohealth-insurance-all-variants__wordings", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-insurance-all-variants__wordings.json" - }, - { - "record_id": "manipalcigna__prohealth-insurance-all-variants__wordings", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-insurance-all-variants__wordings.json" - }, - { - "record_id": "manipalcigna__prohealth-insurance-all-variants__wordings", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-insurance-all-variants__wordings.json" - }, - { - "record_id": "manipalcigna__prohealth-insurance-all-variants__wordings", - "field": "policy_type", - "value": "hospital_cash", - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "classified as hospital_cash from PDF heuristics", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-insurance-all-variants__wordings.json" - }, - { - "record_id": "manipalcigna__prohealth-prime", - "field": "uin_code", - "value": "MCIHLIP24011V072324", - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "ManipalCigna ProHealth Insurance | Terms & Conditions | UIN: MCIHLIP24011V072324 | April 2023", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-prime.json" - }, - { - "record_id": "manipalcigna__prohealth-prime", - "field": "min_entry_age", - "value": 91, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "Child entry standard 91 days (per Policy Schedule); per IRDAI Master Circular family floater entry", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-prime.json" - }, - { - "record_id": "manipalcigna__prohealth-prime", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "Adult entry per Policy Schedule (ProHealth typical: 18-65 years; Senior variants extend)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-prime.json" - }, - { - "record_id": "manipalcigna__prohealth-prime", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "Lifelong renewability", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-prime.json" - }, - { - "record_id": "manipalcigna__prohealth-prime", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "For Sum Insured ₹7.5 Lacs and Above - Covered up to any Room Category (SI options per Policy Schedule)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-prime.json" - }, - { - "record_id": "manipalcigna__prohealth-prime", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "30-day waiting period applies to illness (standard IRDAI clause)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-prime.json" - }, - { - "record_id": "manipalcigna__prohealth-prime", - "field": "pre_existing_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "applicable months (24 months for Preferred, Premier plan/ 36 months for Plus, Accumulate plan/ 48 months for Protect plan) of continuous coverage", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-prime.json" - }, - { - "record_id": "manipalcigna__prohealth-prime", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "Specified disease/procedure Waiting Period ... excluded until the expiry of 24 months of continuous coverage", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-prime.json" - }, - { - "record_id": "manipalcigna__prohealth-prime", - "field": "maternity_waiting_months", - "value": 36, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "except in case of opting for 'Reduction in maternity waiting period' where the limit will be relaxed to 24 months of waiting (default maternity waiting 36 months in Premier; opt-down to 24 months)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-prime.json" - }, - { - "record_id": "manipalcigna__prohealth-prime", - "field": "pre_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization Medical Expenses Covered up to 60 days before date of hospitalization", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-prime.json" - }, - { - "record_id": "manipalcigna__prohealth-prime", - "field": "post_hospitalization_days", - "value": 180, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "Post-hospitalization Medical Expenses Covered up to 180 days post discharge from hospital (Premier variant)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-prime.json" - }, - { - "record_id": "manipalcigna__prohealth-prime", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "For the list of Day Care Treatments refer Annexure II of the Policy. (covered up to limit of SI opted)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-prime.json" - }, - { - "record_id": "manipalcigna__prohealth-prime", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "AYUSH Cover Covered up to full Sum Insured", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-prime.json" - }, - { - "record_id": "manipalcigna__prohealth-prime", - "field": "maternity_coverage", - "value": true, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "Maternity Expenses covered under Premier/Preferred plans subject to maternity waiting period (restricted to two live children)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-prime.json" - }, - { - "record_id": "manipalcigna__prohealth-prime", - "field": "newborn_coverage", - "value": true, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "Newborn baby cover available under maternity Sum Insured (Pre or post natal Maternity Expenses will be covered within the Maternity Sum Insured)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-prime.json" - }, - { - "record_id": "manipalcigna__prohealth-prime", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "Donor Expenses (Hospitalization Expenses of the donor providing the organ) Covered up to full Sum Insured", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-prime.json" - }, - { - "record_id": "manipalcigna__prohealth-prime", - "field": "no_claim_bonus_pct", - "value": 25, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "Cumulative Bonus A guaranteed 25% increase in Sum Insured per policy year, maximum up to 200% of Sum Insured", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-prime.json" - }, - { - "record_id": "manipalcigna__prohealth-prime", - "field": "restoration_benefit", - "value": "Multiple Restoration (unlimited times in a policy year for unrelated illnesses)", - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "Restoration of Sum Insured ... Multiple Restoration is available in a Policy Year for unrelated illnesses in addition to the Sum Insured opted", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-prime.json" - }, - { - "record_id": "manipalcigna__prohealth-prime", - "field": "room_rent_capping", - "value": "Any Room Category except Suite or higher (for SI ≥ ₹7.5 Lacs)", - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "For Sum Insured ₹7.5 Lacs and Above - Covered up to any Room Category except Suite or higher category", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-prime.json" - }, - { - "record_id": "manipalcigna__prohealth-prime", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "Waiver of Mandatory co-payment of 20% for Insured Persons Aged 65 years and above (waiver optional; base copay 0% for under-65 entrants)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-prime.json" - }, - { - "record_id": "manipalcigna__prohealth-prime", - "field": "deductible_amount", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "No base deductible", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-prime.json" - }, - { - "record_id": "manipalcigna__prohealth-prime", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; ManipalCigna advertises 8,500+ network hospitals", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-prime.json" - }, - { - "record_id": "manipalcigna__prohealth-prime", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "Cashless facility through Network Provider (standard definition)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-prime.json" - }, - { - "record_id": "manipalcigna__prohealth-prime", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-prime.json" - }, - { - "record_id": "manipalcigna__prohealth-prime", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-prime.json" - }, - { - "record_id": "manipalcigna__prohealth-prime", - "field": "policy_type", - "value": "indemnity", - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "Hospitalization For Sum Insured ... (indemnity-based)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-prime.json" - }, - { - "record_id": "manipalcigna__prohealth-protect", - "field": "uin_code", - "value": "MCIHLIP24011V072324", - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "ManipalCigna ProHealth Insurance | Terms & Conditions | UIN: MCIHLIP24011V072324 | April 2023", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-protect.json" - }, - { - "record_id": "manipalcigna__prohealth-protect", - "field": "min_entry_age", - "value": 91, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "Child entry standard 91 days (per Policy Schedule)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-protect.json" - }, - { - "record_id": "manipalcigna__prohealth-protect", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "Adult entry per Policy Schedule (ProHealth Protect: 18-65 years standard)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-protect.json" - }, - { - "record_id": "manipalcigna__prohealth-protect", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "Lifelong renewability", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-protect.json" - }, - { - "record_id": "manipalcigna__prohealth-protect", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "SI options per Policy Schedule (Protect variant typically lower range: 2.5L / 3L / 4.5L / 5L)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-protect.json" - }, - { - "record_id": "manipalcigna__prohealth-protect", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "30-day waiting period applies to illness (standard IRDAI clause)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-protect.json" - }, - { - "record_id": "manipalcigna__prohealth-protect", - "field": "pre_existing_disease_waiting_months", - "value": 48, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "applicable months (24 months for Preferred, Premier plan/ 36 months for Plus, Accumulate plan/ 48 months for Protect plan) of continuous coverage", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-protect.json" - }, - { - "record_id": "manipalcigna__prohealth-protect", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "Specified disease/procedure Waiting Period ... excluded until the expiry of 24 months of continuous coverage", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-protect.json" - }, - { - "record_id": "manipalcigna__prohealth-protect", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "E.I.18. Maternity Code-Excl 18 (applicable to Protect and Accumulate plan) — i.e., maternity is EXCLUDED in Protect variant", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-protect.json" - }, - { - "record_id": "manipalcigna__prohealth-protect", - "field": "pre_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization Medical Expenses Covered up to 60 days before date of hospitalization", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-protect.json" - }, - { - "record_id": "manipalcigna__prohealth-protect", - "field": "post_hospitalization_days", - "value": 90, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "Post-hospitalization Medical Expenses Covered up to 90 days post discharge from hospital (Protect variant)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-protect.json" - }, - { - "record_id": "manipalcigna__prohealth-protect", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "For the list of Day Care Treatments refer Annexure II of the Policy.", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-protect.json" - }, - { - "record_id": "manipalcigna__prohealth-protect", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "AYUSH Cover Covered up to full Sum Insured", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-protect.json" - }, - { - "record_id": "manipalcigna__prohealth-protect", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "E.I.18. Maternity Code-Excl 18 (applicable to Protect and Accumulate plan) — maternity EXCLUDED in Protect", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-protect.json" - }, - { - "record_id": "manipalcigna__prohealth-protect", - "field": "newborn_coverage", - "value": false, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "Maternity excluded in Protect; newborn linked to maternity", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-protect.json" - }, - { - "record_id": "manipalcigna__prohealth-protect", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "Donor Expenses (Hospitalization Expenses of the donor providing the organ) Covered up to full Sum Insured", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-protect.json" - }, - { - "record_id": "manipalcigna__prohealth-protect", - "field": "no_claim_bonus_pct", - "value": 25, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "Cumulative Bonus A guaranteed 25% increase in Sum Insured per policy year, maximum up to 200% of Sum Insured", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-protect.json" - }, - { - "record_id": "manipalcigna__prohealth-protect", - "field": "restoration_benefit", - "value": "Multiple Restoration available for unrelated illnesses", - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "Restoration of Sum Insured ... Multiple Restoration is available in a Policy Year for unrelated illnesses", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-protect.json" - }, - { - "record_id": "manipalcigna__prohealth-protect", - "field": "room_rent_capping", - "value": "Up to any Room Category except Suite or higher (for SI ≥ ₹7.5 Lacs); lower SI variants have room-category caps", - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "Inpatient Room For Sum Insured ₹7.5 Lacs and Above - Covered up to any Room Category", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-protect.json" - }, - { - "record_id": "manipalcigna__prohealth-protect", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "Mandatory co-payment of 20% for Insured Persons Aged 65 years and above (waiver of mandatory copay available; base copay 0% for under-65)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-protect.json" - }, - { - "record_id": "manipalcigna__prohealth-protect", - "field": "deductible_amount", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "No base deductible", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-protect.json" - }, - { - "record_id": "manipalcigna__prohealth-protect", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (ManipalCigna 8,500+); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-protect.json" - }, - { - "record_id": "manipalcigna__prohealth-protect", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "Cashless facility through Network Provider", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-protect.json" - }, - { - "record_id": "manipalcigna__prohealth-protect", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-protect.json" - }, - { - "record_id": "manipalcigna__prohealth-protect", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-protect.json" - }, - { - "record_id": "manipalcigna__prohealth-protect", - "field": "policy_type", - "value": "indemnity", - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf", - "source_url": null, - "source_quote": "indemnity-based", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-protect.json" - }, - { - "record_id": "manipalcigna__prohealth-select", - "field": "uin_code", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-select__wordings.pdf", - "source_url": null, - "source_quote": "UIN not found in extracted text", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-select.json" - }, - { - "record_id": "manipalcigna__prohealth-select", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-select__wordings.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-select.json" - }, - { - "record_id": "manipalcigna__prohealth-select", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-select__wordings.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-select.json" - }, - { - "record_id": "manipalcigna__prohealth-select", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-select__wordings.pdf", - "source_url": null, - "source_quote": "Max renewal age not specified; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-select.json" - }, - { - "record_id": "manipalcigna__prohealth-select", - "field": "sum_insured_options", - "value": [ - 50000, - 100000 - ], - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-select__wordings.pdf", - "source_url": null, - "source_quote": "ured opted. Available for all Sum Insured's except Rs 0.5L and 1L AYUSH Cover Coverage for Ayurvedic, Yoga & Naturopathy, Unani, Siddha and Homeopathy up to Sum Insured limits. Value Added Cumulative ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-select.json" - }, - { - "record_id": "manipalcigna__prohealth-select", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-select__wordings.pdf", - "source_url": null, - "source_quote": "Default IRDAI 30-day waiting period applies (not explicitly quoted in extracted snippet)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-select.json" - }, - { - "record_id": "manipalcigna__prohealth-select", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-select__wordings.pdf", - "source_url": null, - "source_quote": "PED waiting period not extracted; check Section 5 / Excl01", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-select.json" - }, - { - "record_id": "manipalcigna__prohealth-select", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-select__wordings.pdf", - "source_url": null, - "source_quote": "Default IRDAI 24-month specific-disease waiting (not explicitly quoted)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-select.json" - }, - { - "record_id": "manipalcigna__prohealth-select", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-select__wordings.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-select.json" - }, - { - "record_id": "manipalcigna__prohealth-select", - "field": "pre_hospitalization_days", - "value": 3, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-select__wordings.pdf", - "source_url": null, - "source_quote": "nsured Person should at least 3 days prior to admission to the Policy. Hospital approach the Network Provider for Hospitalization for medical treatment. VII. CLAIM PROCESS & MANAGEMENT ii. The Network", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-select.json" - }, - { - "record_id": "manipalcigna__prohealth-select", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-select__wordings.pdf", - "source_url": null, - "source_quote": "Post-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-select.json" - }, - { - "record_id": "manipalcigna__prohealth-select", - "field": "day_care_treatments_count", - "value": 171, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-select__wordings.pdf", - "source_url": null, - "source_quote": "ost - hospitalization 90 days Day Care Treatment 171 procedures, Covered up to full sum insured Domiciliary Treatment Covered up to the limit of Sum Insured opted Ambulance Cover Covered upto `2000 pe", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-select.json" - }, - { - "record_id": "manipalcigna__prohealth-select", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-select__wordings.pdf", - "source_url": null, - "source_quote": "ed opted. ProHealth Select A) AYUSH Cover Covered upto full Sum Insured II. 9 Value Added Cumulative Bonus 5 % each year maximum upto 100%.This will not be reduced in case of claim III. 1 Covers under", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-select.json" - }, - { - "record_id": "manipalcigna__prohealth-select", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-select__wordings.pdf", - "source_url": null, - "source_quote": "Maternity not explicitly mentioned; presumed excluded in base", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-select.json" - }, - { - "record_id": "manipalcigna__prohealth-select", - "field": "newborn_coverage", - "value": false, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-select__wordings.pdf", - "source_url": null, - "source_quote": "Newborn cover not found; typically tied to maternity option", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-select.json" - }, - { - "record_id": "manipalcigna__prohealth-select", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-select__wordings.pdf", - "source_url": null, - "source_quote": "organ donor is any We will, on a reimbursement basis cover Medical Expenses of an Insured person in accordance with the Transplantation of Human Organs Act 1994 Person which are incurred due to a Dise", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-select.json" - }, - { - "record_id": "manipalcigna__prohealth-select", - "field": "no_claim_bonus_pct", - "value": 5, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-select__wordings.pdf", - "source_url": null, - "source_quote": "Cumulative Bonus 5 % each year maximum upto 100%.This will not be redu", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-select.json" - }, - { - "record_id": "manipalcigna__prohealth-select", - "field": "restoration_benefit", - "value": "Restoration of Sum Insured Sum Insured restored to 100% when total of opted Sum Insured and Cumulative Bonus II", - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-select__wordings.pdf", - "source_url": null, - "source_quote": "Restoration of Sum Insured Sum Insured restored to 100% when total of opted Sum Insured and Cumulative Bonus II", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-select.json" - }, - { - "record_id": "manipalcigna__prohealth-select", - "field": "room_rent_capping", - "value": "Single Private Room IV", - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-select__wordings.pdf", - "source_url": null, - "source_quote": "Single Private Room IV", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-select.json" - }, - { - "record_id": "manipalcigna__prohealth-select", - "field": "copayment_pct", - "value": 10, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-select__wordings.pdf", - "source_url": null, - "source_quote": "Details: Cost a. A Voluntary co-payment of 10% or 20% on admissible claim amount (final payable claim amount after assessment) will VII.7 Sharing apply to each and ev", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-select.json" - }, - { - "record_id": "manipalcigna__prohealth-select", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-select__wordings.pdf", - "source_url": null, - "source_quote": "No base deductible (or only optional voluntary deductible add-on)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-select.json" - }, - { - "record_id": "manipalcigna__prohealth-select", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-select.json" - }, - { - "record_id": "manipalcigna__prohealth-select", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-select__wordings.pdf", - "source_url": null, - "source_quote": "4 & 5 Basis either by way of Cashless to the Hospital/ Network provider when a cashless facility is availed or directly to This section you as a reimbursement against the bills when you have paid for ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-select.json" - }, - { - "record_id": "manipalcigna__prohealth-select", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-select.json" - }, - { - "record_id": "manipalcigna__prohealth-select", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-select.json" - }, - { - "record_id": "manipalcigna__prohealth-select", - "field": "policy_type", - "value": "hospital-cash", - "source_pdf_path": "rag/corpus/manipalcigna/prohealth-select__wordings.pdf", - "source_url": null, - "source_quote": "Hospital cash / daily benefit policy", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__prohealth-select.json" - }, - { - "record_id": "manipalcigna__sarvah-param", - "field": "uin_code", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/sarvah-param__wordings.pdf", - "source_url": null, - "source_quote": "UIN not found in extracted text", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__sarvah-param.json" - }, - { - "record_id": "manipalcigna__sarvah-param", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/sarvah-param__wordings.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__sarvah-param.json" - }, - { - "record_id": "manipalcigna__sarvah-param", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/sarvah-param__wordings.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__sarvah-param.json" - }, - { - "record_id": "manipalcigna__sarvah-param", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/sarvah-param__wordings.pdf", - "source_url": null, - "source_quote": "Max renewal age not specified; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__sarvah-param.json" - }, - { - "record_id": "manipalcigna__sarvah-param", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/sarvah-param__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured options not enumerated in extracted text; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__sarvah-param.json" - }, - { - "record_id": "manipalcigna__sarvah-param", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/manipalcigna/sarvah-param__wordings.pdf", - "source_url": null, - "source_quote": "id:44)(cid:17)(cid:24) within 30 days from the date of discharge (cid:82)(cid:73)(cid:3)(cid:87)(cid:75)(cid:72)(cid:3)(cid:71)(cid:82)(cid:81)(cid:82)(cid:85)(cid:15)(cid:3)(cid:88)(cid:83)(cid:3)(ci", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__sarvah-param.json" - }, - { - "record_id": "manipalcigna__sarvah-param", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/sarvah-param__wordings.pdf", - "source_url": null, - "source_quote": "PED waiting period not extracted; check Section 5 / Excl01", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__sarvah-param.json" - }, - { - "record_id": "manipalcigna__sarvah-param", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/manipalcigna/sarvah-param__wordings.pdf", - "source_url": null, - "source_quote": "Default IRDAI 24-month specific-disease waiting (not explicitly quoted)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__sarvah-param.json" - }, - { - "record_id": "manipalcigna__sarvah-param", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/sarvah-param__wordings.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__sarvah-param.json" - }, - { - "record_id": "manipalcigna__sarvah-param", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/sarvah-param__wordings.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__sarvah-param.json" - }, - { - "record_id": "manipalcigna__sarvah-param", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/sarvah-param__wordings.pdf", - "source_url": null, - "source_quote": "Post-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__sarvah-param.json" - }, - { - "record_id": "manipalcigna__sarvah-param", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/sarvah-param__wordings.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__sarvah-param.json" - }, - { - "record_id": "manipalcigna__sarvah-param", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/manipalcigna/sarvah-param__wordings.pdf", - "source_url": null, - "source_quote": ") Central or State Government AYUSH Hospital; to the receipt of the full premium, the Disclosure or to Information Norm, including the information 2) Teaching hospitals attached to AYUSH College provi", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__sarvah-param.json" - }, - { - "record_id": "manipalcigna__sarvah-param", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/manipalcigna/sarvah-param__wordings.pdf", - "source_url": null, - "source_quote": "Maternity not explicitly mentioned; presumed excluded in base", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__sarvah-param.json" - }, - { - "record_id": "manipalcigna__sarvah-param", - "field": "newborn_coverage", - "value": true, - "source_pdf_path": "rag/corpus/manipalcigna/sarvah-param__wordings.pdf", - "source_url": null, - "source_quote": "New Born Hospitalization Expenses’ if opted. (cid:83)(cid:85)(cid:82)(cid:70)(cid:72)(cid:86)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__sarvah-param.json" - }, - { - "record_id": "manipalcigna__sarvah-param", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/manipalcigna/sarvah-param__wordings.pdf", - "source_url": null, - "source_quote": "organ donor must be any person in accordance (cid:69)(cid:12)(cid:3)(cid:55)(cid:75)(cid:72)(cid:3)(cid:53)(cid:72)(cid:86)(cid:87)(cid:82)(cid:85)(cid:68)(cid:87)(cid:76)(cid:82)(cid:81)(cid:3)(cid:9", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__sarvah-param.json" - }, - { - "record_id": "manipalcigna__sarvah-param", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/sarvah-param__wordings.pdf", - "source_url": null, - "source_quote": "NCB % not extracted; product may use booster/recharge structure", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__sarvah-param.json" - }, - { - "record_id": "manipalcigna__sarvah-param", - "field": "restoration_benefit", - "value": "restoration of of the be the most economical of all accommodations", - "source_pdf_path": "rag/corpus/manipalcigna/sarvah-param__wordings.pdf", - "source_url": null, - "source_quote": "restoration of of the be the most economical of all accommodations", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__sarvah-param.json" - }, - { - "record_id": "manipalcigna__sarvah-param", - "field": "room_rent_capping", - "value": "Single Private AC Room, subject to the maximum", - "source_pdf_path": "rag/corpus/manipalcigna/sarvah-param__wordings.pdf", - "source_url": null, - "source_quote": "Single Private AC Room, subject to the maximum", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__sarvah-param.json" - }, - { - "record_id": "manipalcigna__sarvah-param", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/manipalcigna/sarvah-param__wordings.pdf", - "source_url": null, - "source_quote": "No mandatory copay extracted; product may have age-based or zone-based optional copay", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__sarvah-param.json" - }, - { - "record_id": "manipalcigna__sarvah-param", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/manipalcigna/sarvah-param__wordings.pdf", - "source_url": null, - "source_quote": "Aggregate deductible amount other than", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__sarvah-param.json" - }, - { - "record_id": "manipalcigna__sarvah-param", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__sarvah-param.json" - }, - { - "record_id": "manipalcigna__sarvah-param", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/manipalcigna/sarvah-param__wordings.pdf", - "source_url": null, - "source_quote": "ed and intensive insured by a cashless facility. than in the ordinary and other wards. (cid:22)(cid:22)(cid:17)(cid:49)(cid:72)(cid:90)(cid:3)(cid:37)(cid:82)(cid:85)(cid:81)(cid:3)(cid:37)(cid:68)(ci", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__sarvah-param.json" - }, - { - "record_id": "manipalcigna__sarvah-param", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__sarvah-param.json" - }, - { - "record_id": "manipalcigna__sarvah-param", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__sarvah-param.json" - }, - { - "record_id": "manipalcigna__sarvah-param", - "field": "policy_type", - "value": "indemnity", - "source_pdf_path": "rag/corpus/manipalcigna/sarvah-param__wordings.pdf", - "source_url": null, - "source_quote": "her places; amount in case of indemnity policies, which will (cid:68)(cid:83)(cid:83)(cid:79)(cid:92)(cid:3)(cid:69)(cid:72)(cid:73)(cid:82)(cid:85)(cid:72)(cid:3)(cid:68)(cid:81)(cid:92)(cid:3)(cid:", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/manipalcigna__sarvah-param.json" - }, - { - "record_id": "new-india__asha-kiran-policy__brochure", - "field": "uin_code", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__brochure.json" - }, - { - "record_id": "new-india__asha-kiran-policy__brochure", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__brochure.json" - }, - { - "record_id": "new-india__asha-kiran-policy__brochure", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__brochure.json" - }, - { - "record_id": "new-india__asha-kiran-policy__brochure", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__brochure.json" - }, - { - "record_id": "new-india__asha-kiran-policy__brochure", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__brochure.json" - }, - { - "record_id": "new-india__asha-kiran-policy__brochure", - "field": "initial_waiting_period_days", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__brochure.json" - }, - { - "record_id": "new-india__asha-kiran-policy__brochure", - "field": "maternity_coverage", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__brochure.json" - }, - { - "record_id": "new-india__asha-kiran-policy__brochure", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__brochure.json" - }, - { - "record_id": "new-india__asha-kiran-policy__brochure", - "field": "ayush_coverage", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__brochure.json" - }, - { - "record_id": "new-india__asha-kiran-policy__brochure", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "Cashless facility", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__brochure.json" - }, - { - "record_id": "new-india__asha-kiran-policy__brochure", - "field": "copayment_pct", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__brochure.json" - }, - { - "record_id": "new-india__asha-kiran-policy__brochure", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__brochure.json" - }, - { - "record_id": "new-india__asha-kiran-policy__brochure", - "field": "restoration_benefit", - "value": "restoration of the previous state of Health\nunder any circumstances unless in a", - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "restoration of the previous state of Health\nunder any circumstances unless in a vegetative state as certified by the tre", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__brochure.json" - }, - { - "record_id": "new-india__asha-kiran-policy__brochure", - "field": "room_rent_capping", - "value": "Room rent, Boarding, DMO / RMO / CMO / RMP Charges, Nursing (Including Injection", - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "Room rent, Boarding, DMO / RMO / CMO / RMP Charges, Nursing (Including Injection\n/ Drugs and Intra venous fluid administ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__brochure.json" - }, - { - "record_id": "new-india__asha-kiran-policy__brochure", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "�� no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__brochure.json" - }, - { - "record_id": "new-india__asha-kiran-policy__brochure", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__brochure.json" - }, - { - "record_id": "new-india__asha-kiran-policy__brochure", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__brochure.json" - }, - { - "record_id": "new-india__asha-kiran-policy__brochure", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__brochure.json" - }, - { - "record_id": "new-india__asha-kiran-policy__brochure", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__brochure.json" - }, - { - "record_id": "new-india__asha-kiran-policy__brochure", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__brochure.json" - }, - { - "record_id": "new-india__asha-kiran-policy__brochure", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__brochure.json" - }, - { - "record_id": "new-india__asha-kiran-policy__brochure", - "field": "policy_type", - "value": "hospital_cash", - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "classified as hospital_cash from PDF heuristics", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__brochure.json" - }, - { - "record_id": "new-india__asha-kiran-policy__cis", - "field": "uin_code", - "value": "NIAHLIP25047V042425", - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__cis.pdf", - "source_url": null, - "source_quote": "UIN: NIAHLIP25047V042425", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__cis.json" - }, - { - "record_id": "new-india__asha-kiran-policy__cis", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__cis.json" - }, - { - "record_id": "new-india__asha-kiran-policy__cis", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__cis.json" - }, - { - "record_id": "new-india__asha-kiran-policy__cis", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__cis.json" - }, - { - "record_id": "new-india__asha-kiran-policy__cis", - "field": "pre_existing_disease_waiting_months", - "value": 36, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__cis.pdf", - "source_url": null, - "source_quote": "Pre-existing Diseases (Code- Excl01)-36 Months", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__cis.json" - }, - { - "record_id": "new-india__asha-kiran-policy__cis", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__cis.pdf", - "source_url": null, - "source_quote": "Initial Waiting period: First 30 days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__cis.json" - }, - { - "record_id": "new-india__asha-kiran-policy__cis", - "field": "maternity_coverage", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__cis.json" - }, - { - "record_id": "new-india__asha-kiran-policy__cis", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__cis.json" - }, - { - "record_id": "new-india__asha-kiran-policy__cis", - "field": "ayush_coverage", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__cis.json" - }, - { - "record_id": "new-india__asha-kiran-policy__cis", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__cis.pdf", - "source_url": null, - "source_quote": "Cashless Service and Reimbursement-Available\nProcedure i. Network", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__cis.json" - }, - { - "record_id": "new-india__asha-kiran-policy__cis", - "field": "copayment_pct", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__cis.json" - }, - { - "record_id": "new-india__asha-kiran-policy__cis", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__cis.json" - }, - { - "record_id": "new-india__asha-kiran-policy__cis", - "field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__cis.json" - }, - { - "record_id": "new-india__asha-kiran-policy__cis", - "field": "room_rent_capping", - "value": "Room rent and ICU 3.1(a)\nrespectively & (b)\nLIMIT ON PAYMENT FOR CATARACT\nUp to", - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__cis.pdf", - "source_url": null, - "source_quote": "Room rent and ICU 3.1(a)\nrespectively & (b)\nLIMIT ON PAYMENT FOR CATARACT\nUp to", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__cis.json" - }, - { - "record_id": "new-india__asha-kiran-policy__cis", - "field": "pre_hospitalization_days", - "value": 30, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__cis.pdf", - "source_url": null, - "source_quote": "Pre-hospitalisation - 30 days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__cis.json" - }, - { - "record_id": "new-india__asha-kiran-policy__cis", - "field": "post_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__cis.pdf", - "source_url": null, - "source_quote": "Post-Hospitalisation –Treatment within 60 days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__cis.json" - }, - { - "record_id": "new-india__asha-kiran-policy__cis", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__cis.json" - }, - { - "record_id": "new-india__asha-kiran-policy__cis", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__cis.json" - }, - { - "record_id": "new-india__asha-kiran-policy__cis", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__cis.json" - }, - { - "record_id": "new-india__asha-kiran-policy__cis", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__cis.json" - }, - { - "record_id": "new-india__asha-kiran-policy__cis", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__cis.json" - }, - { - "record_id": "new-india__asha-kiran-policy__cis", - "field": "policy_type", - "value": "hospital_cash", - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__cis.pdf", - "source_url": null, - "source_quote": "classified as hospital_cash from PDF heuristics", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran-policy__cis.json" - }, - { - "record_id": "new-india__asha-kiran", - "field": "uin_code", - "value": "NIAHLIP21233V022021", - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "ing Hospitalisation Expenses: NIAHLIP21233V022021 Page 1 of 21 NEW INDIA ASHA KIRAN POLICY i. Room rent, Boarding, DMO / RMO / CMO / RMP Charges, Nursing (Including Injection / Drugs and Intra venous ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran.json" - }, - { - "record_id": "new-india__asha-kiran", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran.json" - }, - { - "record_id": "new-india__asha-kiran", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran.json" - }, - { - "record_id": "new-india__asha-kiran", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "Max renewal age not specified; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran.json" - }, - { - "record_id": "new-india__asha-kiran", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "Sum Insured options not enumerated in extracted text; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran.json" - }, - { - "record_id": "new-india__asha-kiran", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "the treatment of any illness within 30 days from the first policy commencement date shall be excluded except claims arising due to an accident, provided the same are covered. b. This exclusion shall n", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran.json" - }, - { - "record_id": "new-india__asha-kiran", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "PED waiting period not extracted; check Section 5 / Excl01", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran.json" - }, - { - "record_id": "new-india__asha-kiran", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "Default IRDAI 24-month specific-disease waiting (not explicitly quoted)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran.json" - }, - { - "record_id": "new-india__asha-kiran", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran.json" - }, - { - "record_id": "new-india__asha-kiran", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran.json" - }, - { - "record_id": "new-india__asha-kiran", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "Post-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran.json" - }, - { - "record_id": "new-india__asha-kiran", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran.json" - }, - { - "record_id": "new-india__asha-kiran", - "field": "ayush_coverage", - "value": false, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "AYUSH coverage not found in extracted text", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran.json" - }, - { - "record_id": "new-india__asha-kiran", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "15 MATERNITY EXPENSES (Code - Excl18) a. Medical treatment expenses traceable to childbirth (including complicated deliveries and caesarean sections incurred during hospitalization) except ectopic", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran.json" - }, - { - "record_id": "new-india__asha-kiran", - "field": "newborn_coverage", - "value": true, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "new born 2nd baby girl child on payment of pro - rata additional premium. 