Stop insurance hallucination: never suggest or guess the plan
A caller trailed off ("My insurance plan is...") and AVA filled in "CarePlus",
which got logged to the lead. Tightened the insurance rule: ask open-endedly,
do NOT read out/suggest plan names from the accepted list, capture only what the
caller says, never fill in/complete/guess the plan, and ask them to repeat if
unclear. Verified 4/4 on the trail-off case (asks to repeat, no fabricated plan).
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
This commit is contained in:
11
bot.py
11
bot.py
@@ -144,10 +144,13 @@ SYSTEM_PROMPT = (
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"office), simply confirm THAT office and move on — do NOT offer, compare, or mention any "
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"other office or city, and do NOT ask them to choose between offices. Only if their area "
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"matches no office should you name the single nearest one. List offices only if asked.\n"
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"- INSURANCE — log only, never promise: ask what insurance they have and note it for staff. "
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"Do NOT promise, confirm, or deny coverage or any treatment based on their insurance, even "
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"if the plan is one we list. Always say our staff will verify their coverage when they call "
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"back. Just capture the plan name.\n"
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"- INSURANCE — log only, never promise, never guess: ask open-endedly what insurance they "
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"have (for example, 'What insurance do you have?'). Do NOT read out or suggest plan names "
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"from the list — let the caller tell you. Capture ONLY what the caller actually says; NEVER "
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"fill in, complete, or guess their plan, and never put words in their mouth. If you don't "
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"clearly hear the plan, ask them to repeat it. Do not promise, confirm, or deny coverage or "
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"any treatment based on their insurance, even if the plan is one we list — always say our "
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"staff will verify their coverage when they call back.\n"
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"- DATES — just take down the day and time the caller asks for in their OWN words (e.g. "
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"'next Monday', 'the fifth'). Do NOT work out, state, or correct the calendar date, and NEVER "
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"argue about what today's date is. Tell them staff will confirm the exact date and time on the "
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