I built a payer cost check. The worst payer wasn't the denier | Ep 331

Serious AI with Chris Duff · Oct 28, 2026 · 21m

Most practices rank their payers by the monthly denial report, so the plan that denies the most gets the attention. I built a check on the 835 remits (the electronic statements that come back with every payment) to see what that ranking misses, using made-up sample data for a 24-clinician GI group. A payer costs you three ways: paid late, paid short, and paid by your staff's time chasing it. In the sample, the plan that paid late and short cost almost $6 per $100 paid, and the biggest denier cost about 50 cents.

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