MedfirstRCM
RCM

Clean-claim rate benchmarks for practices and labs in 2026

May 28, 2026

Revenue cycle charts and performance metrics on screen

A 95% clean-claim rate used to be the industry high-five. For labs processing thousands of accessions, that leftover 5% is a material cash leak.

Benchmark by segment: physician practices should target 97%+, multi-specialty groups 96%+, and independent labs 98%+ with specialty edit packs.

Measure rejects separately from denials. Clearinghouse rejects are a scrubbing problem; payer denials are a policy and documentation problem.

See exactly how much revenue you're leaving behind.

Book a free practice audit. We'll map your denials, aging, and coding gaps — and show you a clear path to lift.