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Member-notice cost-pool calculator · Free · no sign-up

Member-notice cost-pool calculator

Enter your own numbers. The result is a buyer estimate, not a promise. Your numbers stay in this tab: they are not sent, saved or added to the page address.

A whole number from 1 to 100,000,000

A whole number from 0 to 10,000

From $0.01 to $1,000. If you have no figure: $8.01, Gartner, cross-industry, 2019, per live contact (not pre-filled)

A whole number from 1 to 100,000

A whole number from 1 to 50

From 0.1 to 200

hours

From $1 to $1,000

Optional. A whole number from 0 to 100,000,000

Optional. From 0% to 100%

Optional. From $0 to $100,000

Optional. From $1 to $100,000,000

Your result

Notice-related contact pool Buyer estimate
—
Template review pool Buyer estimate
—
Appeal pool Buyer estimate
—
Break-even: contacts that would need to change Illustrative
—

Fill in the seven required inputs to see your estimate.

Your dollar estimates appear on this scale once every required number is in.

How this is calculated

  • Contact pool = members × notice-related contacts per 1,000 ÷ 1,000 × cost per contact
  • Review pool = templates × review cycles a year × reviewer hours per cycle × loaded rate
  • Appeal pool = denial notices × share appealed × cost per appeal
  • Break-even = annual program cost ÷ cost per contact (rounded up; hypothetical)
  • The pools are separate and are never added together.
  • Example: 250,000 × 120 ÷ 1,000 × $8.01 = $240,300/year; 180 × 3 × 4 × $85 = $183,600/year; a hypothetical $50,000 ÷ $8.01 = 6,243 contacts

Source: your inputs. This is money at stake in your documents, not projected savings, and not all of it is attributable or recoverable. An evaluation must measure what actually changes.

Get a free assessment of one member notice

Send a blank template, not a copy with a patient's or member's details.

Compose an email

How the estimate works

Enter numbers you already track. The calculator multiplies them and shows each step with your numbers. It is cost context for an evaluation, not a savings promise.

Numbers you enter

  • Members
  • Notice-related contacts per 1,000 members a year
  • Cost per contact
  • Templates in scope
  • Review cycles per template a year
  • Reviewer hours per cycle
  • Fully loaded cost per hour
  • + 4 optional inputs

What you get, labelled

  • Notice-related contact poolBuyer estimate
  • Template review poolBuyer estimate
  • Appeal poolBuyer estimate
  • Break-even: contacts that would need to changeIllustrative

The formula is printed under the result. Your numbers stay in this tab.

Questions

Is this a savings estimate?

No. It is arithmetic on your own inputs: the effort and cost your documents take today. An evaluation measures which part of that effort can change, and whether it does.

Are my numbers sent anywhere?

No. The calculation runs in your browser. Your numbers are not sent to us, not saved, and not added to the page address.

How do I share my numbers?

Download the CSV or print the page, then send it yourself. "Copy a shareable resource link" copies the page address only, without your numbers.