The business case

What it's worth,
by healthcare provider size.

Eligibility reduces denials entering the system. Contract analytics recovers revenue on claims paid at the wrong rate. Appeals recover revenue on claims that weren't paid at all. Each module is independent and additive.

Small healthcare provider

$755k – $1.79M

annual value, year one

Eligibility and appeals recovery lead the way — the fastest cash-cycle wins for a lean team.

Mid-size healthcare provider

$5.17M – $6.92M

annual value, year one

Contract analytics becomes the single largest line, as payer mix and claim volume compound.

Large health system

$13.2M – $25.3M

annual value, year one

Every module, system-wide — the full value of closing all three layers at scale.

Ranges are grounded in observed deployment patterns, not aspirational projections — a starting point for discovery, not a quote. The real number comes from your claim volume, payer mix, and current denial rates.

Benchmark sources

Grounded in cited industry data.

CAQH Index 2025Experian Health 2025/2026AHA Cost of Caring 2025Advisory Board 2024HFMA Pulse SurveyEY RCM Analysis 2026Health Affairs, Jan 2026JAMA Health Forum 2025