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Medonix

Article · Coding

Clean-claim rate benchmarks across 35 specialties (2026)

A synthesis of MGMA published specialty benchmarks with anonymized observations from Medonix's founding U.S. client cohort. The healthy range, the long tail, and the specialty-by-specialty story behind the numbers.

  • DPDr. Priya Shah, MD · Reviewed by Karina Martinez, CRCR
  • 9 min read
  • Published April 15, 2026

The lede

Most published clean-claim-rate benchmarks blend specialties and obscure where the real variance lives. We disaggregated ours.

This brief shares the 2026 benchmark across 35 specialties drawn from MGMA published data and Medonix's founding cohort: the healthy median, the long tail, and the specific code families that drive the gap.

What this piece covers

  • Median clean-claim rate by specialty (35 categories).
  • Top three CPT/ICD-10 pairs driving denials in each.
  • Where eligibility-stage edits would have prevented the claim.
  • Methodology and sample size by specialty.

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