CVO partner · Andros HealthInternal ops · 2 specialists← Back to customer view
IAL §8 · Cost vs. customer price

Margin

What each integration type costs us to fulfill vs. what we charge the customer. Used to drive pricing decisions, CVO partner renegotiations, and engineering investment in browser-agent coverage. Snapshot: Mindscape Behavioral Health · last 30 days.

Subscription rev (mo)
$7,490
Per-action rev
$15,930
Per-action cost
$2,184
Per-action margin
$13,746
Per-action margin %
86%
Outliers (cost > 2× est.)
1
Tier 1 · Direct API
Volume1781
Cost$771
Price$480
Margin-$291 (-61%)
Tier 2 · CVO partner
Volume25
Cost$298
Price$0
Margin-$298 (0%)
Tier 3 · Browser agent
Volume27
Cost$15
Price$8,100
Margin$8,085 (100%)
Tier 4 · Human task
Volume23
Cost$1,100
Price$7,350
Margin$6,250 (85%)
Integration typeTierVolumeCostPriceMargin%
nppes_lookupT1142$0included
oig_screen_monthlyT11$0included
sam_gov_screen_monthlyT11$0included
checkr_backgroundT18$360$480$12025%
twilio_smsT1487$365included
resend_emailT11142$46included
caqh_proview_attestT218$270included
npdb_queryT27$28included
optum_enrollmentT39$5$2,700$2,696100%
carelon_enrollmentT36$4$1,800$1,796100%
magellan_enrollmentT33$2$900$898100%
evernorth_enrollmentT34$2$1,200$1,198100%
anthem_bh_enrollmentT35$3$1,500$1,497100%
state_board_email_verificationT412$300$3,600$3,30092%
payer_escalation_callT44$100$1,200$1,10092%
state_medicaid_mco_enrollmentT42$400$1,200$80067%
notarized_document_coordinationT43$150$750$60080%
reference_check_outreachT42$150$600$45075%
Outliers to investigate: Tier 4 actions where actual specialist hours exceeded 2× estimate. Currently 1 ticket in this window — the NY OP license-format reconciliation for T. Brooks (3 attempts). Worth a process retro to figure out whether provider follow-up flow needs to start sooner.
Public pricing posture:$35/provider/month + “starting at $300/enrollment”. Backend tracks the actual cost and we eat margin on Tier 4-heavy customers during the design partner phase. Tiered public pricing is a year-2 conversation once we have data on the cost distribution.