# Generating Biomedical Fact-Checking Reports with RL-Enhanced Agentic Search

arXiv: https://arxiv.org/abs/2608.23811 · HTML: https://mlsanity.com/paper/2608.23811/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Placed in Medical and scientific domain agents, one of 16 directions in LLM agents and tool use.
- Builds on 32 of its 47 references that are in the map.
- First posted on arXiv 24 Aug 2026.

## Placed in

- LLM agents and tool use / [Medical and scientific domain agents](https://mlsanity.com/agents/medical-and-scientific-domain-agents/)

## Builds on (most cited first, 30 of 32)

- [Training language models to follow instructions with human feedback](https://mlsanity.com/paper/2203.02155/) (2022)
- [DeepSeekMath: Pushing the Limits of Mathematical Reasoning in Open Language Models](https://mlsanity.com/paper/2402.03300/) (2024)
- [Retrieval-Augmented Generation for Knowledge-Intensive NLP Tasks](https://mlsanity.com/paper/2005.11401/) (2020)
- [ReAct: Synergizing Reasoning and Acting in Language Models](https://mlsanity.com/paper/2210.03629/) (2022)
- [GPT-4o System Card](https://mlsanity.com/paper/2410.21276/) (2024)
- [HybridFlow: A Flexible and Efficient RLHF Framework](https://mlsanity.com/paper/2409.19256/) (2024)
- [Search-R1: Training LLMs to Reason and Leverage Search Engines with Reinforcement Learning](https://mlsanity.com/paper/2503.09516/) (2025)
- [FEVER: a large-scale dataset for Fact Extraction and VERification](https://mlsanity.com/paper/1803.05355/) (2018)
- [OpenHands: An Open Platform for AI Software Developers as Generalist Agents](https://mlsanity.com/paper/2407.16741/) (2024)
- [Executable Code Actions Elicit Better LLM Agents](https://mlsanity.com/paper/2402.01030/) (2024)
- [Fact or Fiction: Verifying Scientific Claims](https://mlsanity.com/paper/2004.14974/) (2020)
- [Group-in-Group Policy Optimization for LLM Agent Training](https://mlsanity.com/paper/2505.10978/) (2025)
- [Video-R1: Reinforcing Video Reasoning in MLLMs](https://mlsanity.com/paper/2503.21776/) (2025)
- [Search-o1: Agentic Search-Enhanced Large Reasoning Models](https://mlsanity.com/paper/2501.05366/) (2025)
- [A Survey on Automated Fact-Checking](https://mlsanity.com/paper/2108.11896/) (2021)
- [Explainable Automated Fact-Checking for Public Health Claims](https://mlsanity.com/paper/2010.09926/) (2020)
- [Plan-and-Act: Improving Planning of Agents for Long-Horizon Tasks](https://mlsanity.com/paper/2503.09572/) (2025)
- [WebAgent-R1: Training Web Agents via End-to-End Multi-Turn Reinforcement Learning](https://mlsanity.com/paper/2505.16421/) (2025)
- [Long-form factuality in large language models](https://mlsanity.com/paper/2403.18802/) (2024)
- [Reinforcement Learning for Self-Improving Agent with Skill Library](https://mlsanity.com/paper/2512.17102/) (2025)
- [Factcheck-Bench: Fine-Grained Evaluation Benchmark for Automatic Fact-checkers](https://mlsanity.com/paper/2311.09000/) (2023)
- [AgentGym-RL: Training LLM Agents for Long-Horizon Decision Making through Multi-Turn Reinforcement Learning](https://mlsanity.com/paper/2509.08755/) (2025)
- [AgentRL: Scaling Agentic Reinforcement Learning with a Multi-Turn, Multi-Task Framework](https://mlsanity.com/paper/2510.04206/) (2025)
- [FactKG: Fact Verification via Reasoning on Knowledge Graphs](https://mlsanity.com/paper/2305.06590/) (2023)
- [Automated Fact-Checking: A Survey](https://mlsanity.com/paper/2109.11427/) (2021)
- [Language Models as Fact Checkers?](https://mlsanity.com/paper/2006.04102/) (2020)
- [FIRE: Fact-checking with Iterative Retrieval and Verification](https://mlsanity.com/paper/2411.00784/) (2024)
- [HealthFC: Verifying Health Claims with Evidence-Based Medical Fact-Checking](https://mlsanity.com/paper/2309.08503/) (2023)
- [KG-GPT: A General Framework for Reasoning on Knowledge Graphs Using Large Language Models](https://mlsanity.com/paper/2310.11220/) (2023)
- [CoVERT: A Corpus of Fact-checked Biomedical COVID-19 Tweets](https://mlsanity.com/paper/2204.12164/) (2022)

## Abstract (arXiv)

Automated fact-checking is essential for ensuring the reliability of public health information, yet the biomedical domain poses unique challenges. Validating biomedical claims requires rigorous interpretation of scientific literature, assessment of retrieved evidence, and comprehensive justification toward the conclusion. Although Large Language Models (LLMs) enhanced by Retrieval-Augmented Generation (RAG) and agentic search perform automated fact-checking in a retrieve-then-verify paradigm, current methods still output isolated prediction labels, lacking explanatory depth and offers limited utility for human understanding. To bridge this gap, we introduce an LLM-based agent named BioCheck Agent that generates structured biomedical fact-checking reports with agentic search. Rather than merely outputting supported or refuted labels, our agent synthesizes final conclusions with retrieved evidence and rigorous analysis. To ensure domain-specific accuracy, BioCheck Agent exclusively searches high-quality scientific literature in PubMed, utilizing advanced Boolean search operators. Recognizing that direct prompting often results in hallucinations and low-quality reports, especially for lightweight open-source models, we further propose the Evidence-Grounded Group Relative Policy Optimization (EG-GRPO) to perform reinforcement learning on BioCheck Agent with a task-specific reward that incentivizes advanced search behavior and high-quality evidence retrieval while penalizing hallucinations. Our experimental results show that compared to the base model Qwen3.5-4B, BioCheck Agent with EG-GRPO improves label prediction accuracy on SciFact by 9.95%. Furthermore, it achieves a 3.7% higher evidence quality score and a 19.63% lower evidence hallucination rate, demonstrating its ability to generate biomedical fact-checking reports with improved accuracy and quality.
