Inputs
Tell us about your intake.
Defaults come from published benchmarks, listed under the calculator. Replace them with your own numbers for a better estimate.
Live · Updates as you move sliders
Estimated annual cost
$3,533
Staff wages spent on manual eligibility checks per year
Staff hours per month
checks × minutes ÷ 60
13
Staff hours per year
monthly hours × 12
160
Equivalent full-time workweeks
annual hours ÷ 40
4.0
Gap vs. electronic benchmark
128 hours a year if checks averaged 4 minutes
$2,826
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Methodology
Where the defaults come from.
Every default is a published figure. Your actual numbers will vary, so replace them with your own.
- 40 checks per monthA 200-client practice typically generates 30 to 50 new inquiries per month (BHSAI analysis). Add re-checks if your team re-verifies existing clients.
- 20 minutes per manual checkAverage time medical providers spend on a manual eligibility and benefit verification, with a range of 3 to 60 minutes (2023 CAQH Index).
- $22.08 per hourNational median hourly wage for medical secretaries and administrative assistants, May 2025 (U.S. Bureau of Labor Statistics). Excludes benefits and overhead, so the true cost is higher.
- 4-minute electronic benchmarkAverage time for a fully electronic verification for medical providers (2023 CAQH Index). Used only to show the size of the gap, not as a promised result.
- What's not includedClients lost to verification delays, denied claims from eligibility errors, and re-verification before each visit.
Common questions
About this calculator.
How accurate is this estimate? +
The defaults are national benchmarks, not your practice. Timing a week of your team's checks gives a better number.
Does this include the cost of clients who leave? +
No, only staff time. For inquiries that never become appointments, use the lost revenue calculator.
How does BHSAI handle verification? +
We set up real-time eligibility checks at first contact for the plans you are credentialed with, including Medicaid managed care plans.