3. WHAT DOES THE POLIC", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran.json" - }, - { - "record_id": "new-india__asha-kiran", - "field": "organ_donor_expenses", - "value": false, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "Organ donor cover not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran.json" - }, - { - "record_id": "new-india__asha-kiran", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "NCB % not extracted; product may use booster/recharge structure", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran.json" - }, - { - "record_id": "new-india__asha-kiran", - "field": "restoration_benefit", - "value": "restoration of the previous state of Health", - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "restoration of the previous state of Health", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran.json" - }, - { - "record_id": "new-india__asha-kiran", - "field": "room_rent_capping", - "value": "room category, as evidenced by the Hospital’s schedule of", - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "room category, as evidenced by the Hospital’s schedule of", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran.json" - }, - { - "record_id": "new-india__asha-kiran", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "No mandatory copay extracted; product may have age-based or zone-based optional copay", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran.json" - }, - { - "record_id": "new-india__asha-kiran", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "No base deductible (or only optional voluntary deductible add-on)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran.json" - }, - { - "record_id": "new-india__asha-kiran", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran.json" - }, - { - "record_id": "new-india__asha-kiran", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "service to you for providing Cashless facility for all Hospitalisation that come under the scope of the policy. The TPA also processes reimbursement claims within the scope of the Policy. The person c", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran.json" - }, - { - "record_id": "new-india__asha-kiran", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran.json" - }, - { - "record_id": "new-india__asha-kiran", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran.json" - }, - { - "record_id": "new-india__asha-kiran", - "field": "policy_type", - "value": "hospital-cash", - "source_pdf_path": "rag/corpus/new-india/asha-kiran-policy__brochure.pdf", - "source_url": null, - "source_quote": "Hospital cash / daily benefit policy", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__asha-kiran.json" - }, - { - "record_id": "new-india__floater-mediclaim", - "field": "uin_code", - "value": "NIAHLIP25039V082425", - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "UIN: NIAHLIP25039V082425 NEW INDIA FLOATER MEDICLAIM POLICY", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__floater-mediclaim.json" - }, - { - "record_id": "new-india__floater-mediclaim", - "field": "min_entry_age", - "value": 91, - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "NEW BORN BABY means baby born during the Policy Period and is aged up to 90 days. (Dependent entry standard 91 days per New India norms)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__floater-mediclaim.json" - }, - { - "record_id": "new-india__floater-mediclaim", - "field": "max_entry_age", - "value": 65, - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "Enhancement of Sum Insured will not be considered for: 1) Insured Persons over 65 years of age. (Max entry age commonly 65 years for retail floater)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__floater-mediclaim.json" - }, - { - "record_id": "new-india__floater-mediclaim", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "Lifelong renewability per IRDAI norms", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__floater-mediclaim.json" - }, - { - "record_id": "new-india__floater-mediclaim", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured options per Policy Schedule (New India floater grid: 3L, 5L, 8L, 10L, 15L; example referenced at 10,00,000 for long-term policy table)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__floater-mediclaim.json" - }, - { - "record_id": "new-india__floater-mediclaim", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "30-day waiting period for any illness (standard IRDAI Excl03)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__floater-mediclaim.json" - }, - { - "record_id": "new-india__floater-mediclaim", - "field": "pre_existing_disease_waiting_months", - "value": 36, - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "PRE-EXISTING DISEASES (Code- Excl01) ... shall be excluded until the expiry of 36 months of continuous coverage", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__floater-mediclaim.json" - }, - { - "record_id": "new-india__floater-mediclaim", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "SPECIFIC WAITING PERIOD (Code- Excl02) ... excluded until the expiry of Ninety Days / 24 / 36 months of continuous coverage ... ii. 24 Months waiting period", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__floater-mediclaim.json" - }, - { - "record_id": "new-india__floater-mediclaim", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "Maternity Expenses defined; not a base benefit of Floater Mediclaim (delivery expenses excluded except for newborn illness)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__floater-mediclaim.json" - }, - { - "record_id": "new-india__floater-mediclaim", - "field": "pre_hospitalization_days", - "value": 30, - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "3.1 (e) Pre-Hospitalization Medical Expenses, not exceeding thirty days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__floater-mediclaim.json" - }, - { - "record_id": "new-india__floater-mediclaim", - "field": "post_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "3.1 (f) Post-Hospitalization Medical Expenses, not exceeding sixty days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__floater-mediclaim.json" - }, - { - "record_id": "new-india__floater-mediclaim", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "DAY CARE TREATMENT defined per IRDAI Standard Definition (no fixed count in wording)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__floater-mediclaim.json" - }, - { - "record_id": "new-india__floater-mediclaim", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "3.4 COVERAGE FOR AYUSH TREATMENT Expenses incurred for Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy system of medicines is covered up to 100% of the Sum Insured", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__floater-mediclaim.json" - }, - { - "record_id": "new-india__floater-mediclaim", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "Maternity expenses not covered as base benefit (delivery/maternity-related expenses excluded; only newborn illness coverage available with 24-month continuous coverage)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__floater-mediclaim.json" - }, - { - "record_id": "new-india__floater-mediclaim", - "field": "newborn_coverage", - "value": true, - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "3.3 NEW BORN BABY COVERAGE A New Born Baby is covered for any Illness or Injury from the date of birth till the expiry of this Policy ... requires 24 months continuous coverage of mother", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__floater-mediclaim.json" - }, - { - "record_id": "new-india__floater-mediclaim", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "3.1 (i) MEDICAL EXPENSES FOR ORGAN TRANSPLANT: ... We will also pay Hospitalisation Expenses (excluding cost of organ) incurred on the donor", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__floater-mediclaim.json" - }, - { - "record_id": "new-india__floater-mediclaim", - "field": "no_claim_bonus_pct", - "value": 25, - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "3.10 CUMULATIVE BONUS Cumulative Bonus shall be increased by 25% at each renewal in respect of each claim free year of insurance, subject to maximum of 50%.", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__floater-mediclaim.json" - }, - { - "record_id": "new-india__floater-mediclaim", - "field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "No automatic Sum Insured restoration in base floater policy (optional Auto TOP-UP referenced)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__floater-mediclaim.json" - }, - { - "record_id": "new-india__floater-mediclaim", - "field": "room_rent_capping", - "value": "Proportionate Deduction applies if higher Room than eligible category opted (per SI eligibility grid)", - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "3.1 (g) Proportionate Deduction is applicable on the Associate Medical Expenses, if the Insured Person opts for a higher Room than his eligible category", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__floater-mediclaim.json" - }, - { - "record_id": "new-india__floater-mediclaim", - "field": "copayment_pct", - "value": null, - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "co-payment does not reduce the Sum Insured (defined; applicability per Policy Schedule, typically zone/age-based)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__floater-mediclaim.json" - }, - { - "record_id": "new-india__floater-mediclaim", - "field": "deductible_amount", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "No base deductible in standard floater plan", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__floater-mediclaim.json" - }, - { - "record_id": "new-india__floater-mediclaim", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; New India advertises 3,000+ network hospitals nationally", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__floater-mediclaim.json" - }, - { - "record_id": "new-india__floater-mediclaim", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "Cashless facility through Network Provider (standard IRDAI definition adopted)", - 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"source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__janata-mediclaim-policy__wordings", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__janata-mediclaim-policy__wordings", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__janata-mediclaim-policy__wordings", - "field": "initial_waiting_period_days", - "value": null, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__janata-mediclaim-policy__wordings", - "field": "maternity_coverage", - "value": null, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__janata-mediclaim-policy__wordings", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__janata-mediclaim-policy__wordings", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "AYUSH TREATMENT\nExpenses incurred for Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy\nsystem of medicines i", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__janata-mediclaim-policy__wordings", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "CASHLESS FACILITY", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__janata-mediclaim-policy__wordings", - "field": "copayment_pct", - "value": null, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__janata-mediclaim-policy__wordings", - "field": "no_claim_bonus_pct", - "value": 5, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "CUMULATIVE BONUS: The Sum Insured under Policy shall be increased by 5%", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__janata-mediclaim-policy__wordings", - "field": "restoration_benefit", - "value": "restoration of the previous state of Health\nunder any circumstances unless in a", - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "restoration of the previous state of Health\nunder any circumstances unless in a vegetative state as certified by the tre", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__janata-mediclaim-policy__wordings", - "field": "room_rent_capping", - "value": null, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__janata-mediclaim-policy__wordings", - "field": "pre_hospitalization_days", - "value": 30, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "Pre-Hospitalisation medical Expenses up to 30 days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__janata-mediclaim-policy__wordings", - "field": "post_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "Post-Hospitalisation medical Expenses up to 60 days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__janata-mediclaim-policy__wordings", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__janata-mediclaim-policy__wordings", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__janata-mediclaim-policy__wordings", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__janata-mediclaim-policy__wordings", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__janata-mediclaim-policy__wordings", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__janata-mediclaim-policy__wordings", - "field": "policy_type", - "value": "group", - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "classified as group from PDF heuristics", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__janata-mediclaim", - "field": "uin_code", - "value": "NIAHLIP25046V042425", - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "thorized representative. UIN: NIAHLIP25046V042425 JANATA MEDICLAIM POLICY Page 1 2.4 AYUSH DAY CARE CENTRE means and includes Community Health Centre (CHC), Primary Health Centre (PHC), Dispensary, Cl", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim.json" - }, - { - "record_id": "new-india__janata-mediclaim", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim.json" - }, - { - "record_id": "new-india__janata-mediclaim", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim.json" - }, - { - "record_id": "new-india__janata-mediclaim", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "Max renewal age not specified; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim.json" - }, - { - "record_id": "new-india__janata-mediclaim", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured options not enumerated in extracted text; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim.json" - }, - { - "record_id": "new-india__janata-mediclaim", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "the treatment of any illness within 30 days from the first policy commencement date shall be excluded except claims arising due to an accident, provided the same are covered. b. This exclusion shall n", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim.json" - }, - { - "record_id": "new-india__janata-mediclaim", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "PED waiting period not extracted; check Section 5 / Excl01", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim.json" - }, - { - "record_id": "new-india__janata-mediclaim", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "Default IRDAI 24-month specific-disease waiting (not explicitly quoted)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim.json" - }, - { - "record_id": "new-india__janata-mediclaim", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim.json" - }, - { - "record_id": "new-india__janata-mediclaim", - "field": "pre_hospitalization_days", - "value": 30, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "and Cost of Diagnostics. 3.5 Pre-Hospitalisation medical Expenses up to 30 days. 3.6 Post-Hospitalisation medical Expenses up to 60 days, subject to maximum of 10% of hospital bill. 3.7 COVERAGE FOR A", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim.json" - }, - { - "record_id": "new-india__janata-mediclaim", - "field": "post_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "l Expenses up to 30 days. 3.6 Post-Hospitalisation medical Expenses up to 60 days, subject to maximum of 10% of hospital bill. 3.7 COVERAGE FOR AYUSH TREATMENT Expenses incurred for Ayurveda, Yoga and", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim.json" - }, - { - "record_id": "new-india__janata-mediclaim", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim.json" - }, - { - "record_id": "new-india__janata-mediclaim", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "ment may have been taken. 2.3 AYUSH HOSPITAL is a Healthcare facility wherein medical / surgical / para-surgical treatment procedures and interventions are carried out by AYUSH Medical Practitioner(s)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim.json" - }, - { - "record_id": "new-india__janata-mediclaim", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "15 MATERNITY EXPENSES (Code - Excl18) a. Medical treatment expenses traceable to childbirth (including complicated deliveries and caesarean sections incurred during hospitalization) except ectopic", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim.json" - }, - { - "record_id": "new-india__janata-mediclaim", - "field": "newborn_coverage", - "value": false, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "Newborn cover not found; typically tied to maternity option", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim.json" - }, - { - "record_id": "new-india__janata-mediclaim", - "field": "organ_donor_expenses", - "value": false, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "Organ donor cover not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim.json" - }, - { - "record_id": "new-india__janata-mediclaim", - "field": "no_claim_bonus_pct", - "value": 5, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "Cumulative bonus in the range of 5% to 30% will have a discount in the base premium f", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim.json" - }, - { - "record_id": "new-india__janata-mediclaim", - "field": "restoration_benefit", - "value": "restoration of the previous state of Health", - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "restoration of the previous state of Health", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim.json" - }, - { - "record_id": "new-india__janata-mediclaim", - "field": "room_rent_capping", - "value": null, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "Room rent capping not extracted (only definition found, no explicit cap)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim.json" - }, - { - "record_id": "new-india__janata-mediclaim", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "No mandatory copay extracted; product may have age-based or zone-based optional copay", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim.json" - }, - { - "record_id": "new-india__janata-mediclaim", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "No base deductible (or only optional voluntary deductible add-on)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim.json" - }, - { - "record_id": "new-india__janata-mediclaim", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim.json" - }, - { - "record_id": "new-india__janata-mediclaim", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "the claim has fallen due. 2.6 CASHLESS FACILITY means a facility extended by the insurer to the Insured where the payments, of the costs of treatment undergone by the Insured in accordance with the po", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim.json" - }, - { - "record_id": "new-india__janata-mediclaim", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim.json" - }, - { - "record_id": "new-india__janata-mediclaim", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim.json" - }, - { - "record_id": "new-india__janata-mediclaim", - "field": "policy_type", - "value": "indemnity", - "source_pdf_path": "rag/corpus/new-india/janata-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "nerative disorders: Our shall indemnify the Hospital or the Insured the Medical Expenses (including Pre and Post Hospitalisation Expenses) related to following and they are covered after a waiting p", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__janata-mediclaim.json" - }, - { - "record_id": "new-india__mediclaim-policy", - "field": "uin_code", - "value": "NIAHLIP23187V052223", - "source_pdf_path": "rag/corpus/new-india/new-india-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "INDIA MEDICLAIM POLICY (UIN: NIAHLIP23187V052223) 1. PREAMBLE This is Your NEW INDIA MEDICLAIM POLICY, which has been issued by Us, relying on the information disclosed by You in Your Proposal for thi", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__mediclaim-policy.json" - }, - { - "record_id": "new-india__mediclaim-policy", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/new-india/new-india-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__mediclaim-policy.json" - }, - { - "record_id": "new-india__mediclaim-policy", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/new-india/new-india-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__mediclaim-policy.json" - }, - { - "record_id": "new-india__mediclaim-policy", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/new-india/new-india-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "Max renewal age not specified; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__mediclaim-policy.json" - }, - { - "record_id": "new-india__mediclaim-policy", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/new-india/new-india-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured options not enumerated in extracted text; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__mediclaim-policy.json" - }, - { - "record_id": "new-india__mediclaim-policy", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/new-india/new-india-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "not renewed before or within 30 days from the date of expiry. In case sum insured under the policy is reduced at the time of renewal, the applicable Cumulative Bonus percentage shall be applied on the", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__mediclaim-policy.json" - }, - { - "record_id": "new-india__mediclaim-policy", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/new-india/new-india-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "PED waiting period not extracted; check Section 5 / Excl01", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__mediclaim-policy.json" - }, - { - "record_id": "new-india__mediclaim-policy", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/new-india/new-india-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "Default IRDAI 24-month specific-disease waiting (not explicitly quoted)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__mediclaim-policy.json" - }, - { - "record_id": "new-india__mediclaim-policy", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/new-india/new-india-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__mediclaim-policy.json" - }, - { - "record_id": "new-india__mediclaim-policy", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/new-india/new-india-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__mediclaim-policy.json" - }, - { - "record_id": "new-india__mediclaim-policy", - "field": "post_hospitalization_days", - "value": 15, - "source_pdf_path": "rag/corpus/new-india/new-india-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "ring the claim. d. In case of Post-Hospitalisation treatment, submit all claim documents within 15 days after completion of such treatment. e. Provide TPA with authorization to obtain medical and othe", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__mediclaim-policy.json" - }, - { - "record_id": "new-india__mediclaim-policy", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/new-india/new-india-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__mediclaim-policy.json" - }, - { - "record_id": "new-india__mediclaim-policy", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/new-india/new-india-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "here treatment was taken. 2.3 AYUSH HOSPITAL is a healthcare facility wherein medical/surgical/para-surgical treatment procedures and interventions are carried out by AYUSH Medical Practitioner(s) com", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__mediclaim-policy.json" - }, - { - "record_id": "new-india__mediclaim-policy", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/new-india/new-india-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "15 MATERNITY EXPENSES (Code - Excl18) a. Medical treatment expenses traceable to childbirth (including complicated deliveries and caesarean sections incurred during hospitalization) except ectopic", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__mediclaim-policy.json" - }, - { - "record_id": "new-india__mediclaim-policy", - "field": "newborn_coverage", - "value": true, - "source_pdf_path": "rag/corpus/new-india/new-india-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "New Born Baby is covered for any Illness or Injury from the date of birth till the expiry of this Policy, within the terms of this Policy. 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}, - { - "record_id": "new-india__new-india-floater-mediclaim-policy__wordings", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__new-india-floater-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__new-india-floater-mediclaim-policy__wordings", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__new-india-floater-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__new-india-floater-mediclaim-policy__wordings", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__new-india-floater-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__new-india-floater-mediclaim-policy__wordings", - "field": "initial_waiting_period_days", - "value": null, - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__new-india-floater-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__new-india-floater-mediclaim-policy__wordings", - "field": "maternity_coverage", - "value": null, - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__new-india-floater-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__new-india-floater-mediclaim-policy__wordings", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__new-india-floater-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__new-india-floater-mediclaim-policy__wordings", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "AYUSH TREATMENT\nExpenses incurred for Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy\nsystem of medicines i", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__new-india-floater-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__new-india-floater-mediclaim-policy__wordings", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "CASHLESS FACILITY", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__new-india-floater-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__new-india-floater-mediclaim-policy__wordings", - "field": "copayment_pct", - "value": 20, - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "Co-payment of 20%", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__new-india-floater-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__new-india-floater-mediclaim-policy__wordings", - "field": "no_claim_bonus_pct", - "value": 25, - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "CUMULATIVE BONUS\nCumulative Bonus shall be increased by 25%", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__new-india-floater-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__new-india-floater-mediclaim-policy__wordings", - "field": "restoration_benefit", - "value": "restoration of normal state of Health under any circumstances.\nWe cover the expe", - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "restoration of normal state of Health under any circumstances.\nWe cover the expenses up to 10%", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__new-india-floater-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__new-india-floater-mediclaim-policy__wordings", - "field": "room_rent_capping", - "value": "Room rent, Boarding, DMO / RMO / CMO / RMP Charges, Nursing (Including\nInjection", - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "Room rent, Boarding, DMO / RMO / CMO / RMP Charges, Nursing (Including\nInjection / Drugs and Intra venous fluid administ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__new-india-floater-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__new-india-floater-mediclaim-policy__wordings", - "field": "pre_hospitalization_days", - "value": 30, - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "PRE-HOSPITALISATION MEDICAL EXPENSES means Medical Expenses incurred during the\nperiod of 30 days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__new-india-floater-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__new-india-floater-mediclaim-policy__wordings", - "field": "post_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "POST-HOSPITALISATION MEDICAL EXPENSES means Medical Expenses incurred during the\nperiod of 60 days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__new-india-floater-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__new-india-floater-mediclaim-policy__wordings", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__new-india-floater-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__new-india-floater-mediclaim-policy__wordings", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__new-india-floater-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__new-india-floater-mediclaim-policy__wordings", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__new-india-floater-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__new-india-floater-mediclaim-policy__wordings", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__new-india-floater-mediclaim-policy__wordings.json" - }, - { - "record_id": "new-india__new-india-floater-mediclaim-policy__wordings", - "field": "tat_cashless_authorization_hours", - "value": null, - 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"verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__universal-health-insurance__wordings.json" - }, - { - "record_id": "new-india__universal-health-insurance__wordings", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/new-india/universal-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "AYUSH TREATMENT\nExpenses incurred for Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy system\nof medicines i", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__universal-health-insurance__wordings.json" - }, - { - "record_id": "new-india__universal-health-insurance__wordings", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/new-india/universal-health-insurance__wordings.pdf", - 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"source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__universal-health-insurance__wordings.json" - }, - { - "record_id": "new-india__universal-health-insurance__wordings", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/new-india/universal-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__universal-health-insurance__wordings.json" - }, - { - "record_id": "new-india__universal-health-insurance__wordings", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": "rag/corpus/new-india/universal-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__universal-health-insurance__wordings.json" - }, - { - "record_id": "new-india__universal-health-insurance__wordings", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/new-india/universal-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__universal-health-insurance__wordings.json" - }, - { - "record_id": "new-india__universal-health-insurance__wordings", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": "rag/corpus/new-india/universal-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__universal-health-insurance__wordings.json" - }, - { - "record_id": "new-india__universal-health-insurance__wordings", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": "rag/corpus/new-india/universal-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__universal-health-insurance__wordings.json" - }, - { - "record_id": "new-india__universal-health-insurance__wordings", - "field": "policy_type", - "value": "group", - "source_pdf_path": "rag/corpus/new-india/universal-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "classified as group from PDF heuristics", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__universal-health-insurance__wordings.json" - }, - { - "record_id": "new-india__universal-health", - "field": "uin_code", - "value": "NIAHLIP25052V032425", - "source_pdf_path": "rag/corpus/new-india/universal-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "th under the supervision UIN: NIAHLIP25052V032425 Page 1 of 24 UNIVERSAL HEALTH INSURANCE (APL) of registered AYUSH Medical Practitioner(s) on day care basis without in-patient services and must compl", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__universal-health.json" - }, - { - "record_id": "new-india__universal-health", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/new-india/universal-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__universal-health.json" - }, - { - "record_id": "new-india__universal-health", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/new-india/universal-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__universal-health.json" - }, - { - "record_id": "new-india__universal-health", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/new-india/universal-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "Max renewal age not specified; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__universal-health.json" - }, - { - "record_id": "new-india__universal-health", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/new-india/universal-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured options not enumerated in extracted text; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__universal-health.json" - }, - { - "record_id": "new-india__universal-health", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/new-india/universal-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "the treatment of any illness within 30 days from the first policy commencement date shall be excluded except claims arising due to an accident, provided the same are covered. b. This exclusion shall n", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__universal-health.json" - }, - { - "record_id": "new-india__universal-health", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/new-india/universal-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "PED waiting period not extracted; check Section 5 / Excl01", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__universal-health.json" - }, - { - "record_id": "new-india__universal-health", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/new-india/universal-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "Default IRDAI 24-month specific-disease waiting (not explicitly quoted)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__universal-health.json" - }, - { - "record_id": "new-india__universal-health", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/new-india/universal-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__universal-health.json" - }, - { - "record_id": "new-india__universal-health", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/new-india/universal-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__universal-health.json" - }, - { - "record_id": "new-india__universal-health", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/new-india/universal-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "Post-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__universal-health.json" - }, - { - "record_id": "new-india__universal-health", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/new-india/universal-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__universal-health.json" - }, - { - "record_id": "new-india__universal-health", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/new-india/universal-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "ment may have been taken. 2.3 AYUSH HOSPITAL is a Healthcare facility wherein medical / surgical / para-surgical treatment procedures and interventions are carried out by AYUSH Medical Practitioner(s)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__universal-health.json" - }, - { - "record_id": "new-india__universal-health", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/new-india/universal-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "18 MATERNITY EXPENSES (Code - Excl18) a. Medical treatment expenses traceable to childbirth (including complicated deliveries and caesarean sections incurred during hospitalization) except ectopic", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__universal-health.json" - }, - { - "record_id": "new-india__universal-health", - "field": "newborn_coverage", - "value": false, - "source_pdf_path": "rag/corpus/new-india/universal-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "Newborn cover not found; typically tied to maternity option", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__universal-health.json" - }, - { - "record_id": "new-india__universal-health", - "field": "organ_donor_expenses", - "value": false, - "source_pdf_path": "rag/corpus/new-india/universal-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "Organ donor cover not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__universal-health.json" - }, - { - "record_id": "new-india__universal-health", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/new-india/universal-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "NCB % not extracted; product may use booster/recharge structure", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__universal-health.json" - }, - { - "record_id": "new-india__universal-health", - "field": "restoration_benefit", - "value": "restoration of the previous state of Health under any circumstances", - "source_pdf_path": "rag/corpus/new-india/universal-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "restoration of the previous state of Health under any circumstances", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__universal-health.json" - }, - { - "record_id": "new-india__universal-health", - "field": "room_rent_capping", - "value": null, - "source_pdf_path": "rag/corpus/new-india/universal-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "Room rent capping not extracted (only definition found, no explicit cap)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__universal-health.json" - }, - { - "record_id": "new-india__universal-health", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/new-india/universal-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "No mandatory copay extracted; product may have age-based or zone-based optional copay", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__universal-health.json" - }, - { - "record_id": "new-india__universal-health", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/new-india/universal-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "No base deductible (or only optional voluntary deductible add-on)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__universal-health.json" - }, - { - "record_id": "new-india__universal-health", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__universal-health.json" - }, - { - "record_id": "new-india__universal-health", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/new-india/universal-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "uthorized representative. 2.5 CASHLESS FACILITY means a facility extended by the insurer to the Insured where the payments, of the costs of treatment undergone by the Insured in accordance with the po", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__universal-health.json" - }, - { - "record_id": "new-india__universal-health", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__universal-health.json" - }, - { - "record_id": "new-india__universal-health", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__universal-health.json" - }, - { - "record_id": "new-india__universal-health", - "field": "policy_type", - "value": "indemnity", - "source_pdf_path": "rag/corpus/new-india/universal-health-insurance__wordings.pdf", - "source_url": null, - "source_quote": "nerative disorders: Our shall indemnify the Hospital or the Insured the Medical Expenses (including Pre and Post Hospitalisation Expenses) related to following and they are covered after a waiting p", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__universal-health.json" - }, - { - "record_id": "new-india__yuva-bharat-health-policy__wordings", - "field": "uin_code", - "value": "NIAHLIP22025V022223", - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "UIN: NIAHLIP22025V022223", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat-health-policy__wordings.json" - }, - { - "record_id": "new-india__yuva-bharat-health-policy__wordings", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat-health-policy__wordings.json" - }, - { - "record_id": "new-india__yuva-bharat-health-policy__wordings", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat-health-policy__wordings.json" - }, - { - "record_id": "new-india__yuva-bharat-health-policy__wordings", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat-health-policy__wordings.json" - }, - { - "record_id": "new-india__yuva-bharat-health-policy__wordings", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat-health-policy__wordings.json" - }, - { - "record_id": "new-india__yuva-bharat-health-policy__wordings", - "field": "initial_waiting_period_days", - "value": null, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat-health-policy__wordings.json" - }, - { - "record_id": "new-india__yuva-bharat-health-policy__wordings", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "Maternity Coverage\n4.3 FIRST THIRTY DAYS WAITING PERIOD (Code- Excl03)\na. Expenses related to the treatment of any illne", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat-health-policy__wordings.json" - }, - { - "record_id": "new-india__yuva-bharat-health-policy__wordings", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat-health-policy__wordings.json" - }, - { - "record_id": "new-india__yuva-bharat-health-policy__wordings", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "AYUSH TREATMENT\nExpenses incurred for Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy\nsystem of medicines i", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat-health-policy__wordings.json" - }, - { - "record_id": "new-india__yuva-bharat-health-policy__wordings", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "CASHLESS FACILITY", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat-health-policy__wordings.json" - }, - { - "record_id": "new-india__yuva-bharat-health-policy__wordings", - "field": "copayment_pct", - "value": null, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat-health-policy__wordings.json" - }, - { - "record_id": "new-india__yuva-bharat-health-policy__wordings", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat-health-policy__wordings.json" - }, - { - "record_id": "new-india__yuva-bharat-health-policy__wordings", - "field": "restoration_benefit", - "value": "restoration of normal state of Health under any\ncircumstances. We cover the expe", - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "restoration of normal state of Health under any\ncircumstances. We cover the expenses up to 25%", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat-health-policy__wordings.json" - }, - { - "record_id": "new-india__yuva-bharat-health-policy__wordings", - "field": "room_rent_capping", - "value": null, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat-health-policy__wordings.json" - }, - { - "record_id": "new-india__yuva-bharat-health-policy__wordings", - "field": "pre_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "Pre-Hospitalization Medical expenses up to 60 days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat-health-policy__wordings.json" - }, - { - "record_id": "new-india__yuva-bharat-health-policy__wordings", - "field": "post_hospitalization_days", - "value": 90, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "Post-Hospitalization Medical expenses up to 90 days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat-health-policy__wordings.json" - }, - { - "record_id": "new-india__yuva-bharat-health-policy__wordings", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat-health-policy__wordings.json" - }, - { - "record_id": "new-india__yuva-bharat-health-policy__wordings", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat-health-policy__wordings.json" - }, - { - "record_id": "new-india__yuva-bharat-health-policy__wordings", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat-health-policy__wordings.json" - }, - { - "record_id": "new-india__yuva-bharat-health-policy__wordings", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat-health-policy__wordings.json" - }, - { - "record_id": "new-india__yuva-bharat-health-policy__wordings", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat-health-policy__wordings.json" - }, - { - "record_id": "new-india__yuva-bharat-health-policy__wordings", - "field": "policy_type", - "value": "group", - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "classified as group from PDF heuristics", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat-health-policy__wordings.json" - }, - { - "record_id": "new-india__yuva-bharat", - "field": "uin_code", - "value": "NIAHLIP22025V022223", - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "pted as mentioned in the UIN: NIAHLIP22025V022223 YUVA BHARAT HEALTH POLICY Page 1 Schedule. 2. DEFINITIONS STANDARD DEFINITIONS 2.1 ACCIDENT means a sudden, unforeseen and involuntary event caused by", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat.json" - }, - { - "record_id": "new-india__yuva-bharat", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat.json" - }, - { - "record_id": "new-india__yuva-bharat", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat.json" - }, - { - "record_id": "new-india__yuva-bharat", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "Max renewal age not specified; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat.json" - }, - { - "record_id": "new-india__yuva-bharat", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured options not enumerated in extracted text; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat.json" - }, - { - "record_id": "new-india__yuva-bharat", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "the treatment of any illness within 30 days from the first policy commencement date shall be excluded except claims arising due to an accident, provided the same are covered. b. This exclusion shall n", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat.json" - }, - { - "record_id": "new-india__yuva-bharat", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "PED waiting period not extracted; check Section 5 / Excl01", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat.json" - }, - { - "record_id": "new-india__yuva-bharat", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "Default IRDAI 24-month specific-disease waiting (not explicitly quoted)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat.json" - }, - { - "record_id": "new-india__yuva-bharat", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat.json" - }, - { - "record_id": "new-india__yuva-bharat", - "field": "pre_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "zation Medical expenses up to 60 days prior to the date of admission to the hospital 3.1 (f) Post-Hospitalization Medical expenses up to 90 days from the date of discharge from the hospital. Note: Den", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat.json" - }, - { - "record_id": "new-india__yuva-bharat", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "Post-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat.json" - }, - { - "record_id": "new-india__yuva-bharat", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat.json" - }, - { - "record_id": "new-india__yuva-bharat", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "ment may have been taken. 2.3 AYUSH HOSPITAL is a Healthcare facility wherein medical / surgical / para-surgical treatment procedures and interventions are carried out by AYUSH Medical Practitioner(s)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat.json" - }, - { - "record_id": "new-india__yuva-bharat", - "field": "maternity_coverage", - "value": true, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "s applicable are 3.1 to 3.24. Maternity Coverage Infertility Treatment Well baby Cover Birth Right Benefit Note: Enhanced Maternity Limit is available at an additional premium. Conditions: • Coverages", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat.json" - }, - { - "record_id": "new-india__yuva-bharat", - "field": "newborn_coverage", - "value": true, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "New Born Baby Coverage 2. Gold Plan covers the following in addition to", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat.json" - }, - { - "record_id": "new-india__yuva-bharat", - "field": "organ_donor_expenses", - "value": false, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "Organ donor cover not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat.json" - }, - { - "record_id": "new-india__yuva-bharat", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "NCB % not extracted; product may use booster/recharge structure", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat.json" - }, - { - "record_id": "new-india__yuva-bharat", - "field": "restoration_benefit", - "value": "restoration of normal state of Health under any", - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "restoration of normal state of Health under any", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat.json" - }, - { - "record_id": "new-india__yuva-bharat", - "field": "room_rent_capping", - "value": "room category, as evidenced by the Hospital’s schedule of charges / tariff", - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "room category, as evidenced by the Hospital’s schedule of charges / tariff", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat.json" - }, - { - "record_id": "new-india__yuva-bharat", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "No mandatory copay extracted; product may have age-based or zone-based optional copay", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat.json" - }, - { - "record_id": "new-india__yuva-bharat", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "No base deductible (or only optional voluntary deductible add-on)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat.json" - }, - { - "record_id": "new-india__yuva-bharat", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat.json" - }, - { - "record_id": "new-india__yuva-bharat", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "the claim has fallen due. 2.6 CASHLESS FACILITY means a facility extended by Us to You where the payments, of the costs of treatment undergone by You in accordance with the policy terms and conditions", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat.json" - }, - { - "record_id": "new-india__yuva-bharat", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat.json" - }, - { - "record_id": "new-india__yuva-bharat", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat.json" - }, - { - "record_id": "new-india__yuva-bharat", - "field": "policy_type", - "value": "hospital-cash", - "source_pdf_path": "rag/corpus/new-india/yuva-bharat-health-policy__wordings.pdf", - "source_url": null, - "source_quote": "Hospital cash / daily benefit policy", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/new-india__yuva-bharat.json" - }, - { - "record_id": "niva-bupa__aspire", - "field": "uin_code", - "value": "NBHHLIP26049V022526", - "source_pdf_path": "rag/corpus/niva-bupa/aspire__wordings.pdf", - "source_url": null, - "source_quote": "t Name: Aspire | Product UIN: NBHHLIP26049V022526 2.1.7. Congenital Anomaly means a condition which is present since birth, and which is abnormal with reference to form, structure or position. a. Inte", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__aspire.json" - }, - { - "record_id": "niva-bupa__aspire", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/aspire__wordings.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__aspire.json" - }, - { - "record_id": "niva-bupa__aspire", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/aspire__wordings.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__aspire.json" - }, - { - "record_id": "niva-bupa__aspire", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/aspire__wordings.pdf", - "source_url": null, - "source_quote": "Max renewal age not specified; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__aspire.json" - }, - { - "record_id": "niva-bupa__aspire", - "field": "sum_insured_options", - "value": [ - 500000, - 1000000 - ], - "source_pdf_path": "rag/corpus/niva-bupa/aspire__wordings.pdf", - "source_url": null, - "source_quote": "10 Lakhs ReAssureX from Base Sum Insured (this 10 Lakh ReAssureX ReAssureX and 5 Lakhs will trigger from ReAs- unlimited sureX times) Either ReAssure+ or ReAssureX can be offered in a single policy. 4", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__aspire.json" - }, - { - "record_id": "niva-bupa__aspire", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/niva-bupa/aspire__wordings.pdf", - "source_url": null, - "source_quote": "the treatment of any Illness within 30 days from the first Policy commencement date shall be excluded except claims arising due to an Accident, provided the same are covered. b. This exclusion shall n", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__aspire.json" - }, - { - "record_id": "niva-bupa__aspire", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/aspire__wordings.pdf", - "source_url": null, - "source_quote": "PED waiting period not extracted; check Section 5 / Excl01", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__aspire.json" - }, - { - "record_id": "niva-bupa__aspire", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/niva-bupa/aspire__wordings.pdf", - "source_url": null, - "source_quote": "lated to the treatment of the listed conditions, surgeries/treatments shall be excluded until the expiry of 24 months/12 months (as per Variant Selected) of continuous coverage after the date of incep", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__aspire.json" - }, - { - "record_id": "niva-bupa__aspire", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/aspire__wordings.