Update document_analyzer.py
Browse files- document_analyzer.py +39 -249
document_analyzer.py
CHANGED
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# document_analyzer.py
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#
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import torch
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import re
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from typing import List, Dict, Any
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import nltk
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from nltk.tokenize import sent_tokenize
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try:
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nltk.data.find('tokenizers/punkt')
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except LookupError:
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nltk.download('punkt')
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class HealthcareFraudAnalyzer:
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def __init__(self, model, tokenizer,
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self.model = model
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self.tokenizer = tokenizer
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self.
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self.
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"Documentation issues",
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"Visitation restrictions",
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"Medication misuse",
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"Chemical restraint",
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"Fraudulent billing",
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"False testimony",
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"Information concealment",
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"Patient neglect",
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"Hospice certification issues"
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]
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self.key_terms = {
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"medication": ["haloperidol", "lorazepam", "sedation", "chemical", "restraint",
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"prn", "as needed", "antipsychotic", "sedative", "benadryl",
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"ativan", "seroquel", "comfort kit", "medication"],
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"documentation": ["record", "documentation", "log", "chart", "note", "missing",
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"altered", "backdated", "omit", "selective", "inconsistent"],
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"visitation": ["visit", "restriction", "limit", "family", "spouse", "access",
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"barrier", "monitor", "disruptive", "uncooperative"],
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"consent": ["consent", "authorize", "approval", "permission", "against wishes",
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"refused", "decline", "without knowledge"],
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"hospice": ["hospice", "terminal", "end of life", "palliative", "comfort care",
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"six months", "6 months", "prognosis", "certification"],
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"billing": ["charge", "bill", "payment", "medicare", "medicaid", "insurance",
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"reimbursement", "fee", "additional", "extra"]
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}
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def chunk_document(self, text: str, chunk_size: int = 1024, overlap: int = 256) -> List[str]:
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sentences = sent_tokenize(text)
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chunks = []
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current_chunk = ""
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for sentence in sentences:
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if len(current_chunk) + len(sentence) <= chunk_size:
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current_chunk += sentence + " "
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else:
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chunks.append(current_chunk.strip())
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overlap_start = max(0, len(current_chunk) - overlap)
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current_chunk = current_chunk[overlap_start:] + sentence + " "
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if current_chunk.strip():
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chunks.append(current_chunk.strip())
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return chunks
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def analyze_chunk(self, chunk: str) -> Dict[str, Any]:
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prompt = f"""<s>[INST] Analyze the following healthcare document text for evidence of fraud, neglect, abuse, or criminal conduct.
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Focus on: {', '.join(self.fraud_categories)}.
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Provide specific indicators and cite the relevant text.
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output = self.model.generate(
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**inputs,
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max_new_tokens=512,
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temperature=0.1,
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top_p=0.9,
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repetition_penalty=1.2
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)
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response = self.tokenizer.decode(output[0], skip_special_tokens=True)
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analysis = response.split("ANALYSIS:")[-1].strip()
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term_matches = self._find_key_terms(chunk)
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return {
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"analysis": analysis,
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"term_matches": term_matches,
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"chunk_text": chunk[:200] + "..." if len(chunk) > 200 else chunk
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}
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def _find_key_terms(self, text: str) -> Dict[str, List[str]]:
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text = text.lower()
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results = {}
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for category, terms in self.key_terms.items():
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matches = []
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for term in terms:
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pattern = r'.{0,50}' + re.escape(term) + r'.{0,50}'
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for match in re.finditer(pattern, text):
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matches.append("..." + match.group(0) + "...")
