Show the work. Not just the answer.

Axlow is built for payer-policy questions where a confident wrong answer is worse than a safe decline. We test the production Ask Axlow endpoint against fixed benchmarks, scoped edge cases, and deliberate safety traps — then preserve the results.

Last benchmark update September 23, 2026

Environment Production · axlow.com

Accuracy means two things: answer when supported, decline when it is not.

We score substantive coverage separately from semantic and scope safety. A high answer rate is not considered a win if the answer uses the wrong payer, state, plan, CDT code, or rule intent.

Second frozen unseen benchmark

100 / 100

70/70 supported · 30/30 safe

All 70 positive controls returned substantive typed evidence. All 30 deliberate scope-safety negatives returned no citations. The repaired cases were semantically checked against their source evidence.

Same unchanged questions used before and after repairs · now frozen

First frozen unseen holdout

50 / 50

40/40 supported · 10/10 safe

The first unseen holdout tested new payer, CDT, intent, state and program combinations after the original benchmark work.

Frozen after completion · no further tuning against these questions

Language robustness benchmark

100 / 100

70/70 supported · 30/30 safe

The same underlying policy facts were asked with materially different natural-language phrasing to test intent recognition rather than benchmark-wording memorization.

0 intent mismatches · 0 scoped-state mismatches · 0 safety leaks

Fixed generic benchmark

72 / 100

72 supported · 28 safe declines

The remaining 28 were appropriate safe declines. Semantic/safety accuracy was 100% on the audited set, with zero misleading answers.

Includes 25 intentionally under-scoped DentaQuest questions

DentaQuest scoped benchmark

17 / 18

94.4% scoped structured coverage

When state, program, or plan context is supplied, DentaQuest evidence becomes actionable without leaking state-specific rules into payer-wide answers.

One intentionally under-scoped question safely declined

We preserve the miss before we publish the fix.

The second unseen benchmark was intentionally harder and used CDT codes and scope combinations outside the earlier tests. We saved the first production result, repaired the underlying normalization and scope issues, then reran the same unchanged questions.

01 · UNSEEN BASELINE

46 / 70

substantive positive answers

24 / 30 safety negatives passed

02 · ROOT-CAUSE REPAIRS

Evidence + scope

Aetna documentation promotion, UHC Arizona Medicaid typed rules, New Mexico scope normalization, and narrow parser fixes.

No safety guard was relaxed.

03 · SAME 100 QUESTIONS

70 / 70

substantive positive answers

30 / 30 safety negatives passed

A citation is necessary. It is not sufficient.

01

Exact subject match

The evidence must match the requested payer and CDT code.

02

Exact intent match

Frequency evidence cannot answer documentation. Bundling evidence cannot answer authorization.

03

Scope match

State, Medicaid, Medicare, and named-program rules stay inside their documented scope.

04

Direct policy support

The cited passage must actually support the answer. A code appearing in a document is not enough.

05

Semantic review

We check the generated answer against the evidence so cautious policy language is not turned into a stronger claim.

What Axlow is designed not to do.

  • State-scoped rules cannot answer payer-only questions.
  • Program- and plan-specific evidence requires the matching scope in the question.
  • Operational answers require evidence for the requested intent — not just a matching CDT code.
  • Reference-only rows do not count as substantive answers.
  • When Axlow cannot verify a rule safely, it declines rather than inferring that no restriction exists.

What the frozen holdout proved.

  • Washington, DC is distinguished from Washington state.
  • Natural “same date,” “in conjunction,” and same-provider billing wording is recognized correctly.
  • Multi-code bundling questions can retrieve a matching typed rule from either CDT code.
  • Exact validated rules supplement semantic retrieval when only reference evidence is returned.
  • State and Medicaid program scope metadata is enforced before evidence can answer.
  • Lifetime visit-count frequency language and explicit “all ages” evidence are recognized.

What these numbers do — and do not — mean

They are results from defined benchmark sets, not a claim that Axlow is 100% accurate on every possible dental-policy question. Coverage varies by payer, state, program, plan, source availability, and effective date. Ask Axlow is policy intelligence, not a member-specific benefit, eligibility, authorization, or payment determination.

Frozen tests become regressions. New work stays unseen.

We do not keep editing questions until the score looks good. Completed holdouts are frozen and retained as regression checks. Future accuracy work moves to new CDT codes, states, programs, policy intents, and adversarial scope cases.

Try Ask Axlow

Dental payer policy intelligence with traceable evidence.