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

0%
0%95%

Clinical/admin minutes spent per case

0m
0m300m

Blended hourly rate (salary + benefits)

$45
$20$120

Percentage of denials you currently appeal

55%
10%90%

Net Annual Benefit to Hospital

$19,690,560

after PriorPulseAI transaction fee

Return on Fee

168.8×

New Approval Rate

9%

Total Approved PA Value

$3,888,000

2,400 auths/yr × 9% approval × $18,000

PriorPulseAI Transaction Fee (3%)

$116,640

Charged only on successfully approved authorizations

Labor Savings

$0

0 staff hours reclaimed per year

Denial Recovery Revenue

$15,919,200

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

Revenue Gain from Higher Approval Rate

$3,888,000

0% → 9% (+9 pts)

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