English

Complete Evidence Extraction with Model Ensembles: A Case Study on Medical Coding

Computation and Language 2026-05-12 v3 Information Retrieval Machine Learning

Abstract

High-stakes decisions informed by decision support systems require explicit evidence. While prior work focuses on short sufficient evidence, regulatory compliance and medical billing call for complete evidence: all relevant input tokens that support a decision. We formulate complete evidence extraction as a task and study it in a medical coding setting. Motivated by the Rashomon effect, we aggregate token-level evidence from multiple language models to increase evidence completeness. We perform a case study using existing equally-performing models, feature attributions, and a dataset with human-annotated evidence. Our results show that Rashomon ensembles significantly increase evidence recall while incurring only a small token overhead over individual models. Ensembles of only three models already outperform the best single model and recover information that individual models miss.

Cite

@article{arxiv.2511.07055,
  title  = {Complete Evidence Extraction with Model Ensembles: A Case Study on Medical Coding},
  author = {Katharina Beckh and Sven Heuser and Stefan Rüping},
  journal= {arXiv preprint arXiv:2511.07055},
  year   = {2026}
}
R2 v1 2026-07-01T07:29:32.284Z