Practice Reporting. Prepared for Rowan Bexley on Oct 6, 2026. Whole organization.
Metric definition · Denial rate
Denial rate
What share of claims did each payer deny the first time?
Practice total by month
Every run your role can see. A change of definition version is marked.
- September 20258.21%Within tolerance
- October 20256.63%Within tolerance
- November 20258.06%Within tolerance
- December 20257.46%Within tolerance
- January 20267.34%Within tolerance
- February 20268.55%Within tolerance
- March 20268.73%Within tolerance
- April 20267.45%Within tolerance
- May 20268.79%Within tolerance
- June 20269.16%Within tolerance
- July 20267.69%Within tolerance
- August 20268.08%Within tolerance
- September 20267.93%Within tolerance
Version 1
- Formula
- Claims a payer denied the first time it decided on them, divided by all claims a payer first decided on in the month. Resubmissions are not counted again.
- Numerator
- Claims denied the first time a payer decided on them
- Denominator
- Claims a payer first decided on in the month
- athena report
- athenaOne Denial Management report, first-pass view, grouped by primary payer
- Filters
- Primary payer only; The payer’s first decision only; Self pay left out (no payer decides on it)
- Broken down by
- practice total, payer
- Tolerance
- Up to 0.50 points either way
- Adopted
- Aug 2, 2025