Hours a year
0
Payer portal automation · time-cost model
What your payer portal time costs
Eligibility checks, claim status look-ups, remit retrieval, denial follow-up: the portal work your billers do by hand. Put in the practice's real numbers and see the annual dollar figure, benchmarked against the 2024 CAQH Index.
Your billing team
The people logging into payer portals every day.
6
8
$50 / hr
Portal work
A "check" is one look-up: eligibility, claim status, a remit pull, a denial worked.
20
15 min
Capped at one full workday per biller. No one can spend more than 8 hours a day inside portals.
Your portal time, in dollars
$0
per year, spent working payer portals by hand
Full-time people
0
Cost per check
$0
CAQH portal cost
$5.24
A personalized report using your numbers, on screen instantly. No spam, no sales sequence.
Report unlocked below.
Your Portal Cost Report
Your team spends about $0 a year in payer portals.
Book your free workflow teardown30 minutes. I map one portal workflow end to end and tell you what is automatable and what is not. No pitch deck.
Annual portal cost
$0
Hours a year
0
Full-time equivalent
0
Cost per check
$0
How your cost per check compares
2024 CAQH Index, per claim status inquiry. A phone call runs about 25 minutes.
| Method | Cost per inquiry | |
|---|---|---|
| Your portal check | $0.00 | |
| Phone (CAQH) | $13.80 | |
| Portal (CAQH) | $5.24 | |
| Fully electronic (CAQH) | $3.64 |
What that time is doing to your capacity
And 35 to 65 percent of denied claims are never reworked (Change Healthcare; AHIMA Journal). The slowest, most-deferred portal work, denial follow-up, is exactly where that revenue quietly leaks. Time spent logging in is time not spent appealing.
What automates cleanly
- Eligibility and benefits checks
- Claim status look-ups
- Remit and EOB retrieval
- Denial worklist triage and sorting
- Portal logins and MFA handling
- Copying results back into your billing system
What still needs a person
- Clinical appeals that need judgment
- Payer phone calls when a portal will not answer
- First-time payer enrollment and credentialing
- Deciding how to handle partial payments
- Exceptions when a portal changes unexpectedly
Honest answer: automation takes the repetitive volume off the team so people spend their day on the work that actually needs them.
Your report link
This link renders this exact report. Forward it to a partner or your operations lead.
See it on one of your own workflows
Pick the portal task that hurts most. I will map it end to end and show you, honestly, what a managed automation would and would not take off your team's plate.
Book your free workflow teardownSources: 2024 CAQH Index (caqh.org), calendar year 2023, medical provider costs: $13.80 phone, $5.24 portal, $3.64 fully electronic per claim status inquiry; about 25 minutes per phone inquiry. Denial abandonment: Change Healthcare and AHIMA Journal (35 to 65 percent of denials never reworked). Your figures are estimates generated from the inputs on this page, not a quote.