What is your practice not getting paid?

Enter six numbers your billing team already knows. You'll get an estimate of what denials cost you each year, and where the money is leaking. No patient information. Nothing you enter leaves this page.

Volume

Claims submitted per month

All payers, all providers. A rough number is fine.

Enter a number of claims, like 1,500.

Average expected payment per claim

What you expect to collect on a typical clean claim.

Enter a dollar amount, like 180.

Denials

Claims denied on first submission

The industry average was about 12% in 2024.

Enter a percentage from 0 to 100.

Denials that are never corrected or appealed

Industry surveys put this as high as 65%. If you don't track it, that's worth knowing too.

Enter a percentage from 0 to 100.

Before the visit

Visits with eligibility and authorization confirmed beforehand

Checked and documented before the patient is seen.

Enter a percentage from 0 to 100.

Revenue from Medicare and Medicaid, including Advantage plans

Medicare Advantage and Medicaid plans deny at higher rates than traditional Medicare.

Enter a percentage from 0 to 100.

This estimate runs entirely in your browser. Nothing is stored or sent unless you choose to email it.

Leakage statement

Annual estimate from the numbers you entered

Time-sensitive

Where it's leaking

Ranked by how far your numbers sit from the benchmark. The top item is usually the fastest money to protect.

What to do with this number

Walk through it with us

A 15-minute review of your estimate with Innov8 RPO, by video or phone. Bring your number. We'll show you which leak to close first and what it's worth.

Book a 15-minute review

Send it to the owner

Opens an email with your estimate and the biggest leak, ready to forward to the practice owner or administrator.

Email this estimate

Keep a copy

Save a one-page statement with your inputs, the estimate, and the ranked leaks.

How this estimate works

The estimate counts two costs you can verify from your own reports: the value of denied claims that are never worked, and the staff cost of reworking the rest. It leaves out slower cash, underpayments, and missed charges, so the real figure is usually higher.

Rework is priced at $25 per claim, the low end of the $25 to $181 range cited in MGMA benchmarking. The year-one protectable range of 30 to 50 percent is our planning assumption. Industry studies find most denials are avoidable, so we set it well below that on purpose.

Written off = claims per year × denial rate × share never worked × average payment

Rework cost = claims per year × denial rate × share worked × $25

Estimated leakage = written off + rework cost

Experian Health, State of Claims 2025: 41% of providers report denial rates above 10%.
Industry-wide initial denial rate of 11.8% in 2024, summarized by GoMedicalBilling.
Change Healthcare study, via Physicians Practice: most denials are avoidable and many are never resubmitted.
MGMA-cited rework cost range, via Aptarro.