Introduction

It can be hard to wade through the insurance industry and learn about varying trends in denied claims. To help tackle this issue, this article is diving into the different levels of denial rate from insurances, look at both national and state-level results, and provide helpful advice on understanding the insurance process.

National Denial Rates

When it comes to national data on denial rates, the cost of denied claims adds up to billions of dollars annually in medical billing. According to estimates from the Medical Group Management Association (MGMA), the average national denial rate is around 5%, with some providers seeing up to 20% denied claims.

State-Level Variations

As expected, denial rates do vary from state to state. Some states, such as Ohio, Pennsylvania, and Florida, lead the pack in higher denial rates. Other states, such as California, Massachusetts, and Minnesota follow suit with lower denial rates.

Conclusion

Understanding the denial rate from insurance companies can be intimidating and confusing. However, by looking at state and national estimations, it gives us a bigger picture of the trends in the insurance claims process. With more knowledge of the denial rate, it can help ease the process of filing medical claims across the country.

Source