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Adaptive Bayesian Active Querying with LLMs for Efficient Information Gathering

O. Malkoc, H. Hao, G. Szep, S. Saha, M. Oka, J. L. Austerweil

Deploying AI in Healthcare (DAIH) Workshop, Conference on Language Modeling (COLM) 2026. 2026

要旨

We propose a hybrid framework for cost-aware sequential diagnosis that combines LLM-generated questions with principled Bayesian belief tracking and decision-making. LLMs can generate plausible queries and estimate likelihoods, but lack explicit, calibrated beliefs -- leading to inefficient information gathering and poorly grounded decisions about when to order costly tests. Our hybrid approach uses an LLM to propose candidate questions and estimate conditional probabilities, while a Bayesian decision layer maintains beliefs and selects queries by expected information gain per unit cost. This separation enables cost-sensitive interviewing: low-cost questions narrow the hypothesis space before high-cost tests are recommended, and tests are ordered only when sufficient probability mass concentrates on hypotheses they would confirm or rule out. To handle cases where standard information gain stalls due to redundant questions from the LLM, we introduce an adaptive mechanism that switches to an information metric that focuses on the top candidates. On a medical diagnosis benchmark using locally deployable LLMs, our framework achieves high diagnostic accuracy while reducing unnecessary queries, demonstrating that principled uncertainty tracking enables robust, cost-aware diagnosis.

bayesian modeling natural language processing decision making