The True Cost of Denied Claims (And How to Recover Lost Revenue)

Claim denials are a multi-billion-dollar problem in the healthcare industry. Every rejected claim represents lost revenue, extra administrative work, and delayed patient care. Studies show that over 60% of denied claims are recoverable, yet many practices lack the resources to efficiently track, correct, and resubmit them. The result? Revenue leakage, increased workload, and financial instability.

Why Claims Get Denied

• Eligibility issues → Patients may be uninsured or lack proper referrals.

• Coding errors → Mistakes in modifiers or diagnosis codes trigger rejections.

• Missed deadlines → Payers have strict timelines for appeals.

Claim denials don’t just hurt your revenue cycle—they create administrative chaos. Staff members often spend hours chasing down missing documentation, appealing rejections, and trying to understand payer-specific rules. Without a solid denial management strategy, these unpaid claims can quickly pile up, leading to significant financial losses. The key to preventing this? A proactive approach to claims management and an expert-driven appeals process.

How Cove Health Turns Denials Into Dollars

Our team analyzes, corrects, and resubmits denied claims with a high success rate. We implement proactive strategies to reduce future denials, from real-time eligibility checks to claims scrubbing and payer compliance monitoring. With dedicated denial tracking and analytics, we help practices recover revenue they might have otherwise written off.

Stop losing revenue to denials—partner with Cove Health for expert claims management.