Pricing

Pay for results. Not headcount

Traditional vendors sell headcount — linear cost that can’t keep up with AI-driven denials. Offshoring sells cheaper headcount — still linear. ANKA sells outcomes. SLAs with teeth. If we miss, your fees go down.

Most vendors charge whether results improve or not. ANKA charges only when measurable outcomes happen. Denial rates drop. AR days shrink. Collections increase. Performance-backed SLAs tied to your revenue, not our effort.

THE ANKA DIFFERENCE TRADITIONAL RCM 8 FTEs required ✕ $480K annual cost ✕ 3-5% leakage in denials ✕ No performance guarantee ✕ Manual appeal processes ✕ Limited visibility to recovery ✕ ANKA OUTCOME-BASED Fully automated platform ✓ Fee tied to recovery (SaaS) ✓ Guaranteed denial capture ✓ Performance SLAs on recovery ✓ Real-time appeal execution ✓ Full recovery transparency ✓ Your cost goes down when our performance goes up Aligned incentives. Shared success. Outcome-based pricing model.
47%Cost-to-collect reduction · Multi-specialty
51%Collections improvement · Anesthesia group
50%Cost reduction · Rural hospital
$0Upfront cost in the contingency model
4 wksAverage deployment time
How We’re Different

Three models. Only one charges you for results

Capability Traditional Outsourcer Software Vendor ANKA
How They Charge Monthly FTE cost ($8K–$15K per person) Per-claim or monthly software fee Contingency or outcome-based pricing
Who Does the Work Your outsourced staff (often offshore) Your team (you pay them anyway) AI execution + your team oversight
Appeal Volume Scaling Costs increase (more FTEs needed) Scaling built-in but not guaranteed Marginal cost: ~$0 per appeal
Denial Rate Guarantee No guarantees No guarantees Guaranteed in the SLA. If we miss, fees adjust down.
AR Days Reduction Guarantee No guarantees No guarantees Guaranteed in the SLA. If we miss, fees adjust down.
Underpayment Recovery Not a core capability Alerts only; you recover manually ANKA recovers. You pay percentage of finds.
Transparency Black box. Hours logged but results unclear. Dashboards show alerts, not execution. Every appeal submitted. Every recovery tracked. In real time.
Upfront Cost Immediate monthly commitment Immediate monthly commitment Zero upfront in the contingency model
Our Pricing Models

Start with contingency. Expand with outcomes

Phase 1

Start: contingency underpayment recovery

Zero upfront. You pay us only when we recover.

How it works:

  • ✓ ANKA analyzes your claims against payer contracts
  • ✓ We identify underpayments (typically $100K–$500K in first 90 days)
  • ✓ We recover the money
  • ✓ You pay us 25–35% of recovered revenue
  • ✓ If we find nothing, you owe nothing

Typical finding for a $3M practice: $147K–$210K in underpaid claims, recovered in 60–90 days.

Phase 2

Expand: outcome-based SLA pricing

Base fee + performance. Miss targets? We adjust down.

What’s guaranteed:

  • ✓ Denial rate reduction: 15–25% (measurable in 90 days)
  • ✓ AR days reduction: 8–15 days (SLA in contract)
  • ✓ Net collection rate improvement: 5–12% (baseline-dependent)
  • ✓ Appeals submitted + tracked: 100%
  • ✓ Uptime & availability: 99.5%

Typical base: $15K–$30K/month depending on claim volume. Performance component tied to measurable KPIs.

The Math That Justifies the Price

What a $3M practice recovers in year 1

Unworked Denials

$380K–$520K

denials your overstretched billing team can’t get to — between charge entry, posting, eligibility, and patient calls. ANKA works them all. 35–50% are recoverable.

Underpayments Recovered

$147K–$210K

3–5% of net revenue leaks through underpayments. ANKA catches them. Contingency pay: 25–35% of recovery.

Aged AR (Written Off, Not Worked)

$180K–$270K

Accounts you abandoned aren’t always uncollectible. ANKA systematically works them. 15–25% recovery rate.

Total Year 1 Revenue Recovery

$707K–$1M

Your cost: 25–35% contingency on underpayments + outcome-based pricing on denial/AR work. ROI: 200–400%.

Don’t estimate. Calculate. Run your numbers:

See Your Specific ROI

See the case studies behind these numbers

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Before & After ANKA 2 min
Questions

Outcome-based pricing FAQs

How is ANKA different from paying a percentage to my current outsourcer?

Your outsourcer charges you a percentage of revenue collected. If they work 10 denials and recover 3, you still pay them for the effort on all 10. ANKA is outcome-based: you pay us a percentage of underpayments we actually recover, and a base fee tied to guaranteed KPIs on denial rates and AR days. If we miss the targets, your fee goes down automatically. Most outsourcers: you pay whether results improve. ANKA: you pay only when measurable outcomes happen.

What if your AI doesn’t find any underpayments in the contingency phase?

You owe us nothing. Zero. The contingency model is zero-risk to you. We analyze your claims, we take the risk that we won’t find recoverable underpayments. In practice, we find $100K+ in the first 90 days for practices processing $2M+ annually. But if somehow we don’t, you’ve paid nothing and learned exactly what your exposure is.

Can we start with contingency and later move to outcome-based pricing?

Yes. Most customers do. They start with contingency underpayment recovery (zero upfront risk, proves the value), then expand to outcome-based pricings once they see the denial management and AR automation results. Once you’re in the SLA model, you’re guaranteed measurable improvements in denial rates and AR days, with automatic fee adjustments if we miss.

How long is the contract commitment?

Contingency phase: month-to-month. Expand to outcome-based: 2-year contract with automatic renewal. The longer engagement lets us guarantee results because we have time to embed the workflows, train your team, and optimize. If you want to exit early, you can—but we’ve never had a customer do that. 100% retention. Our outcomes speak for themselves.

What you get

Denial management →

denial resolution included in every plan.

Underpayment recovery →

Zero-risk contingency recovery — pay only on results.

How it works →

See the full platform capabilities behind our pricing.

Find out what you're losing

Complimentary revenue cycle assessment. If we don't find revenue worth recovering, you've confirmed your cycle is tight.

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AI that executes your revenue cycle. Not another dashboard.

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