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Working paper / 2026

MIVAS

Multi-Industry Voice Agent Simulation Bench

Abstract

Multi-Industry Voice Agent Simulation Bench (MIVAS) is an indicator of voice AI performance across economic sectors. MIVAS is comprised of tasks and verifiers with granular rewards executed in production-grade multi-agent RL environments across industries where voice AI is being adopted the fastest. Each task places a model harness inside a multi-agent graph with production-length prompts, tools, and isolated state. Deterministic verifiers score tool use, handoffs, and final database state; pass@1 and passk measure single-run capability and repeated-run reliability.

GitHub repository ↗

Clone the repository, pair a model harness with an industry task suite, and reproduce the evaluation environment.

Healthcare / C1-E3

C1-E3: Medicaid coverage at Park Avenue

easyNew patient access· Terrell Baines

What this task measures

The caller is on the line with Straus Dermatology for one locked request: Medicaid coverage at Park Avenue. They keep repeating that ask through a waitlist offer, a callback, or a different errand. We included it as an easy new patient access case because first-contact dermatology work is scored on holding a narrow office question through booking offers, waitlists, and extra yeses. The agent succeeds only if it stays on that request, reaches the outcome by taking the coverage desk path, and leaves the record untouched: no appointment, ticket, or note the caller never asked for.

Performance

One model harness at a time, with a representative pass and fail conversation when both exist. OpenAI Realtime 2.1 is the default view.

Recording

Conversation cost $0.460

0:00 / 5:23 · audio · trace 801716 · click a span to play, drag to scrub, scroll to pan

Audio

Speech Audio

Agent Audio

Handoffs

Tool Calls

Errors

0:000:100:200:300:400:501:001:101:201:301:401:502:002:102:202:302:402:503:003:103:203:303:403:504:004:104:204:304:404:505:005:105:20
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Transcript

How a conversation passes

Combined pass is the logical and of three deterministic gates. Tools, handoff path, and final database state must all pass on the same conversation. One miss fails the call.

This sample fails because tools did not match. Combined cannot pass unless every gate does.

1. Tools

Expected versus actual tool calls on this conversation.

Expected

Actual

  • transfer_to_coveragetransfer_to_coverageto=coverage · from=receptionhit

    Parameters

     
    + from: reception
     
    + to: coverage

    Output

    None recorded.

    None recorded.

  • check_plan_acceptedcarrier=medicaid · location_id=loc_park_avemissing

    Parameters

    - carrier: medicaid
     
    - location_id: loc_park_ave
     

    Output

    - data: {"accepted":false}
     
    - ok: true
     
  • transfer_to_humanreason=caller_request · destination=patient_support_centerextra

    Parameters

     
    + destination: patient_support_center
     
    + reason: caller_request

    Output

     
    + ok: true

Open a row for parameters and outputs. Required tools must appear. Extra industry tools are allowed. Missing: check_plan_accepted. Extra: transfer_to_human.

2. Handoff path

Full industry architecture, same graph as the industry page. The left diagram marks the expected specialist path in green. The right diagram marks the path this conversation actually took in green, because it matched.

Expected path

transfer_to_coverage

Actual path

transfer_to_coverage → transfer_to_human

3. Final database state

The actual hangup matches the expected hangup.

Scores across model harnesses

Model harnesspass@1pass5Runs

Task definition

Locked caller script. This is the technical definition. Copy it as written.

You are a new patient with a scalp rash. Ask whether the Park Avenue office takes Medicaid. If they ask which plan, say Medicaid. Stay on that office-level question until they have named Park Avenue and said whether Medicaid is accepted there; do not thank them and hang up after a question, a callback offer, or a non-answer. If they say they need a provider name first, tell them you do not have one yet and still need to know whether Park Avenue takes Medicaid; do not pick a provider. If they ask for a ZIP, street, or address, refuse and stay on whether Park Avenue takes Medicaid. If they offer to schedule, check it during booking, set a callback, or say they cannot confirm the plan on this call, decline and stay on that office question. If they say Medicaid is not accepted, ask whether self-pay is an option. Once they have answered whether Park Avenue takes Medicaid and, if not, whether self-pay is possible, thank them and hang up. If they ask your name, say Terrell Baines once and continue with the Medicaid question. Do not ask to book, reschedule, or cancel. Do not ask about other offices. Do not ask for a callback, to speak to a person, a bill, a payment, the patient portal, a waitlist, a text, or the street, floor, or suite. Do not offer a date of birth, member ID, or ZIP. A spoken yes for the whole practice is not enough. A spoken yes or no that names the office is enough. Thank them and end once you have that office-level answer. Do not ask them to text you an appointment confirmation.

Caller traits

patient_status
new
carrier
Medicaid
preferred_office
Park Avenue
full_name
Terrell Baines