Spaces:
Sleeping
Sleeping
Deploy v1 — single-Docker FastAPI + Next.js + RAG + voice + faithfulness
Browse files- backend/faithfulness.py +1 -1
- backend/main.py +30 -0
- backend/scorecard.py +140 -0
- frontend/src/app/page.tsx +90 -0
- tools/extract_policy_text.py +52 -0
backend/faithfulness.py
CHANGED
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@@ -55,7 +55,7 @@ HALLUCINATION_LOG = LOG_DIR / "hallucinations.jsonl"
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# higher here than they would be for Voyage. Re-tune if changing embedding model.
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# Lowered 2026-05-13 based on eval data showing too-aggressive refusal at 0.40:
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# many real questions retrieve top chunks at 0.30-0.38 that DO contain the answer.
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-
MIN_TOP_SCORE = 0.
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MIN_AVG_SCORE = 0.22 # average of top 5 must be above this
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# higher here than they would be for Voyage. Re-tune if changing embedding model.
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# Lowered 2026-05-13 based on eval data showing too-aggressive refusal at 0.40:
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# many real questions retrieve top chunks at 0.30-0.38 that DO contain the answer.
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+
MIN_TOP_SCORE = 0.18 # below this we refuse outright (BGE-small cosine similarity)
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MIN_AVG_SCORE = 0.22 # average of top 5 must be above this
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backend/main.py
CHANGED
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@@ -516,6 +516,36 @@ class MarketplaceResponse(BaseModel):
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insurers_indexed: int
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def _build_corpus_url_index() -> dict[str, str]:
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"""Parse data/corpus_urls.md and return {policy_id: source_url}. Used to
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backfill source_pdf_url when the LLM extraction didn't capture it."""
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insurers_indexed: int
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@app.get("/api/scorecard/methodology")
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async def scorecard_methodology():
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"""Transparency endpoint — returns the 6-criterion blueprint with weights,
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consumer rationale, fields driving each sub-score, and regulatory anchors.
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Frontend renders this inside PolicyDetailModal so the user can see exactly
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how the headline number is computed and which of the 48 HealthPolicy fields
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feed into which criterion.
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"""
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from backend.scorecard import METHODOLOGY_BLUEPRINT, WEIGHTS, SCORED_FIELDS
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return {
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"weights": WEIGHTS,
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"scored_fields_count": len(SCORED_FIELDS),
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"total_schema_fields": 48,
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"criteria": METHODOLOGY_BLUEPRINT,
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"grade_thresholds": {
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"A": "≥85 — strong all-rounder",
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"B": "70–84 — good with a few gaps",
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"C": "55–69 — check trade-offs",
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"D": "40–54 — material concerns",
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"F": "<40 — significant gaps",
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},
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"scoring_approach": (
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"Rules-based (deterministic), no LLM-in-the-loop. Each criterion produces a "
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"0–100 sub-score from concrete schema fields; the overall score is the weighted "
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"average. Weights adapt to user profile when age/parents/budget are known."
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),
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}
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def _build_corpus_url_index() -> dict[str, str]:
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"""Parse data/corpus_urls.md and return {policy_id: source_url}. Used to
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backfill source_pdf_url when the LLM extraction didn't capture it."""
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backend/scorecard.py
CHANGED
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@@ -281,6 +281,146 @@ WEIGHTS = {
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}
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def grade_for(score: int) -> tuple[str, str]:
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"""Return (letter, one-line summary tone)."""
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if score >= 85: return "A", "Strong all-rounder — solid pick for the buyer."
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}
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# ----------------------------------------------------------------------------
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# METHODOLOGY BLUEPRINT — the buyer-facing transparency layer
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# ----------------------------------------------------------------------------
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# Maps each of the 6 sub-scores to:
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# - the consumer rationale (why this matters in plain English)
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# - the concrete policy fields that drive its score (subset of the 48-field
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# HealthPolicy schema)
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# - the regulatory / industry anchors that justify the weight
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# Used by /api/scorecard/methodology to render a customer-centric explanation
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# of how the headline number is computed.
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METHODOLOGY_BLUEPRINT = [
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{
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"name": "Coverage Breadth",
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"weight_pct": 22,
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"consumer_question": "When I actually need to claim, what's covered vs what's not?",
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"why_it_matters": (
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"Determines whether your hospital bill is fully reimbursed or whether you pay "
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"out-of-pocket for gaps like AYUSH, maternity, newborn care, or ambulance."
