PriorAuth Guard Rework calculator

What documentation gaps cost you before the packet is sent

Estimate the staff time and rework tied to denials caused by incomplete documentation, for one service line. Change any assumption. Every step of the math is shown.

Your assumptions

Defaults are starting points. Replace them with your own numbers.

Scope this to the single payer-plan and packet path with the most avoidable rework.

11%

Placeholder. Pull this from your own denial reporting before you rely on it.

40%

Placeholder. Your denial reason codes will give you this figure.

Placeholder. Includes chasing records, resubmission, and follow-up.

Placeholder. Wage plus benefits and overhead, not base wage.

50%

This is the assumption that moves the result most, so it stays in your hands. No pre-submission check catches everything. Set it low if you want a floor.

Defensible

Worksheet

Every term below is a staffing fact, not a revenue projection.

Authorizations per year
Denied
Caused by documentation gaps
Preventable before submission
Staff hours recovered per year
Rework cost avoided per year

If the catch rate is wrong

Rework cost avoided at three catch rates, so nobody has to take one number on faith.

Directional

Avoided write-offs

A larger number resting on softer assumptions. Denials that are never overturned become write-offs. This is separated from the figures above on purpose: it is useful for sizing, and it will not survive the same scrutiny.

Placeholder. Use the service line's actual average.

5%

Placeholder. Your appeals win rate is the inverse of this.

Preventable denials carried forward
Of those, never overturned
Write-offs avoided per year

Network requests made by this page: checking

This calculator computes in your browser. Your inputs are never transmitted, logged, or stored on a server. The count above is measured live from this page, not asserted. Open your browser's network tab and check it yourself.

See it run against a real packet

PriorAuth Guard checks authorization packets for missing documentation before submission, on the device, with no patient data upload.

Open the appSchedule a hospital pilot