By my cursory Google search, the successful appeal rate for claims denials is somewhere between 30 and 60 percent. With the caveat that this isn't a representa

By my cursory Google search, the successful appeal rate for claims denials is somewhere between 30 and 60 percent. With the caveat that this isn't a representative sample (people appealing likely have the denials most likely to be overturned), 30% at the low end still feels too high. This rate is even higher for prior authorization denials. Those get overturned on appeal more than half the time. Probably safe to assume that if your denial rate is 2x competitors, those numbers would be even worse.