Calculate Potential Savings

Organizations that utilize electronic transactions reduce time-consuming, manual processes saving time and money. CAQH has made it easy for organizations to calculate the potential savings of switching from manual to electronic transactions. Get started below.

Index calculator data configuration: January 2019

Cost and time savings are based on industry averages from the most recent CAQH Index report, as well as adjustments for the current state of the market, such as inflation, salaries and transaction costs.

The calculator returns estimated savings; results should not be considered actual savings. Data entered in the interactive calculator is neither stored nor tracked by the CAQH Index or CAQH.

Note: For claim payment and remittance advice, the maximum time savings is zero because the time to conduct manual and electronic transactions is equal in the 2018 Index.

 

Q&A: Calculating Potential Savings: 

Which transactions are included in the 2018 savings calculator?

For the 2018 savings calculator, the following transactions are included:

  • Claim Submission
  • Eligibility and Benefit Verification
  • Prior Authorization
  • Claim Status Inquiry
  • Claim Payment
  • Remittance Advice
  • Claim Attachments

How are the estimates calculated?

Cost and time savings are based on results from the most recent CAQH Index report. For more information on the estimates, please refer to the methodology section in the latest CAQH Index report.

How are the results displayed?

The calculator displays cost savings related to converting entirely (100 percent) or partially (50, 25, and 10 percent) to electronic processing for each transaction.

Why does the calculator indicate that the maximum time savings opportunities for the claim payment and remittance advice transactions are zero?

In the 2018 CAQH Index, the maximum time to conduct the manual and electronic claim payment and remittance advice transactions is the same. There is no difference in the maximum time to complete an electronic transaction, compared to a manual transaction; they are equal. Therefore, the calculator returns a value of zero when calculating the difference in these values.

Can all organizations receive an estimate on potential time savings?

No. At this time, only providers can estimate potential time savings as a result of transitioning from manual to electronic transactions.

How much does it cost to use the savings calculator?

There is no cost associated with using the savings calculator.

Will CAQH store or use the information I provide in the calculator?

No. Data entered in the interactive calculator is neither stored nor tracked by the CAQH Index or CAQH.

Can my organization contribute to the CAQH Index data collection in the future?

Yes! For more information, please visit Become A CAQH Index Participant. To sign up to become a participant, please click here.