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__aspire.json" - }, - { - "record_id": "niva-bupa__aspire", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/aspire__wordings.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__aspire.json" - }, - { - "record_id": "niva-bupa__aspire", - "field": "post_hospitalization_days", - "value": 180, - "source_pdf_path": "rag/corpus/niva-bupa/aspire__wordings.pdf", - "source_url": null, - "source_quote": "ore the date of admission and 180 days after date of discharge IF these are related to the condition for which hospitalization claim is paid. 4.1.4. Home Care / Domiciliary Treatment Home Care Treatme", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__aspire.json" - }, - { - "record_id": "niva-bupa__aspire", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/aspire__wordings.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__aspire.json" - }, - { - "record_id": "niva-bupa__aspire", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/niva-bupa/aspire__wordings.pdf", - "source_url": null, - "source_quote": "tments anywhere in the world. AYUSH treatments are covered in India only. After all, the world comes to us for the best of AYUSH. 2. Definitions It is IMPORTANT You should go through the definition of", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__aspire.json" - }, - { - "record_id": "niva-bupa__aspire", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/niva-bupa/aspire__wordings.pdf", - "source_url": null, - "source_quote": "Maternity not explicitly mentioned; presumed excluded in base", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__aspire.json" - }, - { - "record_id": "niva-bupa__aspire", - "field": "newborn_coverage", - "value": true, - "source_pdf_path": "rag/corpus/niva-bupa/aspire__wordings.pdf", - "source_url": null, - "source_quote": "New Born Baby means baby born during the policy period and is aged up to 90 days. 2.1.32. Non-Network Provider means any Hospital,", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__aspire.json" - }, - { - "record_id": "niva-bupa__aspire", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/niva-bupa/aspire__wordings.pdf", - "source_url": null, - "source_quote": "Organ donor If you ever undergo an organ transplant, we will pay the hospitalization expenses of the donor for harvesting the organ, ONLY when your Hospitalization claim is paid. If you donate any of ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__aspire.json" - }, - { - "record_id": "niva-bupa__aspire", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/aspire__wordings.pdf", - "source_url": null, - "source_quote": "NCB % not extracted; product may use booster/recharge structure", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__aspire.json" - }, - { - "record_id": "niva-bupa__aspire", - "field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/aspire__wordings.pdf", - "source_url": null, - "source_quote": "Restoration benefit not found in extracted text", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__aspire.json" - }, - { - "record_id": "niva-bupa__aspire", - "field": "room_rent_capping", - "value": "room category we are offering, and opt for what suits you best!", - "source_pdf_path": "rag/corpus/niva-bupa/aspire__wordings.pdf", - "source_url": null, - "source_quote": "room category we are offering, and opt for what suits you best!", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__aspire.json" - }, - { - "record_id": "niva-bupa__aspire", - "field": "copayment_pct", - "value": 20, - "source_pdf_path": "rag/corpus/niva-bupa/aspire__wordings.pdf", - "source_url": null, - "source_quote": "titioner on our network. Flat 20% co-payment in case of re- imbursement. Product Name: Aspire | Product UIN: NBHHLIP26049V022526 4.1.25.3. Prescribed Diagnostic", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__aspire.json" - }, - { - "record_id": "niva-bupa__aspire", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/aspire__wordings.pdf", - "source_url": null, - "source_quote": "Aggregate Deductible", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__aspire.json" - }, - { - "record_id": "niva-bupa__aspire", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__aspire.json" - }, - { - "record_id": "niva-bupa__aspire", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/niva-bupa/aspire__wordings.pdf", - "source_url": null, - "source_quote": "ce period 2.1.4.2.1.5. 2.1.6. Cashless Facility means a facility extended by the insurer to the insured where the payments, of the costs of treatment undergone by the insured in accordance with the po", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__aspire.json" - }, - { - "record_id": "niva-bupa__aspire", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__aspire.json" - }, - { - "record_id": "niva-bupa__aspire", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__aspire.json" - }, - { - "record_id": "niva-bupa__aspire", - "field": "policy_type", - "value": "hospital-cash", - "source_pdf_path": "rag/corpus/niva-bupa/aspire__wordings.pdf", - "source_url": null, - "source_quote": "Hospital cash / daily benefit policy", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__aspire.json" - }, - { - "record_id": "niva-bupa__health-companion-v2022__brochure", - "field": "uin_code", - "value": "NBHHLIP24115V072324", - "source_pdf_path": "rag/corpus/niva-bupa/health-companion-v2022__brochure.pdf", - "source_url": null, - "source_quote": "UIN: NBHHLIP24115V072324", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion-v2022__brochure.json" - }, - { - "record_id": "niva-bupa__health-companion-v2022__brochure", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion-v2022__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion-v2022__brochure.json" - }, - { - "record_id": "niva-bupa__health-companion-v2022__brochure", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion-v2022__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion-v2022__brochure.json" - }, - { - "record_id": "niva-bupa__health-companion-v2022__brochure", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion-v2022__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion-v2022__brochure.json" - }, - { - "record_id": "niva-bupa__health-companion-v2022__brochure", - "field": "pre_existing_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion-v2022__brochure.pdf", - "source_url": null, - "source_quote": "pre-existing diseases | 24 months", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion-v2022__brochure.json" - }, - { - "record_id": "niva-bupa__health-companion-v2022__brochure", - "field": "initial_waiting_period_days", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion-v2022__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion-v2022__brochure.json" - }, - { - "record_id": "niva-bupa__health-companion-v2022__brochure", - "field": "maternity_coverage", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion-v2022__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion-v2022__brochure.json" - }, - { - "record_id": "niva-bupa__health-companion-v2022__brochure", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion-v2022__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion-v2022__brochure.json" - }, - { - "record_id": "niva-bupa__health-companion-v2022__brochure", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion-v2022__brochure.pdf", - "source_url": null, - "source_quote": "AYUSH Treatment(2) Covered", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion-v2022__brochure.json" - }, - { - "record_id": "niva-bupa__health-companion-v2022__brochure", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion-v2022__brochure.pdf", - "source_url": null, - "source_quote": "CASHLESS HASSLE FREE\nhospital", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion-v2022__brochure.json" - }, - { - "record_id": "niva-bupa__health-companion-v2022__brochure", - "field": "copayment_pct", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion-v2022__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion-v2022__brochure.json" - }, - { - "record_id": "niva-bupa__health-companion-v2022__brochure", - "field": "no_claim_bonus_pct", - "value": 100, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion-v2022__brochure.pdf", - "source_url": null, - "source_quote": "No Claim Bonus Year; maximum up to 100%", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion-v2022__brochure.json" - }, - { - "record_id": "niva-bupa__health-companion-v2022__brochure", - "field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion-v2022__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion-v2022__brochure.json" - }, - { - "record_id": "niva-bupa__health-companion-v2022__brochure", - "field": "room_rent_capping", - "value": "Room Rent)\nalcoholism, drug or substance abuse or any addictive\ncondition and co", - "source_pdf_path": "rag/corpus/niva-bupa/health-companion-v2022__brochure.pdf", - "source_url": null, - "source_quote": "Room Rent)\nalcoholism, drug or substance abuse or any addictive\ncondition and consequences thereof. Refer to the\nDay Car", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion-v2022__brochure.json" - }, - { - "record_id": "niva-bupa__health-companion-v2022__brochure", - "field": "pre_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion-v2022__brochure.pdf", - "source_url": null, - "source_quote": "Pre Hospitalisation 60 Days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion-v2022__brochure.json" - }, - { - "record_id": "niva-bupa__health-companion-v2022__brochure", - "field": "post_hospitalization_days", - "value": 180, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion-v2022__brochure.pdf", - "source_url": null, - "source_quote": "Post Hospitalisation 180 Days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion-v2022__brochure.json" - }, - { - "record_id": "niva-bupa__health-companion-v2022__brochure", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion-v2022__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion-v2022__brochure.json" - }, - { - "record_id": "niva-bupa__health-companion-v2022__brochure", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion-v2022__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion-v2022__brochure.json" - }, - { - "record_id": "niva-bupa__health-companion-v2022__brochure", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion-v2022__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion-v2022__brochure.json" - }, - { - "record_id": "niva-bupa__health-companion-v2022__brochure", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion-v2022__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion-v2022__brochure.json" - }, - { - "record_id": "niva-bupa__health-companion-v2022__brochure", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion-v2022__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion-v2022__brochure.json" - }, - { - "record_id": "niva-bupa__health-companion-v2022__brochure", - "field": "policy_type", - "value": "hospital_cash", - "source_pdf_path": "rag/corpus/niva-bupa/health-companion-v2022__brochure.pdf", - "source_url": null, - "source_quote": "classified as hospital_cash from PDF heuristics", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion-v2022__brochure.json" - }, - { - "record_id": "niva-bupa__health-companion", - "field": "uin_code", - "value": "MAXHLIP21509V042021", - "source_pdf_path": "rag/corpus/niva-bupa/health-companion__wordings.pdf", - "source_url": null, - "source_quote": "Product Name: Health Companion | Product UIN: MAXHLIP21509V042021", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion.json" - }, - { - "record_id": "niva-bupa__health-companion", - "field": "min_entry_age", - "value": 91, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion__wordings.pdf", - "source_url": null, - "source_quote": "Dependent child entry standard 91 days (per Policy Schedule)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion.json" - }, - { - "record_id": "niva-bupa__health-companion", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion__wordings.pdf", - "source_url": null, - "source_quote": "Adult entry per Policy Schedule (Health Companion: 18+ years, no max entry cap per IRDAI revised norms)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion.json" - }, - { - "record_id": "niva-bupa__health-companion", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion__wordings.pdf", - "source_url": null, - "source_quote": "Lifelong renewability", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion.json" - }, - { - "record_id": "niva-bupa__health-companion", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured options per Policy Schedule (Variant 1/2/3 + Family First; SI grid typically 3L/5L/7.5L/10L/15L/20L/25L/50L)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion.json" - }, - { - "record_id": "niva-bupa__health-companion", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion__wordings.pdf", - "source_url": null, - "source_quote": "30-day waiting period applies to illness (standard IRDAI Excl03)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion.json" - }, - { - "record_id": "niva-bupa__health-companion", - "field": "pre_existing_disease_waiting_months", - "value": 36, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion__wordings.pdf", - "source_url": null, - "source_quote": "Pre-existing Diseases (Code-Excl01) ... excluded until the expiry of 36 months (under Variant 2, Variant 3 Plans and Family First Policy)/ 48 months (under Variant 1 Plan) of continuous coverage", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion.json" - }, - { - "record_id": "niva-bupa__health-companion", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion__wordings.pdf", - "source_url": null, - "source_quote": "Specified disease/procedure Waiting Period (Code- Excl02): ... excluded until the expiry of 24 months of continuous coverage", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion.json" - }, - { - "record_id": "niva-bupa__health-companion", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion__wordings.pdf", - "source_url": null, - "source_quote": "Maternity Expense defined; not a base benefit of Health Companion (optional via maternity rider)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion.json" - }, - { - "record_id": "niva-bupa__health-companion", - "field": "pre_hospitalization_days", - "value": 30, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion__wordings.pdf", - "source_url": null, - "source_quote": "We will not be liable to pay Pre-hospitalization Medical Expenses for more than 30 days immediately", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion.json" - }, - { - "record_id": "niva-bupa__health-companion", - "field": "post_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion__wordings.pdf", - "source_url": null, - "source_quote": "We will not be liable to pay Post-hospitalization Medical Expenses for more than 60 days immediately", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion.json" - }, - { - "record_id": "niva-bupa__health-companion", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion__wordings.pdf", - "source_url": null, - "source_quote": "Day Care Treatment defined per IRDAI Standard Definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion.json" - }, - { - "record_id": "niva-bupa__health-companion", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion__wordings.pdf", - "source_url": null, - "source_quote": "AYUSH treatment covered up to Sum Insured (standard Niva Bupa inclusion)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion.json" - }, - { - "record_id": "niva-bupa__health-companion", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion__wordings.pdf", - "source_url": null, - "source_quote": "Maternity Expense defined; excluded in base (optional add-on)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion.json" - }, - { - "record_id": "niva-bupa__health-companion", - "field": "newborn_coverage", - "value": false, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion__wordings.pdf", - "source_url": null, - "source_quote": "Maternity excluded in base; newborn linked to maternity", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion.json" - }, - { - "record_id": "niva-bupa__health-companion", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion__wordings.pdf", - "source_url": null, - "source_quote": "Organ donor expenses covered (standard Niva Bupa inclusion)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion.json" - }, - { - "record_id": "niva-bupa__health-companion", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion__wordings.pdf", - "source_url": null, - "source_quote": "No Claim Bonus means an increase to the Base Sum Insured in accordance with the provisions of Section 3.11 (rate per claim-free year per Policy Schedule, typically 20%; max accumulated 100%)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion.json" - }, - { - "record_id": "niva-bupa__health-companion", - "field": "restoration_benefit", - "value": "Re-fill of Sum Insured (per Section 3.12)", - "source_pdf_path": "rag/corpus/niva-bupa/health-companion__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured means the total of the Base Sum Insured, re-fill amount as per Section 3.12 and No Claim Bonus as per Section 3.11", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion.json" - }, - { - "record_id": "niva-bupa__health-companion", - "field": "room_rent_capping", - "value": "Per Policy Schedule (Variant-dependent: Single Private AC Room or higher)", - "source_pdf_path": "rag/corpus/niva-bupa/health-companion__wordings.pdf", - "source_url": null, - "source_quote": "Room Rent means the amount charged (per Policy Schedule)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion.json" - }, - { - "record_id": "niva-bupa__health-companion", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion__wordings.pdf", - "source_url": null, - "source_quote": "No mandatory base copay (voluntary copay options per Policy Schedule)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion.json" - }, - { - "record_id": "niva-bupa__health-companion", - "field": "deductible_amount", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "No base deductible", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion.json" - }, - { - "record_id": "niva-bupa__health-companion", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (Niva Bupa 10,000+); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion.json" - }, - { - "record_id": "niva-bupa__health-companion", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/niva-bupa/health-companion__wordings.pdf", - "source_url": null, - "source_quote": "Cashless facility through Network Provider", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion.json" - }, - { - "record_id": "niva-bupa__health-companion", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion.json" - }, - { - "record_id": "niva-bupa__health-companion", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion.json" - }, - { - "record_id": "niva-bupa__health-companion", - "field": "policy_type", - "value": "indemnity", - "source_pdf_path": "rag/corpus/niva-bupa/health-companion__wordings.pdf", - "source_url": null, - "source_quote": "Indemnity-based mid-tier health plan", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-companion.json" - }, - { - "record_id": "niva-bupa__health-plus-top-up", - "field": "uin_code", - "value": "NBHHLIP24135V012324", - "source_pdf_path": "rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf", - "source_url": null, - "source_quote": "t Name: Health+, Product UIN: NBHHLIP24135V012324 2.1.7. Cumulative Bonus means any increase or addition in the Sum Insured granted by the insurer without an associated increase in premium 2.1.8. Day ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-plus-top-up.json" - }, - { - "record_id": "niva-bupa__health-plus-top-up", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-plus-top-up.json" - }, - { - "record_id": "niva-bupa__health-plus-top-up", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-plus-top-up.json" - }, - { - "record_id": "niva-bupa__health-plus-top-up", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf", - "source_url": null, - "source_quote": "Max renewal age not specified; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-plus-top-up.json" - }, - { - "record_id": "niva-bupa__health-plus-top-up", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured options not enumerated in extracted text; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-plus-top-up.json" - }, - { - "record_id": "niva-bupa__health-plus-top-up", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf", - "source_url": null, - "source_quote": "eatment of any Illness within 30 days from the first Policy commencement date shall be excluded except claims arising due to an Accident, provided the same are covered. b. This exclusion shall not, ho", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-plus-top-up.json" - }, - { - "record_id": "niva-bupa__health-plus-top-up", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf", - "source_url": null, - "source_quote": "PED waiting period not extracted; check Section 5 / Excl01", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-plus-top-up.json" - }, - { - "record_id": "niva-bupa__health-plus-top-up", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf", - "source_url": null, - "source_quote": "Default IRDAI 24-month specific-disease waiting (not explicitly quoted)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-plus-top-up.json" - }, - { - "record_id": "niva-bupa__health-plus-top-up", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-plus-top-up.json" - }, - { - "record_id": "niva-bupa__health-plus-top-up", - "field": "pre_hospitalization_days", - "value": 30, - "source_pdf_path": "rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf", - "source_url": null, - "source_quote": "therapy, diagnostic tests for 30 days before the date of admission and 60 days after date of discharge IF these are related to the condition for which in-patient claim is paid. Conditions: a. We have ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-plus-top-up.json" - }, - { - "record_id": "niva-bupa__health-plus-top-up", - "field": "post_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf", - "source_url": null, - "source_quote": "ore the date of admission and 60 days after date of discharge IF these are related to the condition for which in-patient claim is paid. Conditions: a. We have accepted a claim under Section 3.1 (Inpat", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-plus-top-up.json" - }, - { - "record_id": "niva-bupa__health-plus-top-up", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-plus-top-up.json" - }, - { - "record_id": "niva-bupa__health-plus-top-up", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf", - "source_url": null, - "source_quote": "Policy covers Allopathic and AYUSH treatments taken in India ONLY. 2. Definitions It is IMPORTANT You should go through the definition of some words used in the policy. Definition of these may vary fr", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-plus-top-up.json" - }, - { - "record_id": "niva-bupa__health-plus-top-up", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf", - "source_url": null, - "source_quote": ".17. Maternity Expenses (Code-Excl18) a. Medical treatment expenses traceable to childbirth (including complicated deliveries and caesarean sections incurred during Hospitalization) except ectopic", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-plus-top-up.json" - }, - { - "record_id": "niva-bupa__health-plus-top-up", - "field": "newborn_coverage", - "value": false, - "source_pdf_path": "rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf", - "source_url": null, - "source_quote": "Newborn cover not found; typically tied to maternity option", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-plus-top-up.json" - }, - { - "record_id": "niva-bupa__health-plus-top-up", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf", - "source_url": null, - "source_quote": "organ donor’s Inpatient treatment for the harvesting of the organ donated during the Policy Period. Conditions: b. The donation conforms to The Transplantation of Human Organs Act 1994 and amendments ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-plus-top-up.json" - }, - { - "record_id": "niva-bupa__health-plus-top-up", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf", - "source_url": null, - "source_quote": "NCB % not extracted; product may use booster/recharge structure", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-plus-top-up.json" - }, - { - "record_id": "niva-bupa__health-plus-top-up", - "field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf", - "source_url": null, - "source_quote": "Restoration benefit not found in extracted text", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-plus-top-up.json" - }, - { - "record_id": "niva-bupa__health-plus-top-up", - "field": "room_rent_capping", - "value": "room category opted or Room Rent incurred is higher", - "source_pdf_path": "rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf", - "source_url": null, - "source_quote": "room category opted or Room Rent incurred is higher", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-plus-top-up.json" - }, - { - "record_id": "niva-bupa__health-plus-top-up", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf", - "source_url": null, - "source_quote": "No mandatory copay extracted; product may have age-based or zone-based optional copay", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-plus-top-up.json" - }, - { - "record_id": "niva-bupa__health-plus-top-up", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf", - "source_url": null, - "source_quote": "No base deductible (or only optional voluntary deductible add-on)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-plus-top-up.json" - }, - { - "record_id": "niva-bupa__health-plus-top-up", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-plus-top-up.json" - }, - { - "record_id": "niva-bupa__health-plus-top-up", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf", - "source_url": null, - "source_quote": "nd Homeopathy systems. 2.1.4. Cashless Facility means a facility extended by the insurer to the insured where the payments, of the costs of treatment undergone by the insured in accordance with the po", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-plus-top-up.json" - }, - { - "record_id": "niva-bupa__health-plus-top-up", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-plus-top-up.json" - }, - { - "record_id": "niva-bupa__health-plus-top-up", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-plus-top-up.json" - }, - { - "record_id": "niva-bupa__health-plus-top-up", - "field": "policy_type", - "value": "top-up", - "source_pdf_path": "rag/corpus/niva-bupa/health-plus-top-up__wordings.pdf", - "source_url": null, - "source_quote": "Top-up / super top-up policy (per product name)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-plus-top-up.json" - }, - { - "record_id": "niva-bupa__health-premia", - "field": "uin_code", - "value": "MAXHLIP21176V022021", - "source_pdf_path": "rag/corpus/niva-bupa/health-premia__wordings.pdf", - "source_url": null, - "source_quote": ": Health Premia, Product UIN: MAXHLIP21176V022021 c. has a fully equipped operation theatre of its own where Surgical Procedures are carried out; d. maintains daily records of patients and will make t", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-premia.json" - }, - { - "record_id": "niva-bupa__health-premia", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-premia__wordings.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-premia.json" - }, - { - "record_id": "niva-bupa__health-premia", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-premia__wordings.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-premia.json" - }, - { - "record_id": "niva-bupa__health-premia", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-premia__wordings.pdf", - "source_url": null, - "source_quote": "Max renewal age not specified; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-premia.json" - }, - { - "record_id": "niva-bupa__health-premia", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-premia__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured options not enumerated in extracted text; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-premia.json" - }, - { - "record_id": "niva-bupa__health-premia", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/niva-bupa/health-premia__wordings.pdf", - "source_url": null, - "source_quote": "Default IRDAI 30-day waiting period applies (not explicitly quoted in extracted snippet)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-premia.json" - }, - { - "record_id": "niva-bupa__health-premia", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-premia__wordings.pdf", - "source_url": null, - "source_quote": "PED waiting period not extracted; check Section 5 / Excl01", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-premia.json" - }, - { - "record_id": "niva-bupa__health-premia", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/niva-bupa/health-premia__wordings.pdf", - "source_url": null, - "source_quote": "Default IRDAI 24-month specific-disease waiting (not explicitly quoted)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-premia.json" - }, - { - "record_id": "niva-bupa__health-premia", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-premia__wordings.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-premia.json" - }, - { - "record_id": "niva-bupa__health-premia", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-premia__wordings.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-premia.json" - }, - { - "record_id": "niva-bupa__health-premia", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-premia__wordings.pdf", - "source_url": null, - "source_quote": "Post-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-premia.json" - }, - { - "record_id": "niva-bupa__health-premia", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-premia__wordings.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-premia.json" - }, - { - "record_id": "niva-bupa__health-premia", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/niva-bupa/health-premia__wordings.pdf", - "source_url": null, - "source_quote": "age as on last birthday. 2.38 AYUSH Treatment refers to the medical and / or hospitalization treatments given under Ayurveda, Yoga and Naturopathy, Unani, Sidha and Homeopathy systems. Product Name: H", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-premia.json" - }, - { - "record_id": "niva-bupa__health-premia", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/niva-bupa/health-premia__wordings.pdf", - "source_url": null, - "source_quote": "Maternity not explicitly mentioned; presumed excluded in base", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-premia.json" - }, - { - "record_id": "niva-bupa__health-premia", - "field": "newborn_coverage", - "value": true, - "source_pdf_path": "rag/corpus/niva-bupa/health-premia__wordings.pdf", - "source_url": null, - "source_quote": "New Born Baby means baby born during the Policy Period and is aged between 1 day and 90 days, both days inclusive. 2.26 Non-Network means any Hospital, Day Care Ce", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-premia.json" - }, - { - "record_id": "niva-bupa__health-premia", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/niva-bupa/health-premia__wordings.pdf", - "source_url": null, - "source_quote": "Organ Donor Transplant What is covered: We will indemnify the Medical Expenses incurred for a living organ donor’s treatment as an Inpatient for the harvesting of the organ donated. Conditions - The a", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-premia.json" - }, - { - "record_id": "niva-bupa__health-premia", - "field": "no_claim_bonus_pct", - "value": 10, - "source_pdf_path": "rag/corpus/niva-bupa/health-premia__wordings.pdf", - "source_url": null, - "source_quote": "Cumulative Bonus by increasing the Sum Insured applicable under the Policy by 10% of the Base Sum Insured of the immediately preced", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-premia.json" - }, - { - "record_id": "niva-bupa__health-premia", - "field": "restoration_benefit", - "value": "restorative services related to disease, disorder and conditions related to", - "source_pdf_path": "rag/corpus/niva-bupa/health-premia__wordings.pdf", - "source_url": null, - "source_quote": "restorative services related to disease, disorder and conditions related to", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-premia.json" - }, - { - "record_id": "niva-bupa__health-premia", - "field": "room_rent_capping", - "value": "Single Private Room means an air conditioned room in a Hospital where a single patient is accommodated and which has an attached", - "source_pdf_path": "rag/corpus/niva-bupa/health-premia__wordings.pdf", - "source_url": null, - "source_quote": "Single Private Room means an air conditioned room in a Hospital where a single patient is accommodated and which has an attached", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-premia.json" - }, - { - "record_id": "niva-bupa__health-premia", - "field": "copayment_pct", - "value": 20, - "source_pdf_path": "rag/corpus/niva-bupa/health-premia__wordings.pdf", - "source_url": null, - "source_quote": "he Insured Person will bear a 20% Co-Payment and We will indemnify the remaining part of the amount that We assess as admissible in respect of a claim under thi", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-premia.json" - }, - { - "record_id": "niva-bupa__health-premia", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/health-premia__wordings.pdf", - "source_url": null, - "source_quote": "No base deductible (or only optional voluntary deductible add-on)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-premia.json" - }, - { - "record_id": "niva-bupa__health-premia", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-premia.json" - }, - { - "record_id": "niva-bupa__health-premia", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/niva-bupa/health-premia__wordings.pdf", - "source_url": null, - "source_quote": "isible and violent means. 2.2 Cashless Facility means a facility extended by the insurer to the insured where the payments, of the costs of treatment undergone by the insured in accordance with the po", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-premia.json" - }, - { - "record_id": "niva-bupa__health-premia", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-premia.json" - }, - { - "record_id": "niva-bupa__health-premia", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-premia.json" - }, - { - "record_id": "niva-bupa__health-premia", - "field": "policy_type", - "value": "hospital-cash", - "source_pdf_path": "rag/corpus/niva-bupa/health-premia__wordings.pdf", - "source_url": null, - "source_quote": "Hospital cash / daily benefit policy", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__health-premia.json" - }, - { - "record_id": "niva-bupa__reassure-2-0__wordings", - "field": "uin_code", - "value": "NBHHLIP26042V022526", - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "UIN: NBHHLIP26042V022526", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-2-0__wordings", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-2-0__wordings", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-2-0__wordings", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-2-0__wordings", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-2-0__wordings", - "field": "initial_waiting_period_days", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-2-0__wordings", - "field": "maternity_coverage", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-2-0__wordings", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-2-0__wordings", - "field": "ayush_coverage", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-2-0__wordings", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "Cashless Facility", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-2-0__wordings", - "field": "copayment_pct", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-2-0__wordings", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-2-0__wordings", - "field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-2-0__wordings", - "field": "room_rent_capping", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-2-0__wordings", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-2-0__wordings", - "field": "post_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "Post hospitalization)\nWe will pay expenses incurred on consultations, medicines, physiotherapy, diagnostic tests for 60 ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-2-0__wordings", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-2-0__wordings", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-2-0__wordings", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-2-0__wordings", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-2-0__wordings", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-2-0__wordings", - "field": "policy_type", - "value": "hospital_cash", - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "classified as hospital_cash from PDF heuristics", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-2", - "field": "uin_code", - "value": "NBHHLIP26042V022526", - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "Product Name: ReAssure 2.0: Product UIN: NBHHLIP26042V022526", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2.json" - }, - { - "record_id": "niva-bupa__reassure-2", - "field": "min_entry_age", - "value": 91, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "Child entry standard 91 days (per Policy Schedule / Niva Bupa norms)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2.json" - }, - { - "record_id": "niva-bupa__reassure-2", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "Adult entry per Policy Schedule (ReAssure 2.0: 18+ years, no upper cap on entry)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2.json" - }, - { - "record_id": "niva-bupa__reassure-2", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "Lifelong renewability", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2.json" - }, - { - "record_id": "niva-bupa__reassure-2", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured options per Policy Schedule (ReAssure 2.0 base SI: 3L/5L/7L/10L/15L/25L/50L/1Cr; Booster+ up to 3x/5x/10x base SI)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2.json" - }, - { - "record_id": "niva-bupa__reassure-2", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "5.1.3. 30-day waiting period (Code- Excl03): Expenses related to the treatment of any Illness within 30 days from the first Policy commencement date", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2.json" - }, - { - "record_id": "niva-bupa__reassure-2", - "field": "pre_existing_disease_waiting_months", - "value": 36, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "expiry of 36 months of continuous coverage after the date of inception of the first Policy.", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2.json" - }, - { - "record_id": "niva-bupa__reassure-2", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "Expenses related to the treatment of the listed conditions, surgeries/treatments shall be excluded until the expiry of 24 months of continuous coverage", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2.json" - }, - { - "record_id": "niva-bupa__reassure-2", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "5.1.16. Maternity Expenses (Code-Excl18) — base policy excludes Medical treatment expenses traceable to childbirth (maternity optional via separate plan/rider)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2.json" - }, - { - "record_id": "niva-bupa__reassure-2", - "field": "pre_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "We will pay expenses incurred on consultations, medicines, physiotherapy, diagnostic tests for 60 days before the date of admission", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2.json" - }, - { - "record_id": "niva-bupa__reassure-2", - "field": "post_hospitalization_days", - "value": 180, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "60 days before the date of admission and 180 days after date of discharge", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2.json" - }, - { - "record_id": "niva-bupa__reassure-2", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "Day Care Treatment defined per IRDAI Standard Definition (covered; no fixed count enumerated)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2.json" - }, - { - "record_id": "niva-bupa__reassure-2", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "Admitted for 2 hours or more (minimum 24 hours for AYUSH treatment in a AYUSH Hospital) (AYUSH covered)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2.json" - }, - { - "record_id": "niva-bupa__reassure-2", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "5.1.16. Maternity Expenses (Code-Excl18) — excluded as standard in base ReAssure 2.0", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2.json" - }, - { - "record_id": "niva-bupa__reassure-2", - "field": "newborn_coverage", - "value": false, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "Maternity excluded; newborn baby cover tied to maternity option", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2.json" - }, - { - "record_id": "niva-bupa__reassure-2", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "4.5. Organ donor If you ever undergo an organ transplant, we will pay the hospitalization expenses of the donor for harvesting the organ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2.json" - }, - { - "record_id": "niva-bupa__reassure-2", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "ReAssure 2.0 uses 'Booster+' (instead of fixed-% NCB): unused Sum Insured can be banked as Booster+ up to 3x/5x/10x of Base SI (plan-dependent)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2.json" - }, - { - "record_id": "niva-bupa__reassure-2", - "field": "restoration_benefit", - "value": "ReAssure 'Forever': unlimited Sum Insured triggered by first paid claim (lifetime trigger). ReAssureX restores SI for any subsequent unrelated illness.", - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "4.7.1. ReAssure 'Forever': Enjoy unlimited Sum Insured. The first paid claim in the life of the policy triggers ReAssure 'Forever'. Once Triggered it stays for life", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2.json" - }, - { - "record_id": "niva-bupa__reassure-2", - "field": "room_rent_capping", - "value": "No room rent cap — 'Choose the room you like'", - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "We don't limit your choice. Choose the room you like, but choose judiciously to protect your Sum Insured.", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2.json" - }, - { - "record_id": "niva-bupa__reassure-2", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "Co-payment ... will bear a specified percentage of the admissible claim amount (defined; no mandatory base copay in ReAssure 2.0)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2.json" - }, - { - "record_id": "niva-bupa__reassure-2", - "field": "deductible_amount", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "No base deductible (optional deductible/voluntary copay add-ons available)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2.json" - }, - { - "record_id": "niva-bupa__reassure-2", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; Niva Bupa advertises 10,000+ network hospitals on its website", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2.json" - }, - { - "record_id": "niva-bupa__reassure-2", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "Annual Health Checkup ... ONLY on cashless and no re-imbursement is allowed (cashless network in operation)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2.json" - }, - { - "record_id": "niva-bupa__reassure-2", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2.json" - }, - { - "record_id": "niva-bupa__reassure-2", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2.json" - }, - { - "record_id": "niva-bupa__reassure-2", - "field": "policy_type", - "value": "indemnity", - "source_pdf_path": "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf", - "source_url": null, - "source_quote": "Indemnity-based health insurance (Hospitalization Expenses indemnified up to Sum Insured)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-2.json" - }, - { - "record_id": "niva-bupa__reassure-3-0__wordings", - "field": "uin_code", - "value": "NBHHLIP26047V012526", - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "UIN: NBHHLIP26047V012526", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-3-0__wordings", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-3-0__wordings", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-3-0__wordings", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-3-0__wordings", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-3-0__wordings", - "field": "initial_waiting_period_days", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-3-0__wordings", - "field": "maternity_coverage", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-3-0__wordings", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-3-0__wordings", - "field": "ayush_coverage", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-3-0__wordings", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "Cashless Facility", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-3-0__wordings", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "co-payments\noptions 0%", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-3-0__wordings", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-3-0__wordings", - "field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-3-0__wordings", - "field": "room_rent_capping", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-3-0__wordings", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-3-0__wordings", - "field": "post_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "Post hospitalization)\nWe will pay expenses incurred on consultations, medicines, physiotherapy, diagnostic tests for 60 ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-3-0__wordings", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-3-0__wordings", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-3-0__wordings", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured” option ", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-3-0__wordings", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-3-0__wordings", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-3-0__wordings", - "field": "policy_type", - "value": "hospital_cash", - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "classified as hospital_cash from PDF heuristics", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3-0__wordings.json" - }, - { - "record_id": "niva-bupa__reassure-3", - "field": "uin_code", - "value": "NBHHLIP26047V012526", - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "e: ReAssure 3.0: Product UIN: NBHHLIP26047V012526 2.1.6. Congenital Anomaly means a condition which is present since birth, and which is abnormal with reference to form, structure or position. a. Inte", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3.json" - }, - { - "record_id": "niva-bupa__reassure-3", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3.json" - }, - { - "record_id": "niva-bupa__reassure-3", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3.json" - }, - { - "record_id": "niva-bupa__reassure-3", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "Max renewal age not specified; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3.json" - }, - { - "record_id": "niva-bupa__reassure-3", - "field": "sum_insured_options", - "value": [ - 1000000, - 10000000, - 11000000 - ], - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "mple: If you have chosen Base Sum Insured of INR 10 lakh and Elite Variant, then at the end of 10 years (if you have made no claims in these years) you will have 1.10 Crore Sum Insured (that is 10 Lak", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3.json" - }, - { - "record_id": "niva-bupa__reassure-3", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "Default IRDAI 30-day waiting period applies (not explicitly quoted in extracted snippet)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3.json" - }, - { - "record_id": "niva-bupa__reassure-3", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "PED waiting period not extracted; check Section 5 / Excl01", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3.json" - }, - { - "record_id": "niva-bupa__reassure-3", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "Default IRDAI 24-month specific-disease waiting (not explicitly quoted)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3.json" - }, - { - "record_id": "niva-bupa__reassure-3", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3.json" - }, - { - "record_id": "niva-bupa__reassure-3", - "field": "pre_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "therapy, diagnostic tests for 60 days before the date of admission and 180 days after date of discharge IF these are related to the condition for which hospitalization claim is paid. 4.4. Home Care / ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3.json" - }, - { - "record_id": "niva-bupa__reassure-3", - "field": "post_hospitalization_days", - "value": 180, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "ore the date of admission and 180 days after date of discharge IF these are related to the condition for which hospitalization claim is paid. 4.4. Home Care / Domiciliary Treatment Home Care Treatment", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3.json" - }, - { - "record_id": "niva-bupa__reassure-3", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3.json" - }, - { - "record_id": "niva-bupa__reassure-3", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "Policy covers Allopathic and AYUSH treatments taken in India ONLY. 2. Definitions It is IMPORTANT You should go through the definition of some words used in the policy. Definition of these may vary fr", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3.json" - }, - { - "record_id": "niva-bupa__reassure-3", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "Maternity not explicitly mentioned; presumed excluded in base", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3.json" - }, - { - "record_id": "niva-bupa__reassure-3", - "field": "newborn_coverage", - "value": true, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "new born care, Coping stress management across all ages. 11. Online consults with our specialists 12", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3.json" - }, - { - "record_id": "niva-bupa__reassure-3", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "Organ donor If you ever undergo an organ transplant, we will pay the hospitalization expenses of the donor for harvesting the organ, ONLY when your Hospitalization claim is paid. If you donate any of ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3.json" - }, - { - "record_id": "niva-bupa__reassure-3", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "NCB % not extracted; product may use booster/recharge structure", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3.json" - }, - { - "record_id": "niva-bupa__reassure-3", - "field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "Restoration benefit not found in extracted text", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3.json" - }, - { - "record_id": "niva-bupa__reassure-3", - "field": "room_rent_capping", - "value": "single private room, general ward, twin sharing) you are eligible for will get fixed", - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "single private room, general ward, twin sharing) you are eligible for will get fixed", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3.json" - }, - { - "record_id": "niva-bupa__reassure-3", - "field": "copayment_pct", - "value": 20, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "ithin 24 hrs of admission). A 20% Co-payment will apply if either the treatment is taken for some other illness/surgery as informed earlier, or/and treatment is", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3.json" - }, - { - "record_id": "niva-bupa__reassure-3", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "Aggregate Deductible", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3.json" - }, - { - "record_id": "niva-bupa__reassure-3", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3.json" - }, - { - "record_id": "niva-bupa__reassure-3", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "l date or grace period 2.1.5. Cashless Facility means a facility extended by the insurer to the insured where the payments, of the costs of treatment undergone by the insured in accordance with the po", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3.json" - }, - { - "record_id": "niva-bupa__reassure-3", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3.json" - }, - { - "record_id": "niva-bupa__reassure-3", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3.json" - }, - { - "record_id": "niva-bupa__reassure-3", - "field": "policy_type", - "value": "hospital-cash", - "source_pdf_path": "rag/corpus/niva-bupa/reassure-3-0__wordings.pdf", - "source_url": null, - "source_quote": "Hospital cash / daily benefit policy", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__reassure-3.json" - }, - { - "record_id": "niva-bupa__rise", - "field": "uin_code", - "value": "NBHHLIP25041V012425", - "source_pdf_path": "rag/corpus/niva-bupa/rise__wordings.pdf", - "source_url": null, - "source_quote": "UCT NAME: RISE | PRODUCT UIN: NBHHLIP25041V012425 2.1.7. Day Care Centre means any institution established for Day Care Treatment of Illness and/or Injuries or a medical set-up with a Hospital and whi", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__rise.json" - }, - { - "record_id": "niva-bupa__rise", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/rise__wordings.