Overview
LunaBill provides AI revenue-cycle automation for health systems and medical-billing businesses. Its agents handle payer follow-up, claim-status retrieval, denials and related administrative work, with a performance-based commercial model tied to recovered collections.
What LunaBill does
LunaBill takes on the payer interactions that consume a billing team’s workday: checking portals, calling insurers, retrieving claim status and moving unresolved claims toward the next action. Its current platform covers denials, appeals, resubmissions and posting as well as the original voice-calling workflow.
The service connects to the customer’s EHR and clearinghouse and works from the relevant claim worklists. Agents handle routine follow-up while the revenue-cycle team can focus on exceptions, complex appeals and patient-facing work. Claim actions remain available in an audit trail for the customer’s review.
The intended customers are health systems and revenue-cycle management firms with substantial follow-up volumes. LunaBill’s pricing page includes integration, onboarding, support and ongoing tuning in the engagement. It describes a signed business associate agreement before patient information is transferred into the service.
Differentiation
Compared with additional billing staff
LunaBill automates recurring payer interactions and claim actions around the existing team. Staff can retain responsibility for escalations and work that needs a person’s judgment.
Compared with a voice-agent tool
The current offering extends beyond making a call. It connects the payer conversation or portal response to claim worklists, follow-up actions and collections within a revenue-cycle engagement.
Pricing
- Revenue-cycle engagement
- Share of recovered collections
- Customer-specific percentage of net collections recovered, billed after collection. Published terms include no upfront, license or implementation fee.
Track record
LunaBill’s Nutex Health case study describes deployment across a 24-campus health system using Epic and GoRev. Its methodology distinguishes claim value worked, collection activity and the cost comparison, which are different measures.
Company details
- Founded
- 2025
- Team size
- 4 (YC listing)
Founders & leadership
Investors & backers
Y Combinator







