EXAMPLE

Your Investment Returns

For a health system with 15,000 out-of-network claims identified as appealable:

Metric Traditional Process With Arbitrus Difference
Claim 9,000 15,000 +6,000
Average Delta per Claim* $15,000 $15,000 -
Cost** $53.33 $50 +$3.33 savings
Annual Cost $479,970 $750,000 -$270,030
Total Recovery
(Claims × Delta × Win Rate)		 $108,000,000 $180,000,000 +$72,000,000
Net Recovery
(Total Recovery - Annual Cost)		 $107,520,030 $179,250,000 +$71,729,970
ATM Incremental Recovery
(Arbitrus Net Recovery - Traditional Net Recovery)		 $71,729,970

Assumptions:

*Average delta of $15,000 per claim, with an 80% win rate.

**A claims administrator costs $60,000 in salary and $20,000 in benefits per year ($80,000 total) and can handle a maximum of 1,500 claims annually. That puts each claim at approximately $53.33.

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Your Investment Returns

Calculate your specific ROI:

Your Customized Results:

Metric Traditional Process With Arbitrus Difference
Claim - - -
Average Delta per Claim* - - -
Cost** - $50 -
Annual Cost - - -
Total Recovery
(Claims × Delta × Win Rate)		 - - -
Net Recovery
(Total Recovery - Annual Cost)		 - - -
ATM Incremental Recovery
(Arbitrus Net Recovery - Traditional Net Recovery)		 -

Assumptions:

*The calculator uses the Average Delta per Claim and Win Rate you specify above. Actual results may vary based on specific claim characteristics, payer mix, and other factors.

**A claims administrator costs $60,000 in salary and $20,000 in benefits per year ($80,000 total) and can handle a maximum of 1,500 claims annually. That puts each claim at approximately $53.33.