MedallionAI Wiki

Sunbound

· 1 Gong source · 1 SF source

Sunbound

Snapshot

Senior-living RCM company (sunboundhomes.com). Active Medallion prospect as of Q1 2026, in BVA (business value assessment) phase. Use case: facility-level enrollment for senior-living communities — not individual provider credentialing. Referred by Brigade Health (existing Medallion customer).

Commercial

  • Prospect · Tier 3 · ARR $0 · BVA in progress — per SF diff, 2026-04-19.
  • Prior: Sunbound Senior Living- NB - — Closed Lost $622,846 — closed 2026-04-01 (006PO00000XCznuYAD)

Profile

  • Current scale: ~120 NPIs.
  • 5-year target: 1,500 NPIs (12×), 150 logos.
  • Revenue model assumption used in BVA: ~$3M revenue per location (midpoint of $2M–$4M).
  • Add-on pricing (Sunbound → their customers): $1–3K per community/facility, ad-hoc; tied to Medicaid/commercial app count.
  • Segment: senior living (Amy repeatedly flagged as its own world, distinct from hospital/provider groups).
  • Referrals/prior exposure: Brigade Health referred them; Amy knows Medallion via SeniorDoc and GeisMed; Anh knows via Weight Watchers.

Operations

  • Credentialing scope: facility/community level only at current phase (future expansion into provider-level PSV / CAQH maintenance flagged by Amy as possible follow-on).
  • Credentialing delay impact: 1–3 months → 10% claim impact estimated.

Key Contacts

Sunbound — Manny Cominsky (manny@sunboundhomes.com) — leadership / deal sponsor; provided underlying BVA numbers; Amy Raymond, Chief Operating Officer (amy.raymond@sunboundhomes.com) — RCM, onboarding, pay-ops all report up to her; new to Sunbound, wrapping up old contracts; Zach Miller, Revenue Cycle Team Lead (zach@sunboundhomes.com) — day-to-day cred/enrollment; currently ~25% of time on credentialing (higher before new hire); Anh Tran, Lead Product (anh.tran@sunboundhomes.com) — background in health-tech RCM, prior auth platforms, consumer health.

Medallion — Nave Brar, Enterprise AE (nave.brar@medallion.co); Scott Everline, Principal Solutions Consultant (scott.everline@medallion.co).

Active Work

  • Business Value Assessment (in progress as of 2026-03-19) — Medallion ran BVA deck with Manny, Amy, Zach, Anh. Open adjustments committed: (a) revise FTE scaling estimate down from 9 to ~7.5 (originally used 0.75 FTE per 150 NPIs bucket; Amy pushed back that math was inflated because enrollment is at facility/community level, not per-provider); (b) re-cut revenue-at-risk math to reflect Sunbound’s cut of their customers’ revenue, not gross customer revenue (Scott offered to share algorithm so Sunbound can compute own cut). Source: 19 BVA walkthrough.
  • Scope clarified — Sunbound deals with facility enrollment (enrolling senior-living communities with payers), not PSV on individual providers. Scott confirmed that maps to Medallion’s facility-enrollment flow (facility profile + W9/TIN/NPI + taxonomy + accreditations + licenses → enrollment requests + follow-ups + revalidation tracking). Gong 2026-03-19.
  • Sub-account architecture — Sunbound wants each of its customers (senior-living operators) to have their own organizational instance inside Medallion so customers can’t see each other’s data — matches the model Medallion already runs for Experity. Sunbound as admin/super-user has full visibility across. Medallion doesn’t charge per user seat; fees are per facility seat + per enrollment transaction. Gong 2026-03-19.
  • Availity fallback — Not all Sunbound communities have Availity set up. Scott confirmed Medallion can submit directly to the payer (form-mapping from Medallion data) when Availity isn’t available. Fax submission is the only method Medallion explicitly won’t do. Gong 2026-03-19.

Open Issues & Requests

Operational pain

  • Manual cred tracking today — Spreadsheets + in-house “scraper tool” drive denials, rework, and customer frustration per Nave’s recap. Credentialing gaps estimated to cause 1–3 months of billing delay.
  • Customer TINs/NPIs sometimes unknown — Manny flagged that Sunbound’s customers often don’t know their own TIN or NPI at onboarding; Sunbound built internal fuzzy-match engine for NPI. Medallion doesn’t fill TIN-discovery gap; they expect the W9 submitted as part of facility info to carry the TIN.
  • Customer cost sensitivity — Amy noted the $3K/facility add-on SKU is likely above most of their customers’ pricing tolerance. She’s exploring a lighter-touch value-add use case where Sunbound helps customers organize cred docs without doing full enrollment work — ROI softer than hard FTE-savings.

Decisions & Commitments

  • 2026-03-19 — Medallion to revise BVA deck (FTE count, revenue-at-risk math) and send to Manny’s email, cc’ing rest of team. Source: Medallion & Sunbound II.
  • 2026-03-19 — Manny confirmed that once enabled, credentialing would not be a one-year experiment; Nave to present 1 / 3 / 5-year pricing options once BVA validated. Source: same.
  • 2026-03-19 — Next meeting tentatively same time next week (2026-03-26). Source: same.

Source History

  • 2026-03-19 — Medallion & Sunbound II (BVA walkthrough) — initial intro of Amy/Anh, BVA deck walkthrough, scope clarification (facility vs provider), sub-instance architecture match-up to Experity, Availity fallback.
  • 2026-04-19 — SF bootstrap — account type Prospect, ARR $0, Tier 3; prior closed-lost opportunity ($622K ACV).

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