---
title: "Insurance Claim Validation"
section: "Agent store — Finance — Billing and Insurance"
canonical_url: "https://leverge.ai/agents/finance/billing-and-insurance/insurance-claims-validation"
category: "Finance"
process: "Billing and Insurance"
trigger: "Run on demand"
publisher: "Ailoitte Technologies Private Limited"
---

# Insurance Claim Validation

Validate an insurance claim before it is submitted or paid — whether the cover applies, whether the documentation supports the amount, and what would cause the insurer to reject it.

## At a glance

- Business function: Finance
- Process: Billing and Insurance
- Runs: run on demand
- Run cost: 9 credits
- Uses a knowledge base: yes

## What it needs

- **Claim file** (file upload) — The claim form, the incident record, the amounts claimed, and the supporting documents.
- **Policy basis** (form)

## How it works

1. Reading the claim file
2. Finding the policy terms that apply
3. Validating the claim
4. Writing the validation note

## What it returns

- **Claim status** (classification badge)
- **Validation note** (written summary)
- **Would cause rejection or reduction** (flagged exceptions)
- **Amount claimed against amount supported** (breakdown table)
- **Documentation the policy requires** (verification checklist)
- **Policy terms relied on** (references)

---

Source: https://leverge.ai/agents/finance/billing-and-insurance/insurance-claims-validation — Leverge