What does it cost to rework a denied claim?
Reworking a denied claim by hand is commonly estimated at roughly $25 to $118 in staff time, depending on complexity and how many touches it takes. That per-claim cost — not the merits — is what decides whether a denial gets worked, and it's why small-dollar denials get written off even when they're winnable.
What actually matters
- Common industry estimates put manual denial rework at about $25–$118 per claim
- The cost is mostly labor: identifying the reason, gathering records, drafting, submitting, and following up — often multiple touches
- Complex denials (medical necessity, appeals with records) sit at the high end; simple corrections at the low end
- When rework cost exceeds the claim value, the denial gets written off — a cost problem masquerading as an economics-of-appeal problem
- Lowering per-claim cost is the lever that turns the write-off pile back into recoverable revenue
Common questions
Why is reworking a denial so expensive?
It's labor-intensive and often takes several touches — reading the remittance, pulling records, drafting the appeal, submitting through the right channel, and following up. Each touch is staff time, which is why a small denial can cost more to work than it returns.
Where Volari fits: Volari attacks the cost side directly: by working denials at machine cost, the claims that were too small to be worth reworking by hand become worth recovering — and you only pay on what comes back.
See the revenue you're owed but never collected.
A free assessment shows your real recoverable number from denied and underpaid claims. No risk, paid only on what we recover.