Clinical Audit Calculator with AI

Compare what your team can review today versus what AI-assisted review could cover.

Total number of cases your area processes per month.

Evidence shows an average audit rate between 5–20%.

Number of people dedicated to case auditing.

100% Coverage

Arkangel AI audits every case, eliminating partial sampling and undetected findings.

Analysis in 1.5 min

AI agents process a complete case in under 2 minutes, compared to hours of manual review.

8% Incidence rate

Average fraud or non-pertinent payment rate most cited in health insurance literature.

Results are estimates based on industry averages. Actual values may vary depending on case complexity, insurer type, and specific operational conditions of each organization.

Sources and references

Data and statistics used in this calculation

LexisNexis True Cost of Fraud Study

Every dollar lost to fraud costs organizations USD 4.59 on average, considering investigation, recovery, and operational costs.

OECD (2017). Tackling Wasteful Spending on Health

Over 60% of health audit controls are triggered when spending has already occurred, significantly reducing their effectiveness.

Clinical audit benchmarks

A clinical auditor reviews between 25 and 40 cases per business day (8-hour shift). Typical audit sampling percentage is 5–20%.