{
  "name": "Actigy BPO Denial Cost Calculator",
  "version": "2026-10-18",
  "status": "Hypothetical planning model, not observed outcomes",
  "inputs": {
    "monthly_claims": 2000,
    "initial_denial_percent": 10,
    "target_denial_percent": 6,
    "worked_percent": 80,
    "touches_per_worked_denial": 2,
    "minutes_per_touch": 8,
    "hourly_cost_usd": 30,
    "average_expected_denied_reimbursement_usd": 180,
    "unrecovered_dollar_percent": 20,
    "monthly_prevention_cost_usd": 1000,
    "setup_cost_usd": 3000
  },
  "expected_outputs": {
    "baseline_monthly_labor": 1280,
    "baseline_monthly_unrecovered": 7200,
    "baseline_monthly_total": 8480,
    "target_monthly_labor": 768,
    "target_monthly_unrecovered": 4320,
    "target_monthly_total": 5088,
    "annual_gross_difference": 40704,
    "first_year_difference_after_intervention_cost": 25704
  },
  "limitations": [
    "Steady volume and case mix",
    "Target changes initial-denial incidence only",
    "No separate appeal-recovery improvement",
    "Capacity is not automatically cash savings",
    "Cash acceleration excluded",
    "Do not enter patient data"
  ]
}