Read the result in context.
- This is a claim-count remittance measure, not a percentage of submitted dollars or a first-pass denial metric.
- Follow the HFMA inclusion and exclusion rules when benchmarking. Track rejection activity separately.
- Use the result to choose a reason-level review. The percentage alone does not explain the cause.
Formula source
HFMA MAP Keys · Remittance Denial Rate (AR-5) ↗︎Definitions last checked September 3, 2026. When comparing your result with an external benchmark, use the definition in the original source.