Resources
Claim denial statistics.
Sourced figures on how often healthcare claims are denied, why, and what it costs. Every number links to where it came from.
How often claims are denied
To fill in: add sourced figures for “How often claims are denied” in apps/web/src/content/stats.js (figure, claim, source, url, year). This page stays out of search until it has real numbers.
The most common denial reasons
To fill in: add sourced figures for “The most common denial reasons” in apps/web/src/content/stats.js (figure, claim, source, url, year). This page stays out of search until it has real numbers.
What denials cost to rework
To fill in: add sourced figures for “What denials cost to rework” in apps/web/src/content/stats.js (figure, claim, source, url, year). This page stays out of search until it has real numbers.
How many denials are never reworked
To fill in: add sourced figures for “How many denials are never reworked” in apps/web/src/content/stats.js (figure, claim, source, url, year). This page stays out of search until it has real numbers.
Denial rates by payer type
To fill in: add sourced figures for “Denial rates by payer type” in apps/web/src/content/stats.js (figure, claim, source, url, year). This page stays out of search until it has real numbers.
Measure your own denial rate
Industry figures are a benchmark, but your own number is the one that matters. Divide the claims denied in a period by the claims submitted in that period, then break it down by reason code and payer. See denial rate, look up codes in the denial code lookup, and read 12 ways to reduce denials.
Know your real denial rate.
GetMax calculates it from your live claims, by reason, payer and provider.