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),
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"fields_driving_score": [
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{"field": "ayush_coverage", "rule": "AYUSH covered → +8"},
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{"field": "day_care_treatments_count", "rule": "≥400 procedures → +10, ≥200 → +6, <100 → −5"},
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{"field": "maternity_coverage", "rule": "Covered → +6"},
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{"field": "newborn_coverage", "rule": "Covered → +4"},
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{"field": "organ_donor_expenses", "rule": "Covered → +4"},
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{"field": "ambulance_cover", "rule": "Covered → +3"},
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{"field": "domiciliary_treatment", "rule": "Covered → +4"},
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{"field": "preventive_health_checkup", "rule": "Free → +3"},
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{"field": "pre_hospitalization_days", "rule": "≥60 days → +4"},
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{"field": "post_hospitalization_days", "rule": "≥90 days → +4"},
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],
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"anchors": [
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"IRDAI Health Insurance Master Circular 2024 — emphasises comprehensive cover",
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"Acko buying guide: coverage breadth most-cited buyer concern",
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],
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},
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{
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"name": "Cost Predictability",
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"weight_pct": 20,
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"consumer_question": "Will I face surprise bills I can't plan for?",
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"why_it_matters": (
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"Co-pay forces you to pay a % of every claim; room-rent capping reduces what gets "
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"reimbursed; sub-limits cap specific treatments below your sum insured. These "
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"convert a known sum-insured into an unpredictable out-of-pocket exposure."
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),
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"fields_driving_score": [
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{"field": "copayment_pct", "rule": "0% → +0, 10% → −5, 20%+ → −12"},
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{"field": "room_rent_capping", "rule": "No limit → +6, capped → −5 to −10"},
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{"field": "deductible_amount", "rule": "₹0 → +0, ≥₹1L → −8"},
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{"field": "sub_limits", "rule": "No condition-specific caps → +5"},
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{"field": "icu_charges_capping", "rule": "No cap → +3"},
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],
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"anchors": [
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"IRDAI Master Circular — disclosure norms on co-pay/sub-limits",
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"Common consumer complaint themes (IRDAI complaint logs)",
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],
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},
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{
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"name": "Waiting-Period Friction",
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"weight_pct": 18,
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"consumer_question": "How soon can I actually use this policy if something happens?",
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"why_it_matters": (
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"Initial waiting period (30 days typical), pre-existing-disease waiting "
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"(commonly 24–48 months), and maternity waits delay claims. Shorter is better — "
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"especially for older buyers or those with diabetes/hypertension."
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),
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"fields_driving_score": [
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{"field": "initial_waiting_period_days", "rule": "≤30 days → 0, >30 days → −3"},
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{"field": "pre_existing_disease_waiting_months", "rule": "≤24mo → +10, 36mo → 0, ≥48mo → −15"},
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{"field": "maternity_waiting_months", "rule": "≤24mo → +5, ≥36mo → −5"},
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{"field": "specific_disease_waiting_months", "rule": "≤24mo → +3"},
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],
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"anchors": [
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"IRDAI standard product specifications (Arogya Sanjeevani UIN guideline: 36-month PED max)",
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"PolicyBazaar comparison data: 24-month PED is the buyer benchmark",
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],
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},
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{
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"name": "Claim Experience",
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"weight_pct": 20,
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"consumer_question": "Will the insurer actually pay when I claim?",
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"why_it_matters": (
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"Coverage on paper means nothing if claims get denied or take weeks. We measure "
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"cashless network reach, IRDAI's published Claim Settlement Ratio (CSR), the "
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"complaint count per 10,000 policies, and how fast cashless pre-auth happens."
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),
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"fields_driving_score": [
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{"field": "cashless_treatment_supported", "rule": "Yes → +5"},
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{"field": "network_hospital_count", "rule": "≥10,000 → +10, ≥5,000 → +5, <2,000 → −5"},
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{"field": "claim_settlement_ratio (IRDAI)", "rule": "≥95% → +12, 90–95 → +6, <85% → −10"},
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{"field": "complaints_per_10k_policies (IRDAI)", "rule": "<5 → +4, >20 → −8"},
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{"field": "tat_cashless_authorization_hours", "rule": "≤2h → +4, ≥24h → −4"},
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],
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"anchors": [
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"IRDAI Annual Report 2023-24 — published CSR per insurer",
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"IRDAI Grievance Redressal handbook — complaints/10K is the regulator's own metric",
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],
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},
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{
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"name": "Renewal Protection",
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"weight_pct": 12,
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"consumer_question": "Can I keep this policy when I'm 70 and need it most?",
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"why_it_matters": (
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"Health insurance only works if you can keep renewing. Lifelong renewability is "
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"the IRDAI default since 2020, but entry-age caps and porting friction still "
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"matter. Buyers who don't check this often lose cover when claims rise."
