K-NHIB: Korean National Health Insurance Benchmark
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K-NHIB (Korean National Health Insurance Benchmark) is a benchmark for anticancer drug reimbursement eligibility determination under South Korea's National Health Insurance. It formalizes the condition-level adjudication logic that clinicians and utilization-review nurses apply when evaluating incomplete clinical evidence against coverage rules, and pairs it with a model-agnostic LLM evaluation pipeline. This release (v1.0.0) covers 3 gynecologic cancers (cervical, uterine, ovarian): 74 anticancer regimens / 222 cases under a tristate adjudication framework (eligible / ineligible / undeterminable, 74 each). Contents data/ — benchmark dataset (XLSX) + HIRA public guideline source documents + data dictionary prompts/ — system and user prompt templates code/ — evaluation pipeline and scoring scripts docs/REPRODUCE.md — end-to-end reproduction steps License. Dual-licensed: source code (code/) under MIT; benchmark dataset and documentation under CC BY 4.0. HIRA guideline documents in data/guidelines/ are public records redistributed for reproducibility. See the LICENSE files in the archive.



