Every uncontested denial is money left on the table. And 65 per cent go uncontested.

The average healthcare claim denial rate reaches 11 per cent and is growing. Forty-six per cent of denials are due to incomplete information or administrative errors that are entirely preventable. Only 35 per cent of denials are appealed, and of those, 50-55 per cent are recovered. The average cost of working a denial is EUR 25-50. With appeal deadlines of 30-60 days, every day of delay puts revenue at risk. Denial management teams operate in permanent reactive mode, prioritising by urgency instead of probability of success.

Experian Healthcare 2024, AHA