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),
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"fields_driving_score": [
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{"field": "max_renewal_age", "rule": "Lifelong → +12, 80 → +6, ≤70 → −5"},
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{"field": "max_entry_age", "rule": "≥65 → +4 (more buyers eligible)"},
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{"field": "guaranteed_renewability", "rule": "Stated explicitly → +4"},
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],
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"anchors": [
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"IRDAI Master Circular 2024 — lifelong renewability mandate",
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"IRDAI Portability Regulations 2020",
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],
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},
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{
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"name": "Bonus & Loyalty",
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"weight_pct": 8,
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"consumer_question": "What do I get for staying claim-free and renewing year after year?",
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"why_it_matters": (
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"Claim-free years should compound value: most policies give 20–50% No-Claim Bonus "
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"and some restore the sum insured on exhaustion. Free annual health checkups are "
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"the lowest-hanging benefit most buyers don't realise they have."
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),
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"fields_driving_score": [
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{"field": "no_claim_bonus_pct", "rule": "≥50% → +8, ≥25% → +4"},
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{"field": "restoration_benefit", "rule": "Present → +6"},
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{"field": "preventive_health_checkup", "rule": "Free annually → +3"},
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{"field": "wellness_program_present", "rule": "Yes → +2"},
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],
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"anchors": [
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"IRDAI 'Cumulative Bonus' rules — capped at 100% under standard products",
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"Industry NCB best-practice (PolicyBazaar comparison standards)",
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],
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},
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]
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def grade_for(score: int) -> tuple[str, str]:
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"""Return (letter, one-line summary tone)."""
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if score >= 85: return "A", "Strong all-rounder — solid pick for the buyer."
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frontend/src/app/page.tsx
CHANGED
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@@ -3,6 +3,7 @@
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import { useEffect, useRef, useState } from "react";
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import {
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audioBlobURLFromBase64,
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Citation,
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ChatMessage,
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CompareResponse,
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@@ -1360,6 +1361,94 @@ function PolicyCard({
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);
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}
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function Stat({ label, value }: { label: string; value: string }) {
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return (
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<div>
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@@ -1586,6 +1675,7 @@ function PolicyDetailModal({ policy, onClose }: { policy: MarketplacePolicy; onC
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</div>
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</div>
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<ScorecardCard sc={sc} />
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</div>
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)}
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import { useEffect, useRef, useState } from "react";
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import {
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audioBlobURLFromBase64,
|
| 6 |
+
BACKEND_URL,
|
| 7 |
Citation,
|
| 8 |
ChatMessage,
|
| 9 |
CompareResponse,
|
|
|
|
| 1361 |
);
|
| 1362 |
}
|
| 1363 |
|
| 1364 |
+
type MethodologyResponse = {
|
| 1365 |
+
weights: Record<string, number>;
|
| 1366 |
+
scored_fields_count: number;
|
| 1367 |
+
total_schema_fields: number;
|
| 1368 |
+
criteria: Array<{
|
| 1369 |
+
name: string;
|
| 1370 |
+
weight_pct: number;
|
| 1371 |
+
consumer_question: string;
|
| 1372 |
+
why_it_matters: string;
|
| 1373 |
+
fields_driving_score: Array<{ field: string; rule: string }>;
|
| 1374 |
+
anchors: string[];
|
| 1375 |
+
}>;
|
| 1376 |
+
grade_thresholds: Record<string, string>;
|
| 1377 |
+
scoring_approach: string;
|
| 1378 |
+
};
|
| 1379 |
+
|
| 1380 |
+
function MethodologyExpander() {
|
| 1381 |
+
const [open, setOpen] = useState(false);
|
| 1382 |
+
const [data, setData] = useState<MethodologyResponse | null>(null);
|
| 1383 |
+
useEffect(() => {
|
| 1384 |
+
if (open && !data) {
|
| 1385 |
+
fetch(`${BACKEND_URL}/api/scorecard/methodology`)
|
| 1386 |
+
.then((r) => r.json())
|
| 1387 |
+
.then(setData)
|
| 1388 |
+
.catch(() => setData(null));
|
| 1389 |
+
}
|
| 1390 |
+
}, [open, data]);
|
| 1391 |
+
return (
|
| 1392 |
+
<div className="mt-3 border border-[var(--border)] rounded-lg bg-[var(--card)]">
|
| 1393 |
+
<button
|
| 1394 |
+
onClick={() => setOpen(!open)}
|
| 1395 |
+
className="w-full text-left px-3 py-2 text-xs font-semibold flex items-center justify-between hover:bg-[var(--muted)]"
|
| 1396 |
+
>
|
| 1397 |
+
<span>How is this score computed? <span className="text-[var(--muted-foreground)] font-normal">(48 fields → 6 criteria, with weights)</span></span>
|
| 1398 |
+
<span className="text-[var(--muted-foreground)]">{open ? "−" : "+"}</span>
|
| 1399 |
+
</button>
|
| 1400 |
+
{open && (
|
| 1401 |
+
<div className="px-3 pb-3 space-y-3 text-xs border-t border-[var(--border)] pt-3">
|
| 1402 |
+
{!data && <div className="text-[var(--muted-foreground)] py-2">Loading methodology…</div>}
|
| 1403 |
+
{data && (
|
| 1404 |
+
<>
|
| 1405 |
+
<p className="text-[var(--muted-foreground)] leading-snug">
|
| 1406 |
+
{data.scoring_approach} The blueprint below shows which fields drive each criterion and what regulatory or buyer-research source justifies the weight.
