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ROI Calculator

Calculate Your Revenue Recovery Potential

Enter your practice parameters and see a live projection of how much revenue NexaClaim AI can recover — and what it costs.

Your Practice

Adjust the inputs to match your situation

Full-time equivalent physicians generating claims
50 physicians
1 physicians300 physicians
Total claims submitted per month across all payers
2,000 claims/mo
10050,000
Average allowed amount per claim (not the charge)
$850
$100$5,000
Percentage of submitted claims initially denied
7%
1%25%
Percentage of appeals that result in payment
55%
10%90%

Your Current State

Annual claims

24,000

Annual denied revenue

$1.4M

Net annual loss (after appeals)

$1.1M

Platform cost

$240K

$10/claim × 24,000 claims

Your ROI with NexaClaim

Live projection based on customer data

Net Annual ROI

$794,606

After NexaClaim platform cost of $240,000/yr

ROI Multiple

4.3x

Return on investment

Payback Period

2.8 mo

Time to break-even

Additional Revenue Recovered

$1,034,606

Annual improvement over current state

Projected Denial Rate

2.5%

Down from 7.0% — 65% reduction

Model Assumptions

  • 65% denial rate reduction (avg. across customers)
  • 89% appeal rate vs. 37% industry baseline
  • Appeal success rate improves by 35%+
  • $10/claim all-inclusive platform pricing
  • Based on data from 50+ NexaClaim deployments
Get My Personalized Analysis

Free audit using your actual claims data. No commitment required.

Results from real NexaClaim customers

$2.8M

Recovered in 90 days

150-physician ortho group

-76%

Coding time reduction

12-facility ASC network

1.8 days

PA turnaround

Down from 12 days

19x

Average ROI multiple

Across all customers

How We Calculate Your ROI

Our model is built on data from 50+ NexaClaim customer deployments. Here is exactly what goes into the numbers.

01

Current Revenue Loss

We calculate your annual denied revenue from your claims volume, average claim value, and denial rate. We then subtract what you currently recover through appeals (using your stated success rate and the 37% industry-average appeal rate).

02

NexaClaim Impact Model

Based on customer data, NexaClaim reduces denial rates by 65% on average, drives appeal rates to 89%, and improves appeal success rates by 35%+. We apply these improvements to your specific inputs.

03

Net ROI

We subtract the NexaClaim platform cost ($10/claim, all-inclusive) from the additional revenue recovered. The result is your projected net annual ROI — and the multiple tells you how many dollars you get back for every dollar spent.

Important: This calculator provides a directional estimate based on median customer results. Your actual ROI depends on your specialty, payer mix, current workflows, and implementation approach. Get a personalized analysis with your actual claims data.

Schedule a Personalized ROI Analysis