Publish the baseline
Record eligible volume, current coverage, completion quality, staff effort, cost, aging, recovery behavior, and exclusions.
Plan the business case
Start with claim volume, current staff minutes, loaded hourly cost, completion rate, and expected recovery. Compare the same cohort under automation, then subtract all implementation and operating costs.
Interactive model
Monthly scenario
Scenario only. Released capacity is not automatically a budget saving, and cash after the fee is not automatically incremental revenue. This model excludes implementation, retained review, exception work, reversals, and the baseline collections your team would have produced.
Decision guide
Use the calculator as a scenario model, not a promise. It estimates staff capacity and a LunaBill fee from buyer inputs; it does not predict incremental collections, denial overturns, or net financial return.
Enter monthly eligible claims, current staff minutes per claim, loaded hourly cost, and the value actually recovered by the modeled workflow.
Released staff cost is not automatically a budget reduction, and gross collections are not automatically incremental revenue.
Replace assumptions with observed completion, exception, staff-time, recovery, and fee data from a controlled cohort.
Practical operating model
A controlled decision process makes both positive and negative findings useful and prevents a pilot from becoming an unmeasured demo.
Record eligible volume, current coverage, completion quality, staff effort, cost, aging, recovery behavior, and exclusions.
Use representative claims, fixed rules, explicit attribution, named human owners, and success thresholds agreed in advance.
Include the vendor, integration, governance, retained review, exceptions, rework, and opportunity cost of untouched claims.
Evidence boundary
LunaBill reports $32M+ in claim value worked in 30 days for the published Nutex cohort. That customer result is evidence to investigate, not a forecast or guarantee for another organization.
Review the source and methodologyBuyer questions
Start with claim volume, current staff minutes, loaded hourly cost, completion rate, and expected recovery. Compare the same cohort under automation, then subtract all implementation and operating costs.
Enter monthly eligible claims, current staff minutes per claim, loaded hourly cost, and the value actually recovered by the modeled workflow.
Released staff cost is not automatically a budget reduction, and gross collections are not automatically incremental revenue.
Replace assumptions with observed completion, exception, staff-time, recovery, and fee data from a controlled cohort.
Use a defined cohort from your own operation, document the baseline and allowed actions, inspect complete and failed outcomes, include human exception work, and agree on expansion criteria before the pilot begins.
Prepared for LunaBill from primary sources. Source review completed July 22, 2026. Product, pricing, integration, security, and customer-result statements are limited to LunaBill’s original site, public company materials, and the named Nutex case study. Suhail Parry’s operator background is corroborated by Y Combinator. Customer metrics are cohort-specific.
Test the real workflow
Start with your payer mix, your claims, and one clear baseline.