{ "slug": "dp_009-q03-codex", "dp": "dp_009", "files": 480, "qid": "q03", "family": "single_hop", "prompt": "Who is the Claims Adjuster at Pacific Health Alliance?", "gold": "Clark O'Malley", "agent": "codex", "fs": { "agent": "codex", "success": true, "steps": 1, "inputTokens": 225386, "outputTokens": 1595, "totalTokens": 226981, "cost": 2.7525, "durationMs": 29968, "answer": "The Claims Adjuster at Pacific Health Alliance is **Clark O\u2019Malley**. \nSource: [2023-12-18_pha_denial_xy303.md](/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_009/agent_memory/admin/billing/insurance_correspondence/2023-12-18_pha_denial_xy303.md:31)", "judgeReason": "covers all asked facts", "toolCalls": 6, "trajectory": [ { "step": 1, "inputTokens": 225386, "outputTokens": 1595, "text": "I\u2019ll search the local `agent_memory` directory first, since the project instructions say the answer is stored there.\nThe matches point into PHA correspondence and an internal forwarded denial note. I\u2019m opening the signature blocks now to confirm the name attached to the title.\nThe Claims Adjuster at Pacific Health Alliance is **Clark O\u2019Malley**. \nSource: [2023-12-18_pha_denial_xy303.md](/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_009/agent_memory/admin/billing/insurance_correspondence/2023-12-18_pha_denial_xy303.md:31)", "toolCalls": [ { "name": "command_execution", "input": "{\"command\": \"/bin/zsh -lc 'rg -n \\\"Pacific Health Alliance|Claims Adjuster|claims adjuster\\\" agent_memory'\"}", "outputPreview": "agent_memory/admin/billing/insurance_correspondence/2024-01-26_pha_peer_review_request_xy303.md:10:Based on the information provided and a preliminary assessment of the clinical notes against the criteria outlined in the Pacific Health Alliance Provider Manual, specifically Section 4.3.B(ii) concerning medically necessary treatment escalation, this case appears to necessitate a peer-to-peer review\u2026", "outputChars": 55162 }, { "name": "command_execution", "input": "{\"command\": \"/bin/zsh -lc \\\"sed -n '1,45p' agent_memory/admin/billing/insurance_correspondence/2023-12-18_pha_denial_xy303.md\\\"\"}", "outputPreview": "From: clark.omalley@pacifichealthalliance.com\nTo: ben.carter@cypressgrovecounseling.com\nCc: maria.flores@cypressgrovecounseling.com\nDate: Mon, 18 Dec 2023 09:15:32 -0800\nSubject: Claim Denial - Patient ID XY303 - Claim Ref # 202312_8451\n\nDear Mr. Carter,\n\nThis email is to formally notify you of a denial for the recent claim submitted for services rendered to patient identified as ref_client_xy303.\u2026", "outputChars": 6126 }, { "name": "command_execution", "input": "{\"command\": \"/bin/zsh -lc \\\"sed -n '1,75p' agent_memory/staff/notes/2023-12-18_internal_fwd_pha_denial_xy303.md\\\"\"}", "outputPreview": "From: ben.carter@cypressgrovecounseling.com\nTo: maria.flores@cypressgrovecounseling.com\nDate: Mon, 18 Dec 2023 16:45:23 -0800\nSubject: Maria - see below. Need clinical justification for appeal by EOD Friday.\n\nMaria - see below. Need clinical justification for appeal by EOD Friday.\n\n---------- Forwarded message ----------\nFrom: Clark O'Malley \nTo: billing@cypress\u2026", "outputChars": 4443 }, { "name": "command_execution", "input": "{\"command\": \"/bin/zsh -lc \\\"sed -n '300,335p' agent_memory/admin/billing/insurance_correspondence/2023-12-21_pha_appeal_submission_xy303.md\\\"\"}", "outputPreview": "---\n*This email message is for the intended recipient(s) only and may contain confidential information. If you are not the intended recipient, please notify the sender immediately and delete all copies of this message. Any unauthorized use, disclosure, or distribution of this email is strictly prohibited.*\n---\n\n---------- Forwarded message ----------\nFrom: clark.omalley@pacifichealthalliance.com\nT\u2026", "outputChars": 2253 }, { "name": "command_execution", "input": "{\"command\": \"/bin/zsh -lc \\\"nl -ba agent_memory/admin/billing/insurance_correspondence/2023-12-18_pha_denial_xy303.md | sed -n '18,27p'\\\"\"}", "outputPreview": " 18\t* **Internal Review Guideline M-112**: Assessment of Treatment Intensity and Frequency. This guideline helps our reviewers assess if the billed frequency and duration are appropriate for the presented clinical picture.\n 19\t* **Diagnosis Code**: While a diagnosis was provided, the clinical documentation supporting the *necessity* of weekly 60-minute sessions for the specified duration\u2026", "outputChars": 2499 }, { "name": "command_execution", "input": "{\"command\": \"/bin/zsh -lc \\\"nl -ba agent_memory/admin/billing/insurance_correspondence/2023-12-18_pha_denial_xy303.md | sed -n '28,38p'\\\"\"}", "outputPreview": " 28\t\n 29\tSincerely,\n 30\t\n 31\tClark O'Malley\n 32\tClaims Adjuster\n 33\tPacific Health Alliance\n 34\t123 Corporate Drive, Suite 400\n 35\tPortland, OR 97204\n 36\tOffice: (503) 555-0110\n 37\tFax: (503) 555-0111\n 38\tcomalley@pacifichealthalliance.com\n", "outputChars": 273 } ] } ] }, "smfs": { "agent": "codex", "success": true, "steps": 1, "inputTokens": 67757, "outputTokens": 533, "totalTokens": 68290, "cost": 0.8291, "durationMs": 25793, "answer": "The Claims Adjuster at Pacific Health Alliance is **Clark O\u2019Malley**.", "judgeReason": "covers all asked facts", "toolCalls": 1, "trajectory": [ { "step": 1, "inputTokens": 67757, "outputTokens": 533, "text": "I\u2019ll search the mounted memory for Pacific Health Alliance and claims adjuster references, then verify the matching file context.\nThe Claims Adjuster at Pacific Health Alliance is **Clark O\u2019Malley**.", "toolCalls": [ { "name": "command_execution", "input": "{\"command\": \"/bin/zsh -lc 'smfs grep \\\"Claims Adjuster at Pacific Health Alliance\\\" .'\"}", "outputPreview": "# supermemory semantic search \u2014 10 results for \"Claims Adjuster at Pacific Health Alliance\"\n# searches by meaning across files in this container. usage:\n# grep \"natural language query\" search all files\n# grep \"query\" path/to/dir/ search within directory\n# output: :-: (chunk text is verbatim from the file)\n\n/admin/billing/insurance_co\u2026", "outputChars": 9370 } ] } ] } }