ROI Calculator
How much is poor evidence documentation costing your TPA?
Adjust the inputs below to estimate your claims leakage and fraud exposure — and discover which Claimware package delivers the best ROI for your operation.
Your Operation
10
1200+
200
505,000
$15,000
$5K$100K
10%
2%20% (industry avg: 10–15%)
8%
2%25%
Methodology: Leakage savings based on 35% documentation improvement rate. Fraud savings based on 25% detection improvement. Industry benchmarks from NICB and ISO ClaimSearch research.
Claimware ROI Report
Generated for your TPA operation
Your Current Exposure
Total claims paid/yr
$3,000,000
Leakage exposure
$300,000
Fraud exposure
$240,000
Total at risk
$540,000
With Claimware — Professional Plan
Leakage reduction (35%)+$105,000
Fraud detection improvement (25%)+$60,000
Annual software cost (Professional)-$3,490
Net Annual ROI+$161,510
Return on Investment47.3x
For every $1 spent on Claimware, your operation recovers an estimated $47.3 in leakage prevention and fraud detection.
Recommended Package
Professional
Based on your 10 adjusters and 200 claims/year, the Professional plan is the best fit — Small TPA or IA firm (5–25 adjusters).
Monthly
$349/mo
Annual (save 17%)
$291/mo
Essentials— 1–5 staff
$199/moProfessional— 5–25 adjusters
$349/moBusiness— 25–75 adjusters
$599/moEnterprise— 75+ adjusters
$1199/moMethodology: Leakage savings based on 35% documentation improvement rate from structured evidence management. Fraud savings based on 25% detection improvement from systematic signal capture. Industry benchmarks from NICB and ISO ClaimSearch research. Results are estimates and may vary.
Save your ROI report
Download a PDF of your personalized ROI analysis to share with your team.