ROI Calculator

See the net benefit of PriorPulseAI — we charge a 3% fee only on successfully approved prior authorizations

Your Practice Parameters

Adjust the sliders to match your volume and costs

Total auth requests submitted monthly

200
201,000

Estimated reimbursement per approved authorization

$18,000
$2,000$150,000

Your current rate of first-pass approvals

72%
50%95%

Clinical/admin hours spent per case

3.5h
0.5h8h

Blended hourly rate (salary + benefits)

$45
$20$120

Percentage of denials you currently appeal

55%
10%90%

Net Annual Benefit to Hospital

$7,579,116

after PriorPulseAI transaction fee

Return on Fee

7.2×

New Approval Rate

81%

Total Approved PA Value

$34,992,000

2,400 auths/yr × 81% approval × $18,000

PriorPulseAI Transaction Fee (3%)

$1,049,760

Charged only on successfully approved authorizations

Labor Savings

$283,500

6,300 staff hours reclaimed per year

Denial Recovery Revenue

$4,457,376

248 additional cases won on appeal (67% win rate)

Revenue Gain from Higher Approval Rate

$3,888,000

72% → 81% (+9 pts)

Projections based on PriorPulseAI customer benchmarks. Individual results vary by specialty, payer mix, and workflow integration. Contact sales for a tailored analysis.