The Heavy Burden of Payer Denials — Costs and Delays

Fighting denials requires significant administrative costs

The Heavy Burden of Payer Denials — Costs and Delays
  • 3% of claims denied were for services that had been preapproved.
  • The average cost incurred by doctors to fight denials is $44 per denial, with commercial payers requiring the most resources.
  • Denied claims are more common among higher-cost treatments (charges ≥ $14,000).

Source

Premier. Trend Alert: Private Payers Retain Profits by Refusing or Delaying Legitimate Medical Claims. Accessed May 20, 2024.