rule_id int64 10 501 | rule_name stringlengths 2 54 | text stringlengths 126 18.3k |
|---|---|---|
108 | Baby Milk Diagnosis | <start_of_turn>user
Does my plan cover Baby Milk Diagnosis?<end_of_turn>
<start_of_turn>model
Covered under your plan. Applicable ICD-10 codes: E03.1,E25.0,E70.0,E71.ÿ0,E71.121,E71.120,E71.19,D81.810,E72.3,E71.110,E71.118,E71.19,E72.22,E72.23,E71.311,E71.310,E74.21,E88.89,E73.9,Z91.011,K90.9,K90.4,K90.8,P07.1,P0700,P07... |
99 | Tawuniya Medical device Authorization Required | <start_of_turn>user
Does my plan cover Tawuniya Medical device Authorization Required?<end_of_turn>
<start_of_turn>model
Covered under your plan.<end_of_turn> |
133 | Sabic- Chronic Conditions | <start_of_turn>user
Does my plan cover Sabic- Chronic Conditions?<end_of_turn>
<start_of_turn>model
Covered under your plan. Applicable ICD-10 codes: C61,C73,D07.5,D09.3,D29.1,D34,D40.0,D44.0,D46.0,D46.1,D46.2,D46.4,D46.5,D50.0,D50.8,D50.9,D51,D51.0,D51.1,D51.3,D51.8,D51.9,D52,D52.0,D52.1,D52.8,D52.9,D53.0,D53.1,D53.2,... |
100 | Sabic and Aramco Authorization Required Medical Device | <start_of_turn>user
Does my plan cover Sabic and Aramco Authorization Required Medical Device?<end_of_turn>
<start_of_turn>model
Covered under your plan.<end_of_turn> |
114 | Kidney dialysis Authorization Required | <start_of_turn>user
Does my plan cover Kidney dialysis Authorization Required?<end_of_turn>
<start_of_turn>model
Covered under your plan. Applicable ICD-10 codes: Y84.1<end_of_turn> |
43 | VITILIGO | <start_of_turn>user
Does my plan cover VITILIGO?<end_of_turn>
<start_of_turn>model
Covered under your plan. Applicable ICD-10 codes: L80<end_of_turn> |
234 | Diagnosis not covered for male members | <start_of_turn>user
Does my plan cover Diagnosis not covered for male members?<end_of_turn>
<start_of_turn>model
Covered under your plan. Applicable ICD-10 codes: A63.04,N77,N77.8,N80.4,N81.2,N81.3,N81.4,N81.5,N82.0,N89.0,N89.1,N89.2,N93,N93.8,N93.9,N99.3,O71.4,O75.7,P54.6,Q52.2,E28.2,O00,O00.0,O00.1,O00.2,O00.8,O00.9,... |
235 | Diagnosis not covered for female members | <start_of_turn>user
Does my plan cover Diagnosis not covered for female members?<end_of_turn>
<start_of_turn>model
Covered under your plan. Applicable ICD-10 codes: C60,C60.1,C60.2,C60.8,C60.9,D07.4,D29.0,N48,N48.0,N48.2,N48.5,N48.6,N48.8,N48.9,Q55.5,Q55.6,S31.2,A63.06,Q54.1,S37.32,C61,D07.5,D29.1,D40.0,N40,N41,N41.2,N... |
96 | Contraceptive Medicines Require approval | <start_of_turn>user
Does my plan cover Contraceptive Medicines Require approval?<end_of_turn>
<start_of_turn>model
Covered under your plan.<end_of_turn> |
88 | Milk for Tawuniya | <start_of_turn>user
Does my plan cover Milk for Tawuniya?<end_of_turn>
<start_of_turn>model
Covered under your plan. Applicable ICD-10 codes: P92<end_of_turn> |
89 | Milk is covered up to 2 years | <start_of_turn>user
