What This Category of Data Includes
This category of data covers daily business documents from entities such as medical insurance handling institutions and designated hospital medical insurance offices. Documents include medical insurance settlement lists, expense details, medical record homepages, prescriptions, rejection lists, and settlement reconciliation statements.
Data sources include the national medical security information platform, hospital HIS systems and medical insurance interfaces, medical insurance catalogs and coding libraries, and cross-regional medical treatment settlement platforms. The update frequency is once daily.
Data fields include diagnosis and treatment item and drug and consumable codes, expense amounts, insured person information, settlement status, and more. Consistency verification must be completed by matching official coding libraries. The category supports single or batch processing of medical expense payment-related information.
What Constraints Do These Characteristics Impose on the "Citation Sources and Traceability" Link
The multi-source daily update feature of this category of data requires citation traceability to be bound to real-time synchronized official data sources. This avoids citing expired or incorrect medical insurance catalogs and settlement data.
The diverse structure of business documents requires traceability systems to adapt to field association logic for different documents such as settlement lists and prescriptions. This ensures accurate traceability association between expense details and corresponding prescriptions or medical records.
The single or batch processing business model requires traceability to support source marking for single expense records and batch settlement tasks.
Under strict compliance requirements, the accuracy of traceability directly affects the credibility of review results. Every citation must accurately correspond to the original business document and data source.
How to Configure the Settings
| Configuration Item | Recommended Value | Rationale |
|---|
Reference only; verify against the target FastGPT release and deployment documentation.
| responseData | Includes settlement details, rejection lists, prescription fields | Ensures returned content covers core business data required for medical insurance review, meets business traceability needs in party building learning Q&A |
| detail | Enabled | Displays specific fields of original documents, such as diagnosis and treatment item codes and expense amounts, to help reviewers verify traceability information |
| Data source synchronization frequency | Once daily | Matches the daily update rhythm of this category of data, ensures that the data source used for traceability citations is synchronized with business data |
| Traceability association rules | Match corresponding fields by document type | Adapts to structural differences of different documents such as settlement lists and prescriptions, ensures accurate association |
Three Common Misconfigurations
- Knowledge base citation errors appear in chat responses. The interface returns "citation data format exception". The root cause is that the
responseDataparameter is not configured according to the field structure of category documents, resulting in extracted settlement details and rejection list fields that do not match the expected format. - Input and response citations from knowledge base searches are forcibly displayed in responses and cannot be hidden. The root cause is that the associated switch for the
detailparameter is not configured correctly, causing the system to display all intermediate search content by default. - Insufficient token count for citation sources leads to truncation of key codes. The traceability results are missing drug and consumable code fields. The root cause is that the value of
quoteMaxTokenis too low, failing to cover the complete content length of a single medical insurance settlement document.
How to Confirm Proper Configuration
- Initiate questions related to medical insurance settlement review for party building learning, check whether the returned results include associated original document field information.
- View the citation traceability module, confirm that each citation corresponds to a specific medical insurance business document type and data source.
- Trigger the Q&A scenario for batch settlement review, check whether the traceability results cover all detailed items of the batch task.
- Verify whether the cited medical insurance catalog and coding information are updated synchronously after the data source is updated.
The values listed above are common starting points and should be evaluated against the user'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.