Free RCM Tool

Denial Root Cause Analyzer

Break your denials down by category, see where volume and dollars are concentrated, and get a list of operational areas worth reviewing.

Total Denied Claims80
Top CategoryCO-50 (57%)
Top 3 Concentration92.9%

Illustrative example only — enter your own denial categories below.

What This Tool Does

The Denial Root Cause Analyzer takes a list of your denial categories (code, reason, claim count, and dollar amount) and calculates the percentage breakdown by volume and dollars, identifies your highest-impact categories, and lists general operational areas worth reviewing based on the categories you entered.

1

Who Is It For?

Billing managers and RCM teams who already track denials by category and want a fast breakdown of where to focus.

2

What Information Do I Need?

A list of your denial categories — code and/or reason description, number of claims, and denied dollar amount for each.

3

Why Use This Tool?

It shows you exactly which categories are driving the most volume and dollars, so you can prioritize root-cause review effort.

How It Works

1

List Your Denial Categories

Add a row for each denial code/reason with its claim count and dollar amount.

2

See the Breakdown

View percentages, top categories, and concentration by volume and dollars.

3

Request Your Full Report

Optionally share your contact details to receive a full written breakdown.

Analyze Your Denial Categories

Add a row for each denial category. Leave code or reason blank if you don't track both — just fill in at least one.

Denial Code Denial Reason Claims Denied $

Your Results CALCULATED

-Total Denied Claims
-Total Denied Dollars
-Top 3 Dollar Concentration

Get Your Complete RCM Report

Enter your details to receive a full written breakdown including operational areas to review.

📞 After you submit, a 4Arcs RCM expert will personally call you to walk through your results.

We will never ask for patient information. See our Privacy Policy.

Frequently Asked Questions

Do I need both a denial code and a reason?

No, just one of the two per row so we know what the category represents.

Does this tool explain what specific denial codes mean?

No. It uses only the descriptions you provide and does not interpret payer-specific denial code meanings.

How many categories can I add?

Up to 50 rows per analysis.

Do I need to enter patient information?

No. Only aggregate category-level counts and dollar totals are used.

Need Help Fixing Your RCM Issues?

Talk to a 4Arcs Medical Billing expert about your denial patterns and root-cause remediation.

Book a 30-Minute Expert Call