named Finance partner who works with the PM during the case
Business Case Narrative — fills the downloadable one-pager
Revenue Model
Pricing model (the fee)
Fee — % of savings
Fee — % savings (smaller)
Per-claim floor
Savings above target (share)
Fee on that slice
Realized per-claim
Benchmarks
Sets hit, savings, and collection-rate starting points for your product's position in the claims workflow. Override any slider after selecting.
Hit rate
Savings rate
Utilization rate (UR)
Avg claim value
Adoption curve
Pilots — Year 1 accounts
Avg claims per account
Pilot account size
0 = same as avg claims per account
New pipeline accounts / yr
accounts actively in your funnel each year
Sales win rate
Steady-state client count
max accounts at full market penetration
Revenue chain — BTR → Gross → Net
Year-by-year ramp
recurring $/yr — revenue or savings. Gate uses the 3-yr cumulative.
→ Payback — · Y3 ROI —
Costs — Investment & Run Cost
Build the cost up from resources. Pick the resource type, count, and fully-burdened $/FTE-yr. Tag each Build (one-time → CAPEX) or Run (recurring → OPEX/yr).
Team & Labor — Resource Plan
Resource typeCount$/FTE-yrBuild / RunP&L Bucket
Technology & Infrastructure
Other / Custom costs
CAPEX (build, one-time)
$0
OPEX (run, per year)
$0
CAPEX (build resources × duration + one-time infra) flows to Investment. OPEX (run resources + recurring infra) is the annual run cost. Rates are directional — Finance applies the official burdened rate card.
Pro Forma — P&L Preview
Pulls net revenue from the Revenue tab and run costs from the Costs tab. Tag run costs as COGS or OpEx in the Costs tab to split the P&L correctly. Build investment (CAPEX) is excluded from the P&L — shown in the summary strip below.
COGS = delivery & infrastructure. OpEx = S&M, G&A, R&D. Figures are directional — Finance applies the official rate card at the BCT stage.
Risks & Opportunities
Risk Heat Map
Probability
Impact
Capital Score — rate each 1–5
Financial Return and Risk Profile are auto-computed from the Pro Forma and Risks tabs. Review and override if needed.
Review & Export
Confirm the scorecard, then export. JSON loads into the register; PNG drops into a deck.
zelis®
—
—/ 5.0 Capital Score
New business case
Case Initiative Product
Capital Score — 6 weighted dimensions
Screening metrics
INVESTMENT i
—
PAYBACK i
—
Y3 ROI · GATE i
—
CUM BENEFIT i
—
RECOMMENDATION
Complete the scorecard
Confidential — Zelis Healthcare · scores recompute on the live List · 2026-06-18 · 58b7d56