Does my plan cover Milk is covered up to 2 years?<end_of_turn>
<start_of_turn>model
Covered under your plan.<end_of_turn> |
500 | prescription Expiration | <start_of_turn>user
Does my plan cover prescription Expiration?<end_of_turn>
<start_of_turn>model
Covered under your plan.<end_of_turn> |
501 | Approval max Limit | <start_of_turn>user
Does my plan cover Approval max Limit?<end_of_turn>
<start_of_turn>model
Covered under your plan.<end_of_turn> |
10 | Dental Approval | <start_of_turn>user
Does my plan cover Dental Approval?<end_of_turn>
<start_of_turn>model
Covered under your plan. Applicable ICD-10 codes: K02,K02.8,K02.9,K04.0,K04.1,K04.2,K04.3,K04.4,K04.5,K04.6,K04.7,K05,K05.0,K05.1,K05.2,K05.3,K05.4,K05.5,K05.6,K06,K08.3,K08.8,S02.5,K02.1,K04<end_of_turn> |
11 | Maternity Approval | <start_of_turn>user
Does my plan cover Maternity Approval?<end_of_turn>
<start_of_turn>model
Covered under your plan. Applicable ICD-10 codes: O00,O00.0,O00.1,O00.2,O00.8,O00.9,O08,O08.0,O08.1,O08.2,O08.3,O08.4,O08.5,O08.6,O08.7,O08.8,O08.9,O09,O09.0,O09.1,O09.2,O09.3,O09.4,O09.5,O09.9,O10,O10.0,O10.1,O10.2,O10.3,O10.4... |
12 | Infertility Female | <start_of_turn>user
Does my plan cover Infertility Female?<end_of_turn>
<start_of_turn>model
Covered under your plan. Applicable ICD-10 codes: F52,F52.8,N46,N48.4,N97,N97.0,N97.1,N97.2,N97.3,N97.4,N97.8,N97.9,N98,N98.0,N98.1,N98.2,N98.3,N98.8,N98.9,O26.3,Z30.3,Z31.2,Z31.3,T38.5,Z31.1<end_of_turn> |
13 | Acne (cosmetic) | <start_of_turn>user
Does my plan cover Acne (cosmetic)?<end_of_turn>
<start_of_turn>model
Covered under your plan. Applicable ICD-10 codes: L70,L70.0,L70.1,L70.2,L70.3,L70.4,L70.5,L70.8,L70.9<end_of_turn> |
14 | Alopecia areata & hair loss | <start_of_turn>user
Does my plan cover Alopecia areata & hair loss?<end_of_turn>
<start_of_turn>model
Covered under your plan. Applicable ICD-10 codes: L63, L63.0, L63.1, L63.8, L63.9, L64, L64.0, L64.8, L64.9, L65, L65.2, L65.8, L65.9, L66, L66.8, L66.9, Q84.0, T49.4, Y56.4, Z41.0<end_of_turn> |
15 | Obesity | <start_of_turn>user
Does my plan cover Obesity?<end_of_turn>
<start_of_turn>model
Covered under your plan. Applicable ICD-10 codes: E66,E66.0,E66.1,E66.2,E66.9<end_of_turn> |
16 | ED | <start_of_turn>user
Does my plan cover ED?<end_of_turn>
<start_of_turn>model
Covered under your plan. Applicable ICD-10 codes: N52.8; N52.9; F52.4<end_of_turn> |
17 | Infertility male | <start_of_turn>user
Does my plan cover Infertility male?<end_of_turn>
<start_of_turn>model
Covered under your plan. Applicable ICD-10 codes: N64,N46.9,N46.8,N64.01,N64.11<end_of_turn> |
18 | Hypo & hyperpigmentation | <start_of_turn>user
Does my plan cover Hypo & hyperpigmentation?<end_of_turn>
<start_of_turn>model
Covered under your plan. Applicable ICD-10 codes: D22.0,D22.1,D22.2,D22.3,D22.4,D22.5,D22.6,D22.7,D22.9,L80,L81.0,L81.4,L81.5,L81.6,L81.8,L81.9<end_of_turn> |