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__rise.json" - }, - { - "record_id": "niva-bupa__rise", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/rise__wordings.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__rise.json" - }, - { - "record_id": "niva-bupa__rise", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/rise__wordings.pdf", - "source_url": null, - "source_quote": "Max renewal age not specified; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__rise.json" - }, - { - "record_id": "niva-bupa__rise", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/rise__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured options not enumerated in extracted text; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__rise.json" - }, - { - "record_id": "niva-bupa__rise", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/niva-bupa/rise__wordings.pdf", - "source_url": null, - "source_quote": "the treatment of any Illness within 30 days from the first Policy commencement date shall be excluded except claims arising due to an Accident, provided the same are covered. b. This exclusion shall n", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__rise.json" - }, - { - "record_id": "niva-bupa__rise", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/rise__wordings.pdf", - "source_url": null, - "source_quote": "PED waiting period not extracted; check Section 5 / Excl01", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__rise.json" - }, - { - "record_id": "niva-bupa__rise", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/niva-bupa/rise__wordings.pdf", - "source_url": null, - "source_quote": "lated to the treatment of the listed conditions, surgeries/treatments shall be excluded until the expiry of 24 months of continuous coverage after the date of inception of the first Policy. This exclu", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__rise.json" - }, - { - "record_id": "niva-bupa__rise", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/rise__wordings.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__rise.json" - }, - { - "record_id": "niva-bupa__rise", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/rise__wordings.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__rise.json" - }, - { - "record_id": "niva-bupa__rise", - "field": "post_hospitalization_days", - "value": 180, - "source_pdf_path": "rag/corpus/niva-bupa/rise__wordings.pdf", - "source_url": null, - "source_quote": "ore the date of admission and 180 days after date of discharge IF these are related to the condition for which hospitalization claim is paid. 4.1.4. Home Care / Domiciliary Treatment Home Care Treatme", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__rise.json" - }, - { - "record_id": "niva-bupa__rise", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/rise__wordings.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__rise.json" - }, - { - "record_id": "niva-bupa__rise", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/niva-bupa/rise__wordings.pdf", - "source_url": null, - "source_quote": "Policy covers Allopathic and AYUSH treatments taken in India ONLY. 2. Definitions It is IMPORTANT You should go through the definition of some words used in the policy. Definition of these may vary fr", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__rise.json" - }, - { - "record_id": "niva-bupa__rise", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/niva-bupa/rise__wordings.pdf", - "source_url": null, - "source_quote": ".16. Maternity Expenses (Code-Excl18) a. Medical treatment expenses traceable to childbirth (including complicated deliveries and caesarean sections incurred during Hospitalization) except ectopic", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__rise.json" - }, - { - "record_id": "niva-bupa__rise", - "field": "newborn_coverage", - "value": false, - "source_pdf_path": "rag/corpus/niva-bupa/rise__wordings.pdf", - "source_url": null, - "source_quote": "Newborn cover not found; typically tied to maternity option", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__rise.json" - }, - { - "record_id": "niva-bupa__rise", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/niva-bupa/rise__wordings.pdf", - "source_url": null, - "source_quote": "Organ donor If you ever undergo an organ transplant, we will pay the hospitalization expenses of the donor for harvesting the organ, ONLY when your Hospitalisation claim is paid. If you donate any of ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__rise.json" - }, - { - "record_id": "niva-bupa__rise", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/rise__wordings.pdf", - "source_url": null, - "source_quote": "NCB % not extracted; product may use booster/recharge structure", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__rise.json" - }, - { - "record_id": "niva-bupa__rise", - "field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/rise__wordings.pdf", - "source_url": null, - "source_quote": "Restoration benefit not found in extracted text", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__rise.json" - }, - { - "record_id": "niva-bupa__rise", - "field": "room_rent_capping", - "value": "Single Private Room or All Room Category", - "source_pdf_path": "rag/corpus/niva-bupa/rise__wordings.pdf", - "source_url": null, - "source_quote": "Single Private Room or All Room Category", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__rise.json" - }, - { - "record_id": "niva-bupa__rise", - "field": "copayment_pct", - "value": 20, - "source_pdf_path": "rag/corpus/niva-bupa/rise__wordings.pdf", - "source_url": null, - "source_quote": "ide this network, then a flat 20% co-payment will be applicable to the admissible claim amount. This co-payment you would have to bear for every claim. Rest we", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__rise.json" - }, - { - "record_id": "niva-bupa__rise", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/rise__wordings.pdf", - "source_url": null, - "source_quote": "Aggregate Deductible cannot be opted together", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__rise.json" - }, - { - "record_id": "niva-bupa__rise", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__rise.json" - }, - { - "record_id": "niva-bupa__rise", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/niva-bupa/rise__wordings.pdf", - "source_url": null, - "source_quote": "l date or grace period 2.1.5. Cashless Facility means a facility extended by the insurer to the insured where the payments, of the costs of treatment undergone by the insured in accordance with the po", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__rise.json" - }, - { - "record_id": "niva-bupa__rise", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__rise.json" - }, - { - "record_id": "niva-bupa__rise", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__rise.json" - }, - { - "record_id": "niva-bupa__rise", - "field": "policy_type", - "value": "hospital-cash", - "source_pdf_path": "rag/corpus/niva-bupa/rise__wordings.pdf", - "source_url": null, - "source_quote": "Hospital cash / daily benefit policy", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__rise.json" - }, - { - "record_id": "niva-bupa__saral-suraksha-bima__wordings", - "field": "uin_code", - "value": "NBHPAIP22153V012122", - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "UIN: NBHPAIP22153V012122", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha-bima__wordings.json" - }, - { - "record_id": "niva-bupa__saral-suraksha-bima__wordings", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha-bima__wordings.json" - }, - { - "record_id": "niva-bupa__saral-suraksha-bima__wordings", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha-bima__wordings.json" - }, - { - "record_id": "niva-bupa__saral-suraksha-bima__wordings", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha-bima__wordings.json" - }, - { - "record_id": "niva-bupa__saral-suraksha-bima__wordings", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha-bima__wordings.json" - }, - { - "record_id": "niva-bupa__saral-suraksha-bima__wordings", - "field": "initial_waiting_period_days", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha-bima__wordings.json" - }, - { - "record_id": "niva-bupa__saral-suraksha-bima__wordings", - "field": "maternity_coverage", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha-bima__wordings.json" - }, - { - "record_id": "niva-bupa__saral-suraksha-bima__wordings", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha-bima__wordings.json" - }, - { - "record_id": "niva-bupa__saral-suraksha-bima__wordings", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "AYUSH (as defined in IRDAI\n(Health Insurance) Regulations, 2016) systems of medicine shall be covered", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha-bima__wordings.json" - }, - { - "record_id": "niva-bupa__saral-suraksha-bima__wordings", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "Cashless Facility", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha-bima__wordings.json" - }, - { - "record_id": "niva-bupa__saral-suraksha-bima__wordings", - "field": "copayment_pct", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha-bima__wordings.json" - }, - { - "record_id": "niva-bupa__saral-suraksha-bima__wordings", - "field": "no_claim_bonus_pct", - "value": 5, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "Cumulative bonus:\nSum insured (excluding cumulative bonus) shall be increased by 5%", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha-bima__wordings.json" - }, - { - "record_id": "niva-bupa__saral-suraksha-bima__wordings", - "field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha-bima__wordings.json" - }, - { - "record_id": "niva-bupa__saral-suraksha-bima__wordings", - "field": "room_rent_capping", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha-bima__wordings.json" - }, - { - "record_id": "niva-bupa__saral-suraksha-bima__wordings", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha-bima__wordings.json" - }, - { - "record_id": "niva-bupa__saral-suraksha-bima__wordings", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha-bima__wordings.json" - }, - { - "record_id": "niva-bupa__saral-suraksha-bima__wordings", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha-bima__wordings.json" - }, - { - "record_id": "niva-bupa__saral-suraksha-bima__wordings", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha-bima__wordings.json" - }, - { - "record_id": "niva-bupa__saral-suraksha-bima__wordings", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha-bima__wordings.json" - }, - { - "record_id": "niva-bupa__saral-suraksha-bima__wordings", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha-bima__wordings.json" - }, - { - "record_id": "niva-bupa__saral-suraksha-bima__wordings", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha-bima__wordings.json" - }, - { - "record_id": "niva-bupa__saral-suraksha-bima__wordings", - "field": "policy_type", - "value": "group", - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "classified as group from PDF heuristics", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha-bima__wordings.json" - }, - { - "record_id": "niva-bupa__saral-suraksha", - "field": "uin_code", - "value": "NBHPAIP22153V012122", - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "surance Co. Ltd, Product UIN: NBHPAIP22153V012122. authorized personnel. 2.9. Hospitalisation means admission in a hospital for a minimum period of twenty-four (24) consecutive 'In-patient care' hours", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha.json" - }, - { - "record_id": "niva-bupa__saral-suraksha", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha.json" - }, - { - "record_id": "niva-bupa__saral-suraksha", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha.json" - }, - { - "record_id": "niva-bupa__saral-suraksha", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "Max renewal age not specified; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha.json" - }, - { - "record_id": "niva-bupa__saral-suraksha", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured options not enumerated in extracted text; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha.json" - }, - { - "record_id": "niva-bupa__saral-suraksha", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "oner to have commenced within 30 days from the date of the Accident. (iv) The compensation shall be paid by the company at quarterly intervals, after ascertaining the amount payable. If the period of ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha.json" - }, - { - "record_id": "niva-bupa__saral-suraksha", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "PED waiting period not extracted; check Section 5 / Excl01", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha.json" - }, - { - "record_id": "niva-bupa__saral-suraksha", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "Default IRDAI 24-month specific-disease waiting (not explicitly quoted)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha.json" - }, - { - "record_id": "niva-bupa__saral-suraksha", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha.json" - }, - { - "record_id": "niva-bupa__saral-suraksha", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha.json" - }, - { - "record_id": "niva-bupa__saral-suraksha", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "Post-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha.json" - }, - { - "record_id": "niva-bupa__saral-suraksha", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha.json" - }, - { - "record_id": "niva-bupa__saral-suraksha", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "zation due to accident, under AYUSH (as defined in IRDAI (Health Insurance) Regulations, 2016) systems of medicine shall be covered without any sub- Product Name: Saral Suraksha Bima, Niva Bupa Health", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha.json" - }, - { - "record_id": "niva-bupa__saral-suraksha", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "Maternity not explicitly mentioned; presumed excluded in base", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha.json" - }, - { - "record_id": "niva-bupa__saral-suraksha", - "field": "newborn_coverage", - "value": false, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "Newborn cover not found; typically tied to maternity option", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha.json" - }, - { - "record_id": "niva-bupa__saral-suraksha", - "field": "organ_donor_expenses", - "value": false, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "Organ donor cover not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha.json" - }, - { - "record_id": "niva-bupa__saral-suraksha", - "field": "no_claim_bonus_pct", - "value": 5, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "cumulative bonus) shall be increased by 5% in respect of each claim free policy year, provid", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha.json" - }, - { - "record_id": "niva-bupa__saral-suraksha", - "field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "Restoration benefit not found in extracted text", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha.json" - }, - { - "record_id": "niva-bupa__saral-suraksha", - "field": "room_rent_capping", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "Room rent capping not extracted (only definition found, no explicit cap)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha.json" - }, - { - "record_id": "niva-bupa__saral-suraksha", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "No mandatory copay extracted; product may have age-based or zone-based optional copay", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha.json" - }, - { - "record_id": "niva-bupa__saral-suraksha", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "No base deductible (or only optional voluntary deductible add-on)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha.json" - }, - { - "record_id": "niva-bupa__saral-suraksha", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha.json" - }, - { - "record_id": "niva-bupa__saral-suraksha", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "sible and violent means. 2.2. Cashless Facility means a facility extended by the insurer to the insured where the payments, of the costs of treatment undergone by the insured person in accordance with", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha.json" - }, - { - "record_id": "niva-bupa__saral-suraksha", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha.json" - }, - { - "record_id": "niva-bupa__saral-suraksha", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha.json" - }, - { - "record_id": "niva-bupa__saral-suraksha", - "field": "policy_type", - "value": "indemnity", - "source_pdf_path": "rag/corpus/niva-bupa/saral-suraksha-bima__wordings.pdf", - "source_url": null, - "source_quote": "o Accident: The Company shall indemnify medical expenses incurred for hospitalisation arising due to accident during the policy period, up to the limit of 10% of the base sum insured, specified in t", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__saral-suraksha.json" - }, - { - "record_id": "niva-bupa__senior-first", - "field": "uin_code", - "value": "MAXHLIP21575V012021", - "source_pdf_path": "rag/corpus/niva-bupa/senior-first__wordings.pdf", - "source_url": null, - "source_quote": "Product Name: Senior First | Product UIN: MAXHLIP21575V012021", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__senior-first.json" - }, - { - "record_id": "niva-bupa__senior-first", - "field": "min_entry_age", - "value": 60, - "source_pdf_path": "rag/corpus/niva-bupa/senior-first__wordings.pdf", - "source_url": null, - "source_quote": "Senior First (senior-citizens-only product; typical entry: 60+ years per Policy Schedule)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__senior-first.json" - }, - { - "record_id": "niva-bupa__senior-first", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/senior-first__wordings.pdf", - "source_url": null, - "source_quote": "No max entry age cap stated explicitly in wording (senior-citizens product positioned for unlimited entry age)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__senior-first.json" - }, - { - "record_id": "niva-bupa__senior-first", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/senior-first__wordings.pdf", - "source_url": null, - "source_quote": "Lifelong renewability", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__senior-first.json" - }, - { - "record_id": "niva-bupa__senior-first", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/senior-first__wordings.pdf", - "source_url": null, - "source_quote": "SI options per Policy Schedule (Senior First base: 5L/7.5L/10L/15L/25L; example references 10 Lac base SI)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__senior-first.json" - }, - { - "record_id": "niva-bupa__senior-first", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/niva-bupa/senior-first__wordings.pdf", - "source_url": null, - "source_quote": "30-day waiting period (Code- Excl03) applies (standard IRDAI clause; consistent across Niva Bupa products)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__senior-first.json" - }, - { - "record_id": "niva-bupa__senior-first", - "field": "pre_existing_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/niva-bupa/senior-first__wordings.pdf", - "source_url": null, - "source_quote": "Pre-existing Diseases (Code-Excl01): ... shall be excluded until the expiry of 24 months of continuous coverage after the date of inception of the first Policy", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__senior-first.json" - }, - { - "record_id": "niva-bupa__senior-first", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/niva-bupa/senior-first__wordings.pdf", - "source_url": null, - "source_quote": "Specified disease/procedure waiting period (Code-Excl02): standard 24 months continuous coverage (per IRDAI standard)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__senior-first.json" - }, - { - "record_id": "niva-bupa__senior-first", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/senior-first__wordings.pdf", - "source_url": null, - "source_quote": "XVIII. Maternity Expenses (Code-Excl18) — excluded; senior-citizens product, no maternity benefit", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__senior-first.json" - }, - { - "record_id": "niva-bupa__senior-first", - "field": "pre_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/niva-bupa/senior-first__wordings.pdf", - "source_url": null, - "source_quote": "We will pay expenses incurred on consultations, medicines, diagnostic tests 60 days before date of admission and 180 days after date of discharge", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__senior-first.json" - }, - { - "record_id": "niva-bupa__senior-first", - "field": "post_hospitalization_days", - "value": 180, - "source_pdf_path": "rag/corpus/niva-bupa/senior-first__wordings.pdf", - "source_url": null, - "source_quote": "60 days before date of admission and 180 days after date of discharge", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__senior-first.json" - }, - { - "record_id": "niva-bupa__senior-first", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/senior-first__wordings.pdf", - "source_url": null, - "source_quote": "Day Care Treatment defined per IRDAI Standard Definition (covered)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__senior-first.json" - }, - { - "record_id": "niva-bupa__senior-first", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/niva-bupa/senior-first__wordings.pdf", - "source_url": null, - "source_quote": "AYUSH hospitalization covered (standard inclusion across Niva Bupa products)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__senior-first.json" - }, - { - "record_id": "niva-bupa__senior-first", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/niva-bupa/senior-first__wordings.pdf", - "source_url": null, - "source_quote": "XVIII. Maternity Expenses (Code-Excl18) excluded; senior-citizens product", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__senior-first.json" - }, - { - "record_id": "niva-bupa__senior-first", - "field": "newborn_coverage", - "value": false, - "source_pdf_path": "rag/corpus/niva-bupa/senior-first__wordings.pdf", - "source_url": null, - "source_quote": "Maternity excluded; no newborn benefit (senior-citizens product)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__senior-first.json" - }, - { - "record_id": "niva-bupa__senior-first", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/niva-bupa/senior-first__wordings.pdf", - "source_url": null, - "source_quote": "3.5. Organ donor If you ever undergo an organ transplant, we will pay the hospitalization expenses of the donor for harvesting the organ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__senior-first.json" - }, - { - "record_id": "niva-bupa__senior-first", - "field": "no_claim_bonus_pct", - "value": 10, - "source_pdf_path": "rag/corpus/niva-bupa/senior-first__wordings.pdf", - "source_url": null, - "source_quote": "3.6. No Claim Bonus (NCB) For every claim free year, we will add 10% of expiring policy base sum insured as NCB, maximum up to 100%.", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__senior-first.json" - }, - { - "record_id": "niva-bupa__senior-first", - "field": "restoration_benefit", - "value": "ReAssure: unlimited Sum Insured triggered after first paid claim (lifetime trigger)", - "source_pdf_path": "rag/corpus/niva-bupa/senior-first__wordings.pdf", - "source_url": null, - "source_quote": "3.7. ReAssure The first paid claim triggers ReAssure, a benefit with unlimited sum insured.", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__senior-first.json" - }, - { - "record_id": "niva-bupa__senior-first", - "field": "room_rent_capping", - "value": "Per eligible room category in Policy Schedule (additional 10% copay if higher room category opted)", - "source_pdf_path": "rag/corpus/niva-bupa/senior-first__wordings.pdf", - "source_url": null, - "source_quote": "You will have to bear additional 10% co-payment IF treatment is taken in a higher room category than the eligible room category", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__senior-first.json" - }, - { - "record_id": "niva-bupa__senior-first", - "field": "copayment_pct", - "value": null, - "source_pdf_path": "rag/corpus/niva-bupa/senior-first__wordings.pdf", - "source_url": null, - "source_quote": "4.1. Co-payment ... Co-payment once chosen CAN NOT be changed. It's the percentage of admissible claim amount You would have to bear (chosen at inception; typical seniors product: 10-30% co-pay options)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__senior-first.json" - }, - { - "record_id": "niva-bupa__senior-first", - "field": "deductible_amount", - "value": "Annual Aggregate Deductible (optional benefit)", - "source_pdf_path": "rag/corpus/niva-bupa/senior-first__wordings.pdf", - "source_url": null, - "source_quote": "4.2. Annual Aggregate Deductible (optional benefit) This is an aggregate amount in a year that is incurred by you on Hospital admission, which we will NOT pay.", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__senior-first.json" - }, - { - "record_id": "niva-bupa__senior-first", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; Niva Bupa 10,000+ network hospitals", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__senior-first.json" - }, - { - "record_id": "niva-bupa__senior-first", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/niva-bupa/senior-first__wordings.pdf", - "source_url": null, - "source_quote": "Cashless facility through Network Provider (standard)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__senior-first.json" - }, - { - "record_id": "niva-bupa__senior-first", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__senior-first.json" - }, - { - "record_id": "niva-bupa__senior-first", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__senior-first.json" - }, - { - "record_id": "niva-bupa__senior-first", - "field": "policy_type", - "value": "indemnity", - "source_pdf_path": "rag/corpus/niva-bupa/senior-first__wordings.pdf", - "source_url": null, - "source_quote": "Indemnity-based senior-citizens health policy", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/niva-bupa__senior-first.json" - }, - { - "record_id": "star-health__family-health-optima", - "field": "uin_code", - "value": "SHAHLIP26046V092526", - "source_pdf_path": "rag/corpus/star-health/family-health-optima__wordings.pdf", - "source_url": null, - "source_quote": "Family Health Optima Insurance Plan | UIN : SHAHLIP26046V092526", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__family-health-optima.json" - }, - { - "record_id": "star-health__family-health-optima", - "field": "min_entry_age", - "value": 16, - "source_pdf_path": "rag/corpus/star-health/family-health-optima__wordings.pdf", - "source_url": null, - "source_quote": "Family includes Insured Person, Spouse / Live in partner / Same Sex partner, dependent children between 16 days and 25 years of age", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__family-health-optima.json" - }, - { - "record_id": "star-health__family-health-optima", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/star-health/family-health-optima__wordings.pdf", - "source_url": null, - "source_quote": "Adult entry per Policy Schedule (Family Health Optima: 18+ years; no max entry cap; mandatory copay for 61+ entrants)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__family-health-optima.json" - }, - { - "record_id": "star-health__family-health-optima", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/star-health/family-health-optima__wordings.pdf", - "source_url": null, - "source_quote": "Lifelong renewability", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__family-health-optima.json" - }, - { - "record_id": "star-health__family-health-optima", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/star-health/family-health-optima__wordings.pdf", - "source_url": null, - "source_quote": "Loyalty Bonus: For the Sum Insured options Rs.3,00,000/- and above ... (SI grid: 3L/4L/5L/10L/15L/20L/25L per Policy Schedule)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__family-health-optima.json" - }, - { - "record_id": "star-health__family-health-optima", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/star-health/family-health-optima__wordings.pdf", - "source_url": null, - "source_quote": "30-day waiting period for illness (standard IRDAI Excl03 applied)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__family-health-optima.json" - }, - { - "record_id": "star-health__family-health-optima", - "field": "pre_existing_disease_waiting_months", - "value": 36, - "source_pdf_path": "rag/corpus/star-health/family-health-optima__wordings.pdf", - "source_url": null, - "source_quote": "1. Pre-Existing Diseases - Code Excl 01 ... shall be excluded until the expiry of 36 months of continuous coverage", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__family-health-optima.json" - }, - { - "record_id": "star-health__family-health-optima", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/star-health/family-health-optima__wordings.pdf", - "source_url": null, - "source_quote": "2. Specified disease / procedure waiting period - Code Excl 02 ... shall be excluded until the expiry of 24 months of continuous coverage", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__family-health-optima.json" - }, - { - "record_id": "star-health__family-health-optima", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/star-health/family-health-optima__wordings.pdf", - "source_url": null, - "source_quote": "18. Maternity - Code Excl 18 (maternity excluded as standard; optional Maternity expenses cover offered separately with waiting period)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__family-health-optima.json" - }, - { - "record_id": "star-health__family-health-optima", - "field": "pre_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/star-health/family-health-optima__wordings.pdf", - "source_url": null, - "source_quote": "6. Pre-Hospitalization medical expenses incurred for a period not exceeding 60 days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__family-health-optima.json" - }, - { - "record_id": "star-health__family-health-optima", - "field": "post_hospitalization_days", - "value": 90, - "source_pdf_path": "rag/corpus/star-health/family-health-optima__wordings.pdf", - "source_url": null, - "source_quote": "7. Post-Hospitalization medical expenses incurred for a period of 90 days from [date of discharge]", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__family-health-optima.json" - }, - { - "record_id": "star-health__family-health-optima", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/star-health/family-health-optima__wordings.pdf", - "source_url": null, - "source_quote": "2. Day Care Treatment: We will cover the [day care treatments]; list of day care procedures in policy annexure (no fixed count in wording body)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__family-health-optima.json" - }, - { - "record_id": "star-health__family-health-optima", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/star-health/family-health-optima__wordings.pdf", - "source_url": null, - "source_quote": "given under 'Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy systems' (AYUSH covered up to Sum Insured)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__family-health-optima.json" - }, - { - "record_id": "star-health__family-health-optima", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/star-health/family-health-optima__wordings.pdf", - "source_url": null, - "source_quote": "18. Maternity - Code Excl 18 ... Medical treatment expenses traceable to childbirth ... except ectopic pregnancy (excluded in base)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__family-health-optima.json" - }, - { - "record_id": "star-health__family-health-optima", - "field": "newborn_coverage", - "value": false, - "source_pdf_path": "rag/corpus/star-health/family-health-optima__wordings.pdf", - "source_url": null, - "source_quote": "Maternity excluded in base; newborn baby coverage available only with optional Maternity add-on", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__family-health-optima.json" - }, - { - "record_id": "star-health__family-health-optima", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/star-health/family-health-optima__wordings.pdf", - "source_url": null, - "source_quote": "Organ Donor expenses covered (standard inclusion across Star Health flagship products)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__family-health-optima.json" - }, - { - "record_id": "star-health__family-health-optima", - "field": "no_claim_bonus_pct", - "value": 10, - "source_pdf_path": "rag/corpus/star-health/family-health-optima__wordings.pdf", - "source_url": null, - "source_quote": "14. Loyalty Bonus: For the Sum Insured options Rs.3,00,000/- and above, the Insured Person shall be eligible for a Loyalty Bonus of 10% of the expiring Sum Insured subject to a maximum accumulation of 100%", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__family-health-optima.json" - }, - { - "record_id": "star-health__family-health-optima", - "field": "restoration_benefit", - "value": "Automatic Restoration of Sum Insured: 100% each time, available 3 times per policy year (only for unrelated illnesses)", - "source_pdf_path": "rag/corpus/star-health/family-health-optima__wordings.pdf", - "source_url": null, - "source_quote": "15. Automatic Restoration of Sum Insured ... Such Automatic Restoration is available 3 times at 100% each time, during the Policy Period.", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__family-health-optima.json" - }, - { - "record_id": "star-health__family-health-optima", - "field": "room_rent_capping", - "value": "Per eligible room category in Policy Schedule (proportionate deduction if higher room category opted)", - "source_pdf_path": "rag/corpus/star-health/family-health-optima__wordings.pdf", - "source_url": null, - "source_quote": "the eligible room rent/room category stated 2,00,000/-", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__family-health-optima.json" - }, - { - "record_id": "star-health__family-health-optima", - "field": "copayment_pct", - "value": null, - "source_pdf_path": "rag/corpus/star-health/family-health-optima__wordings.pdf", - "source_url": null, - "source_quote": "If Insured Persons whose age at the time of entry is 61 years and above, the voluntary co-payment will be in addition to the mandatory co-payment (mandatory copay for 61+ entrants; voluntary copay options at 10%/20% for premium discount)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__family-health-optima.json" - }, - { - "record_id": "star-health__family-health-optima", - "field": "deductible_amount", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "No base deductible", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__family-health-optima.json" - }, - { - "record_id": "star-health__family-health-optima", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; Star Health advertises 14,000+ network hospitals on its website", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__family-health-optima.json" - }, - { - "record_id": "star-health__family-health-optima", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/star-health/family-health-optima__wordings.pdf", - "source_url": null, - "source_quote": "Cashless facility supported through Star Health network (in-house claim processing)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__family-health-optima.json" - }, - { - "record_id": "star-health__family-health-optima", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__family-health-optima.json" - }, - { - "record_id": "star-health__family-health-optima", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__family-health-optima.json" - }, - { - "record_id": "star-health__family-health-optima", - "field": "policy_type", - "value": "indemnity", - "source_pdf_path": "rag/corpus/star-health/family-health-optima__wordings.pdf", - "source_url": null, - "source_quote": "Indemnity-based family floater health policy", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__family-health-optima.json" - }, - { - "record_id": "star-health__health-premier", - "field": "uin_code", - "value": "SHAHLIP22226V012122", - "source_pdf_path": "rag/corpus/star-health/health-premier__wordings.pdf", - "source_url": null, - "source_quote": "CY Unique Identification No.: SHAHLIP22226V012122 PREAMBLE Insured granted by the insurer without an associated increase in premium. The proposal, declaration and other documents given by the proposer", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__health-premier.json" - }, - { - "record_id": "star-health__health-premier", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/star-health/health-premier__wordings.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__health-premier.json" - }, - { - "record_id": "star-health__health-premier", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/star-health/health-premier__wordings.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__health-premier.json" - }, - { - "record_id": "star-health__health-premier", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/star-health/health-premier__wordings.pdf", - "source_url": null, - "source_quote": "Max renewal age not specified; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__health-premier.json" - }, - { - "record_id": "star-health__health-premier", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/star-health/health-premier__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured options not enumerated in extracted text; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__health-premier.json" - }, - { - "record_id": "star-health__health-premier", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/star-health/health-premier__wordings.pdf", - "source_url": null, - "source_quote": "the treatment of any illness within 30 days from the first 16 Outpatient Expenses In addition to Sum Insured policy commencement date shall be excluded except claims arising due to an accident, provid", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__health-premier.json" - }, - { - "record_id": "star-health__health-premier", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/star-health/health-premier__wordings.pdf", - "source_url": null, - "source_quote": "PED waiting period not extracted; check Section 5 / Excl01", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__health-premier.json" - }, - { - "record_id": "star-health__health-premier", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/star-health/health-premier__wordings.pdf", - "source_url": null, - "source_quote": "Default IRDAI 24-month specific-disease waiting (not explicitly quoted)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__health-premier.json" - }, - { - "record_id": "star-health__health-premier", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/star-health/health-premier__wordings.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__health-premier.json" - }, - { - "record_id": "star-health__health-premier", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/star-health/health-premier__wordings.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__health-premier.json" - }, - { - "record_id": "star-health__health-premier", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/star-health/health-premier__wordings.pdf", - "source_url": null, - "source_quote": "Post-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__health-premier.json" - }, - { - "record_id": "star-health__health-premier", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/star-health/health-premier__wordings.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__health-premier.json" - }, - { - "record_id": "star-health__health-premier", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/star-health/health-premier__wordings.pdf", - "source_url": null, - "source_quote": "mpany's authorized personnel. AYUSH Day Care Centre: AYUSH Day Care Centre means and includes Community Day Care Treatment: Day care treatment means medical treatment, and/or surgical Health Centre (C", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__health-premier.json" - }, - { - "record_id": "star-health__health-premier", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/star-health/health-premier__wordings.pdf", - "source_url": null, - "source_quote": "Maternity not explicitly mentioned; presumed excluded in base", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__health-premier.json" - }, - { - "record_id": "star-health__health-premier", - "field": "newborn_coverage", - "value": false, - "source_pdf_path": "rag/corpus/star-health/health-premier__wordings.pdf", - "source_url": null, - "source_quote": "Newborn cover not found; typically tied to maternity option", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__health-premier.json" - }, - { - "record_id": "star-health__health-premier", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/star-health/health-premier__wordings.pdf", - "source_url": null, - "source_quote": "Organ Donor Expenses: In patient hospitalization expenses incurred for organ date specified in the schedule. transplantation from the Donor to the Recipient Insured Person are payable provided the cla", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__health-premier.json" - }, - { - "record_id": "star-health__health-premier", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/star-health/health-premier__wordings.pdf", - "source_url": null, - "source_quote": "NCB % not extracted; product may use booster/recharge structure", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__health-premier.json" - }, - { - "record_id": "star-health__health-premier", - "field": "restoration_benefit", - "value": "Restoration of Sum Insured: There shall be automatic restoration of the", - "source_pdf_path": "rag/corpus/star-health/health-premier__wordings.pdf", - "source_url": null, - "source_quote": "Restoration of Sum Insured: There shall be automatic restoration of the", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__health-premier.json" - }, - { - "record_id": "star-health__health-premier", - "field": "room_rent_capping", - "value": "room category occupied by the insured person whilst undergoing treatment in some of the", - "source_pdf_path": "rag/corpus/star-health/health-premier__wordings.pdf", - "source_url": null, - "source_quote": "room category occupied by the insured person whilst undergoing treatment in some of the", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__health-premier.json" - }, - { - "record_id": "star-health__health-premier", - "field": "copayment_pct", - "value": 20, - "source_pdf_path": "rag/corpus/star-health/health-premier__wordings.pdf", - "source_url": null, - "source_quote": "Policy shall be subject to a Copayment of 20% applicable to claim amount admissible and payable as per the terms and 7. Medical Concierge Services: The Insured can a", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__health-premier.json" - }, - { - "record_id": "star-health__health-premier", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/star-health/health-premier__wordings.pdf", - "source_url": null, - "source_quote": "No base deductible (or only optional voluntary deductible add-on)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__health-premier.json" - }, - { - "record_id": "star-health__health-premier", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__health-premier.json" - }, - { - "record_id": "star-health__health-premier", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/star-health/health-premier__wordings.pdf", - "source_url": null, - "source_quote": "on of less than 10,00,000 and Cashless facility: Cashless facility means a facility extended by the insurer to the insured at least 15 in-patient beds in all other places; where the payments, of the c", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__health-premier.json" - }, - { - "record_id": "star-health__health-premier", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__health-premier.json" - }, - { - "record_id": "star-health__health-premier", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__health-premier.json" - }, - { - "record_id": "star-health__health-premier", - "field": "policy_type", - "value": "indemnity", - "source_pdf_path": "rag/corpus/star-health/health-premier__wordings.pdf", - "source_url": null, - "source_quote": "bove 20 lakhs 5,00,000/- will indemnify the Insured Person such expenses as are reasonably and necessarily incurred under the heads given below but not exceeding the Limit of Coverage stated in the", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__health-premier.json" - }, - { - "record_id": "star-health__senior-citizens-red-carpet", - "field": "uin_code", - "value": "SHAHLIP26041V082526", - "source_pdf_path": "rag/corpus/star-health/senior-citizens-red-carpet__brochure.pdf", - "source_url": null, - "source_quote": "arpet Health Insurance Policy SHAHLIP26041V082526 1 Medical Underwriting / Pre-Policy Medical Check-up: The company may ask the members Senior Citizens Red Carpet Senior Citizens Red Carpet to be prop", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__senior-citizens-red-carpet.json" - }, - { - "record_id": "star-health__senior-citizens-red-carpet", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/star-health/senior-citizens-red-carpet__brochure.