Medical Insurance Fund Supervision Audit: Declaration Material and Case File Review - Citation Source and Traceability

Medical Insurance Fund Supervision Audit: Declaration Material and Case File Review - Citation Source and Traceability

What the data for this category looks like

This category covers business documents including audit notices, inspection work papers, suspicious item lists, interview records, handling decision documents, rectification reports, and more. Data primarily originates from medical insurance intelligent monitoring systems, fund supervision rule bases, medical insurance settlement data, drug and consumable traceability codes, and complaint clues. The update frequency is monthly. The data structure centers on business process nodes, and includes fields such as audit object information, suspicious point descriptions, associated settlement details, and rule matching results. There is no unified fixed unit, and values change based on the specific content of individual business data.

The monthly update frequency requires the index construction and update cycle of the citation traceability link to align with the monthly rhythm. This prevents frequent full synchronization from occupying excessive resources. Mixed use of multiple types of business documents requires the traceability link to support precise matching and positioning across document formats. Associated requirements across multiple data sources need to ensure each traceability result clearly maps to specific sources such as medical insurance intelligent monitoring systems, settlement data, or rule bases. Additionally, the time required to retrieve medical records and settlement records during the audit process requires traceability return results to directly link to specific business nodes. This reduces the time cost of secondary retrieval.

How to set configurations

Configuration ItemRecommended SettingRationale for This Setting
Chunk Length800–1200 charactersAdapts to the paragraph length of audit documents, avoids splitting that disrupts business logic
Similarity Threshold0.75–0.85Differentiates compliant and suspicious data, meets the strictness requirements of supervision scenarios
Single Search LimitTop 10 resultsCovers the associated data volume of common audit suspicious points, avoids result redundancy
Context Length2000–3000 tokensEnsures complete traceability content, supports citation display for long documents
Return Original DataEnabledMandatorily returns associated original data fields to meet traceability requirements
Display DetailsEnabledDisplays specific content fragments of original documents, facilitates audit personnel verification

Reference only; verify against the target FastGPT release and deployment documentation.

Three common misconfigurations

  • Phenomenon: The question-and-answer page displays associated source data, but the final answer does not show citation sources. Cause: The responseData configuration is not enabled, or the context length is set too small, resulting in truncated traceability content.
  • Phenomenon: The service does not respond for a long time after startup. The console displays a timeout status code. Cause: The monthly update frequency is not adapted. Overly frequent full index synchronization tasks are set, which occupy too many system resources.
  • Phenomenon: The returned audit conclusion does not link to specific settlement data or medical records. Cause: The detail configuration is not enabled. Only rule matching results are returned, and specific fragments of original documents are not displayed.

How to confirm configurations are correctly set

  • Submit an audit suspicious point query. Check whether the returned results include associated original document fragments, and whether the content length meets business requirements.
  • View the configuration panel. Confirm that settings such as chunk length, similarity threshold, and single search limit match the preset configurations.
  • Trigger a monthly index update. Verify that the update cycle meets business requirements, and no abnormal errors occur.
  • Simulate multi-layer question interaction. Confirm that the system can gradually link to corresponding traceability data, with no lag.

The values provided here are common starting points. They should be evaluated against the reader's own samples.

Question material comes from public community discussions. Configuration values are common starting points and should be measured against your own samples. Verified on 2026-09-28.