|
| 1407 |
+
</p>
|
| 1408 |
+
{data.criteria.map((c) => (
|
| 1409 |
+
<div key={c.name} className="border border-[var(--border)] rounded-md p-2.5 bg-[var(--muted)]">
|
| 1410 |
+
<div className="flex items-baseline justify-between mb-1">
|
| 1411 |
+
<span className="text-xs font-bold">{c.name}</span>
|
| 1412 |
+
<span className="text-[10px] font-mono text-[var(--primary)]">{c.weight_pct}% of overall</span>
|
| 1413 |
+
</div>
|
| 1414 |
+
<div className="text-[11px] text-[var(--foreground)] italic mb-1">"{c.consumer_question}"</div>
|
| 1415 |
+
<div className="text-[11px] text-[var(--muted-foreground)] mb-2 leading-snug">{c.why_it_matters}</div>
|
| 1416 |
+
<details className="text-[11px]">
|
| 1417 |
+
<summary className="cursor-pointer text-[var(--primary)] hover:underline mb-1">
|
| 1418 |
+
{c.fields_driving_score.length} fields drive this score
|
| 1419 |
+
</summary>
|
| 1420 |
+
<ul className="mt-1 space-y-0.5 pl-2">
|
| 1421 |
+
{c.fields_driving_score.map((f, i) => (
|
| 1422 |
+
<li key={i} className="text-[10px]">
|
| 1423 |
+
<code className="text-[var(--primary)]">{f.field}</code>
|
| 1424 |
+
<span className="text-[var(--muted-foreground)]"> — {f.rule}</span>
|
| 1425 |
+
</li>
|
| 1426 |
+
))}
|
| 1427 |
+
</ul>
|
| 1428 |
+
</details>
|
| 1429 |
+
{c.anchors.length > 0 && (
|
| 1430 |
+
<details className="text-[11px] mt-1">
|
| 1431 |
+
<summary className="cursor-pointer text-[var(--muted-foreground)] hover:text-[var(--foreground)]">
|
| 1432 |
+
Why this weight? {c.anchors.length} source{c.anchors.length === 1 ? "" : "s"}
|
| 1433 |
+
</summary>
|
| 1434 |
+
<ul className="mt-1 space-y-0.5 pl-2 text-[10px] text-[var(--muted-foreground)]">
|
| 1435 |
+
{c.anchors.map((a, i) => <li key={i}>· {a}</li>)}
|
| 1436 |
+
</ul>
|
| 1437 |
+
</details>
|
| 1438 |
+
)}
|
| 1439 |
+
</div>
|
| 1440 |
+
))}
|
| 1441 |
+
<div className="text-[10px] text-[var(--muted-foreground)] pt-1 border-t border-[var(--border)]">
|
| 1442 |
+
Grade bands: A ≥85, B 70–84, C 55–69, D 40–54, F <40. Overall = weighted average of the 6 sub-scores (weights re-tuned to buyer profile when known).
|
| 1443 |
+
</div>
|
| 1444 |
+
</>
|
| 1445 |
+
)}
|
| 1446 |
+
</div>
|
| 1447 |
+
)}
|
| 1448 |
+
</div>
|
| 1449 |
+
);
|
| 1450 |
+
}
|
| 1451 |
+
|
| 1452 |
function Stat({ label, value }: { label: string; value: string }) {
|
| 1453 |
return (
|
| 1454 |
<div>
|
|
|
|
| 1675 |
</div>
|
| 1676 |
</div>
|
| 1677 |
<ScorecardCard sc={sc} />
|
| 1678 |
+
<MethodologyExpander />
|
| 1679 |
</div>
|
| 1680 |
)}
|
| 1681 |
|
tools/extract_policy_text.py
ADDED
|
@@ -0,0 +1,52 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
"""Extract text from policy PDFs to a text cache for curating policy_facts JSON."""
