Synthetic demoPlan-year review2026 to 2027
Which values can a broker quote?
- Data kind
- Synthetic test fixtures
- Slice
- Plans H9999-001, H9999-002, H9999-003, H9999-004; plan years 2026 and 2027
- As of
- 2026-10-05, run demo
- Confidence floor
- A value read with confidence below 0.7 never decides a change flag.
PDF values checked against CMS
Synthetic test fixtures check expected behavior; this match rate is not production accuracy. Match rate counts only values both sides state comparably. Not comparable, not extracted, and not in CMS are counted apart.
| Field | Method | Matched | Mismatched | Not comparable | Not extracted | Not in CMS | Match rate |
|---|---|---|---|---|---|---|---|
| Monthly premium | Rules | 6 | 0 | 0 | 0 | 0 | 100% (6 of 6) |
| Medical deductible | Rules | 3 | 0 | 0 | 0 | 3 | 100% (3 of 3) |
| Maximum out-of-pocket (in network) | Rules | 3 | 0 | 0 | 0 | 3 | 100% (3 of 3) |
| Primary care visit | Rules | 3 | 0 | 0 | 0 | 3 | 100% (3 of 3) |
| Specialist visit | Rules | 2 | 1 | 0 | 0 | 3 | 66.7% (2 of 3) |
| Emergency room | Rules | 3 | 0 | 0 | 0 | 3 | 100% (3 of 3) |
| Urgent care | Rules | 3 | 0 | 0 | 0 | 3 | 100% (3 of 3) |
| Inpatient hospital stay | Rules | 3 | 0 | 0 | 0 | 3 | 100% (3 of 3) |
| Outpatient surgery | Rules | 3 | 0 | 0 | 0 | 3 | 100% (3 of 3) |
| Drug deductible | Rules | 3 | 0 | 0 | 0 | 3 | 100% (3 of 3) |
| Drug tier 1 | Rules | 3 | 0 | 0 | 0 | 3 | 100% (3 of 3) |
| Drug tier 2 | Rules | 3 | 0 | 0 | 0 | 3 | 100% (3 of 3) |
| Drug tier 3 | Rules | 3 | 0 | 0 | 0 | 3 | 100% (3 of 3) |
| Dental allowance | Rules | 0 | 0 | 3 | 0 | 3 | No comparable values |
| Over-the-counter allowance | Rules | 0 | 0 | 3 | 0 | 3 | No comparable values |
| All fields | Rules | 41 | 1 | 6 | 0 | 42 | 97.6% (41 of 42) |
Where the PDF and CMS disagree
Specialist visit, H9999-001 2026
PDF says $45.00 copay a visit H9999-001_2026_SB, page 1
CMS says $40.00 copay a visit CMS file pbp_b7_health_prof.txt, row 1
Neither value is picked. Check the page before quoting.
Review queue (10)
High 1
Change flag needs review (1)
A value that can decide a change flag is missing, unclear, read with low confidence, or disagrees with CMS, so the flag is left undecided instead of guessed.
- H9999-004, Maximum out-of-pocket (in network), 2027: Maximum out-of-pocket change flag needs review: 2027 value read with confidence 0.6, below 0.7H9999-004_2026_SB, page 1H9999-004_2027_SB, page 1
Original recorded reason
maximum out-of-pocket cannot decide shop again: 2027 value read with confidence 0.6, below 0.7
Medium 8
Document not identified (1)
The document's plan, year, or type could not be identified, so none of its values were used.
- No plan, 2026: Plan id: not found in the first 3 pages unlabeled_2026_SB, page 1unlabeled_2026_SB, page 1unlabeled_2026_SB, page 1
PDF and CMS disagree (1)
The carrier document and the CMS file give different values. Both are shown and neither is picked. Check the page before quoting.
- H9999-001, Specialist visit, 2026: PDF says $45.00 per visit, CMS says $40.00 per visit (values differ) H9999-001_2026_SB, page 1CMS file pbp_b7_health_prof.txt, row 1
Cannot be checked against CMS (6)
The document and CMS state this value for different periods or units, so the two cannot be checked against each other.
- H9999-001, Dental allowance, 2026: PDF says $2,000.00 per year, CMS says $2,000.00 (period not comparable) H9999-001_2026_SB, page 2CMS file pbp_b16_dental.txt, row 1
- H9999-001, Dental allowance, 2027: PDF says $2,000.00 per year, CMS says $2,000.00 (period not comparable) H9999-001_2027_SB, page 2CMS file pbp_b16_dental.txt, row 1
- H9999-001, Over-the-counter allowance, 2026: PDF says $50.00 per quarter, CMS says $200.00 (period not comparable) H9999-001_2026_SB, page 2CMS file pbp_b13_other_services.txt, row 1
- H9999-001, Over-the-counter allowance, 2027: PDF says $50.00 per quarter, CMS says $200.00 (period not comparable) H9999-001_2027_SB, page 2CMS file pbp_b13_other_services.txt, row 1
- H9999-002, Dental allowance, 2026: PDF says $1,500.00 per year, CMS says $1,500.00 (period not comparable) H9999-002_2026_SB, page 2CMS file pbp_b16_dental.txt, row 2
- H9999-002, Over-the-counter allowance, 2026: PDF says $150.00 per year, CMS says $150.00 (period not comparable) H9999-002_2026_SB, page 2CMS file pbp_b13_other_services.txt, row 2
Low 1
Two values in one cell (1)
One cell held two or more values. The first was kept at lower confidence; read the page to confirm.
- H9999-004, Maximum out-of-pocket (in network), 2027: Two or more values in one cell: '$3,400 / $5,900'; took the first value H9999-004_2027_SB, page 1