Percentage of Claims Initially Denied, by Payer Type

1. Medicaid: 16.7%
2. Medicare Advantage: 15.7%
3. Managed Medicaid: 15.1%
4. Commercial: 13.9%
5. Medicare: 8.4%

Notes: Note: An average of 3.2% of all claims denied included those that were pre-approved via the prior authorization process.
Source: Premier, Trend Alert: Private Payers Retain Profits by Refusing or Delaying Legitimate Medical Claims, March 2024
Source URL: https://premierinc.com/newsroom/blog/trend-alert-private-pay...

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