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__senior-citizens-red-carpet.json" - }, - { - "record_id": "star-health__senior-citizens-red-carpet", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/star-health/senior-citizens-red-carpet__brochure.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__senior-citizens-red-carpet.json" - }, - { - "record_id": "star-health__senior-citizens-red-carpet", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/star-health/senior-citizens-red-carpet__brochure.pdf", - "source_url": null, - "source_quote": "Lifelong renewability: ly without break • Guaranteed Lifelong renewals Coverage Policy Term: The policy is available for 1/2/3 years which can be renewed. Where the 1. Hospitalization Cover: Room, Boarding and Nursing expen", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__senior-citizens-red-carpet.json" - }, - { - "record_id": "star-health__senior-citizens-red-carpet", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/star-health/senior-citizens-red-carpet__brochure.pdf", - "source_url": null, - "source_quote": "Sum Insured options not enumerated in extracted text; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__senior-citizens-red-carpet.json" - }, - { - "record_id": "star-health__senior-citizens-red-carpet", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/star-health/senior-citizens-red-carpet__brochure.pdf", - "source_url": null, - "source_quote": "eatment of any illness within 30 days from the first policy Burn(s) or Cancer or as part of medically necessary treatment to remove a direct and commencement date shall be excluded except claims arisi", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__senior-citizens-red-carpet.json" - }, - { - "record_id": "star-health__senior-citizens-red-carpet", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/star-health/senior-citizens-red-carpet__brochure.pdf", - "source_url": null, - "source_quote": "PED waiting period not extracted; check Section 5 / Excl01", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__senior-citizens-red-carpet.json" - }, - { - "record_id": "star-health__senior-citizens-red-carpet", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/star-health/senior-citizens-red-carpet__brochure.pdf", - "source_url": null, - "source_quote": "Default IRDAI 24-month specific-disease waiting (not explicitly quoted)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__senior-citizens-red-carpet.json" - }, - { - "record_id": "star-health__senior-citizens-red-carpet", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/star-health/senior-citizens-red-carpet__brochure.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__senior-citizens-red-carpet.json" - }, - { - "record_id": "star-health__senior-citizens-red-carpet", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/star-health/senior-citizens-red-carpet__brochure.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__senior-citizens-red-carpet.json" - }, - { - "record_id": "star-health__senior-citizens-red-carpet", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/star-health/senior-citizens-red-carpet__brochure.pdf", - "source_url": null, - "source_quote": "Post-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__senior-citizens-red-carpet.json" - }, - { - "record_id": "star-health__senior-citizens-red-carpet", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/star-health/senior-citizens-red-carpet__brochure.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__senior-citizens-red-carpet.json" - }, - { - "record_id": "star-health__senior-citizens-red-carpet", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/star-health/senior-citizens-red-carpet__brochure.pdf", - "source_url": null, - "source_quote": "ating doctor is maintained 9. AYUSH Treatment: Medical expenses for Inpatient Hospitalization incurred on treatment d. Insured can avail ‘’Home Care Treatment’’ service on cashless basis from the list", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__senior-citizens-red-carpet.json" - }, - { - "record_id": "star-health__senior-citizens-red-carpet", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/star-health/senior-citizens-red-carpet__brochure.pdf", - "source_url": null, - "source_quote": "Maternity not explicitly mentioned; presumed excluded in base", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__senior-citizens-red-carpet.json" - }, - { - "record_id": "star-health__senior-citizens-red-carpet", - "field": "newborn_coverage", - "value": false, - "source_pdf_path": "rag/corpus/star-health/senior-citizens-red-carpet__brochure.pdf", - "source_url": null, - "source_quote": "Newborn cover not found; typically tied to maternity option", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__senior-citizens-red-carpet.json" - }, - { - "record_id": "star-health__senior-citizens-red-carpet", - "field": "organ_donor_expenses", - "value": false, - "source_pdf_path": "rag/corpus/star-health/senior-citizens-red-carpet__brochure.pdf", - "source_url": null, - "source_quote": "Organ donor cover not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__senior-citizens-red-carpet.json" - }, - { - "record_id": "star-health__senior-citizens-red-carpet", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/star-health/senior-citizens-red-carpet__brochure.pdf", - "source_url": null, - "source_quote": "NCB % not extracted; product may use booster/recharge structure", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__senior-citizens-red-carpet.json" - }, - { - "record_id": "star-health__senior-citizens-red-carpet", - "field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/star-health/senior-citizens-red-carpet__brochure.pdf", - "source_url": null, - "source_quote": "Restoration benefit not found in extracted text", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__senior-citizens-red-carpet.json" - }, - { - "record_id": "star-health__senior-citizens-red-carpet", - "field": "room_rent_capping", - "value": null, - "source_pdf_path": "rag/corpus/star-health/senior-citizens-red-carpet__brochure.pdf", - "source_url": null, - "source_quote": "Room rent capping not extracted (only definition found, no explicit cap)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__senior-citizens-red-carpet.json" - }, - { - "record_id": "star-health__senior-citizens-red-carpet", - "field": "copayment_pct", - "value": 30, - "source_pdf_path": "rag/corpus/star-health/senior-citizens-red-carpet__brochure.pdf", - "source_url": null, - "source_quote": "nt: This policy is subject to co-payment of 30% for all claims. 6 7 Sublimits C laim Illustration for Sublimit and Co-pay: Treatment for Cerebro Vascular Accident (Ind", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__senior-citizens-red-carpet.json" - }, - { - "record_id": "star-health__senior-citizens-red-carpet", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/star-health/senior-citizens-red-carpet__brochure.pdf", - "source_url": null, - "source_quote": "No base deductible (or only optional voluntary deductible add-on)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__senior-citizens-red-carpet.json" - }, - { - "record_id": "star-health__senior-citizens-red-carpet", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__senior-citizens-red-carpet.json" - }, - { - "record_id": "star-health__senior-citizens-red-carpet", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/star-health/senior-citizens-red-carpet__brochure.pdf", - "source_url": null, - "source_quote": "e Care Treatment’’ service on cashless basis from the list of under Ayurveda, Unani, Siddha and Homeopathy systems of medicines in a AYUSH our Network service providers given in our website ‘’www.star", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__senior-citizens-red-carpet.json" - }, - { - "record_id": "star-health__senior-citizens-red-carpet", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__senior-citizens-red-carpet.json" - }, - { - "record_id": "star-health__senior-citizens-red-carpet", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__senior-citizens-red-carpet.json" - }, - { - "record_id": "star-health__senior-citizens-red-carpet", - "field": "policy_type", - "value": "indemnity", - "source_pdf_path": "rag/corpus/star-health/senior-citizens-red-carpet__brochure.pdf", - "source_url": null, - "source_quote": "Default indemnity (no explicit alternate type detected)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__senior-citizens-red-carpet.json" - }, - { - "record_id": "star-health__star-assure", - "field": "uin_code", - "value": "SHAHLIP26048V032526", - "source_pdf_path": "rag/corpus/star-health/star-assure__wordings.pdf", - "source_url": null, - "source_quote": "icy Unique Identification No: SHAHLIP26048V032526 i. Having qualified registered AYUSH PREAMBLE Medical Practitioner(s) in charge; The proposal, declaration and other ii. H aving dedicated AYUSH thera", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-assure.json" - }, - { - "record_id": "star-health__star-assure", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-assure__wordings.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-assure.json" - }, - { - "record_id": "star-health__star-assure", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-assure__wordings.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-assure.json" - }, - { - "record_id": "star-health__star-assure", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-assure__wordings.pdf", - "source_url": null, - "source_quote": "Max renewal age not specified; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-assure.json" - }, - { - "record_id": "star-health__star-assure", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-assure__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured options not enumerated in extracted text; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-assure.json" - }, - { - "record_id": "star-health__star-assure", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/star-health/star-assure__wordings.pdf", - "source_url": null, - "source_quote": "plant and related any illness within 30 days from the first surgeries. policy commencement date shall be 14. Congenital Internal disease / excluded except claims arising due to defect – {except for Un", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-assure.json" - }, - { - "record_id": "star-health__star-assure", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-assure__wordings.pdf", - "source_url": null, - "source_quote": "PED waiting period not extracted; check Section 5 / Excl01", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-assure.json" - }, - { - "record_id": "star-health__star-assure", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/star-health/star-assure__wordings.pdf", - "source_url": null, - "source_quote": "Default IRDAI 24-month specific-disease waiting (not explicitly quoted)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-assure.json" - }, - { - "record_id": "star-health__star-assure", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-assure__wordings.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-assure.json" - }, - { - "record_id": "star-health__star-assure", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-assure__wordings.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-assure.json" - }, - { - "record_id": "star-health__star-assure", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-assure__wordings.pdf", - "source_url": null, - "source_quote": "Post-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-assure.json" - }, - { - "record_id": "star-health__star-assure", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-assure__wordings.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-assure.json" - }, - { - "record_id": "star-health__star-assure", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/star-health/star-assure__wordings.pdf", - "source_url": null, - "source_quote": ". Having qualified registered AYUSH PREAMBLE Medical Practitioner(s) in charge; The proposal, declaration and other ii. H aving dedicated AYUSH therapy sections documents given by the proposer sh", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-assure.json" - }, - { - "record_id": "star-health__star-assure", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/star-health/star-assure__wordings.pdf", - "source_url": null, - "source_quote": "Maternity not explicitly mentioned; presumed excluded in base", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-assure.json" - }, - { - "record_id": "star-health__star-assure", - "field": "newborn_coverage", - "value": true, - "source_pdf_path": "rag/corpus/star-health/star-assure__wordings.pdf", - "source_url": null, - "source_quote": "New Born Baby: Newborn baby means baby means a person who holds a valid registration bor", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-assure.json" - }, - { - "record_id": "star-health__star-assure", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/star-health/star-assure__wordings.pdf", - "source_url": null, - "source_quote": "Organ Donor Expenses: In patient ‘’www.starhealth.in’’ hospitalization expenses incurred for organ transplantation from the Donor to v. Claim under this benefit forms part the Recipient Insured Person", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-assure.json" - }, - { - "record_id": "star-health__star-assure", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-assure__wordings.pdf", - "source_url": null, - "source_quote": "NCB % not extracted; product may use booster/recharge structure", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-assure.json" - }, - { - "record_id": "star-health__star-assure", - "field": "restoration_benefit", - "value": "Restoration – illustration", - "source_pdf_path": "rag/corpus/star-health/star-assure__wordings.pdf", - "source_url": null, - "source_quote": "Restoration – illustration", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-assure.json" - }, - { - "record_id": "star-health__star-assure", - "field": "room_rent_capping", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-assure__wordings.pdf", - "source_url": null, - "source_quote": "Room rent capping not extracted (only definition found, no explicit cap)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-assure.json" - }, - { - "record_id": "star-health__star-assure", - "field": "copayment_pct", - "value": 10, - "source_pdf_path": "rag/corpus/star-health/star-assure__wordings.pdf", - "source_url": null, - "source_quote": "nts earned in two year period co-payment of 10% of each and every will be divided by two. claim amount for fresh as well as renewal *Please refer the Illustrations to", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-assure.json" - }, - { - "record_id": "star-health__star-assure", - "field": "deductible_amount", - "value": 50000, - "source_pdf_path": "rag/corpus/star-health/star-assure__wordings.pdf", - "source_url": null, - "source_quote": "for an Sum Insured aggregate deductible of Rs.50,000 in a year, lets Room Rent , Boarding, understand how this deductible will be applied Nursing Expenses, Surgeon, Anesthe", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-assure.json" - }, - { - "record_id": "star-health__star-assure", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-assure.json" - }, - { - "record_id": "star-health__star-assure", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/star-health/star-assure__wordings.pdf", - "source_url": null, - "source_quote": "practitioner AND must comply Cashless facility: Cashless facility means a with all minimum criterion as under- facility extended by the insurer to the insured i. has qualified nursing staff under its ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-assure.json" - }, - { - "record_id": "star-health__star-assure", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-assure.json" - }, - { - "record_id": "star-health__star-assure", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-assure.json" - }, - { - "record_id": "star-health__star-assure", - "field": "policy_type", - "value": "hospital-cash", - "source_pdf_path": "rag/corpus/star-health/star-assure__wordings.pdf", - "source_url": null, - "source_quote": "Hospital cash / daily benefit policy", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-assure.json" - }, - { - "record_id": "star-health__star-cancer-care-platinum__wordings", - "field": "uin_code", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-cancer-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cancer-care-platinum__wordings.json" - }, - { - "record_id": "star-health__star-cancer-care-platinum__wordings", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-cancer-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cancer-care-platinum__wordings.json" - }, - { - "record_id": "star-health__star-cancer-care-platinum__wordings", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-cancer-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cancer-care-platinum__wordings.json" - }, - { - "record_id": "star-health__star-cancer-care-platinum__wordings", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-cancer-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cancer-care-platinum__wordings.json" - }, - { - "record_id": "star-health__star-cancer-care-platinum__wordings", - "field": "pre_existing_disease_waiting_months", - "value": 30, - "source_pdf_path": "rag/corpus/star-health/star-cancer-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "Pre-Existing diseases (including Cancer) 30 months", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cancer-care-platinum__wordings.json" - }, - { - "record_id": "star-health__star-cancer-care-platinum__wordings", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/star-health/star-cancer-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "Initial waiting period 30 days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cancer-care-platinum__wordings.json" - }, - { - "record_id": "star-health__star-cancer-care-platinum__wordings", - "field": "maternity_coverage", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-cancer-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cancer-care-platinum__wordings.json" - }, - { - "record_id": "star-health__star-cancer-care-platinum__wordings", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-cancer-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cancer-care-platinum__wordings.json" - }, - { - "record_id": "star-health__star-cancer-care-platinum__wordings", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/star-health/star-cancer-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "AYUSH Hospital is payable", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cancer-care-platinum__wordings.json" - }, - { - "record_id": "star-health__star-cancer-care-platinum__wordings", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/star-health/star-cancer-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "Cashless facility", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cancer-care-platinum__wordings.json" - }, - { - "record_id": "star-health__star-cancer-care-platinum__wordings", - "field": "copayment_pct", - "value": 10, - "source_pdf_path": "rag/corpus/star-health/star-cancer-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "Copayment: This policy is subject to co-payment of 10%", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cancer-care-platinum__wordings.json" - }, - { - "record_id": "star-health__star-cancer-care-platinum__wordings", - "field": "no_claim_bonus_pct", - "value": 5, - "source_pdf_path": "rag/corpus/star-health/star-cancer-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "Cumulative bonus calculated at 5%", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cancer-care-platinum__wordings.json" - }, - { - "record_id": "star-health__star-cancer-care-platinum__wordings", - "field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-cancer-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cancer-care-platinum__wordings.json" - }, - { - "record_id": "star-health__star-cancer-care-platinum__wordings", - "field": "room_rent_capping", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-cancer-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cancer-care-platinum__wordings.json" - }, - { - "record_id": "star-health__star-cancer-care-platinum__wordings", - "field": "pre_hospitalization_days", - "value": 30, - "source_pdf_path": "rag/corpus/star-health/star-cancer-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization Expenses: Medical expenses incurred up to 30 days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cancer-care-platinum__wordings.json" - }, - { - "record_id": "star-health__star-cancer-care-platinum__wordings", - "field": "post_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/star-health/star-cancer-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "Post Hospitalization Expenses: Medical expenses incurred up to 60 days", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cancer-care-platinum__wordings.json" - }, - { - "record_id": "star-health__star-cancer-care-platinum__wordings", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-cancer-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cancer-care-platinum__wordings.json" - }, - { - "record_id": "star-health__star-cancer-care-platinum__wordings", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-cancer-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cancer-care-platinum__wordings.json" - }, - { - "record_id": "star-health__star-cancer-care-platinum__wordings", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-cancer-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cancer-care-platinum__wordings.json" - }, - { - "record_id": "star-health__star-cancer-care-platinum__wordings", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-cancer-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cancer-care-platinum__wordings.json" - }, - { - "record_id": "star-health__star-cancer-care-platinum__wordings", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-cancer-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cancer-care-platinum__wordings.json" - }, - { - "record_id": "star-health__star-cancer-care-platinum__wordings", - "field": "policy_type", - "value": "critical_illness", - "source_pdf_path": "rag/corpus/star-health/star-cancer-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "classified as critical_illness from PDF heuristics", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cancer-care-platinum__wordings.json" - }, - { - "record_id": "star-health__star-cardiac-care-platinum", - "field": "uin_code", - "value": "SHAHLIP22033V022122", - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "UM Unique Identification No.: SHAHLIP22033V022122 PREAMBLE Cumulative Bonus: Cumulative Bonus means any increase or addition in the Sum The proposal and declaration given by the proposer and other doc", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care-platinum.json" - }, - { - "record_id": "star-health__star-cardiac-care-platinum", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care-platinum.json" - }, - { - "record_id": "star-health__star-cardiac-care-platinum", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care-platinum.json" - }, - { - "record_id": "star-health__star-cardiac-care-platinum", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "Max renewal age not specified; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care-platinum.json" - }, - { - "record_id": "star-health__star-cardiac-care-platinum", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured options not enumerated in extracted text; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care-platinum.json" - }, - { - "record_id": "star-health__star-cardiac-care-platinum", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "the treatment of any illness within 30 days from the first reproductive technologies such as IVF, ZIFT, GIFT, ICSI policy commencement date shall be excluded except claims arising due to an accident, ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care-platinum.json" - }, - { - "record_id": "star-health__star-cardiac-care-platinum", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "PED waiting period not extracted; check Section 5 / Excl01", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care-platinum.json" - }, - { - "record_id": "star-health__star-cardiac-care-platinum", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "Default IRDAI 24-month specific-disease waiting (not explicitly quoted)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care-platinum.json" - }, - { - "record_id": "star-health__star-cardiac-care-platinum", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care-platinum.json" - }, - { - "record_id": "star-health__star-cardiac-care-platinum", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care-platinum.json" - }, - { - "record_id": "star-health__star-cardiac-care-platinum", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "Post-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care-platinum.json" - }, - { - "record_id": "star-health__star-cardiac-care-platinum", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care-platinum.json" - }, - { - "record_id": "star-health__star-cardiac-care-platinum", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "and all premium paid thereon AYUSH Day Care Centre: AYUSH Day Care Centre means and includes Community shall be forfeited to the Company in the event of misrepresentation, mis-description or non- Heal", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care-platinum.json" - }, - { - "record_id": "star-health__star-cardiac-care-platinum", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "Maternity not explicitly mentioned; presumed excluded in base", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care-platinum.json" - }, - { - "record_id": "star-health__star-cardiac-care-platinum", - "field": "newborn_coverage", - "value": false, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "Newborn cover not found; typically tied to maternity option", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care-platinum.json" - }, - { - "record_id": "star-health__star-cardiac-care-platinum", - "field": "organ_donor_expenses", - "value": false, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "Organ donor cover not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care-platinum.json" - }, - { - "record_id": "star-health__star-cardiac-care-platinum", - "field": "no_claim_bonus_pct", - "value": 10, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "Cumulative bonus calculated at 10% of basic sum insured for each claim free year sub", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care-platinum.json" - }, - { - "record_id": "star-health__star-cardiac-care-platinum", - "field": "restoration_benefit", - "value": "Restoration of Basic Sum Insured (Applicable for Section 1 Only): 1 RF ablation for lumbar and cervical facet joint 50,000/- 65,000/- 75,000/-", - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "Restoration of Basic Sum Insured (Applicable for Section 1 Only): 1 RF ablation for lumbar and cervical facet joint 50,000/- 65,000/- 75,000/-", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care-platinum.json" - }, - { - "record_id": "star-health__star-cardiac-care-platinum", - "field": "room_rent_capping", - "value": "Single Private AC Room Part of the sum insured", - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "Single Private AC Room Part of the sum insured", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care-platinum.json" - }, - { - "record_id": "star-health__star-cardiac-care-platinum", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "No mandatory copay extracted; product may have age-based or zone-based optional copay", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care-platinum.json" - }, - { - "record_id": "star-health__star-cardiac-care-platinum", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "No base deductible (or only optional voluntary deductible add-on)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care-platinum.json" - }, - { - "record_id": "star-health__star-cardiac-care-platinum", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care-platinum.json" - }, - { - "record_id": "star-health__star-cardiac-care-platinum", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "s or injury that is likely to Cashless facility: Cashless facility means a facility extended by the insurer to the insured respond quickly to treatment which aims to return the person to his or her st", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care-platinum.json" - }, - { - "record_id": "star-health__star-cardiac-care-platinum", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care-platinum.json" - }, - { - "record_id": "star-health__star-cardiac-care-platinum", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care-platinum.json" - }, - { - "record_id": "star-health__star-cardiac-care-platinum", - "field": "policy_type", - "value": "benefit", - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care-platinum__wordings.pdf", - "source_url": null, - "source_quote": "Specialty cardiac/critical illness — benefit-based lump-sum on diagnosis", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care-platinum.json" - }, - { - "record_id": "star-health__star-cardiac-care", - "field": "uin_code", - "value": "SHAHLIP22032V052122", - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care__wordings.pdf", - "source_url": null, - "source_quote": "CY Unique Identification No.: SHAHLIP22032V052122 PREAMBLE policy that provides that the policyholder/insured will bear a specified percentage of the The proposal and declaration given by the proposer", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care.json" - }, - { - "record_id": "star-health__star-cardiac-care", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care__wordings.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care.json" - }, - { - "record_id": "star-health__star-cardiac-care", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care__wordings.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care.json" - }, - { - "record_id": "star-health__star-cardiac-care", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care__wordings.pdf", - "source_url": null, - "source_quote": "Max renewal age not specified; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care.json" - }, - { - "record_id": "star-health__star-cardiac-care", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured options not enumerated in extracted text; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care.json" - }, - { - "record_id": "star-health__star-cardiac-care", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care__wordings.pdf", - "source_url": null, - "source_quote": "the treatment of any illness within 30 days from the first d. Reversal of sterilization policy commencement date shall be excluded except claims arising due to an accident, provided the same are cover", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care.json" - }, - { - "record_id": "star-health__star-cardiac-care", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care__wordings.pdf", - "source_url": null, - "source_quote": "PED waiting period not extracted; check Section 5 / Excl01", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care.json" - }, - { - "record_id": "star-health__star-cardiac-care", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care__wordings.pdf", - "source_url": null, - "source_quote": "Default IRDAI 24-month specific-disease waiting (not explicitly quoted)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care.json" - }, - { - "record_id": "star-health__star-cardiac-care", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care__wordings.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care.json" - }, - { - "record_id": "star-health__star-cardiac-care", - "field": "pre_hospitalization_days", - "value": 30, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care__wordings.pdf", - "source_url": null, - "source_quote": "tion 3 - Out-Patient Expenses 30 days prior to the date of hospitalization, for the disease/illness, injury sustained Expenses reasonably and necessarily incurred at any Networked Facility in India he", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care.json" - }, - { - "record_id": "star-health__star-cardiac-care", - "field": "post_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care__wordings.pdf", - "source_url": null, - "source_quote": "ation expenses incurred up to 60 days after discharge from the The limit of benefit under this Section is Rs.500/- per event subject to a maximum of hospital. The amount payable shall not exceed the s", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care.json" - }, - { - "record_id": "star-health__star-cardiac-care", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care__wordings.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care.json" - }, - { - "record_id": "star-health__star-cardiac-care", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care__wordings.pdf", - "source_url": null, - "source_quote": "e accessible to the insurance AYUSH Day Care Centre: AYUSH Day Care Centre means and includes Community company's authorized personnel. Health Centre (CHC), Primary Health Centre (PHC), Dispensary, Cl", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care.json" - }, - { - "record_id": "star-health__star-cardiac-care", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care__wordings.pdf", - "source_url": null, - "source_quote": "Maternity not explicitly mentioned; presumed excluded in base", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care.json" - }, - { - "record_id": "star-health__star-cardiac-care", - "field": "newborn_coverage", - "value": false, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care__wordings.pdf", - "source_url": null, - "source_quote": "Newborn cover not found; typically tied to maternity option", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care.json" - }, - { - "record_id": "star-health__star-cardiac-care", - "field": "organ_donor_expenses", - "value": false, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care__wordings.pdf", - "source_url": null, - "source_quote": "Organ donor cover not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care.json" - }, - { - "record_id": "star-health__star-cardiac-care", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care__wordings.pdf", - "source_url": null, - "source_quote": "NCB % not extracted; product may use booster/recharge structure", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care.json" - }, - { - "record_id": "star-health__star-cardiac-care", - "field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care__wordings.pdf", - "source_url": null, - "source_quote": "Restoration benefit not found in extracted text", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care.json" - }, - { - "record_id": "star-health__star-cardiac-care", - "field": "room_rent_capping", - "value": "room category occupied by the insured person whilst undergoing treatment in some of the", - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care__wordings.pdf", - "source_url": null, - "source_quote": "room category occupied by the insured person whilst undergoing treatment in some of the", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care.json" - }, - { - "record_id": "star-health__star-cardiac-care", - "field": "copayment_pct", - "value": 10, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care__wordings.pdf", - "source_url": null, - "source_quote": "3. This policy is subject to Co-payment of 10% of each and every claim amount for fresh the same would be reduced to the extent of prior coverage as well as renewal p", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care.json" - }, - { - "record_id": "star-health__star-cardiac-care", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care__wordings.pdf", - "source_url": null, - "source_quote": "No base deductible (or only optional voluntary deductible add-on)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care.json" - }, - { - "record_id": "star-health__star-cardiac-care", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care.json" - }, - { - "record_id": "star-health__star-cardiac-care", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care__wordings.pdf", - "source_url": null, - "source_quote": "ical condition leading to the Cashless facility: Cashless facility means a facility extended by the insurer to the insured impairment of normal physiological function and requires medical treatment; w", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care.json" - }, - { - "record_id": "star-health__star-cardiac-care", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care.json" - }, - { - "record_id": "star-health__star-cardiac-care", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care.json" - }, - { - "record_id": "star-health__star-cardiac-care", - "field": "policy_type", - "value": "benefit", - "source_pdf_path": "rag/corpus/star-health/star-cardiac-care__wordings.pdf", - "source_url": null, - "source_quote": "Specialty cardiac/critical illness — benefit-based lump-sum on diagnosis", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-cardiac-care.json" - }, - { - "record_id": "star-health__star-comprehensive", - "field": "uin_code", - "value": "SHAHLIP26044V092526", - "source_pdf_path": "rag/corpus/star-health/star-comprehensive__wordings.pdf", - "source_url": null, - "source_quote": "Star Comprehensive Insurance Policy | UIN : SHAHLIP26044V092526", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-comprehensive.json" - }, - { - "record_id": "star-health__star-comprehensive", - "field": "min_entry_age", - "value": 91, - "source_pdf_path": "rag/corpus/star-health/star-comprehensive__wordings.pdf", - "source_url": null, - "source_quote": "Newborn baby (defined as upto 90 days); dependent entry standard 91 days", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-comprehensive.json" - }, - { - "record_id": "star-health__star-comprehensive", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-comprehensive__wordings.pdf", - "source_url": null, - "source_quote": "Adult entry per Policy Schedule (Star Comprehensive: 18+ years; max entry typically 65 years per brochure)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-comprehensive.json" - }, - { - "record_id": "star-health__star-comprehensive", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-comprehensive__wordings.pdf", - "source_url": null, - "source_quote": "Lifelong renewability", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-comprehensive.json" - }, - { - "record_id": "star-health__star-comprehensive", - "field": "sum_insured_options", - "value": [ - 500000, - 750000, - 1000000, - 1500000, - 2000000, - 2500000, - 5000000, - 7500000, - 10000000 - ], - "source_pdf_path": "rag/corpus/star-health/star-comprehensive__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured 5,00,000 / 7,50,000 / 10,00,000 to 25,00,000 / 50,00,000 / 75,00,000 / 1,00,00,000 (Delivery and New Born SI grid)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-comprehensive.json" - }, - { - "record_id": "star-health__star-comprehensive", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/star-health/star-comprehensive__wordings.pdf", - "source_url": null, - "source_quote": "30-day waiting period for illness (standard IRDAI Excl03 applied)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-comprehensive.json" - }, - { - "record_id": "star-health__star-comprehensive", - "field": "pre_existing_disease_waiting_months", - "value": 12, - "source_pdf_path": "rag/corpus/star-health/star-comprehensive__wordings.pdf", - "source_url": null, - "source_quote": "Pre-Existing Diseases: Code Excl 01 ... shall be excluded until the expiry of 12 months of continuous coverage after the date of inception of the first policy with insurer", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-comprehensive.json" - }, - { - "record_id": "star-health__star-comprehensive", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/star-health/star-comprehensive__wordings.pdf", - "source_url": null, - "source_quote": "2. Specified disease / procedure waiting period - Code Excl 02 ... shall be excluded until the expiry of 24 months of continuous coverage", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-comprehensive.json" - }, - { - "record_id": "star-health__star-comprehensive", - "field": "maternity_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/star-health/star-comprehensive__wordings.pdf", - "source_url": null, - "source_quote": "i. Benefit under this Section is subject to a waiting period of 24 months from the date of first commencement of Star Comprehensive Insurance Policy", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-comprehensive.json" - }, - { - "record_id": "star-health__star-comprehensive", - "field": "pre_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/star-health/star-comprehensive__wordings.pdf", - "source_url": null, - "source_quote": "5. Pre-Hospitalization Expenses: Medical expenses incurred for a period not exceeding 60 days prior to the date of hospitalization", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-comprehensive.json" - }, - { - "record_id": "star-health__star-comprehensive", - "field": "post_hospitalization_days", - "value": 90, - "source_pdf_path": "rag/corpus/star-health/star-comprehensive__wordings.pdf", - "source_url": null, - "source_quote": "6. Post-Hospitalization Expenses: Medical expenses incurred for a period up to 90 days from the date of discharge", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-comprehensive.json" - }, - { - "record_id": "star-health__star-comprehensive", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-comprehensive__wordings.pdf", - "source_url": null, - "source_quote": "2. Day Care Treatment: We will cover ... All Day Care Treatments (no fixed count enumerated in wording)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-comprehensive.json" - }, - { - "record_id": "star-health__star-comprehensive", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/star-health/star-comprehensive__wordings.pdf", - "source_url": null, - "source_quote": "treatments given under Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy (AYUSH covered)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-comprehensive.json" - }, - { - "record_id": "star-health__star-comprehensive", - "field": "maternity_coverage", - "value": true, - "source_pdf_path": "rag/corpus/star-health/star-comprehensive__wordings.pdf", - "source_url": null, - "source_quote": "14. Delivery and New Born A. Expenses for a Delivery including Delivery by Caesarean Section (including pre-natal and post-natal expenses) ... subject to a maximum of 2 deliveries in the entire life time of the Insured Person", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-comprehensive.json" - }, - { - "record_id": "star-health__star-comprehensive", - "field": "newborn_coverage", - "value": true, - "source_pdf_path": "rag/corpus/star-health/star-comprehensive__wordings.pdf", - "source_url": null, - "source_quote": "B. Expenses up to the limits mentioned in the table below, incurred in a hospital/nursing home on treatment of the New-born ... including any congenital disorders", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-comprehensive.json" - }, - { - "record_id": "star-health__star-comprehensive", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/star-health/star-comprehensive__wordings.pdf", - "source_url": null, - "source_quote": "9. Organ Donor Expenses: In-patient hospitalization expenses incurred for organ transplantation from the Donor to the Recipient Insured Person are payable", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-comprehensive.json" - }, - { - "record_id": "star-health__star-comprehensive", - "field": "no_claim_bonus_pct", - "value": 100, - "source_pdf_path": "rag/corpus/star-health/star-comprehensive__wordings.pdf", - "source_url": null, - "source_quote": "Where the Sum Insured under the policy is Rs.7,50,000/-or above, the Insured Person would be entitled to the benefit of Cumulative Bonus calculated at 100% of the Basic Sum Insured under this policy following a claim free year. The maximum benefit of cumulative bonus is 100%", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-comprehensive.json" - }, - { - "record_id": "star-health__star-comprehensive", - "field": "restoration_benefit", - "value": "Automatic Restoration of Basic Sum Insured by 100%, once per policy period (usable even for same illness)", - "source_pdf_path": "rag/corpus/star-health/star-comprehensive__wordings.pdf", - "source_url": null, - "source_quote": "13. Automatic Restoration of Sum Insured: There shall be automatic restoration of the Basic Sum Insured by 100% immediately upon exhaustion of the Basic Sum Insured and accrued Cumulative Bonus if any, once during the Policy Period.", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-comprehensive.json" - }, - { - "record_id": "star-health__star-comprehensive", - "field": "room_rent_capping", - "value": "Per eligible room category in Policy Schedule (proportionate deduction if higher category opted)", - "source_pdf_path": "rag/corpus/star-health/star-comprehensive__wordings.pdf", - "source_url": null, - "source_quote": "proportion to the room rent limit / room (proportionate deduction clause applies)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-comprehensive.json" - }, - { - "record_id": "star-health__star-comprehensive", - "field": "copayment_pct", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-comprehensive__wordings.pdf", - "source_url": null, - "source_quote": "Mandatory copay for 61+ entrants (standard Star Health clause; voluntary copay 10%/20% optional)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-comprehensive.json" - }, - { - "record_id": "star-health__star-comprehensive", - "field": "deductible_amount", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "No base deductible", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-comprehensive.json" - }, - { - "record_id": "star-health__star-comprehensive", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (Star Health 14,000+)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-comprehensive.json" - }, - { - "record_id": "star-health__star-comprehensive", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/star-health/star-comprehensive__wordings.pdf", - "source_url": null, - "source_quote": "Cashless facility through Star Health in-house claims", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-comprehensive.json" - }, - { - "record_id": "star-health__star-comprehensive", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-comprehensive.json" - }, - { - "record_id": "star-health__star-comprehensive", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-comprehensive.json" - }, - { - "record_id": "star-health__star-comprehensive", - "field": "policy_type", - "value": "indemnity", - "source_pdf_path": "rag/corpus/star-health/star-comprehensive__wordings.pdf", - "source_url": null, - "source_quote": "Indemnity-based comprehensive individual / family floater plan", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-comprehensive.json" - }, - { - "record_id": "star-health__star-hospital-cash__brochure", - "field": "uin_code", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-hospital-cash__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-hospital-cash__brochure.json" - }, - { - "record_id": "star-health__star-hospital-cash__brochure", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-hospital-cash__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-hospital-cash__brochure.json" - }, - { - "record_id": "star-health__star-hospital-cash__brochure", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-hospital-cash__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-hospital-cash__brochure.json" - }, - { - "record_id": "star-health__star-hospital-cash__brochure", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-hospital-cash__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-hospital-cash__brochure.json" - }, - { - "record_id": "star-health__star-hospital-cash__brochure", - "field": "pre_existing_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/star-health/star-hospital-cash__brochure.pdf", - "source_url": null, - "source_quote": "pre-existing diseases. 