LunaBill

Hospital and health system revenue cycle teams must manually check payer portals, call insurers, navigate phone trees, and file appeals for every stalled claim, which the page describes as taking 22 minutes of staff time per claim follow up. Claims routinely sit unpaid well past a payer's clock, with the case study citing 60+ day commercial claims and a 45 day average days-in-AR figure at one health system. This work requires growing headcount to keep pace with a growing backlog, and the fully loaded cost per claim cited for one customer was $22.28. RCM and BPO firms face a similar problem when trying to scale client portfolios without scaling payroll.

LunaBill deploys AI agents that work each claim end to end inside the EHR a hospital already uses: verifying eligibility, checking payer portals for status and denial codes, placing live calls to payers and navigating their IVR systems, drafting and filing appeals with records attached, fixing and resubmitting claims with payer ID or COB errors, and posting payments and reference numbers back to the EHR. It integrates with Epic, Cerner, GoRev, Waystar, and Availity, with a pilot available within 48 hours and a BAA signed in under a day. Pricing is performance based, a share of net collections recovered, with no upfront, license, or implementation fees.