19 | Scars and Kelloid | <start_of_turn>user
Does my plan cover Scars and Kelloid?<end_of_turn>
<start_of_turn>model
Covered under your plan. Applicable ICD-10 codes: L73.0; L81.0; L81.2; L81.3<end_of_turn> |
20 | STD | <start_of_turn>user
Does my plan cover STD?<end_of_turn>
<start_of_turn>model
Covered under your plan. Applicable ICD-10 codes: A50,A50.0,A50.1,A50.2,A50.3,A50.4,A50.5,A50.6,A50.7,A50.9,A51,A51.0,A51.1,A51.2,A51.3,A51.4,A51.5,A51.9,A52,A52.0,A52.1,A52.2,A52.3,A52.7,A52.8,A52.9,A53,A53.0,A53.9,A55,A56,A56.0,A56.1,A56.2,... |
21 | IVF and Infertility | <start_of_turn>user
Does my plan cover IVF and Infertility?<end_of_turn>
<start_of_turn>model
Covered under your plan. Applicable ICD-10 codes: N98.9; Z30.0; Z30.9<end_of_turn> |
22 | Lactation Suppression | <start_of_turn>user
Does my plan cover Lactation Suppression?<end_of_turn>
<start_of_turn>model
Covered under your plan. Applicable ICD-10 codes: O92.5; Z39.1; O92<end_of_turn> |
150 | Contraceptive Require approval | <start_of_turn>user
Does my plan cover Contraceptive Require approval?<end_of_turn>
<start_of_turn>model
Covered under your plan. Applicable ICD-10 codes: T38.4,T83.3,T83.4,Y42.4,Y76,Y76.0,Y76.1,Y76.2,Y76.3,Y76.8,Z30,Z30.0,Z30.1,Z30.2,Z30.4,Z30.5,Z30.8,Z30.9,Z31.0,Z97.5<end_of_turn> |
94 | Psychiatric Diagnosis | <start_of_turn>user
Does my plan cover Psychiatric Diagnosis?<end_of_turn>
<start_of_turn>model
Covered under your plan. Applicable ICD-10 codes: F00,F00.0,F00.1,F00.2,F00.9,F01,F01.0,F01.1,F01.2,F01.3,F01.8,F01.9,F02,F02.0,F02.1,F02.2,F02.3,F02.8,F03,F04,F04.0,F04.00,F04.01,F04.02,F04.03,F04.9,F05,F05.0,F05.1,F05.8,F0... |
233 | Medication require approval | <start_of_turn>user
Does my plan cover Medication require approval?<end_of_turn>
<start_of_turn>model
Covered under your plan.<end_of_turn> |
102 | Medical Devices Bupa | <start_of_turn>user
Does my plan cover Medical Devices Bupa?<end_of_turn>
<start_of_turn>model
Covered under your plan.<end_of_turn> |
174 | Sabic Exception require approval | <start_of_turn>user
Does my plan cover Sabic Exception require approval?<end_of_turn>
<start_of_turn>model
Covered under your plan.<end_of_turn> |
147 | Aramco- Item Approvals | <start_of_turn>user
Does my plan cover Aramco- Item Approvals?<end_of_turn>
<start_of_turn>model
Covered under your plan.<end_of_turn> |
200 | Mouth wash covered for periodontitis and gingivitis | <start_of_turn>user
Does my plan cover Mouth wash covered for periodontitis and gingivitis?<end_of_turn>
<start_of_turn>model
Covered under your plan.<end_of_turn> |
106 | Approval Limit | <start_of_turn>user
Does my plan cover Approval Limit?<end_of_turn>
<start_of_turn>model
Covered under your plan.<end_of_turn> |
172 | Bupa Milk authorization required | <start_of_turn>user
Does my plan cover Bupa Milk authorization required?<end_of_turn>
<start_of_turn>model