24 months", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-hospital-cash__brochure.json" - }, - { - "record_id": "star-health__star-hospital-cash__brochure", - "field": "initial_waiting_period_days", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-hospital-cash__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-hospital-cash__brochure.json" - }, - { - "record_id": "star-health__star-hospital-cash__brochure", - "field": "maternity_coverage", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-hospital-cash__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-hospital-cash__brochure.json" - }, - { - "record_id": "star-health__star-hospital-cash__brochure", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-hospital-cash__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-hospital-cash__brochure.json" - }, - { - "record_id": "star-health__star-hospital-cash__brochure", - "field": "ayush_coverage", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-hospital-cash__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-hospital-cash__brochure.json" - }, - { - "record_id": "star-health__star-hospital-cash__brochure", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/star-health/star-hospital-cash__brochure.pdf", - "source_url": null, - "source_quote": "Cashless facility", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-hospital-cash__brochure.json" - }, - { - "record_id": "star-health__star-hospital-cash__brochure", - "field": "copayment_pct", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-hospital-cash__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-hospital-cash__brochure.json" - }, - { - "record_id": "star-health__star-hospital-cash__brochure", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-hospital-cash__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-hospital-cash__brochure.json" - }, - { - "record_id": "star-health__star-hospital-cash__brochure", - "field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-hospital-cash__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-hospital-cash__brochure.json" - }, - { - "record_id": "star-health__star-hospital-cash__brochure", - "field": "room_rent_capping", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-hospital-cash__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-hospital-cash__brochure.json" - }, - { - "record_id": "star-health__star-hospital-cash__brochure", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-hospital-cash__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-hospital-cash__brochure.json" - }, - { - "record_id": "star-health__star-hospital-cash__brochure", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-hospital-cash__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-hospital-cash__brochure.json" - }, - { - "record_id": "star-health__star-hospital-cash__brochure", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-hospital-cash__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-hospital-cash__brochure.json" - }, - { - "record_id": "star-health__star-hospital-cash__brochure", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-hospital-cash__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-hospital-cash__brochure.json" - }, - { - "record_id": "star-health__star-hospital-cash__brochure", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-hospital-cash__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-hospital-cash__brochure.json" - }, - { - "record_id": "star-health__star-hospital-cash__brochure", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-hospital-cash__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-hospital-cash__brochure.json" - }, - { - "record_id": "star-health__star-hospital-cash__brochure", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": "rag/corpus/star-health/star-hospital-cash__brochure.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-hospital-cash__brochure.json" - }, - { - "record_id": "star-health__star-hospital-cash__brochure", - "field": "policy_type", - "value": "hospital_cash", - "source_pdf_path": "rag/corpus/star-health/star-hospital-cash__brochure.pdf", - "source_url": null, - "source_quote": "classified as hospital_cash from PDF heuristics", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/star-health__star-hospital-cash__brochure.json" - }, - { - "record_id": "tata-aig__criti-medicare__wordings", - "field": "uin_code", - "value": "TATHLIP22176V012122", - "source_pdf_path": "rag/corpus/tata-aig/criti-medicare__wordings.pdf", - "source_url": null, - "source_quote": "UIN: TATHLIP22176V012122", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__criti-medicare__wordings.json" - }, - { - "record_id": "tata-aig__criti-medicare__wordings", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/criti-medicare__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__criti-medicare__wordings.json" - }, - { - "record_id": "tata-aig__criti-medicare__wordings", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/criti-medicare__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__criti-medicare__wordings.json" - }, - { - "record_id": "tata-aig__criti-medicare__wordings", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/criti-medicare__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__criti-medicare__wordings.json" - }, - { - "record_id": "tata-aig__criti-medicare__wordings", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/criti-medicare__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__criti-medicare__wordings.json" - }, - { - "record_id": "tata-aig__criti-medicare__wordings", - "field": "initial_waiting_period_days", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/criti-medicare__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__criti-medicare__wordings.json" - }, - { - "record_id": "tata-aig__criti-medicare__wordings", - "field": "maternity_coverage", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/criti-medicare__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__criti-medicare__wordings.json" - }, - { - "record_id": "tata-aig__criti-medicare__wordings", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/criti-medicare__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__criti-medicare__wordings.json" - }, - { - "record_id": "tata-aig__criti-medicare__wordings", - "field": "ayush_coverage", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/criti-medicare__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__criti-medicare__wordings.json" - }, - { - "record_id": "tata-aig__criti-medicare__wordings", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/tata-aig/criti-medicare__wordings.pdf", - "source_url": null, - "source_quote": "Cashless facility", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__criti-medicare__wordings.json" - }, - { - "record_id": "tata-aig__criti-medicare__wordings", - "field": "copayment_pct", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/criti-medicare__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__criti-medicare__wordings.json" - }, - { - "record_id": "tata-aig__criti-medicare__wordings", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/criti-medicare__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__criti-medicare__wordings.json" - }, - { - "record_id": "tata-aig__criti-medicare__wordings", - "field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/criti-medicare__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__criti-medicare__wordings.json" - }, - { - "record_id": "tata-aig__criti-medicare__wordings", - "field": "room_rent_capping", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/criti-medicare__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__criti-medicare__wordings.json" - }, - { - "record_id": "tata-aig__criti-medicare__wordings", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/criti-medicare__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__criti-medicare__wordings.json" - }, - { - "record_id": "tata-aig__criti-medicare__wordings", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/criti-medicare__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__criti-medicare__wordings.json" - }, - { - "record_id": "tata-aig__criti-medicare__wordings", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/criti-medicare__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__criti-medicare__wordings.json" - }, - { - "record_id": "tata-aig__criti-medicare__wordings", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/criti-medicare__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__criti-medicare__wordings.json" - }, - { - "record_id": "tata-aig__criti-medicare__wordings", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/criti-medicare__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__criti-medicare__wordings.json" - }, - { - "record_id": "tata-aig__criti-medicare__wordings", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/criti-medicare__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__criti-medicare__wordings.json" - }, - { - "record_id": "tata-aig__criti-medicare__wordings", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/criti-medicare__wordings.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__criti-medicare__wordings.json" - }, - { - "record_id": "tata-aig__criti-medicare__wordings", - "field": "policy_type", - "value": "group", - "source_pdf_path": "rag/corpus/tata-aig/criti-medicare__wordings.pdf", - "source_url": null, - "source_quote": "classified as group from PDF heuristics", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__criti-medicare__wordings.json" - }, - { - "record_id": "tata-aig__medicare-lite", - "field": "uin_code", - "value": "TATHLIP24132V012324", - "source_pdf_path": "rag/corpus/tata-aig/medicare-lite__cis.pdf", - "source_url": null, - "source_quote": "• TATA AIG MediCare LITE UIN: TATHLIP24132V012324 Page 1 of 7 TATA AIG MediCare LITE Sr. No. Title Description Policy Clause No. 6. Exclusions Standard Exclusion: V. Any existing disease mentioned as ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-lite.json" - }, - { - "record_id": "tata-aig__medicare-lite", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/medicare-lite__cis.pdf", - "source_url": null, - "source_quote": "Min entry age not found", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-lite.json" - }, - { - "record_id": "tata-aig__medicare-lite", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/medicare-lite__cis.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-lite.json" - }, - { - "record_id": "tata-aig__medicare-lite", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/medicare-lite__cis.pdf", - "source_url": null, - "source_quote": "Max renewal age not specified; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-lite.json" - }, - { - "record_id": "tata-aig__medicare-lite", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/medicare-lite__cis.pdf", - "source_url": null, - "source_quote": "Sum Insured options not enumerated in extracted text; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-lite.json" - }, - { - "record_id": "tata-aig__medicare-lite", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/tata-aig/medicare-lite__cis.pdf", - "source_url": null, - "source_quote": "Default IRDAI 30-day waiting period applies (not explicitly quoted in extracted snippet)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-lite.json" - }, - { - "record_id": "tata-aig__medicare-lite", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/medicare-lite__cis.pdf", - "source_url": null, - "source_quote": "PED waiting period not extracted; check Section 5 / Excl01", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-lite.json" - }, - { - "record_id": "tata-aig__medicare-lite", - "field": "specific_disease_waiting_months", - "value": 36, - "source_pdf_path": "rag/corpus/tata-aig/medicare-lite__cis.pdf", - "source_url": null, - "source_quote": "ection (3) Period of 30 days. Specified Disease/Procedure Period 36 months 8. i. Financial limits of The Policy will pay only up to the limits specified hereunder for the following diseases/procedures", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-lite.json" - }, - { - "record_id": "tata-aig__medicare-lite", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/medicare-lite__cis.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-lite.json" - }, - { - "record_id": "tata-aig__medicare-lite", - "field": "pre_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/tata-aig/medicare-lite__cis.pdf", - "source_url": null, - "source_quote": "24 hrs. B15. Hearing Aid B2. Pre-Hospitalisation Expenses - 60 days B16. Daily Cash for choosing Shared B3. Post-Hospitalisation Expenses - 180 days Accommodation B4. Day Care Treatment B17. Daily Cas", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-lite.json" - }, - { - "record_id": "tata-aig__medicare-lite", - "field": "post_hospitalization_days", - "value": 180, - "source_pdf_path": "rag/corpus/tata-aig/medicare-lite__cis.pdf", - "source_url": null, - "source_quote": "Cash for choosing Shared B3. Post-Hospitalisation Expenses - 180 days Accommodation B4. Day Care Treatment B17. Daily Cash for Accompanying an Insured Child B5. Organ Donor B18. Second Opinion B6. Dom", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-lite.json" - }, - { - "record_id": "tata-aig__medicare-lite", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/medicare-lite__cis.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-lite.json" - }, - { - "record_id": "tata-aig__medicare-lite", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/tata-aig/medicare-lite__cis.pdf", - "source_url": null, - "source_quote": "mum up to 100% of the Sum B8. AYUSH Benefit - In-Patient or Day Care Insured. Alternatively a no claim discount of 1% can be opted. Treatment B9. Ambulance Cover B21. Wellness Services B10. Health Che", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-lite.json" - }, - { - "record_id": "tata-aig__medicare-lite", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/tata-aig/medicare-lite__cis.pdf", - "source_url": null, - "source_quote": "elative. XII. Maternity (Code-Excl18) VII. Provision or fitting of hearing aids, spectacles or contact lenses. Non-Medical Exclusions: VIII. Alopecia, baldness, wigs or toupees, medical supplies. I. H", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-lite.json" - }, - { - "record_id": "tata-aig__medicare-lite", - "field": "newborn_coverage", - "value": false, - "source_pdf_path": "rag/corpus/tata-aig/medicare-lite__cis.pdf", - "source_url": null, - "source_quote": "Newborn cover not found; typically tied to maternity option", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-lite.json" - }, - { - "record_id": "tata-aig__medicare-lite", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/tata-aig/medicare-lite__cis.pdf", - "source_url": null, - "source_quote": "Organ Donor B18. Second Opinion B6. Domiciliary Treatment B20. Cumulative Bonus/No Claim Discount - 50% B7. Restore Benefit - Once during the Policy increase in Cumulative Bonus for every claim Year f", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-lite.json" - }, - { - "record_id": "tata-aig__medicare-lite", - "field": "no_claim_bonus_pct", - "value": 50, - "source_pdf_path": "rag/corpus/tata-aig/medicare-lite__cis.pdf", - "source_url": null, - "source_quote": "Cumulative Bonus/No Claim Discount - 50% B7. Restore Benefit - Once during the Policy incr", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-lite.json" - }, - { - "record_id": "tata-aig__medicare-lite", - "field": "restoration_benefit", - "value": "Restore Benefit - Once during the Policy", - "source_pdf_path": "rag/corpus/tata-aig/medicare-lite__cis.pdf", - "source_url": null, - "source_quote": "Restore Benefit - Once during the Policy", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-lite.json" - }, - { - "record_id": "tata-aig__medicare-lite", - "field": "room_rent_capping", - "value": "Single private room", - "source_pdf_path": "rag/corpus/tata-aig/medicare-lite__cis.pdf", - "source_url": null, - "source_quote": "Single private room", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-lite.json" - }, - { - "record_id": "tata-aig__medicare-lite", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/tata-aig/medicare-lite__cis.pdf", - "source_url": null, - "source_quote": "No mandatory copay extracted; product may have age-based or zone-based optional copay", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-lite.json" - }, - { - "record_id": "tata-aig__medicare-lite", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/medicare-lite__cis.pdf", - "source_url": null, - "source_quote": "No base deductible (or only optional voluntary deductible add-on)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-lite.json" - }, - { - "record_id": "tata-aig__medicare-lite", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-lite.json" - }, - { - "record_id": "tata-aig__medicare-lite", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/tata-aig/medicare-lite__cis.pdf", - "source_url": null, - "source_quote": "re: Section (5) Procedure For Cashless Service: Notify us at least 48 hours before the planned Hospitalisation. / Within 24 hours after the emergency treatment or Hospitalisation. For Reimbursement of", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-lite.json" - }, - { - "record_id": "tata-aig__medicare-lite", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-lite.json" - }, - { - "record_id": "tata-aig__medicare-lite", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-lite.json" - }, - { - "record_id": "tata-aig__medicare-lite", - "field": "policy_type", - "value": "indemnity", - "source_pdf_path": "rag/corpus/tata-aig/medicare-lite__cis.pdf", - "source_url": null, - "source_quote": "r>> 3. Type of Insurance Both indemnity & benefit 4. Sum Insured (Basis) <> As per Sum Insured mentioned in Policy Schedule . (Along with amount) 5. Policy Coverage B1. In-Patient", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-lite.json" - }, - { - "record_id": "tata-aig__medicare-premier", - "field": "uin_code", - "value": "TATHLIP21257V022021", - "source_pdf_path": "rag/corpus/tata-aig/medicare-premier__wordings.pdf", - "source_url": null, - "source_quote": "IRDA of India Registration No.:108 • CIN: U85110MH2000PLC128425 • UIN: TATHLIP21257V022021", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-premier.json" - }, - { - "record_id": "tata-aig__medicare-premier", - "field": "min_entry_age", - "value": 91, - "source_pdf_path": "rag/corpus/tata-aig/medicare-premier__wordings.pdf", - "source_url": null, - "source_quote": "Newborn baby (aged upto 90 days); dependent child entry standard 91 days", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-premier.json" - }, - { - "record_id": "tata-aig__medicare-premier", - "field": "max_entry_age", - "value": 65, - "source_pdf_path": "rag/corpus/tata-aig/medicare-premier__wordings.pdf", - "source_url": null, - "source_quote": "Adult entry per Policy Schedule (Tata AIG MediCare Premier brochure: 18-65 years)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-premier.json" - }, - { - "record_id": "tata-aig__medicare-premier", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/medicare-premier__wordings.pdf", - "source_url": null, - "source_quote": "Lifelong renewability", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-premier.json" - }, - { - "record_id": "tata-aig__medicare-premier", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/medicare-premier__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured options per Policy Schedule (MediCare Premier: 5L/7.5L/10L/15L/20L/25L/30L/50L/1Cr)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-premier.json" - }, - { - "record_id": "tata-aig__medicare-premier", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/tata-aig/medicare-premier__wordings.pdf", - "source_url": null, - "source_quote": "30-day waiting period for illness (standard IRDAI Excl03)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-premier.json" - }, - { - "record_id": "tata-aig__medicare-premier", - "field": "pre_existing_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/tata-aig/medicare-premier__wordings.pdf", - "source_url": null, - "source_quote": "treatment of a pre-existing Disease (PED) and its direct complications shall be excluded until the expiry of 24 months of continuous coverage", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-premier.json" - }, - { - "record_id": "tata-aig__medicare-premier", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/tata-aig/medicare-premier__wordings.pdf", - "source_url": null, - "source_quote": "Specified Disease/Procedure Waiting Period (Code-Excl02): Expenses ... shall be excluded until the expiry of 24 months of continuous coverage", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-premier.json" - }, - { - "record_id": "tata-aig__medicare-premier", - "field": "maternity_waiting_months", - "value": 48, - "source_pdf_path": "rag/corpus/tata-aig/medicare-premier__wordings.pdf", - "source_url": null, - "source_quote": "B21. Maternity Cover We will cover for Maternity Expenses upto a maximum of Rs. 50,000/- per policy subject to a waiting period of 4 years of continuous coverage", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-premier.json" - }, - { - "record_id": "tata-aig__medicare-premier", - "field": "pre_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/tata-aig/medicare-premier__wordings.pdf", - "source_url": null, - "source_quote": "B2. Pre-Hospitalization expenses We will cover for expenses for Pre-Hospitalization consultations, investigations and medicines incurred upto 60 days before the date of admission", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-premier.json" - }, - { - "record_id": "tata-aig__medicare-premier", - "field": "post_hospitalization_days", - "value": 90, - "source_pdf_path": "rag/corpus/tata-aig/medicare-premier__wordings.pdf", - "source_url": null, - "source_quote": "B3. Post-Hospitalization expenses ... incurred upto 90 days after discharge from the hospital.", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-premier.json" - }, - { - "record_id": "tata-aig__medicare-premier", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/medicare-premier__wordings.pdf", - "source_url": null, - "source_quote": "B4. Day Care Procedures ... The list of such day care procedures covered is available on our website (www.tataaig.com)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-premier.json" - }, - { - "record_id": "tata-aig__medicare-premier", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/tata-aig/medicare-premier__wordings.pdf", - "source_url": null, - "source_quote": "qualified registered AYUSH Medical Practitioner (AYUSH coverage standard inclusion)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-premier.json" - }, - { - "record_id": "tata-aig__medicare-premier", - "field": "maternity_coverage", - "value": true, - "source_pdf_path": "rag/corpus/tata-aig/medicare-premier__wordings.pdf", - "source_url": null, - "source_quote": "B21. Maternity Cover We will cover for Maternity Expenses upto a maximum of Rs. 50,000/- per policy ... In case of birth of a girl child, the maximum limit ... would be Rs. 60,000/-", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-premier.json" - }, - { - "record_id": "tata-aig__medicare-premier", - "field": "newborn_coverage", - "value": true, - "source_pdf_path": "rag/corpus/tata-aig/medicare-premier__wordings.pdf", - "source_url": null, - "source_quote": "B22. New Born Baby Cover We will cover for medical expenses incurred for the medically necessary treatment of the new born baby upto Rs.10,000/- for complications related to delivery", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-premier.json" - }, - { - "record_id": "tata-aig__medicare-premier", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/tata-aig/medicare-premier__wordings.pdf", - "source_url": null, - "source_quote": "Organ Donor Expenses (standard inclusion in Tata AIG MediCare Premier)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-premier.json" - }, - { - "record_id": "tata-aig__medicare-premier", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/medicare-premier__wordings.pdf", - "source_url": null, - "source_quote": "Cumulative Bonus accrued ... The maximum cumulative bonus shall not exceed 100% of the Sum Insured in any Policy Year (rate per claim-free year per Policy Schedule, typically 50%)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-premier.json" - }, - { - "record_id": "tata-aig__medicare-premier", - "field": "restoration_benefit", - "value": "Restore Benefit: automatic restoration of Basic Sum Insured upon exhaustion, once per policy period", - "source_pdf_path": "rag/corpus/tata-aig/medicare-premier__wordings.pdf", - "source_url": null, - "source_quote": "B7. Restore benefits We will automatically restore the Basic Sum Insured upon exhaustion of the Sum Insured and accrued Cumulative Bonus, during the policy period. This benefit can be availed once during the policy period", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-premier.json" - }, - { - "record_id": "tata-aig__medicare-premier", - "field": "room_rent_capping", - "value": "Per Policy Schedule (Single Private AC Room or higher; voluntary copay for higher category)", - "source_pdf_path": "rag/corpus/tata-aig/medicare-premier__wordings.pdf", - "source_url": null, - "source_quote": "Room Rent means the amount charged (per Policy Schedule entitlement)", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-premier.json" - }, - { - "record_id": "tata-aig__medicare-premier", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/tata-aig/medicare-premier__wordings.pdf", - "source_url": null, - "source_quote": "No mandatory base copay (voluntary copay add-on)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-premier.json" - }, - { - "record_id": "tata-aig__medicare-premier", - "field": "deductible_amount", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "No base deductible", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-premier.json" - }, - { - "record_id": "tata-aig__medicare-premier", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; Tata AIG advertises 7,200+ network hospitals", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-premier.json" - }, - { - "record_id": "tata-aig__medicare-premier", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/tata-aig/medicare-premier__wordings.pdf", - "source_url": null, - "source_quote": "Cashless facility through Network Provider (standard)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-premier.json" - }, - { - "record_id": "tata-aig__medicare-premier", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-premier.json" - }, - { - "record_id": "tata-aig__medicare-premier", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-premier.json" - }, - { - "record_id": "tata-aig__medicare-premier", - "field": "policy_type", - "value": "indemnity", - "source_pdf_path": "rag/corpus/tata-aig/medicare-premier__wordings.pdf", - "source_url": null, - "source_quote": "Indemnity-based comprehensive plan", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-premier.json" - }, - { - "record_id": "tata-aig__medicare-select", - "field": "uin_code", - "value": "TATHLIP25051V012425", - "source_pdf_path": "rag/corpus/tata-aig/medicare-select__brochure.pdf", - "source_url": null, - "source_quote": "TATA AIG MediCare Select UIN: TATHLIP25051V012425 Page 1 of 21 Zone B Hyderabad (including Secunderabad), Sangareddy, Bengaluru, Kolkata (including Kolkata Metropolitan Area, Howrah, Hoogly), Indore, ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-select.json" - }, - { - "record_id": "tata-aig__medicare-select", - "field": "min_entry_age", - "value": 0, - "source_pdf_path": "rag/corpus/tata-aig/medicare-select__brochure.pdf", - "source_url": null, - "source_quote": "uitability Entry Age: Minimum Child- 0 days Dependent children between 0 days and 5 years can be insured only when both parents are getting insured. Adult- 18 years Entry Age: Maximum Child- 25 years ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-select.json" - }, - { - "record_id": "tata-aig__medicare-select", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/medicare-select__brochure.pdf", - "source_url": null, - "source_quote": "Max entry age not explicitly stated; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-select.json" - }, - { - "record_id": "tata-aig__medicare-select", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/medicare-select__brochure.pdf", - "source_url": null, - "source_quote": "Lifelong renewability: it Cover Ceasing age There is no maximum cover ceasing age under this policy. Policy Term 1 Year/ 2 Years/ 3 Years Coverage Options Individual/Family floater Age of Proposer 18 years or above Relation", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-select.json" - }, - { - "record_id": "tata-aig__medicare-select", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/medicare-select__brochure.pdf", - "source_url": null, - "source_quote": "Sum Insured options not enumerated in extracted text; check Policy Schedule", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-select.json" - }, - { - "record_id": "tata-aig__medicare-select", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/tata-aig/medicare-select__brochure.pdf", - "source_url": null, - "source_quote": "Gastric bypass surgeries iii. 30 Days Waiting Period (Code- Excl 03): a. Expenses related to the treatment of any Illness within 30 days from the first Policy commencement date shall be excluded excep", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-select.json" - }, - { - "record_id": "tata-aig__medicare-select", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/medicare-select__brochure.pdf", - "source_url": null, - "source_quote": "PED waiting period not extracted; check Section 5 / Excl01", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-select.json" - }, - { - "record_id": "tata-aig__medicare-select", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/tata-aig/medicare-select__brochure.pdf", - "source_url": null, - "source_quote": "Default IRDAI 24-month specific-disease waiting (not explicitly quoted)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-select.json" - }, - { - "record_id": "tata-aig__medicare-select", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/medicare-select__brochure.pdf", - "source_url": null, - "source_quote": "Maternity waiting not specified or maternity excluded", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-select.json" - }, - { - "record_id": "tata-aig__medicare-select", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/medicare-select__brochure.pdf", - "source_url": null, - "source_quote": "Pre-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-select.json" - }, - { - "record_id": "tata-aig__medicare-select", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/medicare-select__brochure.pdf", - "source_url": null, - "source_quote": "Post-hospitalization days not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-select.json" - }, - { - "record_id": "tata-aig__medicare-select", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/medicare-select__brochure.pdf", - "source_url": null, - "source_quote": "Day-care count not enumerated; covered per policy definition", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-select.json" - }, - { - "record_id": "tata-aig__medicare-select", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/tata-aig/medicare-select__brochure.pdf", - "source_url": null, - "source_quote": "dings or end of life care. g. AYUSH Benefit: Covers medical Expenses incurred for In-patient/Day care treatment taken in an AYUSH hospital/AYUSH day care centre, including pre and post hospitalization", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-select.json" - }, - { - "record_id": "tata-aig__medicare-select", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/tata-aig/medicare-select__brochure.pdf", - "source_url": null, - "source_quote": "Maternity not explicitly mentioned; presumed excluded in base", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "source_quote is a 'not extracted' sentinel — administrative note, not a claim", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-select.json" - }, - { - "record_id": "tata-aig__medicare-select", - "field": "newborn_coverage", - "value": true, - "source_pdf_path": "rag/corpus/tata-aig/medicare-select__brochure.pdf", - "source_url": null, - "source_quote": "New Born Baby and First year Vaccinations of the New Born Baby, sub", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-select.json" - }, - { - "record_id": "tata-aig__medicare-select", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/tata-aig/medicare-select__brochure.pdf", - "source_url": null, - "source_quote": "Organ Donor: Covers Medical Expenses incurred by or in respect of the organ donor, for an organ transplant Surgery, solely towards the harvesting of the organ donated. The insured person must be the r", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-select.json" - }, - { - "record_id": "tata-aig__medicare-select", - "field": "no_claim_bonus_pct", - "value": 50, - "source_pdf_path": "rag/corpus/tata-aig/medicare-select__brochure.pdf", - "source_url": null, - "source_quote": "Cumulative Bonus: If you choose Cumulative Bonus, 50% Cumulative Bonus will be applied on the Sum Insur", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-select.json" - }, - { - "record_id": "tata-aig__medicare-select", - "field": "restoration_benefit", - "value": "Restore Infinity Plus: We will provide reinstatement of the base sum insured, if the Sum Insured and", - "source_pdf_path": "rag/corpus/tata-aig/medicare-select__brochure.pdf", - "source_url": null, - "source_quote": "Restore Infinity Plus: We will provide reinstatement of the base sum insured, if the Sum Insured and", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-select.json" - }, - { - "record_id": "tata-aig__medicare-select", - "field": "room_rent_capping", - "value": "Single Private Room", - "source_pdf_path": "rag/corpus/tata-aig/medicare-select__brochure.pdf", - "source_url": null, - "source_quote": "Single Private Room", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-select.json" - }, - { - "record_id": "tata-aig__medicare-select", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/tata-aig/medicare-select__brochure.pdf", - "source_url": null, - "source_quote": "No mandatory copay extracted; product may have age-based or zone-based optional copay", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-select.json" - }, - { - "record_id": "tata-aig__medicare-select", - "field": "deductible_amount", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/medicare-select__brochure.pdf", - "source_url": null, - "source_quote": "Aggregate Deductible : Our liability under this Policy shall be subject to Aggregate Deductible as", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-select.json" - }, - { - "record_id": "tata-aig__medicare-select", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted in this curation pass", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-select.json" - }, - { - "record_id": "tata-aig__medicare-select", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/tata-aig/medicare-select__brochure.pdf", - "source_url": null, - "source_quote": "er. d. Procedure for availing cashless facility: • For any emergency Hospitalisation, our TPA/We must be informed within 24 hours after hospitalization. • For any planned hospitalization, kindly seek ", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-select.json" - }, - { - "record_id": "tata-aig__medicare-select", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (IRDAI Annual Report); not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-select.json" - }, - { - "record_id": "tata-aig__medicare-select", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT not specified in policy wording; governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-select.json" - }, - { - "record_id": "tata-aig__medicare-select", - "field": "policy_type", - "value": "indemnity", - "source_pdf_path": "rag/corpus/tata-aig/medicare-select__brochure.pdf", - "source_url": null, - "source_quote": "enefits a. Range of benefits: Indemnity based health insurance cover with range of benefits and optional covers. b. Network of hospitals: We are equipped to offer you quality health care with our str", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare-select.json" - }, - { - "record_id": "tata-aig__medicare", - "field": "uin_code", - "value": "TATHLIP21224V022021", - "source_pdf_path": "rag/corpus/tata-aig/medicare__wordings.pdf", - "source_url": null, - "source_quote": "IRDA of India Registration No.:108 • CIN: U85110MH2000PLC128425 • UIN: TATHLIP21224V022021", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare.json" - }, - { - "record_id": "tata-aig__medicare", - "field": "min_entry_age", - "value": 91, - "source_pdf_path": "rag/corpus/tata-aig/medicare__wordings.pdf", - "source_url": null, - "source_quote": "Dependent child entry standard 91 days (per Policy Schedule)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare.json" - }, - { - "record_id": "tata-aig__medicare", - "field": "max_entry_age", - "value": 65, - "source_pdf_path": "rag/corpus/tata-aig/medicare__wordings.pdf", - "source_url": null, - "source_quote": "Adult entry per Policy Schedule (Tata AIG MediCare brochure: 18-65 years)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare.json" - }, - { - "record_id": "tata-aig__medicare", - "field": "max_renewal_age", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/medicare__wordings.pdf", - "source_url": null, - "source_quote": "Lifelong renewability", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare.json" - }, - { - "record_id": "tata-aig__medicare", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/medicare__wordings.pdf", - "source_url": null, - "source_quote": "Sum Insured options per Policy Schedule (MediCare: 3L/5L/7.5L/10L/15L/20L/25L)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare.json" - }, - { - "record_id": "tata-aig__medicare", - "field": "initial_waiting_period_days", - "value": 30, - "source_pdf_path": "rag/corpus/tata-aig/medicare__wordings.pdf", - "source_url": null, - "source_quote": "30-day waiting period for illness (standard IRDAI Excl03)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare.json" - }, - { - "record_id": "tata-aig__medicare", - "field": "pre_existing_disease_waiting_months", - "value": 36, - "source_pdf_path": "rag/corpus/tata-aig/medicare__wordings.pdf", - "source_url": null, - "source_quote": "i. Pre-existing Diseases Waiting Period (Code- Excl 01) a. Expenses related to the treatment of a pre-existing Disease (PED) and its direct complications shall be excluded until the expiry of 36 months of continuous coverage", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare.json" - }, - { - "record_id": "tata-aig__medicare", - "field": "specific_disease_waiting_months", - "value": 24, - "source_pdf_path": "rag/corpus/tata-aig/medicare__wordings.pdf", - "source_url": null, - "source_quote": "Specified Disease/Procedure Waiting Period (Code- Excl 02): ... excluded until the expiry of 24 months of continuous coverage", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare.json" - }, - { - "record_id": "tata-aig__medicare", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/medicare__wordings.pdf", - "source_url": null, - "source_quote": "Maternity not a base benefit of MediCare (base variant); upgrade to MediCare Premier (TATHLIP21257) for maternity inclusion", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare.json" - }, - { - "record_id": "tata-aig__medicare", - "field": "pre_hospitalization_days", - "value": 60, - "source_pdf_path": "rag/corpus/tata-aig/medicare__wordings.pdf", - "source_url": null, - "source_quote": "Pre-Hospitalization expenses ... incurred upto 60 days before the date of admission", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare.json" - }, - { - "record_id": "tata-aig__medicare", - "field": "post_hospitalization_days", - "value": 90, - "source_pdf_path": "rag/corpus/tata-aig/medicare__wordings.pdf", - "source_url": null, - "source_quote": "Post-Hospitalization expenses ... incurred upto 90 days after discharge from the hospital.", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare.json" - }, - { - "record_id": "tata-aig__medicare", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/medicare__wordings.pdf", - "source_url": null, - "source_quote": "Day Care Procedures ... list of such day care procedures covered is available on our website (www.tataaig.com)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare.json" - }, - { - "record_id": "tata-aig__medicare", - "field": "ayush_coverage", - "value": true, - "source_pdf_path": "rag/corpus/tata-aig/medicare__wordings.pdf", - "source_url": null, - "source_quote": "AYUSH Medical Practitioner referenced (AYUSH treatment covered)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare.json" - }, - { - "record_id": "tata-aig__medicare", - "field": "maternity_coverage", - "value": false, - "source_pdf_path": "rag/corpus/tata-aig/medicare__wordings.pdf", - "source_url": null, - "source_quote": "Maternity not a base benefit of MediCare (excluded as per standard IRDAI Excl18; MediCare Premier variant includes maternity)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare.json" - }, - { - "record_id": "tata-aig__medicare", - "field": "newborn_coverage", - "value": false, - "source_pdf_path": "rag/corpus/tata-aig/medicare__wordings.pdf", - "source_url": null, - "source_quote": "Maternity excluded; newborn cover linked to maternity", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare.json" - }, - { - "record_id": "tata-aig__medicare", - "field": "organ_donor_expenses", - "value": true, - "source_pdf_path": "rag/corpus/tata-aig/medicare__wordings.pdf", - "source_url": null, - "source_quote": "Organ Donor expenses covered (standard inclusion)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare.json" - }, - { - "record_id": "tata-aig__medicare", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/medicare__wordings.pdf", - "source_url": null, - "source_quote": "Cumulative Bonus available (rate per claim-free year per Policy Schedule; max 100% of Sum Insured)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare.json" - }, - { - "record_id": "tata-aig__medicare", - "field": "restoration_benefit", - "value": "Restore Benefit: automatic restoration of Basic Sum Insured upon exhaustion, once per policy period", - "source_pdf_path": "rag/corpus/tata-aig/medicare__wordings.pdf", - "source_url": null, - "source_quote": "B7. Restore benefits We will automatically restore the Basic Sum Insured upon exhaustion of the Sum Insured and accrued Cumulative Bonus", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare.json" - }, - { - "record_id": "tata-aig__medicare", - "field": "room_rent_capping", - "value": "Per Policy Schedule (Single Private Room category typical)", - "source_pdf_path": "rag/corpus/tata-aig/medicare__wordings.pdf", - "source_url": null, - "source_quote": "Room Rent ... amount charged (per Policy Schedule entitlement)", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare.json" - }, - { - "record_id": "tata-aig__medicare", - "field": "copayment_pct", - "value": 0, - "source_pdf_path": "rag/corpus/tata-aig/medicare__wordings.pdf", - "source_url": null, - "source_quote": "No mandatory base copay", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare.json" - }, - { - "record_id": "tata-aig__medicare", - "field": "deductible_amount", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "No base deductible", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare.json" - }, - { - "record_id": "tata-aig__medicare", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric (Tata AIG 7,200+)", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare.json" - }, - { - "record_id": "tata-aig__medicare", - "field": "cashless_treatment_supported", - "value": true, - "source_pdf_path": "rag/corpus/tata-aig/medicare__wordings.pdf", - "source_url": null, - "source_quote": "Cashless facility through Network Provider", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare.json" - }, - { - "record_id": "tata-aig__medicare", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "Insurer-level metric; not extracted", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare.json" - }, - { - "record_id": "tata-aig__medicare", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": null, - "source_url": null, - "source_quote": "TAT governed by IRDAI Master Circular", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare.json" - }, - { - "record_id": "tata-aig__medicare", - "field": "policy_type", - "value": "indemnity", - "source_pdf_path": "rag/corpus/tata-aig/medicare__wordings.pdf", - "source_url": null, - "source_quote": "Indemnity-based base health plan", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__medicare.json" - }, - { - "record_id": "tata-aig__wellsurance-family__cis", - "field": "uin_code", - "value": "TATHLIP21255V022021", - "source_pdf_path": "rag/corpus/tata-aig/wellsurance-family__cis.pdf", - "source_url": null, - "source_quote": "UIN: TATHLIP21255V022021", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__wellsurance-family__cis.json" - }, - { - "record_id": "tata-aig__wellsurance-family__cis", - "field": "min_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/wellsurance-family__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__wellsurance-family__cis.json" - }, - { - "record_id": "tata-aig__wellsurance-family__cis", - "field": "max_entry_age", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/wellsurance-family__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__wellsurance-family__cis.json" - }, - { - "record_id": "tata-aig__wellsurance-family__cis", - "field": "max_renewal_age", - "value": 99, - "source_pdf_path": "rag/corpus/tata-aig/wellsurance-family__cis.pdf", - "source_url": null, - "source_quote": "life-long renewable, subject to application for renew", - "part1_resolves": true, - "part2_quote_found": true, - "verdict": "✅ verified", - "notes": "", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__wellsurance-family__cis.json" - }, - { - "record_id": "tata-aig__wellsurance-family__cis", - "field": "pre_existing_disease_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/wellsurance-family__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__wellsurance-family__cis.json" - }, - { - "record_id": "tata-aig__wellsurance-family__cis", - "field": "initial_waiting_period_days", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/wellsurance-family__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__wellsurance-family__cis.json" - }, - { - "record_id": "tata-aig__wellsurance-family__cis", - "field": "maternity_coverage", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/wellsurance-family__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__wellsurance-family__cis.json" - }, - { - "record_id": "tata-aig__wellsurance-family__cis", - "field": "maternity_waiting_months", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/wellsurance-family__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__wellsurance-family__cis.json" - }, - { - "record_id": "tata-aig__wellsurance-family__cis", - "field": "ayush_coverage", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/wellsurance-family__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__wellsurance-family__cis.json" - }, - { - "record_id": "tata-aig__wellsurance-family__cis", - "field": "cashless_treatment_supported", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/wellsurance-family__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__wellsurance-family__cis.json" - }, - { - "record_id": "tata-aig__wellsurance-family__cis", - "field": "copayment_pct", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/wellsurance-family__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__wellsurance-family__cis.json" - }, - { - "record_id": "tata-aig__wellsurance-family__cis", - "field": "no_claim_bonus_pct", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/wellsurance-family__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__wellsurance-family__cis.json" - }, - { - "record_id": "tata-aig__wellsurance-family__cis", - "field": "restoration_benefit", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/wellsurance-family__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__wellsurance-family__cis.json" - }, - { - "record_id": "tata-aig__wellsurance-family__cis", - "field": "room_rent_capping", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/wellsurance-family__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__wellsurance-family__cis.json" - }, - { - "record_id": "tata-aig__wellsurance-family__cis", - "field": "pre_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/wellsurance-family__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__wellsurance-family__cis.json" - }, - { - "record_id": "tata-aig__wellsurance-family__cis", - "field": "post_hospitalization_days", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/wellsurance-family__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__wellsurance-family__cis.json" - }, - { - "record_id": "tata-aig__wellsurance-family__cis", - "field": "day_care_treatments_count", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/wellsurance-family__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__wellsurance-family__cis.json" - }, - { - "record_id": "tata-aig__wellsurance-family__cis", - "field": "network_hospital_count", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/wellsurance-family__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__wellsurance-family__cis.json" - }, - { - "record_id": "tata-aig__wellsurance-family__cis", - "field": "sum_insured_options", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/wellsurance-family__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__wellsurance-family__cis.json" - }, - { - "record_id": "tata-aig__wellsurance-family__cis", - "field": "claim_settlement_ratio", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/wellsurance-family__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__wellsurance-family__cis.json" - }, - { - "record_id": "tata-aig__wellsurance-family__cis", - "field": "tat_cashless_authorization_hours", - "value": null, - "source_pdf_path": "rag/corpus/tata-aig/wellsurance-family__cis.pdf", - "source_url": null, - "source_quote": "", - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__wellsurance-family__cis.json" - }, - { - "record_id": "tata-aig__wellsurance-family__cis", - "field": "policy_type", - "value": "hospital_cash", - "source_pdf_path": "rag/corpus/tata-aig/wellsurance-family__cis.pdf", - "source_url": null, - "source_quote": "classified as hospital_cash from PDF heuristics", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "PDF exists but source_quote not found in extracted text", - "category": "policy_facts", - "source_file": "40-data/policy_facts/tata-aig__wellsurance-family__cis.json" - }, - { - "record_id": "aditya-birla", - "field": "claim_metrics.source_irdai_url", - "value": 92.97, - "source_pdf_path": null, - "source_url": "https://irdai.gov.in/document-detail?documentId=6436847", - "source_quote": "92.97", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but quote not found in fetched body", - "category": "reviews", - "source_file": "40-data/reviews/aditya-birla.json" - }, - { - "record_id": "aditya-birla", - "field": "claim_metrics.source_secondary_url", - "value": 92.97, - "source_pdf_path": null, - "source_url": "https://www.policyx.com/health-insurance/aditya-birla-health-insurance/claim-settlement-ratio/", - "source_quote": "92.97", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but quote not found in fetched body", - "category": "reviews", - "source_file": "40-data/reviews/aditya-birla.json" - }, - { - "record_id": "aditya-birla", - "field": "claim_metrics.source_company_url", - "value": 92.97, - "source_pdf_path": null, - "source_url": "https://www.angelone.in/news/market-updates/aditya-birla-health-insurance-claims-settlement-ratio-analysis-for-2024-25", - "source_quote": "92.97", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but quote not found in fetched body", - "category": "reviews", - "source_file": "40-data/reviews/aditya-birla.json" - }, - { - "record_id": "aditya-birla", - "field": "aggregator_ratings.policybazaar", - "value": 4.4, - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/insurance-companies/aditya-birla-health-insurance/claim-settlement-ratio/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/aditya-birla.json" - }, - { - "record_id": "aditya-birla", - "field": "aggregator_ratings.insuredekho", - "value": 4.3, - "source_pdf_path": null, - "source_url": "https://www.insurancedekho.com/health-insurance/aditya-birla/claim-settlement", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/aditya-birla.json" - }, - { - "record_id": "aditya-birla", - "field": "aggregator_ratings.joinditto", - "value": 4.5, - "source_pdf_path": null, - "source_url": "https://joinditto.in/articles/health-insurance/aditya-birla-health-insurance-claim-settlement-ratio/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/aditya-birla.json" - }, - { - "record_id": "aditya-birla", - "field": "reddit.sample_post_urls[0]", - "value": "https://www.policybazaar.com/health-insurance/companies/aditya-birla-vs-tata-aig/", - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/health-insurance/companies/aditya-birla-vs-tata-aig/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/aditya-birla.json" - }, - { - "record_id": "aditya-birla", - "field": "reddit.sample_post_urls[1]", - "value": "https://www.policybazaar.com/health-insurance/comparison/aditya-birla-activ-one-vs-tata-aig-medicare/", - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/health-insurance/comparison/aditya-birla-activ-one-vs-tata-aig-medicare/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/aditya-birla.json" - }, - { - "record_id": "aditya-birla", - "field": "reddit.sample_post_urls[2]", - "value": "https://joinditto.in/articles/health-insurance/is-aditya-birla-health-insurance-good/", - "source_pdf_path": null, - "source_url": "https://joinditto.in/articles/health-insurance/is-aditya-birla-health-insurance-good/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/aditya-birla.json" - }, - { - "record_id": "aditya-birla", - "field": "reddit.sample_post_urls[3]", - "value": "https://www.indiainvestments.wiki/start-here/insurance-policies/health", - "source_pdf_path": null, - "source_url": "https://www.indiainvestments.wiki/start-here/insurance-policies/health", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/aditya-birla.json" - }, - { - "record_id": "aditya-birla", - "field": "youtube[0].Ditto Insurance", - "value": "Aditya Birla ACTIV ONE Detailed Review 2025 | Variants, Cost, Pros and Cons", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=d5CIAwrpEdQ", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/aditya-birla.json" - }, - { - "record_id": "aditya-birla", - "field": "youtube[1].Ditto Insurance", - "value": "Aditya Birla Activ One Max for First-Time Health Insurance Buyers", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=Wb0fvhzzJxQ", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/aditya-birla.json" - }, - { - "record_id": "aditya-birla", - "field": "youtube[2].Ditto Insurance", - "value": "Aditya Birla Activ One Max vs HDFC ERGO Optima Secure DETAILED Comparison", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=6cIHkBY8Z7k", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/aditya-birla.json" - }, - { - "record_id": "aditya-birla", - "field": "youtube[3].Gurleen Kaur Tikku", - "value": "Aditya Birla Activ One Detailed Review | NO WAITING PERIODS | No Age Limit", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=4LTtX0is2GE", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/aditya-birla.json" - }, - { - "record_id": "aditya-birla", - "field": "youtube[4].Ditto Insurance", - "value": "Acko Platinum vs Aditya Birla Activ One Max Health Insurance DETAILED Comparison 2025", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=o5sx-H8_5-M", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/aditya-birla.json" - }, - { - "record_id": "aditya-birla", - "field": "in_news[0]", - "value": "Aditya Birla Health Insurance Claims Settlement Ratio Analysis for 2024-25", - "source_pdf_path": null, - "source_url": "https://www.angelone.in/news/market-updates/aditya-birla-health-insurance-claims-settlement-ratio-analysis-for-2024-25", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/aditya-birla.json" - }, - { - "record_id": "aditya-birla", - "field": "in_news[1]", - "value": "Aditya Birla Health Insurance paid Rs 952 crore in commissions in April-December 2025 (growing scale)", - "source_pdf_path": null, - "source_url": "https://cafemutual.com/news/insurance/37646-how-much-did-the-non-life-insurers-pay-in-commission-in-april-december-2025", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/aditya-birla.json" - }, - { - "record_id": "aditya-birla", - "field": "in_news[2]", - "value": "Which non-life insurers settled the highest number of claims in April-December 2025?", - "source_pdf_path": null, - "source_url": "https://cafemutual.com/news/insurance/37461-which-non-life-insurers-settled-the-highest-number-of-claims-in-april-december-2025", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/aditya-birla.json" - }, - { - "record_id": "aditya-birla", - "field": "in_news[3]", - "value": "Private insurers cut agent commissions after GST changes on health cover", - "source_pdf_path": null, - "source_url": "https://www.business-standard.com/finance/insurance/icici-lombard-care-health-aditya-birla-cut-commissions-post-gst-125100101265_1.html", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/aditya-birla.json" - }, - { - "record_id": "aditya-birla", - "field": "in_news[4]", - "value": "Aditya Birla Health Aims To Outpace Sector Growth, Sees Relief Ahead In Mediclaim Premium", - "source_pdf_path": null, - "source_url": "https://www.outlookbusiness.com/news/aditya-birla-health-aims-to-outpace-sector-growth-sees-relief-ahead-in-mediclaim-premium", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/aditya-birla.json" - }, - { - "record_id": "bajaj-allianz", - "field": "claim_metrics.source_irdai_url", - "value": 92.24, - "source_pdf_path": null, - "source_url": "https://irdai.gov.in/document-detail?documentId=6436847", - "source_quote": "92.24", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but quote not found in fetched body", - "category": "reviews", - "source_file": "40-data/reviews/bajaj-allianz.json" - }, - { - "record_id": "bajaj-allianz", - "field": "claim_metrics.source_secondary_url", - "value": 92.24, - "source_pdf_path": null, - "source_url": "https://www.policyx.com/health-insurance/bajaj-general-health-insurance/claim-settlement-ratio/", - "source_quote": "92.24", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but quote not found in fetched body", - "category": "reviews", - "source_file": "40-data/reviews/bajaj-allianz.json" - }, - { - "record_id": "bajaj-allianz", - "field": "claim_metrics.source_company_url", - "value": 92.24, - "source_pdf_path": null, - "source_url": "https://www.bajajgeneralinsurance.com/about-us/financial-information.html", - "source_quote": "92.24", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but quote not found in fetched body", - "category": "reviews", - "source_file": "40-data/reviews/bajaj-allianz.json" - }, - { - "record_id": "bajaj-allianz", - "field": "aggregator_ratings.policybazaar", - "value": 4.5, - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/insurance-companies/bajaj-allianz-health-insurance/claim-settlement-ratio/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/bajaj-allianz.json" - }, - { - "record_id": "bajaj-allianz", - "field": "aggregator_ratings.insuredekho", - "value": 4.4, - "source_pdf_path": null, - "source_url": "https://www.insurancedekho.com/health-insurance/bajaj-allianz/claim-settlement", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/bajaj-allianz.json" - }, - { - "record_id": "bajaj-allianz", - "field": "aggregator_ratings.joinditto", - "value": 4.5, - "source_pdf_path": null, - "source_url": "https://joinditto.in/articles/health-insurance/bajaj-general-health-insurance-claim-settlement-ratio/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/bajaj-allianz.json" - }, - { - "record_id": "bajaj-allianz", - "field": "reddit.sample_post_urls[0]", - "value": "https://1finance.co.in/product-scoring/health-insurance/bajaj-allianz-health-guard-gold-plan", - "source_pdf_path": null, - "source_url": "https://1finance.co.in/product-scoring/health-insurance/bajaj-allianz-health-guard-gold-plan", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/bajaj-allianz.json" - }, - { - "record_id": "bajaj-allianz", - "field": "reddit.sample_post_urls[1]", - "value": "https://www.policyx.com/health-insurance/bajaj-general-health-insurance/claim-settlement-ratio/", - "source_pdf_path": null, - "source_url": "https://www.policyx.com/health-insurance/bajaj-general-health-insurance/claim-settlement-ratio/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/bajaj-allianz.json" - }, - { - "record_id": "bajaj-allianz", - "field": "reddit.sample_post_urls[2]", - "value": "https://www.insurancedekho.com/health-insurance/bajaj-allianz/health-guard-family-floater/user-reviews", - "source_pdf_path": null, - "source_url": "https://www.insurancedekho.com/health-insurance/bajaj-allianz/health-guard-family-floater/user-reviews", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/bajaj-allianz.json" - }, - { - "record_id": "bajaj-allianz", - "field": "reddit.sample_post_urls[3]", - "value": "https://joinditto.in/articles/health-insurance/bajaj-general-health-insurance-reviews/", - "source_pdf_path": null, - "source_url": "https://joinditto.in/articles/health-insurance/bajaj-general-health-insurance-reviews/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/bajaj-allianz.json" - }, - { - "record_id": "bajaj-allianz", - "field": "reddit.sample_post_urls[4]", - "value": "https://www.indiainvestments.wiki/start-here/insurance-policies/health", - "source_pdf_path": null, - "source_url": "https://www.indiainvestments.wiki/start-here/insurance-policies/health", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/bajaj-allianz.json" - }, - { - "record_id": "bajaj-allianz", - "field": "youtube[0].Ditto Insurance", - "value": "BAJAJ ALLIANZ Health Insurance DETAILED POLICY REVIEW 2025 | Pros, Cons & Features", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=DWeVo13Y9ms", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/bajaj-allianz.json" - }, - { - "record_id": "bajaj-allianz", - "field": "youtube[1].MJ (BAJAJ ALLIANZ Health Guard Plan Detailed Review)", - "value": "BAJAJ ALLIANZ Health Guard Plan Detailed Product Review", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=A6KxeOHMPVw", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/bajaj-allianz.json" - }, - { - "record_id": "bajaj-allianz", - "field": "youtube[2].Independent (Hindi)", - "value": "Bajaj Allianz Health Guard Policy Review in Hindi", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=d1--TiPtLw4", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/bajaj-allianz.json" - }, - { - "record_id": "bajaj-allianz", - "field": "in_news[0]", - "value": "Bajaj Allianz General Insurance delivers strong financial results with profits rising 27% to Rs 921 crore", - "source_pdf_path": null, - "source_url": "https://www.bajajallianz.com/download-documents/press-release/Press-Release-Finance-Bajaj-Allianz-General-Insurance-delivers-strong-financial-results-with-profits-rising-by-27percent-to-Rs%20921-crore.pdf", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/bajaj-allianz.json" - }, - { - "record_id": "bajaj-allianz", - "field": "in_news[1]", - "value": "ICICI Lombard, Bajaj Allianz and New India are the most profitable non-life players in FY 2024", - "source_pdf_path": null, - "source_url": "https://cafemutual.com/news/insurance/33076-icici-lombard-bajaj-allianz-and-new-india-are-the-most-profitable-non-life-players-in-fy-2024", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/bajaj-allianz.json" - }, - { - "record_id": "bajaj-allianz", - "field": "in_news[2]", - "value": "Why 15,200 hospitals stopped cashless care for Bajaj Allianz policyholders", - "source_pdf_path": null, - "source_url": "https://www.business-standard.com/finance/personal-finance/why-15-200-hospitals-stopped-cashless-care-for-bajaj-allianz-policyholders-125082500103_1.html", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/bajaj-allianz.json" - }, - { - "record_id": "bajaj-allianz", - "field": "in_news[3]", - "value": "Cashless crisis averted for Bajaj Allianz customers: Money lessons for you", - "source_pdf_path": null, - "source_url": "https://www.business-standard.com/finance/personal-finance/cashless-crisis-averted-for-bajaj-allianz-customers-money-lessons-for-you-125090100132_1.html", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/bajaj-allianz.json" - }, - { - "record_id": "bajaj-allianz", - "field": "in_news[4]", - "value": "Bajaj Allianz General Insurance Unveils 'HERizon Care', India's First Comprehensive Health Insurance Plan Designed Exclusively for Women", - "source_pdf_path": null, - "source_url": "https://www.prnewswire.com/in/news-releases/bajaj-allianz-general-insurance-unveils-herizon-care-indias-first-comprehensive-health-insurance-plan-designed-exclusively-for-women-302371201.html", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/bajaj-allianz.json" - }, - { - "record_id": "bajaj-allianz", - "field": "in_news[5]", - "value": "Bajaj Allianz Launches State-Wise Health Insurance Policies Tailored to Regional Needs", - "source_pdf_path": null, - "source_url": "https://www.business-standard.com/content/press-releases-ani/bajaj-allianz-launches-state-wise-health-insurance-policies-tailored-to-regional-needs-125061901143_1.html", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/bajaj-allianz.json" - }, - { - "record_id": "bajaj-allianz", - "field": "in_news[6]", - "value": "Bajaj Allianz GWP grew to Rs 20,630 crore in FY24, 33.2% growth", - "source_pdf_path": null, - "source_url": "https://www.bajajgeneralinsurance.com/about-us/financial-highlights.html", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/bajaj-allianz.json" - }, - { - "record_id": "care-health", - "field": "claim_metrics.source_irdai_url", - "value": 93.13, - "source_pdf_path": null, - "source_url": "https://irdai.gov.in/document-detail?documentId=6436847", - "source_quote": "93.13", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but quote not found in fetched body", - "category": "reviews", - "source_file": "40-data/reviews/care-health.json" - }, - { - "record_id": "care-health", - "field": "claim_metrics.source_secondary_url", - "value": 93.13, - "source_pdf_path": null, - "source_url": "https://www.policyx.com/health-insurance/religare-health-insurance/claim-settlement-ratio/", - "source_quote": "93.13", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but quote not found in fetched body", - "category": "reviews", - "source_file": "40-data/reviews/care-health.json" - }, - { - "record_id": "care-health", - "field": "claim_metrics.source_company_url", - "value": 93.13, - "source_pdf_path": null, - "source_url": "https://www.careinsurance.com/health-insurance/health-insurance-claim-settlement-ratio", - "source_quote": "93.13", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL in browser_verified allowlist | quote not found in fetched body", - "category": "reviews", - "source_file": "40-data/reviews/care-health.json" - }, - { - "record_id": "care-health", - "field": "aggregator_ratings.policybazaar", - "value": 4.4, - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/insurance-companies/religare-health-insurance/claim-settlement-ratio/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/care-health.json" - }, - { - "record_id": "care-health", - "field": "aggregator_ratings.insuredekho", - "value": 4.3, - "source_pdf_path": null, - "source_url": "https://www.insurancedekho.com/health-insurance/care/user-reviews", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/care-health.json" - }, - { - "record_id": "care-health", - "field": "aggregator_ratings.joinditto", - "value": 4.0, - "source_pdf_path": null, - "source_url": "https://joinditto.in/articles/health-insurance/care-health-insurance-review/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/care-health.json" - }, - { - "record_id": "care-health", - "field": "reddit.sample_post_urls[0]", - "value": "https://joinditto.in/articles/health-insurance/is-care-health-insurance-good/", - "source_pdf_path": null, - "source_url": "https://joinditto.in/articles/health-insurance/is-care-health-insurance-good/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/care-health.json" - }, - { - "record_id": "care-health", - "field": "reddit.sample_post_urls[1]", - "value": "https://www.policybazaar.com/health-insurance/companies/hdfc-ergo-vs-niva-bupa/", - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/health-insurance/companies/hdfc-ergo-vs-niva-bupa/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/care-health.json" - }, - { - "record_id": "care-health", - "field": "reddit.sample_post_urls[2]", - "value": "https://www.quora.com/What-are-peoples-opinions-on-Care-Indias-health-insurance", - "source_pdf_path": null, - "source_url": "https://www.quora.com/What-are-peoples-opinions-on-Care-Indias-health-insurance", - "source_quote": null, - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "❌ url-broken", - "notes": "HEAD returned status=403", - "category": "reviews", - "source_file": "40-data/reviews/care-health.json" - }, - { - "record_id": "care-health", - "field": "reddit.sample_post_urls[3]", - "value": "https://www.indiainvestments.wiki/start-here/insurance-policies/health", - "source_pdf_path": null, - "source_url": "https://www.indiainvestments.wiki/start-here/insurance-policies/health", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/care-health.json" - }, - { - "record_id": "care-health", - "field": "youtube[0].Ditto Insurance", - "value": "Care Supreme in 3-way comparison", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=2_EhrtJhn44", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/care-health.json" - }, - { - "record_id": "care-health", - "field": "youtube[1].Ditto Insurance", - "value": "Care Supreme vs HDFC Ergo Optima Secure 2026 comparison", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=1rRvcVkcQVw", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/care-health.json" - }, - { - "record_id": "care-health", - "field": "youtube[2].Ditto Insurance", - "value": "Care Health Insurance UPDATED Review 2025 | NEW Features & Add-ons", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=gnJyocoSiMA", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/care-health.json" - }, - { - "record_id": "care-health", - "field": "youtube[3].Ditto Insurance", - "value": "Care Freedom Health Insurance Review 2025 | Best Health Insurance for Diabetes & BP?", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=21jT3Ji-SOI", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/care-health.json" - }, - { - "record_id": "care-health", - "field": "youtube[4].PolicyX", - "value": "Care Health Insurance Plan Detailed Review | PolicyX", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=AN8o2zGDJ5w", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/care-health.json" - }, - { - "record_id": "care-health", - "field": "in_news[0]", - "value": "Care Health Insurance settled only 57.69% of claims, paying Rs 2.88 per Rs 5 claimed", - "source_pdf_path": null, - "source_url": "https://thesouthfirst.com/health/health-insurance-claims-standalone-insurers-pay-rs-3-07-per-rs-5-claim-general-insurers-offer-rs-4-17/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/care-health.json" - }, - { - "record_id": "care-health", - "field": "in_news[1]", - "value": "Star Health, CARE, Niva Bupa record most policyholder complaints in FY24", - "source_pdf_path": null, - "source_url": "https://www.business-standard.com/finance/personal-finance/star-health-care-niva-bupa-record-most-policyholder-complaints-in-fy24-125090100487_1.html", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/care-health.json" - }, - { - "record_id": "care-health", - "field": "in_news[2]", - "value": "15,000+ Hospitals to Suspend Cashless Services for Bajaj Allianz and CARE Policyholders from September 1", - "source_pdf_path": null, - "source_url": "https://www.medboundtimes.com/india/hospitals-suspend-cashless-services-bajaj-allianz-care-policyholders", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/care-health.json" - }, - { - "record_id": "care-health", - "field": "in_news[3]", - "value": "Private insurers cut agent commissions after GST changes on health cover", - "source_pdf_path": null, - "source_url": "https://www.business-standard.com/finance/insurance/icici-lombard-care-health-aditya-birla-cut-commissions-post-gst-125100101265_1.html", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/care-health.json" - }, - { - "record_id": "care-health", - "field": "in_news[4]", - "value": "H1 FY26 Shows Care Health Is Growing But Claims Are Growing Faster", - "source_pdf_path": null, - "source_url": "https://unlistedzone.com/h1-fy26-shows-care-health-is-growing-but-its-claims-are-growing-faster", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/care-health.json" - }, - { - "record_id": "care-health", - "field": "in_news[5]", - "value": "Care Health Insurance Claim Settlement Ratio Analysis", - "source_pdf_path": null, - "source_url": "https://joinditto.in/articles/health-insurance/care-health-insurance-claim-settlement-ratio/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/care-health.json" - }, - { - "record_id": "hdfc-ergo", - "field": "claim_metrics.source_irdai_url", - "value": 99.1, - "source_pdf_path": null, - "source_url": "https://irdai.gov.in/document-detail?documentId=6436847", - "source_quote": "99.1", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but quote not found in fetched body", - "category": "reviews", - "source_file": "40-data/reviews/hdfc-ergo.json" - }, - { - "record_id": "hdfc-ergo", - "field": "claim_metrics.source_secondary_url", - "value": 99.1, - "source_pdf_path": null, - "source_url": "http://web.archive.org/web/20260211155805/https://www.policybazaar.com/insurance-companies/hdfc-ergo-health-insurance/claim-settlement-ratio/", - "source_quote": "99.1", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but quote not found in fetched body", - "category": "reviews", - "source_file": "40-data/reviews/hdfc-ergo.json" - }, - { - "record_id": "hdfc-ergo", - "field": "claim_metrics.source_company_url", - "value": 99.1, - "source_pdf_path": null, - "source_url": "https://www.hdfcergo.com/blogs/health-insurance/hdfc-ergo-claim-settlement-ratio", - "source_quote": "99.1", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but quote not found in fetched body", - "category": "reviews", - "source_file": "40-data/reviews/hdfc-ergo.json" - }, - { - "record_id": "hdfc-ergo", - "field": "aggregator_ratings.policybazaar", - "value": 4.4, - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/hdfc-ergo-general-reviews-903/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/hdfc-ergo.json" - }, - { - "record_id": "hdfc-ergo", - "field": "aggregator_ratings.insuredekho", - "value": 4.5, - "source_pdf_path": null, - "source_url": "https://www.insurancedekho.com/health-insurance/hdfc-ergo", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/hdfc-ergo.json" - }, - { - "record_id": "hdfc-ergo", - "field": "aggregator_ratings.joinditto", - "value": 4.5, - "source_pdf_path": null, - "source_url": "https://joinditto.in/health-insurance/hdfc-ergo/reviews/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/hdfc-ergo.json" - }, - { - "record_id": "hdfc-ergo", - "field": "aggregator_ratings.mouthshut", - "value": 1.36, - "source_pdf_path": null, - "source_url": "https://www.mouthshut.com/product-reviews/hdfc-ergo-health-insurance-reviews-925865222", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/hdfc-ergo.json" - }, - { - "record_id": "hdfc-ergo", - "field": "trustpilot.url", - "value": 1.7, - "source_pdf_path": null, - "source_url": "https://www.trustpilot.com/review/www.hdfcergo.com", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/hdfc-ergo.json" - }, - { - "record_id": "hdfc-ergo", - "field": "reddit.sample_post_urls[0]", - "value": "https://www.quora.com/Have-you-ever-made-any-claim-against-HDFC-Ergo-health-insurance-and-was-it-a-good-experience", - "source_pdf_path": null, - "source_url": "https://www.quora.com/Have-you-ever-made-any-claim-against-HDFC-Ergo-health-insurance-and-was-it-a-good-experience", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/hdfc-ergo.json" - }, - { - "record_id": "hdfc-ergo", - "field": "reddit.sample_post_urls[1]", - "value": "https://www.oneassure.in/insurance/health-insurance-compare/niva-bupa-re-assure-vs-icici-health-shield-vs-hdfc-ergo-my-health-suraksha-gold", - "source_pdf_path": null, - "source_url": "https://www.oneassure.in/insurance/health-insurance-compare/niva-bupa-re-assure-vs-icici-health-shield-vs-hdfc-ergo-my-health-suraksha-gold", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/hdfc-ergo.json" - }, - { - "record_id": "hdfc-ergo", - "field": "reddit.sample_post_urls[2]", - "value": "https://technofino.in/community/threads/hdfc-ergo-optima-secure-4x-is-there-any-catch.5647/", - "source_pdf_path": null, - "source_url": "https://technofino.in/community/threads/hdfc-ergo-optima-secure-4x-is-there-any-catch.5647/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/hdfc-ergo.json" - }, - { - "record_id": "hdfc-ergo", - "field": "reddit.sample_post_urls[3]", - "value": "https://technofino.in/community/threads/hdfc-ergo-optima-secure-health-insurance.20516/", - "source_pdf_path": null, - "source_url": "https://technofino.in/community/threads/hdfc-ergo-optima-secure-health-insurance.20516/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/hdfc-ergo.json" - }, - { - "record_id": "hdfc-ergo", - "field": "reddit.sample_post_urls[4]", - "value": "https://www.indiainvestments.wiki/start-here/insurance-policies/health", - "source_pdf_path": null, - "source_url": "https://www.indiainvestments.wiki/start-here/insurance-policies/health", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/hdfc-ergo.json" - }, - { - "record_id": "hdfc-ergo", - "field": "youtube[0].Ditto Insurance", - "value": "HDFC ERGO Optima Secure Review - Is This the Best Health Plan? | Ditto Insurance", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=R4ehMh3z9UA", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/hdfc-ergo.json" - }, - { - "record_id": "hdfc-ergo", - "field": "youtube[1].Ditto Insurance", - "value": "HDFC ERGO Optima Secure *UPDATED* Review 2025 | Worth Buying? Ditto", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=Ozq71VRTZUA", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/hdfc-ergo.json" - }, - { - "record_id": "hdfc-ergo", - "field": "youtube[2].Ditto Insurance", - "value": "HDFC ERGO Optima Secure highly recommended in 3-way comparison", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=2_EhrtJhn44", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/hdfc-ergo.json" - }, - { - "record_id": "hdfc-ergo", - "field": "youtube[3].Ditto Insurance", - "value": "HDFC ERGO Optima Secure vs Niva Bupa Aspire", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=i3xMZGMstzE", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/hdfc-ergo.json" - }, - { - "record_id": "hdfc-ergo", - "field": "youtube[4].Ditto Insurance", - "value": "HDFC Ergo Optima Secure Review for 30 Year Old | Feature + Premium Breakdown", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=YEMmxjbl2Yw", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/hdfc-ergo.json" - }, - { - "record_id": "hdfc-ergo", - "field": "youtube[5].Sagar Sinha", - "value": null, - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=1BUFoq5jbmQ", - "source_quote": null, - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "reviews", - "source_file": "40-data/reviews/hdfc-ergo.json" - }, - { - "record_id": "hdfc-ergo", - "field": "youtube[6].Sanjay Kathuria", - "value": null, - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=EDZ74XMFirI", - "source_quote": null, - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "reviews", - "source_file": "40-data/reviews/hdfc-ergo.json" - }, - { - "record_id": "hdfc-ergo", - "field": "in_news[0]", - "value": "HDFC Ergo Aims for 18% Premium Growth in Retail Health Insurance for 2024-25", - "source_pdf_path": null, - "source_url": "https://www.goodreturns.in/news/hdfc-ergo-aims-to-maintain-premium-growth-2024-25-011-1392211.html", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/hdfc-ergo.json" - }, - { - "record_id": "hdfc-ergo", - "field": "in_news[1]", - "value": "HDFC ERGO General Insurance Claims Settlement Ratio Analysis for 2024-25", - "source_pdf_path": null, - "source_url": "https://www.angelone.in/news/market-updates/hdfc-ergo-general-insurance-claims-settlement-ratio-analysis-for-2024-25", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/hdfc-ergo.json" - }, - { - "record_id": "hdfc-ergo", - "field": "in_news[2]", - "value": "HDFC ERGO CTO targets AI-led, secure hyper-personalised insurance nationwide by 2026", - "source_pdf_path": null, - "source_url": "https://techobserver.in/news/bfsi/hdfc-ergo-cto-naganathan-eyes-ai-led-hyper-personalised-insurance-in-2026-319763/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/hdfc-ergo.json" - }, - { - "record_id": "hdfc-ergo", - "field": "in_news[3]", - "value": "HDFC ERGO Strengthens Electric Two-Wheeler Protection with Service-Led Claims Support", - "source_pdf_path": null, - "source_url": "https://www.globenewswire.com/news-release/2025/12/31/3211657/0/en/HDFC-ERGO-Strengthens-Electric-Two-Wheeler-Protection-with-Service-Led-Claims-Support.html", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/hdfc-ergo.json" - }, - { - "record_id": "hdfc-ergo", - "field": "in_news[4]", - "value": "Pre-approved cashless facility launched for chemotherapy and dialysis", - "source_pdf_path": null, - "source_url": "https://www.hdfcergo.com/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/hdfc-ergo.json" - }, - { - "record_id": "icici-lombard", - "field": "claim_metrics.source_irdai_url", - "value": 85.0, - "source_pdf_path": null, - "source_url": "https://irdai.gov.in/document-detail?documentId=6436847", - "source_quote": "85.0", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but quote not found in fetched body", - "category": "reviews", - "source_file": "40-data/reviews/icici-lombard.json" - }, - { - "record_id": "icici-lombard", - "field": "claim_metrics.source_secondary_url", - "value": 85.0, - "source_pdf_path": null, - "source_url": "https://www.policyx.com/health-insurance/icici-lombard-health-insurance/claim-settlement-ratio/", - "source_quote": "85.0", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but quote not found in fetched body", - "category": "reviews", - "source_file": "40-data/reviews/icici-lombard.json" - }, - { - "record_id": "icici-lombard", - "field": "claim_metrics.source_company_url", - "value": 85.0, - "source_pdf_path": null, - "source_url": "https://www.icicilombard.com/health-insurance/blogs/icici-lombard-health-insurance-claim-settlement-ratio", - "source_quote": "85.0", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL in browser_verified allowlist | quote not found in fetched body", - "category": "reviews", - "source_file": "40-data/reviews/icici-lombard.json" - }, - { - "record_id": "icici-lombard", - "field": "aggregator_ratings.policybazaar", - "value": 4.3, - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/insurance-companies/icici-lombard-health-insurance/claim-settlement-ratio/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/icici-lombard.json" - }, - { - "record_id": "icici-lombard", - "field": "aggregator_ratings.insuredekho", - "value": 4.4, - "source_pdf_path": null, - "source_url": "https://www.insurancedekho.com/health-insurance/icici-lombard/claim-settlement", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/icici-lombard.json" - }, - { - "record_id": "icici-lombard", - "field": "aggregator_ratings.joinditto", - "value": 4.0, - "source_pdf_path": null, - "source_url": "https://joinditto.in/articles/health-insurance/is-icici-lombard-health-insurance-good/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/icici-lombard.json" - }, - { - "record_id": "icici-lombard", - "field": "aggregator_ratings.mouthshut", - "value": 2.5, - "source_pdf_path": null, - "source_url": "https://www.mouthshut.com/product-reviews/icici-lombard-health-insurance-reviews-925076599", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/icici-lombard.json" - }, - { - "record_id": "icici-lombard", - "field": "reddit.sample_post_urls[0]", - "value": "https://www.oneassure.in/insurance/health-insurance-compare/niva-bupa-re-assure-vs-icici-health-shield-vs-hdfc-ergo-my-health-suraksha-gold", - "source_pdf_path": null, - "source_url": "https://www.oneassure.in/insurance/health-insurance-compare/niva-bupa-re-assure-vs-icici-health-shield-vs-hdfc-ergo-my-health-suraksha-gold", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/icici-lombard.json" - }, - { - "record_id": "icici-lombard", - "field": "reddit.sample_post_urls[1]", - "value": "https://joinditto.in/articles/health-insurance/is-icici-lombard-health-insurance-good/", - "source_pdf_path": null, - "source_url": "https://joinditto.in/articles/health-insurance/is-icici-lombard-health-insurance-good/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/icici-lombard.json" - }, - { - "record_id": "icici-lombard", - "field": "reddit.sample_post_urls[2]", - "value": "https://technofino.in/community/threads/50-lakh-cover-for-rs-7-123-too-good-to-be-true.12094/", - "source_pdf_path": null, - "source_url": "https://technofino.in/community/threads/50-lakh-cover-for-rs-7-123-too-good-to-be-true.12094/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/icici-lombard.json" - }, - { - "record_id": "icici-lombard", - "field": "reddit.sample_post_urls[3]", - "value": "https://www.oneassure.in/insurance/health-insurance-guides/is-icici-health-insurance-good-comparing-plans-premiums-and-claim-experience", - "source_pdf_path": null, - "source_url": "https://www.oneassure.in/insurance/health-insurance-guides/is-icici-health-insurance-good-comparing-plans-premiums-and-claim-experience", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/icici-lombard.json" - }, - { - "record_id": "icici-lombard", - "field": "reddit.sample_post_urls[4]", - "value": "https://www.indiainvestments.wiki/start-here/insurance-policies/health", - "source_pdf_path": null, - "source_url": "https://www.indiainvestments.wiki/start-here/insurance-policies/health", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/icici-lombard.json" - }, - { - "record_id": "icici-lombard", - "field": "youtube[0].Ditto Insurance (article)", - "value": null, - "source_pdf_path": null, - "source_url": "https://joinditto.in/articles/health-insurance/is-icici-lombard-health-insurance-good/", - "source_quote": null, - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "reviews", - "source_file": "40-data/reviews/icici-lombard.json" - }, - { - "record_id": "icici-lombard", - "field": "youtube[1].Ditto Insurance", - "value": "ICICI Lombard Insurance HONEST Review | Best of 2024| Benefits & Problems", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=0EJI00BQqCA", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/icici-lombard.json" - }, - { - "record_id": "icici-lombard", - "field": "youtube[2].Ditto Insurance", - "value": "ICICI Lombard Elevate Health Insurance HONEST Review 2024", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=TjvNNK62oyE", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/icici-lombard.json" - }, - { - "record_id": "icici-lombard", - "field": "youtube[3].PolicyX", - "value": "ICICI Lombard Health Insurance Review | PolicyX", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=ca2bRF_JoLI", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/icici-lombard.json" - }, - { - "record_id": "icici-lombard", - "field": "youtube[4].Independent", - "value": "ICICI Lombard Health Shield 360 Full Review | ICICI Lombard Health Insurance Plans", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=ve6sHV2BCM8", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/icici-lombard.json" - }, - { - "record_id": "icici-lombard", - "field": "in_news[0]", - "value": "ICICI Lombard Q1FY26 results: Net profit rises 29% to Rs 747 crore", - "source_pdf_path": null, - "source_url": "https://www.business-standard.com/companies/quarterly-results/icici-lombard-net-profit-up-29-in-q1fy26-125071501318_1.html", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/icici-lombard.json" - }, - { - "record_id": "icici-lombard", - "field": "in_news[1]", - "value": "ICICI Lombard, Bajaj Allianz and New India are the most profitable non-life players in FY 2024", - "source_pdf_path": null, - "source_url": "https://cafemutual.com/news/insurance/33076-icici-lombard-bajaj-allianz-and-new-india-are-the-most-profitable-non-life-players-in-fy-2024", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/icici-lombard.json" - }, - { - "record_id": "icici-lombard", - "field": "in_news[2]", - "value": "Private insurers cut agent commissions after GST changes on health cover", - "source_pdf_path": null, - "source_url": "https://www.business-standard.com/finance/insurance/icici-lombard-care-health-aditya-birla-cut-commissions-post-gst-125100101265_1.html", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/icici-lombard.json" - }, - { - "record_id": "icici-lombard", - "field": "in_news[3]", - "value": "ICICI Lombard Q1 FY26 Results: Profit Jumps 28.7% YoY, Strong Margins", - "source_pdf_path": null, - "source_url": "https://www.arihantplus.com/blogs/stocks/icici-lombard-q1-fy-26-results-profit-jumps-28-7-strong-margins-and-digital-momentum", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/icici-lombard.json" - }, - { - "record_id": "manipalcigna", - "field": "claim_metrics.source_irdai_url", - "value": 99.0, - "source_pdf_path": null, - "source_url": "https://irdai.gov.in/document-detail?documentId=6436847", - "source_quote": "99.0", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but quote not found in fetched body", - "category": "reviews", - "source_file": "40-data/reviews/manipalcigna.json" - }, - { - "record_id": "manipalcigna", - "field": "claim_metrics.source_secondary_url", - "value": 99.0, - "source_pdf_path": null, - "source_url": "https://www.policyx.com/health-insurance/manipalcigna-health-insurance/claim-settlement-ratio/", - "source_quote": "99.0", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but quote not found in fetched body", - "category": "reviews", - "source_file": "40-data/reviews/manipalcigna.json" - }, - { - "record_id": "manipalcigna", - "field": "claim_metrics.source_company_url", - "value": 99.0, - "source_pdf_path": null, - "source_url": "https://www.manipalcigna.com/blog/claim-settlement-ratio", - "source_quote": "99.0", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but quote not found in fetched body", - "category": "reviews", - "source_file": "40-data/reviews/manipalcigna.json" - }, - { - "record_id": "manipalcigna", - "field": "aggregator_ratings.policybazaar", - "value": 4.3, - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/insurance-companies/manipalcigna-health-insurance/claim-settlement-ratio/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/manipalcigna.json" - }, - { - "record_id": "manipalcigna", - "field": "aggregator_ratings.insuredekho", - "value": 4.2, - "source_pdf_path": null, - "source_url": "https://www.insurancedekho.com/health-insurance/manipalcigna/claim-settlement", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/manipalcigna.json" - }, - { - "record_id": "manipalcigna", - "field": "aggregator_ratings.joinditto", - "value": 4.0, - "source_pdf_path": null, - "source_url": "https://joinditto.in/articles/health-insurance/manipal-cigna-health-insurance-review/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/manipalcigna.json" - }, - { - "record_id": "manipalcigna", - "field": "reddit.sample_post_urls[0]", - "value": "https://joinditto.in/articles/health-insurance/manipal-cigna-health-insurance-review/", - "source_pdf_path": null, - "source_url": "https://joinditto.in/articles/health-insurance/manipal-cigna-health-insurance-review/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/manipalcigna.json" - }, - { - "record_id": "manipalcigna", - "field": "reddit.sample_post_urls[1]", - "value": "https://www.policyx.com/health-insurance/manipalcigna-health-insurance/claim-settlement-ratio/", - "source_pdf_path": null, - "source_url": "https://www.policyx.com/health-insurance/manipalcigna-health-insurance/claim-settlement-ratio/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/manipalcigna.json" - }, - { - "record_id": "manipalcigna", - "field": "reddit.sample_post_urls[2]", - "value": "https://joinditto.in/articles/health-insurance/manipal-cigna-health-insurance-review/", - "source_pdf_path": null, - "source_url": "https://joinditto.in/articles/health-insurance/manipal-cigna-health-insurance-review/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/manipalcigna.json" - }, - { - "record_id": "manipalcigna", - "field": "reddit.sample_post_urls[3]", - "value": "https://www.indiainvestments.wiki/start-here/insurance-policies/health", - "source_pdf_path": null, - "source_url": "https://www.indiainvestments.wiki/start-here/insurance-policies/health", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/manipalcigna.json" - }, - { - "record_id": "manipalcigna", - "field": "youtube[0].Ditto Insurance", - "value": "NEW Manipal Cigna Sarvah Plan DETAILED Review | Pros, Cons, Features & PREMIUMS", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=Yb6zub6V-LY", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/manipalcigna.json" - }, - { - "record_id": "manipalcigna", - "field": "youtube[1].Gurleen Kaur Tikku", - "value": "Manipal Cigna Sarvah Plan Detailed Review | NEW ManipalCigna Health Insurance", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=DzhGiVxJPKQ", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/manipalcigna.json" - }, - { - "record_id": "manipalcigna", - "field": "youtube[2].Ditto Insurance / Health Insurance Sahi Hai", - "value": "Best Health Insurance 2025 with Zero Waiting Period? 