Custom Healthcare Software
ROI Calculator

Scaling a healthcare operation often means hiring more administrative staff to handle patient intake, prior authorizations, and insurance claim scrubbing. Manual data entry is not only expensive; it is prone to human error, which leads to claim denials and delayed revenue.

This calculator helps operations leaders put a number on the hidden cost of manual workflows. Every figure it uses is an input you control, including how much of the work you assume automation can remove and what you assume a build would cost, so the result is your business case, not a promise.

Calculate Your Healthcare Automation Savings

The true cost of manual healthcare administration goes beyond salaries. When staff spend hours each week logging into payer portals to check claim statuses, you are paying for their time and also absorbing delayed reimbursements, missed prior authorization deadlines, and denials caused by simple data entry mistakes.

A useful cost estimate looks at the full picture: what you spend on per-seat licenses for off-the-shelf software, how much staff time goes to redundant data entry, and how much faster your revenue cycle could move with automation.

Custom Development vs. Off-The-Shelf Software

Off-the-shelf SaaS products are quick to set up, but they often charge ongoing per-user licensing fees and may not integrate cleanly with your existing systems (like Epic or Cerner). Many generic practice-management systems make you adapt your workflows to their templates rather than the other way around.

When Opexia builds custom software for your healthcare organization, you own the IP and there are no per-seat licenses, so software costs are not tied to headcount as you grow. Whether that beats a subscription depends on your numbers, which is what the calculator above is for.

Where RPA Fits

Robotic Process Automation (RPA) bots can log into payer portals, check claim status, and reconcile the results into your database on a schedule. They are most useful where a payer offers no API; where an API or EDI transaction exists, that is usually the more reliable route.

How much staff time automation frees up depends entirely on your volumes and workflows. Enter your own numbers above rather than relying on industry averages.

How to Use This ROI Calculator

Enter your administrative headcount, loaded hourly rate, and the hours per week your team spends on manual tasks like prior authorizations, claim status checks, and data entry across disconnected systems. Then set the two assumptions: the share of that work you expect automation to remove, and an assumed one-time build cost. The calculator shows an estimated break-even timeline based on those inputs.

Use the result as a starting point for your business case, then pressure-test the assumptions with real volumes and a scoped estimate before committing to a build.