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Estimate

Estimate your denials.

Rough numbers in a minute. Nothing you enter leaves this page.

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New to denial reviews?

What is a denial review?

  • We look at a de-identified denial report: payers, reasons, ages.
  • You learn where the money is and what to fix first.
  • Twenty minutes. No patient data.
Or estimate your denials

Signs you have recoverable denials

0 of 5. Few signs. An estimate still helps.

Estimate your denials

Your numbers

300
$3K
60%
Denial rate15%

Not sure? We use 15%, the commercial initial denial rate in Crowe's 2023 hospital benchmark.

Level of care

Your estimate, per month

Commercial dollars denied

$68K

Recoverable range, if worked

$16K to $30K

About $186K to $365K a year.

  • Nationally, fewer than 1% of denied claims are ever appealed (KFF, 2026). Your share may differ.
  • Mixed programs usually have both level-of-care and billing-error denials.
  • Recoverable range uses 23% to 45%, published first-level appeal win rates. An estimate, not a promise.
Show the formula

billed = claims x average value = $750K

commercial = billed x 60% = $450K

denied = commercial x 15% = $68K

recoverable = denied x 23% to 45%

Sources: Crowe (2023) commercial initial denials 15.1%; first-level appeal overturn rates 23% (Virginia SUD, 2023) to 45% (Advisory Board).

What is a denial review?

  • We look at a de-identified denial report: payers, reasons, ages.
  • You learn where the money is and what to fix first.
  • Twenty minutes. No patient data.
Email me this estimate

An estimate, not a promise or a quote. Your own remits decide the real numbers.