What is a good denial rate for a medical practice?

A healthy initial denial rate is under 5–10%, with a first-pass resolution rate above 90%; above ~15% signals a systemic problem. Denial rates commonly run higher for procedure-heavy practices, and many independent practices write off a large share of denials unworked — so the number that matters most isn't just the denial rate, it's how much of it you actually recover.

What actually matters

• Under 5–10% initial denials is the benchmark; above ~15% signals front-end problems
• First-pass resolution above 90% means your clean claims are actually clean
• Track your denial rate and your recovery rate — a low denial rate still leaks money if denials go unworked
• Know your denial mix; a handful of reason codes usually drive most of the volume

Common questions

Where Volari fits: Volari focuses on the number most practices ignore — how much of your denials you actually recover — by working the pile you'd otherwise write off.

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.