Claim Validation Rules Engine


After creating or correcting a claim in Axxess RCM, selecting Validate Claim will run Axxess’ rules engine, which leverages Axxess intelligence™ to ensure the claim meets Medicare requirements and notify the user when the claim data does not align with expected standards. This functionality improves the clean claim rate, minimizes denials and accelerates payment processing.

Key Benefits


  • Reduced claim rejections and denials

  • Faster payment cycles with cleaner submissions

  • User-friendly error alerts to streamline corrections


When creating or correcting a claim in Axxess RCM, select Validate Claim at the bottom of the screen to run the rules engine.


Any validation errors or warnings will automatically appear at the bottom of the screen, providing immediate visibility into required corrections.