Denial Management Tool

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.

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.