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def _consolidate_analyses(self, chunk_analyses: List[Dict[str, Any]]) -> Dict[str, Any]:
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all_term_matches = {category: [] for category in self.key_terms.keys()}
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for analysis in chunk_analyses:
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for category, matches in analysis.get("term_matches", {}).items():
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all_term_matches[category].extend(matches)
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for category in all_term_matches:
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if all_term_matches[category]:
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deduplicated = []
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for match in all_term_matches[category]:
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if not any(match in other and match != other for other in all_term_matches[category]):
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deduplicated.append(match)
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all_term_matches[category] = deduplicated[:5]
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categorized_findings = {category: [] for category in self.fraud_categories}
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for analysis in chunk_analyses:
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analysis_text = analysis.get("analysis", "")
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for category in self.fraud_categories:
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if category.lower() in analysis_text.lower():
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sentences = sent_tokenize(analysis_text)
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relevant = [s for s in sentences if category.lower() in s.lower()]
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if relevant:
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categorized_findings[category].extend(relevant)
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return {
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"term_matches": all_term_matches,
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"categorized_findings": categorized_findings
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}
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def _generate_summary(self, findings: Dict[str, Any], full_text: str) -> str:
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indicator_counts = {
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category: len(findings["categorized_findings"].get(category, []))
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for category in self.fraud_categories
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}
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term_match_counts = {
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category: len(matches)
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for category, matches in findings["term_matches"].items()
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}
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sorted_categories = sorted(
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self.fraud_categories,
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key=lambda x: indicator_counts.get(x, 0) + term_match_counts.get(x, 0),
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reverse=True
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)
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summary_lines = ["# Healthcare Fraud Detection Analysis", ""]
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summary_lines.append("## Key Concerns Identified")
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for category in sorted_categories[:3]:
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if indicator_counts.get(category, 0) > 0 or term_match_counts.get(category, 0) > 0:
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summary_lines.append(f"### {category}")
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if findings["categorized_findings"].get(category):
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summary_lines.append("Model analysis indicates:")
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for finding in findings["categorized_findings"].get(category, [])[:3]:
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summary_lines.append(f"- {finding}")
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category_lower = category.lower().rstrip('s')
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for term_category, matches in findings["term_matches"].items():
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if category_lower in term_category.lower() and matches:
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summary_lines.append(f"Key terms identified:")
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for match in matches[:3]:
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summary_lines.append(f"- {match}")
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summary_lines.append("")
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summary_lines.append("## Recommended Actions")
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if sum(indicator_counts.values()) > 5:
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summary_lines.append("- **Urgent review recommended** - Multiple indicators of potential fraud detected")
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summary_lines.append("- Consider referral to appropriate regulatory authorities")
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summary_lines.append("- Document preservation should be prioritized")
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elif sum(indicator_counts.values()) > 2:
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summary_lines.append("- **Further investigation recommended** - Several potential indicators identified")
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summary_lines.append("- Conduct interviews with involved personnel")
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summary_lines.append("- Secure additional documentation for verification")
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else:
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summary_lines.append("- **Monitor situation** - Limited indicators detected")
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summary_lines.append("- Consider more specific document analysis")
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return "\n".join(summary_lines)
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def print_report(self, results: Dict[str, Any]) -> None:
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print("\n" + "="*80)
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print("HEALTHCARE FRAUD DETECTION REPORT")
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print("="*80 + "\n")
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print(results["summary"])
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print("\n" + "="*80)
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print("DETAILED FINDINGS")
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print("="*80)
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for category, findings in results["detailed_findings"]["categorized_findings"].items():
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if findings:
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print(f"\n## {category.upper()}")
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for i, finding in enumerate(findings, 1):
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print(f"{i}. {finding}")
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print("\n" + "="*80)
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print("KEY TERM MATCHES")
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print("="*80)
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for category, matches in results["detailed_findings"]["term_matches"].items():
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if matches:
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print(f"\n## {category.upper()}")
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for match in matches:
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print(f"- {match}")
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print("\n" + "="*80 + "\n")
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def analyze_pdf_for_fraud(pdf_path, model, tokenizer):
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import pdfplumber
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with pdfplumber.open(pdf_path) as pdf:
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text = ""
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for page in pdf.pages:
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text += page.extract_text() or ""
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analyzer = HealthcareFraudAnalyzer(model, tokenizer)
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results = analyzer.analyze_document(text)
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analyzer.print_report(results)
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return results
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# document_analyzer.py
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# Analyzer for healthcare fraud detection using Llama 4 Maverick (text-only)
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import torch
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import nltk
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from nltk.tokenize import sent_tokenize
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class HealthcareFraudAnalyzer:
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def __init__(self, model, tokenizer, accelerator):
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self.model = model
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self.tokenizer = tokenizer
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self.accelerator = accelerator
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self.device = self.accelerator.device
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try:
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nltk.data.find('tokenizers/punkt')
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except LookupError:
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nltk.download('punkt')
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def analyze_document(self, sentences):
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fraud_indicators = []
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for sentence in sentences:
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prompt = (
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f"Analyze the following sentence for potential healthcare fraud indicators, "
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f"such as consent violations, medication misuse, or billing irregularities. "
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f"Provide a reason and confidence score (0-1). "
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f"Sentence: {sentence}\nOutput format: {{'fraud_detected': bool, 'reason': str, 'confidence': float}}"
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)
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inputs = self.tokenizer(prompt, return_tensors="pt", padding=True, truncation=True, max_length=512).to(self.device)
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with torch.no_grad():
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outputs = self.model.generate(
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**inputs,
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max_new_tokens=256,
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temperature=0.7,
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top_p=0.9,
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do_sample=True
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)
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response = self.tokenizer.decode(outputs[0], skip_special_tokens=True)
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try:
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result = eval(response) if response.startswith("{") else {"fraud_detected": False, "reason": "Invalid response", "confidence": 0.0}
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if result["fraud_detected"]:
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fraud_indicators.append({
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"sentence": sentence,
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"reason": result["reason"],
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"confidence": result["confidence"]
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})
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except:
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continue
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return fraud_indicators
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