Pre-Call Brief · opportunity calculator · v0.2

Sales Opportunity Calculator

Estimates the annual recoverable-revenue opportunity for a prospect practice: ① recoverable leakage (denials + underpayments + bundling) + ② facility / ASC + ③ OON / IDR premium. Every constant defaults to the locked Assumptions Key — hover any ⓘ for source, rationale, and confidence; all are adjustable below. Internal prioritization tool, not a client-facing quote.

Provider roster

Provider type	Count	Ins. collections / provider

Collections = annual insurance collections per provider (editable). Cosmetic-cash excluded (not claims-billed).

Facility — component ②

Practice owns an ASC (surgical facility)

ASC cases / year

Facility insurance share

Facility fee / case ($)

Facility network status

In-network OON (own)

Insurance-billed facility claims only. Derm = N/A. OON-owned facility can't IDR its fee (balance-bill only) and breaks the pro-IDR nexus below.

OON / IDR — component ③

OON provider(s) at an in-network facility (surgical ENT / plastics)

Current OON insurance collections ($/yr)

Own-ASC OON — subspecialty

Own-ASC OON — surgical cases / month

Own-ASC OON — practice ZIP (locality; blank = national)

Current IDR state

Not doing IDR (1×) Transitioning IN→OON Already doing IDR (9×)

Derm never IDR-eligible (office). Not doing IDR = team doesn't file → grossly underpaid (full upside). Transitioning IN→OON = newly OON, currently ~contracted (1.4× QPA). Already doing IDR = marginal lift only.

Assumptions (sliders default to the locked registry)

Adjust constants ▾

Total Auctus opportunity / yr

band —

Auctus economics ▸

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Breakdown

① Recoverable leakagedenials + underpayments + bundling

denial recovery gain$0

underpayments (invisible)$0

bundling / rejections$0

Auctus economics ▸

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② Facility / ASCif owned

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③ IDR (OON premium)if OON-surgical

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④ Own-ASC OON billingPRO + FAC

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Auctus economics ▸

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Auctus economics ▸

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Insurance revenue base: $0

Estimate for internal prioritization. Bands ±35% (benchmark uncertainty). Soft inputs: current-recovery 35%, IDR anchor, facility volume. Full sourcing in the Assumptions Key. ③ keys off IDR-naïveté — a naive OON-surgical practice is the grand-slam.