AI-Powered Revenue Cycle Management
Sunbound's RCM software sits on top of your existing EHR to run your full claims cycle in one place, from eligibility through denial management, appeals, and reconciliation. Our AI flags issues upfront and learns from every denial, while our team of experts handles the complex exceptions, giving you full visibility into every claim, no spreadsheets.
Get paid for the care you've already delivered.
Trusted by Skilled Nursing and Senior Living Operators
Software Plus a Team That Runs It
Self-service software leaves the work to your team. A billing service hides it. Sunbound runs the whole cycle with full visibility.
Stop chasing payers, but stay involved.
Buying RCM software alone means somebody on your staff has to learn it and run it. Hiring an outsourced biller often means losing visibilty on claims statuses.
Sunbound solves both. Our AI-powered RCM platform provides end-to-end management and visibility from eligibility through reimbursement. Have a question? You've got someone to call.
Simplify your systems management.
In most operations the EHR and billing systems don't talk, so census and coverage get entered twice. That double entry is a common place where claims go wrong.
Sunbound integrates with your existing EHR, like PointClickCare. Census details, discharges, level-of-care changes, and insurance details flow seamlessly into Sunbound so claims are built automatically and are accurate the first time.
Turn insights into action.
Stop chasing your team for numbers or rebuilding the same spreadsheet each month.
Sunbound's reporting turns data into actionable insights. From C-Suite dashboards showing real-time denial rates, appeal success, payer mix, claim status, and days in AR by community, to prioritized worklists that show where every individual claim stands, the numbers you used to pull by hand are accessible in a click.
Stop chasing payers, but stay involved.
Buying RCM software alone means somebody on your staff has to learn it and run it. Hiring an outsourced biller often means losing visibilty on claims statuses.
Sunbound solves both. Our AI-powered RCM platform provides end-to-end management and visibility from eligibility through reimbursement. Have a question? You've got someone to call.
Simplify your systems management.
In most operations the EHR and billing systems don't talk, so census and coverage get entered twice. That double entry is a common place where claims go wrong.
Sunbound integrates with your existing EHR, like PointClickCare. Census details, discharges, level-of-care changes, and insurance details flow seamlessly into Sunbound so claims are built automatically and are accurate the first time.
Turn insights into action.
Stop chasing your team for numbers or rebuilding the same spreadsheet each month.
Sunbound's reporting turns data into actionable insights. From C-Suite dashboards showing real-time denial rates, appeal success, payer mix, claim status, and days in AR by community, to prioritized worklists that show where every individual claim stands, the numbers you used to pull by hand are accessible in a click.
Truly End-to-End, in One System
End-to-end revenue cycle management means eligibility, authorization, billing, denials, appeals, reimbursement, and reconciliation. Sunbound runs all of it in one system.
Eligibility & Authorization
Coverage confirmed before you bill.
Claim Build & Validation
Adaptive AI catches errors before submission.
Denial Recovery & Appeals
Prevent recurrent denials and recover revenue.
Payments & Reconiliation
Accuracy you can stand behind.
Reporting & Analytics
The numbers you used to build by hand.
Eligibility & Authorization
Eligibility runs across Medicare, Medicaid, MCO, and Medicare Advantage, with alerts before an authorization lapses mid-stay. Insurance discovery finds the plan when a card is missing. Residents not ready to bill get flagged first.
Claim Build & Validation
Sunbound's AI builds each claim from your census and checks it against that payer's rules. Claims are automatically built, validated, and accurate from the start.
Denial Recovery & Appeals
A denial lands with a specialist who works it to resolution and attaches the evidence. A worklist tracks timely filing, so nothing ages out waiting for attention.
Payments & Reconciliation
Sunbound's team of experts handles payment posting and bank reconciliation to keep your system of record current and accurate.
Reporting & Analytics
Which payer's denial rate is climbing? What's your appeal win rate? How is payer mix shifting? How many days is AR sitting, by community? Executive analytics turn insights into actionable worklists that help prioritize focus.
A guided, personalized rollout, built around your team.
Connect Your EHR
Census, coverage, and resident data flow in from PointClickCare, or your existing EHR, so your team re-keys nothing.
We Do the Setup
From payer enrollment, ERA and EFT, and AR migration, your dedicated Sunbound team runs the onboarding. We do the heavy-lifting.
Go Live in One Cycle
We test everything first: claims, eligibility, payer connections. Then billing runs in Sunbound, and your team starts the month with those hours back.
Steady State, Fully Visible
Claims, denials, and posting run in Sunbound. You get a live dashboard, a weekly digest, and regular check-in meetings with your dedicated Customer Success contact..
Why SNF and ALF Operators Choose Sunbound RCM
Eligibility errors create downstream risk.
Prevent common traps with eligibility, coverage, and intake checks before submission. As a result, denials decrease, aging is reduced, and reimbursement is protected.
You can't say where AR stands today.
Claims scattered across a biller, an inbox, or a spreadsheet mean nobody can say what's submitted, pending, or denied. See every claim on one live dashboard. No more black-box.
Follow-up shouldn’t be reactive.
