Medical Billing Pro Forma
Healthcare Excel Template (Free Download)
Project RCM clients, claims, payer mix, collectible cash, contingency-fee revenue, profitability, and cash needs.
professionals from Deloitte
About this pro forma
This pro forma translates the medical billing model into projected client, claims, payer-mix, collections, revenue, and cash-flow outputs. Client growth and churn feed claims volume; allowed amounts, denials, appeals, remittance lags, and contingency rates convert billed charges into earned revenue.
Use the projected revenue per claim, fee compression, EBITDA, receivables, cash flow, and DCF value to assess growth quality. The Excel model is the calculation engine; the pro forma is the projected decision output.
What every model includes
Live formulas, no hardcoded values
Outputs are driven by live formulas, so the workbook updates from its assumptions instead of relying on hardcoded results.
All assumptions in one tab
Inputs are clearly marked in the Assumptions tab and separated from calculations, making it clear what to change and what to leave intact.
Statements always balancing
For integrated-statement models, the balance sheet, cash flow, and supporting schedules tie through properly.
Distinct schedules for clarity
Debt, working capital, taxes, and cash flow can get messy quickly. We group calculations in clear schedules, not across disconnected tabs.
No hidden macros or external links
There are no unexplained external workbook links or macros to undermine auditability or portability.
Changes flow through the model
Update a key driver and see the impact carry through the forecast, financing, and return outputs. We never use hardcoded numbers in formulas.
What's inside the Medical Billing Pro Forma
- Projected client roster and claims volume
- Payer-mix, allowed-amount, and denial forecast
- Appeals, recoveries, write-offs, and collections bridge
- Contingency-fee revenue and revenue-per-claim outputs
- Biller capacity, overhead, receivables, and free cash flow
- Enterprise value, equity value, and value per share outputs
Formatted to IB standards
Named theme colors repaint the whole workbook in one click, on top of an investment-banking structure with clear input, output, and cross-sheet reference styling - brand-ready, institutional-grade, and fully auditable.
Created by ex-finance professionals
Hey, I’m Alex and I created Finamodel.
Over my years in the finance industry I kept building the same models over and over again. Same structure, same assumptions, different logo. So I started building frameworks to turn them into clean, reusable templates.
Every model here is one I’d actually use for a client, and I personally vet each one before it goes up.
I’m not an expert in every industry, but I’ve built enough models to know what belongs in one. And when something is completely foreign to me, I reach out to my network for experts to work on our models with us.
Having a template library on hand cuts a first build from hours to minutes.
Need help finding your model? You’ll find me in the Finamodel app!
Frequently asked
What does the medical billing pro forma include?+
It includes projected clients, claims, payer mix, collections, contingency fees, costs, receivables, cash flow, and valuation.
Does it separate denied claims?+
Yes. The projected claims funnel shows clean claims, appeals, recoveries, and written-off dollars.
How is revenue calculated?+
Revenue is projected from cash actually collected and payer-specific contingency fee rates, not gross billed charges.
Can I test payer-mix changes?+
Yes. Payer mix, denial, allowed-amount, remittance-lag, and fee assumptions can be flexed.
Have more financial modelling questions? Contact us
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