§ Interactive Tool · KPI Calculator

What are BH denials really costing your facility?

See what the industry average says about your facility's denial landscape.

Select your facility size
or enter exact: claims/mo
Industry Benchmark Analysis
500 claims/mo · Mid-Size Facility
$0
left on the table annually
What this means: At industry-average appeal rates (11.5% of denials appealed, 80.7% overturn), your facility is likely recovering only a fraction of what's recoverable. This figure represents revenue your team has already earned — but isn't contesting.
How we calculated this ▾
BH sector denial rate18% midpoint (15–25%) — KFF, Experian 2025
Average BH claim value$1,200 — sector midpoint
Industry appeal rate11.5% — AMA Prior Auth Survey 2024
Overturn rate (appealed)80.7% — AMA Prior Auth Survey 2024
Recoverable gapUnappealed denials × 40% winnable (conservative)

These are benchmarks. Get your real numbers.

We'll review 25–50 recent denials and show where Precedent already exists.

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Also try → Full ROI Calculator · Unit Economics Calculator · Evidence Explorer · Vendor Evaluation
Sources
[1] KFF, ACA Marketplace Denial Analysis, 2024 · [2] Experian, State of Claims 2025 · [3] AMA Prior Auth Survey, 2024
Stratum Collective — KPI Calculator