Medical Billing Denial Rate Calculator
Calculate the percentage of submitted claims that were denied and use the result as a starting point for reviewing denial trends.
Calculate your medical billing denial rate
Use the same reporting period for submitted claims and denied claims to calculate a comparable denial percentage.
Formula
Denied claims ÷ total submitted claims × 100
How to use the result
Track the rate over time and investigate underlying denial reasons by payer, specialty, authorization, coding, documentation and submission workflow.
Continue your revenue-cycle review
How to Reduce Medical Billing Denials
Use the percentage as a starting point, then trace repeat denials back to eligibility, authorization, coding and claim workflow.
Read the guide →Use the calculator with your own practice data
These tools are free to use and link to. Save the page for recurring monthly review, or share it with the team responsible for billing and revenue-cycle reporting.
View all free tools →Need help reviewing your billing workflow?
Use your calculation as a starting point, then request a complimentary billing review to discuss denials, A/R, billing cost and workflow improvement opportunities.