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Claims Backlog Value Estimator

Estimate the dollar value represented by unresolved claim work and the portion that may deserve a closer review.

About 2 minutes. Enter the backlog details first, then your business contact information to unlock the dollar estimate.

1. Backlog details 2. Contact details
Tell us about the unresolved work

Use broad business estimates. No claim files, patient names, or account details are needed.

Use the number of claims or claim lines represented in the backlog.
Use an expected allowed amount or a reasonable historical average—not billed charges.
This is a screening assumption, not a recovery rate.
Your Backlog Estimate
Estimated value represented by unresolved claims$0
Estimated amount selected for closer review$0
Estimated claims selected for closer review0

What this means: These figures represent the backlog assumptions you entered. They do not confirm lost revenue, underpayment, payer responsibility, or recoverability.

Talk Through My Estimate
Illustration of claim analysis and dollar-value review
Why allowed amount matters: Billed charges alone do not show what a payer should reimburse. Use the expected allowed amount or a reasonable historical average whenever possible.
Also available

Revenue Recovery Snapshot

Use the Snapshot when you want a workflow-risk score instead of a dollar estimate.

Check My Review Risk
How the estimate works

Simple math, clearly labeled.

Backlog value

Unresolved claims multiplied by average allowed amount.

Review amount

Backlog value multiplied by the review-rate assumption you select.

Review count

Unresolved claims multiplied by the same selected assumption.

Next step

Use the estimate to decide whether a focused discovery conversation makes sense.