Covered under your plan.<end_of_turn> |
173 | Herbal require approval Bupa | <start_of_turn>user
Does my plan cover Herbal require approval Bupa?<end_of_turn>
<start_of_turn>model
Covered under your plan.<end_of_turn> |
97 | Prior Approval of free style libre | <start_of_turn>user
Does my plan cover Prior Approval of free style libre?<end_of_turn>
<start_of_turn>model
Covered under your plan.<end_of_turn> |
32 | Treatment duration over 1 month | <start_of_turn>user
Does my plan cover Treatment duration over 1 month?<end_of_turn>
<start_of_turn>model
Covered under your plan.<end_of_turn> |
130 | Blocked Member | <start_of_turn>user
Does my plan cover Blocked Member?<end_of_turn>
<start_of_turn>model
Covered under your plan. Applicable ICD-10 codes: All<end_of_turn> |
90 | Alcohol and Drug Abuse is not covered | <start_of_turn>user
Does my plan cover Alcohol and Drug Abuse is not covered?<end_of_turn>
<start_of_turn>model
Covered under your plan. Applicable ICD-10 codes: F10,F10.0,F10.1,F10.2,F10.3,F10.4,F10.5,F10.6,F10.7,F10.8,F10.9,F11,F11.0,F11.1,F11.2,F11.3,F11.4,F11.5,F11.6,F11.7,F11.8,F11.9,F12,F12.0,F12.1,F12.2,F12.3,F1... |
151 | Congenital not covered | <start_of_turn>user
Does my plan cover Congenital not covered?<end_of_turn>
<start_of_turn>model
Covered under your plan. Applicable ICD-10 codes: M23.1, M23.10, M23.11, M23.12, M23.13, M23.14, M23.15, M23.16, M23.19, P83.5, P94.1, P94.2, Q10.0, Q10.1, Q10.2, Q10.3, Q10.5, Q10.6, Q10.7, Q12, Q12.0, Q12.1, Q12.3, Q12.8,... |
152 | Cosmetic is not covered | <start_of_turn>user
Does my plan cover Cosmetic is not covered?<end_of_turn>
<start_of_turn>model
Covered under your plan. Applicable ICD-10 codes: L67.8, L67.9, L73.0, L90.50, L90.51, L90.59, L91.00, L91.01, L91.09, Q17.02, Q17.3, W45.0, Z41.1, Z42, Z42.0, Z42.1, Z42.2, Z42.3, Z42.4, Z42.8, Z42.9, Z44.3<end_of_turn> |
95 | Not Covered Diagnosis | <start_of_turn>user
Does my plan cover Not Covered Diagnosis?<end_of_turn>
<start_of_turn>model
Covered under your plan. Applicable ICD-10 codes: F52,F52.0,F52.1,F52.2,F52.3,F52.4,F52.5,F52.6,F52.7,F52.8,F52.9,F64,F64.0,F64.1,F64.2,F64.8,F64.9,F65,F65.0,F65.1,F65.2,F65.3,F65.4,F65.5,F65.6,F65.8,F65.9,F66,F66.0,F66.1,F6... |
92 | Intentional harm is not covered | <start_of_turn>user
Does my plan cover Intentional harm is not covered?<end_of_turn>
<start_of_turn>model
Covered under your plan. Applicable ICD-10 codes: X61,X61.0,X61.00,X61.01,X61.02,X61.03,X61.04,X61.08,X61.09,X61.1,X61.10,X61.11,X61.12,X61.13,X61.14,X61.18,X61.19,X61.2,X61.20,X61.21,X61.22,X61.23,X61.24,X61.28,X6... |
98 | Optical diagnosis | <start_of_turn>user
Does my plan cover Optical diagnosis?<end_of_turn>
<start_of_turn>model
Covered under your plan. Applicable ICD-10 codes: H52,H52.0,H52.1,H52.2,H53,H53.0,H53.1,H53.2,H53.3,H53.4,H53.5,H53.6,H53.8,H53.9,H54,H54.0,H54.1,H54.2,H54.3,H54.4,H54.5,H54.6,H54.7,H54.9<end_of_turn> |
