the way we price shouldn’t be a secret
Your process may be complex, but understanding the cost shouldn’t be.
what you can expect to pay
Typical RCM automation projects fall between: $20,000 – $35,000.
Below are real examples from healthcare clients who used the same automation approach you will.
Eligibility automation project
Unattended patient eligibility validation - prior to service
Denials resubmission for the laboratory.
Denials resubmission for the laboratory EHR-to-claim data pipeline automation
Pre-auth automation project for cancer treatment clinic.
PA packets automatic completion aligned with payer rules.
Halving Monthly Backlog – Eligibility Automation in Action
This case shows how automated eligibility verification across multiple portals reduces processing time by 90%, cuts manual work by over 90%, and increases verification speed from ~5 minutes to ~1 minute per case.
+50%
Restored capacity. See how AI automation simplified eligibility checks across multiple systems and halved monthly backlog.
100% ROI in just 23 days. We Automated Eligibility Checks!
PTCoA’s case demonstrates how automated eligibility checks can be executed in ~40 seconds, saving 3 FTEs per month and achieving 100% ROI in 23 days with $180K in projected first-year savings.
100%
ROI in just 23 days. Learn about the MVP project which brought +$180,000 worth of savings after year one.
90% Faster Packet Submissions | Prior Authorization Automation
This case shows how prior authorization automation eliminated manual data entry for a high-volume genetic diagnostic lab, accelerating patient turnaround and improving competitive advantage without replacing existing systems.
-90%
Faster packet submissions.See how Agentic AI bridged the gap between Laboratory Information Management System (LIMS) and Payer Portals.
85% Faster Submissions, 8+ FTEs Saved | Prior Authorization Automation
This case demonstrates how a fully autonomous AI agent standardized prior authorization submissions across payer portals, eliminating inconsistencies in a large U.S. pain management network.
+8
FTEs saved. Learn how agentic AI freed 8+ FTEs for a leading U.S. health-tech platform and their RCM team.
70% Faster Claim Turnaround Time (CTT) | Claim Management Automation
SuperBill’s case shows the power of document-to-claim automation. Our prior authorization AI agent made Claim Turnaround Time (CTT) by ~70%
70%
Faster Claim Turnaround Time (CTT). See how document-to-claim automation accelerated out-of-network reimbursement workflows.
98% Reduction in Manual Claim Prep | Claims Management Automation
Gentem’s case demonstrates how an agentic AI automation layer strengthens the entire claims lifecycle without adding headcount or forcing changes to existing EHRs with 1,2 FTE saved a month
98%
Reduction in manual claim prep. See how an automated EHR-to-claim data pipeline removed up to 250 hours per week of manual RCM work.
+$50K Saved in 1 Month | AI Agent For Denials Management
This case demonstrates how AI-driven denial automation eliminated ~90% of manual rework, reduced claim processing time from ~6 minutes to ~30 seconds, cleared 80% of a 3,000-record backlog in three weeks, and delivered $90K+ in savings with 500+ hours saved monthly.
+$50K
Saved in 1 Month. Discover AI automations that reduce 90% of manual re-work for RCM teams.
Up to 80% Higher Throughput in RCM – Denials Management Automation
PathGroup’s case shows how automated denial handling across athenahealth and PathSys reduced processing time from ~10 minutes to ~55 seconds, cleared backlogs to near-zero, and scaled to ~300 automated resubmissions per day.
98%
Reduction in manual claim prep. See how an automated EHR-to-claim data pipeline removed up to 250 hours per week of manual RCM work.
how the process works
We don’t use call screeners. You speak directly to someone who builds automations.
A real walkthrough - not a questionnaire. (30 - 60 minutes based on complexity of the process)
Tech stack, complexity, volume, potential ROI, edge cases.
We answer any questions and show you precise estimates. No surprises. No upsells. No vague ranges.
what affects pricing?
Workflow complexity
Number of systems involved
Volume or frequency
Reporting or audit needs
Data availability
Special payer/clinic rules
get the pricing for your project
We can give you a rough ballpark in the first 15 minutes of call one.
We’ll cut through the noise and see if automation works for you.