How Much of Your Revenue Is Nobody Checking?
Calculate Your Exposure
Do you systematically work payer underpayments?
Claims paid, but below the contracted or scheduled amount.Facility type
Tells us if we are the right fit. It never changes the math.Currently Unverified, per Year
This calculation is built from your answers and the assumptions below. It is neither a projection of your results nor a recovery promise. The only way to know your real number is to run your own remittance files.$66,000–$198,000
of your annual net revenue that nobody is checking.
- Denials are not in this calculation yet. We ship no default denial rate, because the industry figure we could cite does not state which measure it uses. Enter yours to include them.
What the assessment does
Reads your 837 and 835 files, prices every line against the schedule in force on its date of service, and ranks the findings by dollars. Fixed fee, and it can run on de-identified data.
How the Calculation Is Built
Pool B — underpayments nobody is checking
- Priceable revenue
- $40,000,000 × 55% = $22,000,000
- Underpayment pool
- $22,000,000 × 0.5–1.5% = $110,000 – $330,000
- Left unworked
- × 60%
- = Unverified
- $66,000 – $198,000
Pool A — denials never reworked
Not included — no denial rate entered, and we publish no default.
- Total
- $66,000 – $198,000 per year
All arithmetic runs on net patient revenue, never on billed charges — charges are a multiple of the allowed amount, so a rate applied to charges overstates the result.
None of these is a published benchmark. They are our working assumptions, stated so you can disagree. Change any value to update the calculation.
Silent underpayment rate, low end
Government-payer revenue underpaid against the published schedule, at the cautious end.
Silent underpayment rate, high end
The same, at the upper end of what we would expect.
Denied dollars never recovered
The share of first denials never reworked or appealed.
Underpayments left unworked
Set by how you work underpayments today.
What You Will Receive
The calculation above is a range. What we deliver is a specific line on a specific claim, with the published rate it should have paid.
These show the shape of a finding, not what any hospital recovered. We show no total on purpose.
What This Is, and What It Isn't
Let’s Talk!
Bhupesh Nadkarni
Head, Healthcare
We build it. You own it.
Your calculation and the assumptions you used are attached to this message, so we start from what you saw. Please never send claims or patient data through this form.
About this calculator
Figures are directional estimates from your inputs and the stated assumptions, not client results, a forecast, or a guarantee of recovery. RevSure360 is built and operated by Coditas.
All the math runs in your browser. Nothing you type leaves it unless you submit the contact form.
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