5 states with the lowest, highest initial claim denial rates

The weighted average initial claims denial rate for the top five states was 6.7 percent through the first six months of 2023 compared to 16 percent for the bottom five, according to a report published Sept. 11 by Crowe, a public accounting, consulting and technology firm. 

Crowe Revenue Cycle Analytics software monitors patient financial transactions from more than 1,800 hospitals and 200,000 physicians across the U.S. to help providers manage net revenue and monitor revenue cycle performance.

The states with the lowest initial denial rates:

1. Iowa: 5.6 percent

2. Tennessee: 6.1 percent 

3. Pennsylvania: 7 percent

T-4. Alabama: 7.2 percent

T-4. Wisconsin: 7.2 percent 

The states with the highest initial denial rates:

1. Oklahoma: 18.5 percent 

2. Arizona: 16.1 percent 

3. Washington: 16 percent

4. California: 15.9 percent 

5. North Carolina: 15.8 percent 



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