Denial Cost Calculator

Claims submitted per month

Average claim value

Denial rate

Recovery rate on reworked denials

Cost to rework one denial

Estimated monthly revenue at risk

of billed revenue tied up in denials before rework

Denied claims / month

Never recovered

Rework labor cost

Annualized true loss

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Industry benchmark for a healthy clean claim process is a 5–10% denial rate. This calculator uses your inputs to estimate revenue permanently lost (claims never recovered after denial) plus the labor cost of reworking the ones that are. Numbers are estimates for planning purposes, not an audit.