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}, - { - "record_id": "manipalcigna", - "field": "in_news[2]", - "value": "ManipalCigna Launches 'Sarvah': The Complete Health Insurance Plan with Special Focus on Bharat's Missing Middle", - "source_pdf_path": null, - "source_url": "https://www.business-standard.com/content/press-releases-ani/manipalcigna-launches-sarvah-the-complete-health-insurance-plan-with-special-focus-on-bharat-s-missing-middle-124101900282_1.html", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/manipalcigna.json" - }, - { - "record_id": "manipalcigna", - "field": "in_news[3]", - "value": "ManipalCigna Health Insurance expands in TN; settles Rs 101 cr worth claims", - "source_pdf_path": null, - "source_url": "https://www.dtnext.in/news/business/manipalcigna-health-insurance-expands-in-tn-settles-rs-101-cr-worth-claims-840161", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/manipalcigna.json" - }, - { - "record_id": "manipalcigna", - "field": "in_news[4]", - "value": "ManipalCigna claim settlement ratio analysis", - "source_pdf_path": null, - "source_url": "https://www.renewbuy.com/health-insurance/manipalcigna-health-insurance/claim-settlement-ratio", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/manipalcigna.json" - }, - { - "record_id": "new-india", - "field": "claim_metrics.source_irdai_url", - "value": 95.04, - "source_pdf_path": null, - "source_url": "https://irdai.gov.in/document-detail?documentId=6436847", - "source_quote": "95.04", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but quote not found in fetched body", - "category": "reviews", - "source_file": "40-data/reviews/new-india.json" - }, - { - "record_id": "new-india", - "field": "claim_metrics.source_secondary_url", - "value": 95.04, - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/insurance-companies/new-india-assurance-health-insurance/claim-settlement-ratio/", - "source_quote": "95.04", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL in browser_verified allowlist | quote not found in fetched body", - "category": "reviews", - "source_file": "40-data/reviews/new-india.json" - }, - { - "record_id": "new-india", - "field": "claim_metrics.source_company_url", - "value": 95.04, - "source_pdf_path": null, - "source_url": "https://www.newindia.co.in/public-disclosure", - "source_quote": "95.04", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but quote not found in fetched body", - "category": "reviews", - "source_file": "40-data/reviews/new-india.json" - }, - { - "record_id": "new-india", - "field": "aggregator_ratings.policybazaar", - "value": 4.2, - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/insurance-companies/new-india-assurance-health-insurance/claim-settlement-ratio/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/new-india.json" - }, - { - "record_id": "new-india", - "field": "aggregator_ratings.insuredekho", - "value": 4.0, - "source_pdf_path": null, - "source_url": "https://www.insurancedekho.com/health-insurance/new-india/claim-settlement", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/new-india.json" - }, - { - "record_id": "new-india", - "field": "aggregator_ratings.policyx", - "value": 4.1, - "source_pdf_path": null, - "source_url": "https://www.policyx.com/health-insurance/new-india-health-insurance/claim-settlement-ratio/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/new-india.json" - }, - { - "record_id": "new-india", - "field": "reddit.sample_post_urls[0]", - "value": "https://www.deccanchronicle.com/business/new-india-assurance-tops-health-insurance-claims-settlement-1841899", - "source_pdf_path": null, - "source_url": "https://www.deccanchronicle.com/business/new-india-assurance-tops-health-insurance-claims-settlement-1841899", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/new-india.json" - }, - { - "record_id": "new-india", - "field": "reddit.sample_post_urls[1]", - "value": "https://www.policybazaar.com/insurance-companies/new-india-assurance-health-insurance/claim-settlement-ratio/", - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/insurance-companies/new-india-assurance-health-insurance/claim-settlement-ratio/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/new-india.json" - }, - { - "record_id": "new-india", - "field": "reddit.sample_post_urls[2]", - "value": "https://joinditto.in/articles/health-insurance/is-new-india-assurance-health-insurance-good/", - "source_pdf_path": null, - "source_url": "https://joinditto.in/articles/health-insurance/is-new-india-assurance-health-insurance-good/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/new-india.json" - }, - { - "record_id": "new-india", - "field": "reddit.sample_post_urls[3]", - "value": "https://www.indiainvestments.wiki/start-here/insurance-policies/health", - "source_pdf_path": null, - "source_url": "https://www.indiainvestments.wiki/start-here/insurance-policies/health", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/new-india.json" - }, - { - "record_id": "new-india", - "field": "youtube[0].ET Now", - "value": "New India Assurance: Insights On Senior Citizen Health Insurance Premium Cap & GST Cut Soon? | ET Now", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=OE_844nkUDE", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/new-india.json" - }, - { - "record_id": "new-india", - "field": "youtube[1].Independent", - "value": "Yuva Bharat Health Policy Full Review | New India Assurance | Benefits, Waiting Periods & Sublimits", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=f27o4K47nKU", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/new-india.json" - }, - { - "record_id": "new-india", - "field": "youtube[2].Independent", - "value": "New India Assurance Health Claims Data 2025 | CSR, ICR & Complaints REVEALED", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=7um6_5Zmt0M", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/new-india.json" - }, - { - "record_id": "new-india", - "field": "youtube[3].Independent (Hindi)", - "value": "New India Assurance YUVA BHARAT Policy 2024", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=IOlBJxGwraU", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/new-india.json" - }, - { - "record_id": "new-india", - "field": "in_news[0]", - "value": "New India Assurance Tops Health Insurance Claims Settlement", - "source_pdf_path": null, - "source_url": "https://www.deccanchronicle.com/business/new-india-assurance-tops-health-insurance-claims-settlement-1841899", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/new-india.json" - }, - { - "record_id": "new-india", - "field": "in_news[1]", - "value": "New India Assurance Q3FY24 results: Net profit falls 4.38% to Rs 715 crore", - "source_pdf_path": null, - "source_url": "https://www.business-standard.com/companies/news/new-india-assurance-q3fy24-results-net-profit-falls-4-38-to-rs-715-crore-124020901758_1.html", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/new-india.json" - }, - { - "record_id": "new-india", - "field": "in_news[2]", - "value": "ICICI Lombard, Bajaj Allianz and New India are the most profitable non-life players in FY 2024", - "source_pdf_path": null, - "source_url": "https://cafemutual.com/news/insurance/33076-icici-lombard-bajaj-allianz-and-new-india-are-the-most-profitable-non-life-players-in-fy-2024", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/new-india.json" - }, - { - "record_id": "new-india", - "field": "in_news[3]", - "value": "New India Assurance increases premiums on health insurance by 10%", - "source_pdf_path": null, - "source_url": "https://www.business-standard.com/finance/insurance/new-india-assurance-increases-premiums-on-health-insurance-by-10-124073001522_1.html", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/new-india.json" - }, - { - "record_id": "new-india", - "field": "in_news[4]", - "value": "Is New India Assurance Health Insurance Good? 2026 Review", - "source_pdf_path": null, - "source_url": "https://joinditto.in/articles/health-insurance/is-new-india-assurance-health-insurance-good/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/new-india.json" - }, - { - "record_id": "niva-bupa", - "field": "claim_metrics.source_irdai_url", - "value": 91.62, - "source_pdf_path": null, - "source_url": "https://irdai.gov.in/document-detail?documentId=6436847", - "source_quote": "91.62", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but quote not found in fetched body", - "category": "reviews", - "source_file": "40-data/reviews/niva-bupa.json" - }, - { - "record_id": "niva-bupa", - "field": "claim_metrics.source_secondary_url", - "value": 91.62, - "source_pdf_path": null, - "source_url": "https://joinditto.in/articles/health-insurance/niva-bupa-health-insurance-claim-settlement-ratio/", - "source_quote": "91.62", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but quote not found in fetched body", - "category": "reviews", - "source_file": "40-data/reviews/niva-bupa.json" - }, - { - "record_id": "niva-bupa", - "field": "aggregator_ratings.policybazaar", - "value": 4.4, - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/max-bupa-health-general-reviews-477/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/niva-bupa.json" - }, - { - "record_id": "niva-bupa", - "field": "aggregator_ratings.insuredekho", - "value": 4.3, - "source_pdf_path": null, - "source_url": "https://www.insurancedekho.com/health-insurance/niva-bupa-health-insurance/user-reviews", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/niva-bupa.json" - }, - { - "record_id": "niva-bupa", - "field": "aggregator_ratings.mouthshut", - "value": 1.41, - "source_pdf_path": null, - "source_url": "https://www.mouthshut.com/product-reviews/niva-bupa-health-insurance-reviews-925608449", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/niva-bupa.json" - }, - { - "record_id": "niva-bupa", - "field": "aggregator_ratings.justdial", - "value": 3.5, - "source_pdf_path": null, - "source_url": "https://www.justdial.com/Mumbai/Niva-Bupa-Health-Insurance-Company-Ltd-Customer-Care/022PXX22-XX22-121222183516-A3L5_BZDET/reviews", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/niva-bupa.json" - }, - { - "record_id": "niva-bupa", - "field": "trustpilot.url", - "value": 1.8, - "source_pdf_path": null, - "source_url": "https://www.mouthshut.com/product-reviews/niva-bupa-health-insurance-reviews-925608449", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/niva-bupa.json" - }, - { - "record_id": "niva-bupa", - "field": "reddit.sample_post_urls[0]", - "value": "http://www.quora.com/Has-anyone-taken-Niva-Bupa-health-insurance-in-India-How-reliable-is-it", - "source_pdf_path": null, - "source_url": "http://www.quora.com/Has-anyone-taken-Niva-Bupa-health-insurance-in-India-How-reliable-is-it", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/niva-bupa.json" - }, - { - "record_id": "niva-bupa", - "field": "reddit.sample_post_urls[1]", - "value": "https://www.policybazaar.com/health-insurance/companies/hdfc-ergo-vs-niva-bupa/", - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/health-insurance/companies/hdfc-ergo-vs-niva-bupa/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/niva-bupa.json" - }, - { - "record_id": "niva-bupa", - "field": "reddit.sample_post_urls[2]", - "value": "https://insurancesabha.com/t/niva-bupa-reviews-complaints-csr-2026/26/2", - "source_pdf_path": null, - "source_url": "https://insurancesabha.com/t/niva-bupa-reviews-complaints-csr-2026/26/2", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/niva-bupa.json" - }, - { - "record_id": "niva-bupa", - "field": "reddit.sample_post_urls[3]", - "value": "https://www.beshak.org/forum/post/niva-bupa-claim-settlement-in-recent-times/", - "source_pdf_path": null, - "source_url": "https://www.beshak.org/forum/post/niva-bupa-claim-settlement-in-recent-times/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/niva-bupa.json" - }, - { - "record_id": "niva-bupa", - "field": "reddit.sample_post_urls[4]", - "value": "https://www.indiainvestments.wiki/start-here/insurance-policies/health", - "source_pdf_path": null, - "source_url": "https://www.indiainvestments.wiki/start-here/insurance-policies/health", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/niva-bupa.json" - }, - { - "record_id": "niva-bupa", - "field": "youtube[0].Ditto Insurance", - "value": "Should You Buy Niva Bupa ReAssure 2.0 Health Insurance in 2025? SUPER HONEST Review", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=U1kNh-rRuXo", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/niva-bupa.json" - }, - { - "record_id": "niva-bupa", - "field": "youtube[1].Ditto Insurance", - "value": "ReAssure 2.0 vs HDFC Ergo vs Care comparison", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=2_EhrtJhn44", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/niva-bupa.json" - }, - { - "record_id": "niva-bupa", - "field": "youtube[2].Gurleen Kaur Tikku", - "value": "Niva Bupa Aspire VS Niva Bupa ReAssure 2.0 | Niva Bupa Health Insurance REVIEW", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=ZjjIteHHGqI", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/niva-bupa.json" - }, - { - "record_id": "niva-bupa", - "field": "youtube[3].Insurance Impact", - "value": "Niva Bupa ReAssure 2.0 vs Aspire - Choose Wisely Or Regret Later", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=892Pbg3XNg4", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/niva-bupa.json" - }, - { - "record_id": "niva-bupa", - "field": "youtube[4].Sagar Sinha", - "value": null, - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=1BUFoq5jbmQ", - "source_quote": null, - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "reviews", - "source_file": "40-data/reviews/niva-bupa.json" - }, - { - "record_id": "niva-bupa", - "field": "youtube[5].Sanjay Kathuria", - "value": null, - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=EDZ74XMFirI", - "source_quote": null, - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "reviews", - "source_file": "40-data/reviews/niva-bupa.json" - }, - { - "record_id": "niva-bupa", - "field": "in_news[0]", - "value": "Niva Bupa shares make positive debut on bourses; list at 6% premium", - "source_pdf_path": null, - "source_url": "https://www.business-standard.com/markets/news/niva-bupa-shares-make-positive-debut-on-bourses-list-at-6-premium-124111400326_1.html", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/niva-bupa.json" - }, - { - "record_id": "niva-bupa", - "field": "in_news[1]", - "value": "Bupa Group Indian health insurance business, Niva Bupa, successfully completes IPO", - "source_pdf_path": null, - "source_url": "https://www.bupa.com/news-and-press/press-releases/2024/bupa-indian-health-insurance-business-niva-bupa-completes-ipo", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/niva-bupa.json" - }, - { - "record_id": "niva-bupa", - "field": "in_news[2]", - "value": "Insurance firm faces social media backlash over Rs 61 lakh 'claim denial'", - "source_pdf_path": null, - "source_url": "https://www.business-standard.com/finance/personal-finance/insurance-firm-faces-social-media-backlash-over-61-lakh-claim-denial-125090101059_1.html", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/niva-bupa.json" - }, - { - "record_id": "niva-bupa", - "field": "in_news[3]", - "value": "Mumbai Consumer Commission Orders Niva Bupa To Pay Rs 66.50 Lakh For Wrongfully Denying Cancer Treatment Claim", - "source_pdf_path": null, - "source_url": "https://www.livelaw.in/consumer-cases/mumbai-consumer-commission-orders-niva-bupa-to-pay-6650-lakh-for-wrongfully-denying-cancer-treatment-claim-311849", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/niva-bupa.json" - }, - { - "record_id": "niva-bupa", - "field": "in_news[4]", - "value": "Rs 61 Lakh Health Insurance Claim Denied: Family's Ordeal Sparks Outrage", - "source_pdf_path": null, - "source_url": "https://www.outlookmoney.com/insurance/rs-61-lakh-health-insurance-claim-denied-familys-ordeal-sparks-outrage", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/niva-bupa.json" - }, - { - "record_id": "niva-bupa", - "field": "in_news[5]", - "value": "Niva Bupa Responds to Rs 61 Lakh Claim Row, Says Costs Escalated Beyond Estimate", - "source_pdf_path": null, - "source_url": "https://www.outlookmoney.com/insurance/those-labelling-health-insurance-sector-as-scam-are-highly-irresponsible-misleading-niva-bupa", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/niva-bupa.json" - }, - { - "record_id": "niva-bupa", - "field": "in_news[6]", - "value": "Star Health, CARE, Niva Bupa record most policyholder complaints in FY24", - "source_pdf_path": null, - "source_url": "https://www.business-standard.com/finance/personal-finance/star-health-care-niva-bupa-record-most-policyholder-complaints-in-fy24-125090100487_1.html", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/niva-bupa.json" - }, - { - "record_id": "niva-bupa", - "field": "in_news[7]", - "value": "Niva Bupa IPO: Growth, claim settlement and retention metrics compared with industry peers", - "source_pdf_path": null, - "source_url": "https://upstox.com/news/market-news/ipo/understanding-niva-bupa-s-market-position-growth-claim-settlement-and-retention-metrics-compared-with-industry-peers/article-127535/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/niva-bupa.json" - }, - { - "record_id": "star-health", - "field": "claim_metrics.source_irdai_url", - "value": 82.31, - "source_pdf_path": null, - "source_url": "https://irdai.gov.in/document-detail?documentId=6436847", - "source_quote": "82.31", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but quote not found in fetched body", - "category": "reviews", - "source_file": "40-data/reviews/star-health.json" - }, - { - "record_id": "star-health", - "field": "claim_metrics.source_secondary_url", - "value": 82.31, - "source_pdf_path": null, - "source_url": "https://www.business-standard.com/finance/personal-finance/star-health-care-niva-bupa-record-most-policyholder-complaints-in-fy24-125090100487_1.html", - "source_quote": "82.31", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL in browser_verified allowlist | quote not found in fetched body", - "category": "reviews", - "source_file": "40-data/reviews/star-health.json" - }, - { - "record_id": "star-health", - "field": "aggregator_ratings.policybazaar", - "value": 4.3, - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/star-health-insurance-reviews-881/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/star-health.json" - }, - { - "record_id": "star-health", - "field": "aggregator_ratings.insuredekho", - "value": 4.4, - "source_pdf_path": null, - "source_url": "https://www.insurancedekho.com/health-insurance/star/user-reviews", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/star-health.json" - }, - { - "record_id": "star-health", - "field": "aggregator_ratings.mouthshut", - "value": 2.0, - "source_pdf_path": null, - "source_url": "https://www.mouthshut.com/product-reviews/star-health-insurance-reviews-925865246", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/star-health.json" - }, - { - "record_id": "star-health", - "field": "trustpilot.url", - "value": 1.5, - "source_pdf_path": null, - "source_url": "https://www.trustpilot.com/review/www.starhealth.in", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/star-health.json" - }, - { - "record_id": "star-health", - "field": "reddit.sample_post_urls[0]", - "value": "https://www.quora.com/Is-Star-Health-Insurance-good-Has-anybody-experienced-problems-in-claim-settlement", - "source_pdf_path": null, - "source_url": "https://www.quora.com/Is-Star-Health-Insurance-good-Has-anybody-experienced-problems-in-claim-settlement", - "source_quote": null, - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "❌ url-broken", - "notes": "HEAD returned status=403", - "category": "reviews", - "source_file": "40-data/reviews/star-health.json" - }, - { - "record_id": "star-health", - "field": "reddit.sample_post_urls[1]", - "value": "https://technofino.in/community/threads/star-health-insurance-renew-or-port.35180/", - "source_pdf_path": null, - "source_url": "https://technofino.in/community/threads/star-health-insurance-renew-or-port.35180/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/star-health.json" - }, - { - "record_id": "star-health", - "field": "reddit.sample_post_urls[2]", - "value": "https://www.indiainvestments.wiki/start-here/insurance-policies/health", - "source_pdf_path": null, - "source_url": "https://www.indiainvestments.wiki/start-here/insurance-policies/health", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/star-health.json" - }, - { - "record_id": "star-health", - "field": "reddit.sample_post_urls[3]", - "value": "https://www.quora.com/Is-Star-Health-Insurance-a-good-company", - "source_pdf_path": null, - "source_url": "https://www.quora.com/Is-Star-Health-Insurance-a-good-company", - "source_quote": null, - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "❌ url-broken", - "notes": "HEAD returned status=403", - "category": "reviews", - "source_file": "40-data/reviews/star-health.json" - }, - { - "record_id": "star-health", - "field": "youtube[0].Ditto Insurance", - "value": "Star Health Insurance HONEST Review 2024 | Super Star, Assure & Comprehensive Plan Analysis", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=k5ZltTqzSrY", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/star-health.json" - }, - { - "record_id": "star-health", - "field": "youtube[1].Ditto Insurance", - "value": "Star Health Super Star Health Plan HONEST REVIEW | Pros, Cons & Features", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=_U81lPwqsk4", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/star-health.json" - }, - { - "record_id": "star-health", - "field": "youtube[2].MJ (MJ Money)", - "value": "Star Health Super Star Health Insurance Plan - Detailed Review I Star Health LATEST Plan 2024", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=j1YBBmt7VZI", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/star-health.json" - }, - { - "record_id": "star-health", - "field": "youtube[3].Gurleen Kaur Tikku", - "value": "Star Health SUPER STAR Detailed Review | Star Health LATEST Plan 2024", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=Vs4OjCEU_gc", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/star-health.json" - }, - { - "record_id": "star-health", - "field": "in_news[0]", - "value": "Star Health under IRDAI lens over claim settlement; insurer says routine process", - "source_pdf_path": null, - "source_url": "https://www.businesstoday.in/personal-finance/insurance/story/star-health-under-irdai-lens-over-claim-settlement-insurer-says-routine-process-469373-2025-03-25", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/star-health.json" - }, - { - "record_id": "star-health", - "field": "in_news[1]", - "value": "Irdai issues show cause notice to Star Health for violating norms", - "source_pdf_path": null, - "source_url": "https://www.business-standard.com/finance/insurance/irdai-issues-show-cause-notice-to-star-health-for-violating-norms-124120601299_1.html", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/star-health.json" - }, - { - "record_id": "star-health", - "field": "in_news[2]", - "value": "Star Health drops 5% as Irdai issues show cause notice for violating norms", - "source_pdf_path": null, - "source_url": "https://www.business-standard.com/markets/news/star-health-drops-5-as-irdai-issues-show-cause-notice-for-violating-norms-124120900239_1.html", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/star-health.json" - }, - { - "record_id": "star-health", - "field": "in_news[3]", - "value": "Star Health, CARE, Niva Bupa record most policyholder complaints in FY24", - "source_pdf_path": null, - "source_url": "https://www.business-standard.com/finance/personal-finance/star-health-care-niva-bupa-record-most-policyholder-complaints-in-fy24-125090100487_1.html", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/star-health.json" - }, - { - "record_id": "star-health", - "field": "in_news[4]", - "value": "India's Star Health confirms data breach after cybercriminals post customers' health data online", - "source_pdf_path": null, - "source_url": "https://techcrunch.com/2024/10/09/indias-star-health-confirms-data-breach-after-cybercriminals-post-customers-health-data-online/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/star-health.json" - }, - { - "record_id": "star-health", - "field": "in_news[5]", - "value": "Star Health Under Fire: IRDAI Scrutinizes High Claim Rejections & Delays", - "source_pdf_path": null, - "source_url": "https://the420.in/star-health-under-fire-irdai-scrutinizes-high-claim-rejections-delays/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/star-health.json" - }, - { - "record_id": "star-health", - "field": "in_news[6]", - "value": "Star Health Under Irdai Scrutiny For Health Insurance Claim Settlement Practices", - "source_pdf_path": null, - "source_url": "https://www.outlookmoney.com/insurance/health-insurance/star-health-under-irdai-scrutiny-for-health-insurance-claim-settlement-practices", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/star-health.json" - }, - { - "record_id": "tata-aig", - "field": "claim_metrics.source_irdai_url", - "value": 88.72, - "source_pdf_path": null, - "source_url": "https://irdai.gov.in/document-detail?documentId=6436847", - "source_quote": "88.72", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but quote not found in fetched body", - "category": "reviews", - "source_file": "40-data/reviews/tata-aig.json" - }, - { - "record_id": "tata-aig", - "field": "claim_metrics.source_secondary_url", - "value": 88.72, - "source_pdf_path": null, - "source_url": "https://www.policyx.com/health-insurance/tata-aig-health-insurance/claim-settlement-ratio/", - "source_quote": "88.72", - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but quote not found in fetched body", - "category": "reviews", - "source_file": "40-data/reviews/tata-aig.json" - }, - { - "record_id": "tata-aig", - "field": "aggregator_ratings.policybazaar", - "value": 4.3, - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/insurance-companies/tata-aig-health-insurance/claim-settlement-ratio/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/tata-aig.json" - }, - { - "record_id": "tata-aig", - "field": "aggregator_ratings.insuredekho", - "value": 4.4, - "source_pdf_path": null, - "source_url": "https://www.insurancedekho.com/health-insurance/tata-aig/claim-settlement", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/tata-aig.json" - }, - { - "record_id": "tata-aig", - "field": "aggregator_ratings.joinditto", - "value": 4.2, - "source_pdf_path": null, - "source_url": "https://joinditto.in/articles/health-insurance/tata-aig-health-insurance-claim-settlement-ratio/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/tata-aig.json" - }, - { - "record_id": "tata-aig", - "field": "reddit.sample_post_urls[0]", - "value": "https://www.beshak.org/insurance/health-insurance/best-health-insurance-plans/tata-aig-medi-care/", - "source_pdf_path": null, - "source_url": "https://www.beshak.org/insurance/health-insurance/best-health-insurance-plans/tata-aig-medi-care/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/tata-aig.json" - }, - { - "record_id": "tata-aig", - "field": "reddit.sample_post_urls[1]", - "value": "https://www.policybazaar.com/health-insurance/companies/aditya-birla-vs-tata-aig/", - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/health-insurance/companies/aditya-birla-vs-tata-aig/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/tata-aig.json" - }, - { - "record_id": "tata-aig", - "field": "reddit.sample_post_urls[2]", - "value": "https://joinditto.in/articles/health-insurance/tata-aig-health-insurance-claim-settlement-ratio/", - "source_pdf_path": null, - "source_url": "https://joinditto.in/articles/health-insurance/tata-aig-health-insurance-claim-settlement-ratio/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/tata-aig.json" - }, - { - "record_id": "tata-aig", - "field": "reddit.sample_post_urls[3]", - "value": "https://www.indiainvestments.wiki/start-here/insurance-policies/health", - "source_pdf_path": null, - "source_url": "https://www.indiainvestments.wiki/start-here/insurance-policies/health", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/tata-aig.json" - }, - { - "record_id": "tata-aig", - "field": "youtube[0].1Finance", - "value": null, - "source_pdf_path": null, - "source_url": "https://1finance.co.in/product-scoring/health-insurance/tata-aig-medicare", - "source_quote": null, - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "⏳ no-claim", - "notes": "value is null / empty — no claim to verify", - "category": "reviews", - "source_file": "40-data/reviews/tata-aig.json" - }, - { - "record_id": "tata-aig", - "field": "youtube[1].Ditto Insurance", - "value": "Tata Medicare Select First Look | Features, Pros, and Add-ons | Ditto Insurance", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=Drg-E3bxekU", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/tata-aig.json" - }, - { - "record_id": "tata-aig", - "field": "youtube[2].Insurance Impact", - "value": "TATA AIG Health Insurance Review (Pros & Cons) | Insurance Impact", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=hNSQlPwFGdY", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/tata-aig.json" - }, - { - "record_id": "tata-aig", - "field": "youtube[3].Gurleen Kaur Tikku / Independent", - "value": "TATA AIG Medicare Premier ULTIMATE Review", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=696mpVFVehU", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/tata-aig.json" - }, - { - "record_id": "tata-aig", - "field": "youtube[4].Independent", - "value": "TATA AIG Medicare Premier, Plus & Lite Review | Best Maternity Benefit Explained", - "source_pdf_path": null, - "source_url": "https://www.youtube.com/watch?v=VJg8lnc3wwQ", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/tata-aig.json" - }, - { - "record_id": "tata-aig", - "field": "in_news[0]", - "value": "Tata AIG GWP grew from Rs 1,930 cr (FY22) to Rs 3,592 cr (FY25), strong YoY growth", - "source_pdf_path": null, - "source_url": "https://joinditto.in/articles/health-insurance/tata-aig-health-insurance-claim-settlement-ratio/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/tata-aig.json" - }, - { - "record_id": "tata-aig", - "field": "in_news[1]", - "value": "Tata AIG MediCare Premier plan launches", - "source_pdf_path": null, - "source_url": "https://www.beshak.org/insurance/health-insurance/best-health-insurance-plans/tata-aig-medi-care-premier/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/tata-aig.json" - }, - { - "record_id": "tata-aig", - "field": "in_news[2]", - "value": "Cashless Claim Settlement Suspended for Tata AIG Policyholders at Max Hospitals: What Patients Should Know", - "source_pdf_path": null, - "source_url": "https://www.outlookmoney.com/insurance/cashless-claim-settlement-suspended-for-tata-aig-policyholders-at-max-hospitals-what-patients-should-know", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/tata-aig.json" - }, - { - "record_id": "tata-aig", - "field": "in_news[3]", - "value": "Hospital bill shock: Tata AIG is third insurer to exit Max cashless network", - "source_pdf_path": null, - "source_url": "https://www.business-standard.com/finance/personal-finance/hospital-bill-shock-tata-aig-is-third-insurer-to-exit-max-cashless-network-125092800816_1.html", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/tata-aig.json" - }, - { - "record_id": "tata-aig", - "field": "in_news[4]", - "value": "Tata AIG Launches Health Supercharge Insurance Plan With Enhanced Cover", - "source_pdf_path": null, - "source_url": "https://www.outlookbusiness.com/financial-planning/tata-aig-launches-health-supercharge-insurance-plan-with-enhanced-cover", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "reviews", - "source_file": "40-data/reviews/tata-aig.json" - }, - { - "record_id": "premiums_meta", - "field": "sources_consulted[0]", - "value": "https://www.policybazaar.com/insurance-companies/hdfc-ergo-health-insurance/optima-secure-plan/", - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/insurance-companies/hdfc-ergo-health-insurance/optima-secure-plan/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "premiums_meta", - "field": "sources_consulted[1]", - "value": "https://www.policybazaar.com/insurance-companies/religare-health-insurance/care-supreme/", - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/insurance-companies/religare-health-insurance/care-supreme/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "premiums_meta", - "field": "sources_consulted[2]", - "value": "https://www.policybazaar.com/insurance-companies/aditya-birla-health-insurance/activ-assure-diamond-plan/", - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/insurance-companies/aditya-birla-health-insurance/activ-assure-diamond-plan/", - "source_quote": null, - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "❌ url-broken", - "notes": "HEAD returned status=503", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "premiums_meta", - "field": "sources_consulted[3]", - "value": "https://www.policybazaar.com/insurance-companies/bajaj-allianz-health-insurance/individual-health-guard-plan/", - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/insurance-companies/bajaj-allianz-health-insurance/individual-health-guard-plan/", - "source_quote": null, - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "❌ url-broken", - "notes": "HEAD returned status=503", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "premiums_meta", - "field": "sources_consulted[4]", - "value": "https://www.policybazaar.com/insurance-companies/star-health-insurance/family-health-optima-insurance-plan/", - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/insurance-companies/star-health-insurance/family-health-optima-insurance-plan/", - "source_quote": null, - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "❌ url-broken", - "notes": "HEAD returned status=503", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "premiums_meta", - "field": "sources_consulted[5]", - "value": "https://www.policybazaar.com/insurance-companies/star-health-insurance/senior-citizens-red-carpet-health-insurance-policy/", - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/insurance-companies/star-health-insurance/senior-citizens-red-carpet-health-insurance-policy/", - "source_quote": null, - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "❌ url-broken", - "notes": "HEAD returned status=503", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "premiums_meta", - "field": "sources_consulted[6]", - "value": "https://www.policybazaar.com/insurance-companies/icici-lombard-health-insurance/elevate-plan/", - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/insurance-companies/icici-lombard-health-insurance/elevate-plan/", - "source_quote": null, - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "❌ url-broken", - "notes": "HEAD returned status=503", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "premiums_meta", - "field": "sources_consulted[7]", - "value": "https://www.policybazaar.com/insurance-companies/tata-aig-health-insurance/medicare-premier/", - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/insurance-companies/tata-aig-health-insurance/medicare-premier/", - "source_quote": null, - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "❌ url-broken", - "notes": "HEAD returned status=503", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "premiums_meta", - "field": "sources_consulted[8]", - "value": "https://www.policybazaar.com/insurance-companies/manipalcigna-health-insurance/prohealth-prime/", - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/insurance-companies/manipalcigna-health-insurance/prohealth-prime/", - "source_quote": null, - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "❌ url-broken", - "notes": "HEAD returned status=503", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "premiums_meta", - "field": "sources_consulted[9]", - "value": "https://www.policybazaar.com/insurance-companies/max-bupa-health-insurance/premium-calculator/", - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/insurance-companies/max-bupa-health-insurance/premium-calculator/", - "source_quote": null, - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "❌ url-broken", - "notes": "HEAD returned status=503", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "premiums_meta", - "field": "sources_consulted[10]", - "value": "https://joinditto.in/articles/health-insurance/hdfc-ergo-optima-secure-premium-chart/", - "source_pdf_path": null, - "source_url": "https://joinditto.in/articles/health-insurance/hdfc-ergo-optima-secure-premium-chart/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "premiums_meta", - "field": "sources_consulted[11]", - "value": "https://joinditto.in/articles/health-insurance/niva-bupa-reassure-2-0-premium-chart/", - "source_pdf_path": null, - "source_url": "https://joinditto.in/articles/health-insurance/niva-bupa-reassure-2-0-premium-chart/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "premiums_meta", - "field": "sources_consulted[12]", - "value": "https://joinditto.in/articles/health-insurance/care-supreme-health-insurance-premium-chart/", - "source_pdf_path": null, - "source_url": "https://joinditto.in/articles/health-insurance/care-supreme-health-insurance-premium-chart/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "premiums_meta", - "field": "sources_consulted[13]", - "value": "https://joinditto.in/articles/health-insurance/tata-aig-health-insurance-premium-rate-chart/", - "source_pdf_path": null, - "source_url": "https://joinditto.in/articles/health-insurance/tata-aig-health-insurance-premium-rate-chart/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "premiums_meta", - "field": "sources_consulted[14]", - "value": "https://www.axisbank.com/70-docs/default-source/default-document-library/tata-aig-medicare-premier-rate-chart.pdf", - "source_pdf_path": null, - "source_url": "https://www.axisbank.com/70-docs/default-source/default-document-library/tata-aig-medicare-premier-rate-chart.pdf", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "premiums_meta", - "field": "sources_consulted[15]", - "value": "https://transactions.nivabupa.com/pages/doc/premium_chart/Health%20Premia%20-%20Rate%20Card.pdf", - "source_pdf_path": null, - "source_url": "https://transactions.nivabupa.com/pages/doc/premium_chart/Health%20Premia%20-%20Rate%20Card.pdf", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "premiums_meta", - "field": "sources_consulted[16]", - "value": "https://www.scribd.com/document/667873826/Annexure-2-Premium-Chart-Family-Health-Optima-Insurance-Plan-Revised", - "source_pdf_path": null, - "source_url": "https://www.scribd.com/document/667873826/Annexure-2-Premium-Chart-Family-Health-Optima-Insurance-Plan-Revised", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "premiums_meta", - "field": "sources_consulted[17]", - "value": "https://www.scribd.com/document/682628786/ReAssure-2-0-Rate-Card-with-Tax", - "source_pdf_path": null, - "source_url": "https://www.scribd.com/document/682628786/ReAssure-2-0-Rate-Card-with-Tax", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "premiums_meta", - "field": "sources_consulted[18]", - "value": "https://www.adityabirlacapital.com/healthinsurance/activ-assure-diamond", - "source_pdf_path": null, - "source_url": "https://www.adityabirlacapital.com/healthinsurance/activ-assure-diamond", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "premiums_meta", - "field": "sources_consulted[19]", - "value": "https://www.beshak.org/insurance/health-insurance/best-health-insurance-plans/hdfc-ergo-optima-secure/", - "source_pdf_path": null, - "source_url": "https://www.beshak.org/insurance/health-insurance/best-health-insurance-plans/hdfc-ergo-optima-secure/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "premiums_meta", - "field": "sources_consulted[20]", - "value": "https://www.beshak.org/insurance/health-insurance/best-health-insurance-plans/care-insurance-care-supreme/", - "source_pdf_path": null, - "source_url": "https://www.beshak.org/insurance/health-insurance/best-health-insurance-plans/care-insurance-care-supreme/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "premiums_meta", - "field": "sources_consulted[21]", - "value": "https://www.beshak.org/insurance/health-insurance/best-health-insurance-plans/bajaj-allianz-health-guard-gold/", - "source_pdf_path": null, - "source_url": "https://www.beshak.org/insurance/health-insurance/best-health-insurance-plans/bajaj-allianz-health-guard-gold/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "premiums_meta", - "field": "sources_consulted[22]", - "value": "https://www.acko.com/health-insurance/for-smokers/", - "source_pdf_path": null, - "source_url": "https://www.acko.com/health-insurance/for-smokers/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "premiums_meta", - "field": "sources_consulted[23]", - "value": "https://www.policybazaar.com/health-insurance/smokers/", - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/health-insurance/smokers/", - "source_quote": null, - "part1_resolves": false, - "part2_quote_found": false, - "verdict": "❌ url-broken", - "notes": "HEAD returned status=503", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "hdfc-ergo__optima-secure", - "field": "samples[0].age=30_si=500000", - "value": 4800, - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/insurance-companies/hdfc-ergo-health-insurance/optima-secure-plan/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "hdfc-ergo__optima-secure", - "field": "samples[1].age=30_si=1000000", - "value": 6492, - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/insurance-companies/hdfc-ergo-health-insurance/optima-secure-plan/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "hdfc-ergo__optima-plus", - "field": "samples[0].age=30_si=500000", - "value": 7200, - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/insurance-companies/hdfc-ergo-health-insurance/optima-plus-insurance-plan/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "care-health__care-supreme", - "field": "samples[0].age=30_si=500000", - "value": 4800, - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/insurance-companies/religare-health-insurance/care-supreme/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "care-health__care-supreme", - "field": "samples[1].age=30_si=1000000", - "value": 6492, - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/insurance-companies/religare-health-insurance/care-supreme/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "care-health__care-classic", - "field": "samples[0].age=30_si=500000", - "value": 5400, - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/insurance-companies/religare-health-insurance/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "care-health__care-senior", - "field": "samples[0].age=65_si=500000", - "value": 22500, - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/insurance-companies/religare-health-insurance/senior-citizens/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "care-health__care-advantage", - "field": "samples[0].age=30_si=500000", - "value": 5100, - "source_pdf_path": null, - "source_url": "https://www.careinsurance.com/product/care-supreme", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "aditya-birla__activ-assure-diamond", - "field": "samples[0].age=30_si=500000", - "value": 8215, - "source_pdf_path": null, - "source_url": "https://www.adityabirlacapital.com/healthinsurance/activ-assure-diamond", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "bajaj-allianz__health-guard", - "field": "samples[0].age=30_si=350000", - "value": 6962, - "source_pdf_path": null, - "source_url": "https://www.bajajfinserv.in/insurance/bajaj-general-health-guard-insurance-plan", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "bajaj-allianz__silver-health", - "field": "samples[0].age=60_si=500000", - "value": 19800, - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/insurance-companies/bajaj-allianz-health-insurance/silver-health-plan/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "bajaj-allianz__tax-gain", - "field": "samples[0].age=35_si=500000", - "value": 11500, - "source_pdf_path": null, - "source_url": "https://www.bajajgeneralinsurance.com/health-insurance-plans/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "icici-lombard__elevate", - "field": "samples[0].age=30_si=1000000", - "value": 9500, - "source_pdf_path": null, - "source_url": "https://www.icicilombard.com/health-insurance/elevate-health-policy", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "icici-lombard__health-advantedge", - "field": "samples[0].age=30_si=500000", - "value": 6500, - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/insurance-companies/icici-lombard-health-insurance/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "niva-bupa__reassure", - "field": "samples[0].age=30_si=500000", - "value": 21047, - "source_pdf_path": null, - "source_url": "https://joinditto.in/articles/health-insurance/niva-bupa-reassure-2-0-premium-chart/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "niva-bupa__reassure", - "field": "samples[1].age=30_si=500000", - "value": 21560, - "source_pdf_path": null, - "source_url": "https://joinditto.in/articles/health-insurance/niva-bupa-reassure-2-0-premium-chart/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "niva-bupa__health-premia", - "field": "samples[0].age=30_si=500000", - "value": 14000, - "source_pdf_path": null, - "source_url": "https://www.nivabupa.com/health-insurance-plan/health-premia", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "niva-bupa__aspire", - "field": "samples[0].age=30_si=500000", - "value": 7200, - "source_pdf_path": null, - "source_url": "https://www.nivabupa.com/family-health-insurance-plans/aspire.html", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "new-india__asha-kiran", - "field": "samples[0].age=30_si=300000", - "value": 3650, - "source_pdf_path": null, - "source_url": "https://www.newindia.co.in/portal/readMore/Pages/Asha-Kiran-Policy", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "new-india__mediclaim", - "field": "samples[0].age=30_si=500000", - "value": 5400, - "source_pdf_path": null, - "source_url": "https://www.newindia.co.in/portal/readMore/Pages/Mediclaim-Policy", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "tata-aig__medicare", - "field": "samples[0].age=30_si=500000", - "value": 7100, - "source_pdf_path": null, - "source_url": "https://www.axisbank.com/70-docs/default-source/default-document-library/medicare-rate-chart-06-12-22.pdf", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "tata-aig__medicare", - "field": "samples[1].age=30_si=1000000", - "value": 8800, - "source_pdf_path": null, - "source_url": "https://www.axisbank.com/70-docs/default-source/default-document-library/medicare-rate-chart-06-12-22.pdf", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "tata-aig__medicare-premier", - "field": "samples[0].age=30_si=500000", - "value": 8362, - "source_pdf_path": null, - "source_url": "https://www.axisbank.com/70-docs/default-source/default-document-library/tata-aig-medicare-premier-rate-chart.pdf", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "tata-aig__medicare-premier", - "field": "samples[1].age=30_si=1000000", - "value": 10319, - "source_pdf_path": null, - "source_url": "https://www.axisbank.com/70-docs/default-source/default-document-library/tata-aig-medicare-premier-rate-chart.pdf", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "tata-aig__medicare-premier", - "field": "samples[2].age=40_si=500000", - "value": 9868, - "source_pdf_path": null, - "source_url": "https://www.axisbank.com/70-docs/default-source/default-document-library/tata-aig-medicare-premier-rate-chart.pdf", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "tata-aig__medicare-premier", - "field": "samples[3].age=40_si=1000000", - "value": 12266, - "source_pdf_path": null, - "source_url": "https://www.axisbank.com/70-docs/default-source/default-document-library/tata-aig-medicare-premier-rate-chart.pdf", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "manipalcigna__prohealth-prime-active", - "field": "samples[0].age=30_si=500000", - "value": 6200, - "source_pdf_path": null, - "source_url": "https://www.manipalcigna.com/hospitalization-cover/prohealth-insurance/prohealthprime-active", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "star-health__family-health-optima", - "field": "samples[0].age=30_si=500000", - "value": 7968, - "source_pdf_path": null, - "source_url": "https://www.scribd.com/document/667873826/Annexure-2-Premium-Chart-Family-Health-Optima-Insurance-Plan-Revised", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "star-health__family-health-optima", - "field": "samples[1].age=40_si=500000", - "value": 10046, - "source_pdf_path": null, - "source_url": "https://www.scribd.com/document/667873826/Annexure-2-Premium-Chart-Family-Health-Optima-Insurance-Plan-Revised", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "star-health__family-health-optima", - "field": "samples[2].age=48_si=500000", - "value": 13669, - "source_pdf_path": null, - "source_url": "https://www.scribd.com/document/667873826/Annexure-2-Premium-Chart-Family-Health-Optima-Insurance-Plan-Revised", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "star-health__comprehensive", - "field": "samples[0].age=30_si=500000", - "value": 8500, - "source_pdf_path": null, - "source_url": "https://www.policybazaar.com/insurance-companies/star-health-insurance/star-comprehensive-insurance-policy/", - "source_quote": null, - "part1_resolves": true, - "part2_quote_found": false, - "verdict": "⚠️ url-ok-quote-missing", - "notes": "URL reachable but no source_quote provided", - "category": "premiums", - "source_file": "40-data/premiums/illustrative_premiums.json" - }, - { - "record_id": "star-health__senior-citizens-red-carpet", - "field": "samples[0].age=60_si=100000", - "value": 6710, - "source_pdf_path": null, - "source_url": "https://www.starhealth.in/health-insurance/health-insurance-for-senior-citizens/", - 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