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Prior authorization ROI modeling framework — interactive calculator estimating annual savings from PA automation across labor, denials, and turnaround time

ROI Modeling Framework

Prior authorization automation ROI

Adjust the inputs below to model your organisation's savings potential. All figures update in real time.

Your current state
Monthly PA volume5,000
Staff time per PA (mins)35 min
Fully-loaded hourly rate$55/hr
First-pass denial rate18%
Average claim value$2,400
Current turnaround time12 days
3-year net ROI
0%
Payback in — months
Strong
Annual labor savings
$0
Denial revenue recovered
$0
Year 1 net savings
$0
3-year cumulative
$0
Turnaround improvement
days avg
Down from — days
Hours freed annually
FTE-hours
Equivalent to — FTEs
Cumulative savings Platform investment
3-year ROI projection

Get the full ROI model — exportable to Excel

Enter your details to receive a pre-populated ROI workbook based on your inputs, plus a 30-minute session with a prior authorisation specialist to pressure-test the numbers.

Projections use industry benchmarks: 65% labor automation rate, 55% denial reduction, 72% TAT improvement. Actual results may vary. This model is for illustrative purposes.

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