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.
Arkangel audits every medical claim against tariff rules, coverage and the clinical record, and backs each finding with evidence. The auditor decides. Leave your details and book 30 minutes with the team.
Deterministic rules check every claim. Without certainty the result is "not verified", never an automatic denial. The auditor makes the final call.
27 administrative, 29 clinical and 42 financial rules check every line item; each finding comes with its evidence and the human auditor decides.
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.
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%.