|
| 2 |
+
import os, sys
|
| 3 |
+
import pdfplumber
|
| 4 |
+
|
| 5 |
+
BASE = os.path.dirname(os.path.dirname(os.path.abspath(__file__)))
|
| 6 |
+
CACHE = "/tmp/claude/policy_extract/text_cache"
|
| 7 |
+
os.makedirs(CACHE, exist_ok=True)
|
| 8 |
+
|
| 9 |
+
PDFS = [
|
| 10 |
+
("aditya-birla", "rag/corpus/aditya-birla/activ-assure-diamond__wordings.pdf"),
|
| 11 |
+
("aditya-birla", "rag/corpus/aditya-birla/activ-one__brochure.pdf"),
|
| 12 |
+
("bajaj-allianz", "rag/corpus/bajaj-allianz/health-guard-gold-individual__wordings.pdf"),
|
| 13 |
+
("bajaj-allianz", "rag/corpus/bajaj-allianz/extra-care-plus__wordings.pdf"),
|
| 14 |
+
("care-health", "rag/corpus/care-health/care-supreme__wordings.pdf"),
|
| 15 |
+
("care-health", "rag/corpus/care-health/care-classic__wordings.pdf"),
|
| 16 |
+
("care-health", "rag/corpus/care-health/care-senior__brochure.pdf"),
|
| 17 |
+
("hdfc-ergo", "rag/corpus/hdfc-ergo/my-optima-secure__wordings.pdf"),
|
| 18 |
+
("hdfc-ergo", "rag/corpus/hdfc-ergo/optima-restore__brochure.pdf"),
|
| 19 |
+
("icici-lombard", "rag/corpus/icici-lombard/elevate__wordings.pdf"),
|
| 20 |
+
("icici-lombard", "rag/corpus/icici-lombard/health-shield-360-retail__wordings.pdf"),
|
| 21 |
+
("icici-lombard", "rag/corpus/icici-lombard/complete-health-insurance-health-shield__wordings.pdf"),
|
| 22 |
+
("manipalcigna", "rag/corpus/manipalcigna/prohealth-insurance-all-variants__wordings.pdf"),
|
| 23 |
+
("manipalcigna", "rag/corpus/manipalcigna/prohealth-select__wordings.pdf"),
|
| 24 |
+
("new-india", "rag/corpus/new-india/new-india-floater-mediclaim-policy__wordings.pdf"),
|
| 25 |
+
("niva-bupa", "rag/corpus/niva-bupa/reassure-2-0__wordings.pdf"),
|
| 26 |
+
("niva-bupa", "rag/corpus/niva-bupa/senior-first__wordings.pdf"),
|
| 27 |
+
("niva-bupa", "rag/corpus/niva-bupa/health-companion__wordings.pdf"),
|
| 28 |
+
("star-health", "rag/corpus/star-health/family-health-optima__wordings.pdf"),
|
| 29 |
+
("star-health", "rag/corpus/star-health/star-comprehensive__wordings.pdf"),
|
| 30 |
+
("tata-aig", "rag/corpus/tata-aig/medicare-premier__wordings.pdf"),
|
| 31 |
+
("tata-aig", "rag/corpus/tata-aig/medicare__wordings.pdf"),
|
| 32 |
+
]
|
| 33 |
+
|
| 34 |
+
for insurer, rel in PDFS:
|
| 35 |
+
src = os.path.join(BASE, rel)
|
| 36 |
+
name = os.path.basename(rel).replace(".pdf", ".txt")
|
| 37 |
+
dst = os.path.join(CACHE, f"{insurer}__{name}")
|
| 38 |
+
if os.path.exists(dst):
|
| 39 |
+
print(f"skip {os.path.basename(dst)}")
|
| 40 |
+
continue
|
| 41 |
+
if not os.path.exists(src):
|
| 42 |
+
print(f"MISSING {src}")
|
| 43 |
+
continue
|
| 44 |
+
try:
|
| 45 |
+
with pdfplumber.open(src) as pdf:
|
| 46 |
+
text = "\n".join((p.extract_text() or "") for p in pdf.pages)
|
| 47 |
+
with open(dst, "w", encoding="utf-8") as f:
|
| 48 |
+
f.write(text)
|
| 49 |
+
print(f"OK {os.path.basename(dst)} ({len(text)} chars)")
|
| 50 |
+
except Exception as e:
|
| 51 |
+
print(f"ERR {src}: {e}")
|
| 52 |
+
print("Done.")
|