§ Interactive Tool · KPI Calculator
What are BH denials really costing your facility?
Input your monthly claim volume. See what you're recovering — and what you're leaving on the table. Industry benchmarks applied automatically.
How many behavioral health claims does your facility process per month?
Variable 1 of 5 · Claim Volume
Annual Revenue at Risk
$0
from denied claims
Currently Recovered
$0
at industry appeal rates (11.5%)
The Gap
$0
revenue you've earned but aren't collecting
What this means: At industry-average appeal rates (11.5% of denials appealed, 80.7% overturn on those appealed), your facility is likely recovering only a fraction of what's recoverable. The gap represents claims your team has already earned — but isn't contesting.
Methodology & Sources ▾
| BH sector denial rate | 18% midpoint (15–25%) — KFF, Experian 2025 |
| Average BH claim value | $1,200 — sector midpoint |
| Industry appeal rate | 11.5% — AMA Prior Auth Survey 2024 |
| Overturn rate (appealed) | 80.7% — AMA Prior Auth Survey 2024 |
| Recoverable gap | Unappealed denials × 40% winnable (conservative) |
These are benchmarks. Get your facility-specific analysis.
We'll review 25–50 recent denials and show where Precedent already exists.
Sources
[1] KFF, ACA Marketplace Denial Analysis, 2024 · [2] Experian, State of Claims 2025 · [3] AMA Prior Auth Survey, 2024