Denials are actively tracked through resolution so issues don’t stall. Guided follow-up keeps work moving and shortens reimbursement timelines without manual chasing.
Your biller files the claim and disappears.
A submit-only biller sends the claim and leaves you to work the denials. You're left chasing payers. Sunbound's end-to-end solution works the full cycle while keeping statuses visible.
Taking Care of Senior Care
"Sunbound has made a real difference in how our teams operate day to day. It’s reduced the administrative load, improved efficiency and allowed our staff to stay focused on our residents."
Heidi Royter
“We’ve transformed our payment operations while making it easier for families to focus on what matters most: their loved one’s care.”
Shane Herlet
"Partnering with Sunbound aligns perfectly with our strategy to support our operator partners through innovative technology solutions."
Matthew Gourmand
“Our billing accountants used to spend two business days manually processing ACHs each month. Now that the pulls happen automatically, they are freed up to focus on other high-impact tasks.”
Samantha Spino
“The Sunbound team is great and the product is working even better than expected! They have promised big and delivered on it.”
Mike Eby
"Our ROI has improved through Sunbound's collection efforts and just as important, the Sunbound team is incredible to work with and truly delivers on what they promise."
Heidi Royter
"Sunbound has already demonstrated significant value for senior living communities within our portfolio, and we believe this investment will further enhance the performance and competitiveness of our operator partners."
Matthew Gourmand
No more black-box. Accuracy you can stand behind.
You can't control how hard a plan denies, or what a state does to rates. You can control whether every claim leaves clean.
Sunbound validates each claim, works denials to resolution, and builds the audit trail as it goes. You deserve to collect the revenue for the care you've already delivered.
Claims Collection Rate
Reimbursement arrives as expected.
First-Pass Acceptance Rate
Claims accepted correctly the first time.
Reduction in Cost to Collect
Less spend to bring in the same dollar.
Reduction in Bad Debt
Fewer write-offs on care already delivered.
Whitepaper: Accuracy Is the Margin
Margins are thin and every payer is harder to collect fromthan it was a year ago. This 10-page playbook makes the case that the one leverskilled nursing operators still control is revenue-cycle accuracy, then showswhere collections break down, why more software and more hiring haven't fixedit, and what actually closes the gap. Written for SNF owners, CFOs, and VPs ofFinance who want more of the revenue they have already earned.
In this skilled nursing revenue-cycle playbook, you'll learn how the best operators turn the care they deliver into cash they collect.
Your Revenue Cycle Is Bigger Than Your Claims
Most vendors work one slice of the cycle. Sunbound bills the payer and collects the resident's share, in one system, with a team of dedicated experts.
Admissions
AI Risk Screening
Private Payments
Faster Payments
Payments
Revenue Cycle Management
Product + Service
Skilled Nursing and Senior Living RCM FAQs
Why outsource revenue cycle management instead of buying RCM software?
Most revenue cycle management companies force that choice. RCM software hands you a platform and expects you to staff a team to run it. A billing service takes the work but runs opaque, so you lose visibility along with the workload. Sunbound's RCM solution includes both an AI-powered software plus a highly accessible service team that is availble to answer any of your questions. Our end-to-end solution ensures that every claim, denial, and payment is visible in real time, and that you realize the revenue for the care you delivered. Our pricing is tied to what we collect.
Does Sunbound handle Medicare, Medicaid, and Medicare Advantage claims?
All of them. Sunbound manages the full payer mix in skilled nursing and senior living: Medicaid state programs and MCO plans, Medicare Part A and B, Medicare Advantage, VA, and managed care. It is built for long term care revenue cycle management, not adapted from hospital RCM, so it handles census-driven billing, level-of-care changes, and state-by-state Medicaid rules. Because the resident's share in skilled nursing is structural, Sunbound bills and collects that too: Medicaid patient liability, Medicare coinsurance from day 21, and the balance every coverage transition leaves behind.
How does Sunbound work with our EHR?
Sunbound is a PointClickCare Marketplace partner. We pull demographics, contacts, insurance coverage, facility information, journal entries, conditions, and ADT records, and build claims from them, so billing starts from your system of record instead of a form or an email. The connection is read-only: data flows one direction into Sunbound and nothing writes back to your clinical record. Sunbound's team handles payment posting and bank reconciliation. We integrate with the other systems senior living operators run, and we handle setup.
What does Sunbound's AI actually do?
Sunbound's AI parses authorization documents and remittances. It discovers coverage when a resident's insurance card is missing. It flags residents who are not ready to bill before anyone builds a claim. And when a claim is denied, it diagnoses the root cause and recommends the next action in minutes instead of hours. It adapts to each payer's requirements as it goes, so the same denial does not recur. Sunbound's team of experts handles the complex exceptions.
What does the implementation timeline look like?
Typically four to eight weeks, depending on portfolio size. Sunbound runs payer enrollment, EHR access, ERA and EFT, and AR migration as parallel workstreams with a dedicated implementation team, then moves billing into Sunbound at the start of a month. Spring Oak Senior Living went live across 16 communities while running two other major system changes at the same time.