155 | Personal Risk is not covered | <start_of_turn>user
Does my plan cover Personal Risk is not covered?<end_of_turn>
<start_of_turn>model
Covered under your plan. Applicable ICD-10 codes: V30.0,V30.1,V30.2,V30.3,V30.4,V30.5,V30.6,V30.7,V30.9,V31.0,V31.1,V31.2,V31.3,V31.4,V31.5,V31.6,V31.7,V31.9,V32.0,V32.1,V32.2,V32.3,V32.4,V32.5,V32.6,V32.7,V33.0,V33.1... |
156 | screening diagnosis is not covered | <start_of_turn>user
Does my plan cover screening diagnosis is not covered?<end_of_turn>
<start_of_turn>model
Covered under your plan. Applicable ICD-10 codes: Z11.0,Z11.1,Z11.2,Z11.5,Z11.6,Z11.8,Z11.9,Z12,Z12.0,Z12.1,Z12.2,Z12.3,Z12.4,Z12.5,Z12.6,Z12.8,Z12.9,Z13,Z13.0,Z13.1,Z13.2,Z13.3,Z13.4,Z13.5,Z13.6,Z13.7,Z13.8,Z13... |
157 | work related diagnosis is not covered | <start_of_turn>user
Does my plan cover work related diagnosis is not covered?<end_of_turn>
<start_of_turn>model
Covered under your plan. Applicable ICD-10 codes: J60,J67.4,J67.5,V60.0,V60.1,V60.2,V60.3,V60.4,V60.5,V60.6,V60.7,V60.9,V61.0,V61.1,V61.2,V61.3,V61.4,V61.5,V61.6,V61.7,V61.9,V62.0,V62.1,V62.2,V62.3,V62.4,V63.... |
58 | Prescription validity | <start_of_turn>user
Does my plan cover Prescription validity?<end_of_turn>
<start_of_turn>model
Covered under your plan.<end_of_turn> |
77 | Prescription validity chronic | <start_of_turn>user
Does my plan cover Prescription validity chronic?<end_of_turn>
<start_of_turn>model
Covered under your plan. Applicable ICD-10 codes: O92.50,K90.4<end_of_turn> |
104 | Freestyle Libre | <start_of_turn>user
Does my plan cover Freestyle Libre?<end_of_turn>
<start_of_turn>model
Covered under your plan.<end_of_turn> |
109 | Tablets for above 4 years old only | <start_of_turn>user
Does my plan cover Tablets for above 4 years old only?<end_of_turn>
<start_of_turn>model
Covered under your plan.<end_of_turn> |
208 | Block Tadalafil on Policy | <start_of_turn>user
Does my plan cover Block Tadalafil on Policy?<end_of_turn>
<start_of_turn>model
Covered under your plan.<end_of_turn> |
115 | Calamine lotion covered for Specific cases for BUPA | <start_of_turn>user
Does my plan cover Calamine lotion covered for Specific cases for BUPA?<end_of_turn>
<start_of_turn>model
Covered under your plan.<end_of_turn> |
23 | Nocturnal Enuresis | <start_of_turn>user
Does my plan cover Nocturnal Enuresis?<end_of_turn>
<start_of_turn>model
Covered under your plan.<end_of_turn> |
52 | Nasal saline coverage | <start_of_turn>user
Does my plan cover Nasal saline coverage?<end_of_turn>
<start_of_turn>model
Covered under your plan.<end_of_turn> |
101 | Mebo Covered for Burn for BUPA | <start_of_turn>user
Does my plan cover Mebo Covered for Burn for BUPA?<end_of_turn>
<start_of_turn>model
Covered under your plan. Applicable ICD-10 codes: T30,T30.0,T30.1,T30.2,T30.3,T20.2,T20,T20.3<end_of_turn> |
No dataset card yet
- Downloads last month
- 4