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← All case studiesVirtual-First Primary Care

From keys-in-the-door to first patient in 14 days

Lumen Telehealth, a virtual-first primary care startup in Denver, went from lease signing to first billed visit in fourteen days. A CHEER + CRUSH + BRAVO launch stack replaced a traditional 6-month PMS build-out — no engineers, no custom code, no delay.

Clinician

Dr. Ethan Cole

Founder & Medical Director

Practice

Denver, CO · United States

Denver, CO · United States

EHR integration

Elation Health

Live in <7 days

Compliance

HIPAA · SOC 2

BAA included

14 days

Lease → first billed visit

$0

Custom engineering spend

100%

First-pass clean claims

The challenge

A brand-new virtual-first clinic with two clinicians, one operations lead, and zero in-house engineering — every day of delayed launch burned $2,400 of pre-revenue runway.

Traditional PMS + telehealth + billing integration quotes came in at 4–6 months and $80–120k of implementation before a single patient could be seen.

Before S10.AI

  • A brand-new virtual-first clinic with two clinicians, one operations lead, and zero in-house engineering — every day of delayed launch burned $2,400 of pre-revenue runway.
  • Traditional PMS + telehealth + billing integration quotes came in at 4–6 months and $80–120k of implementation before a single patient could be seen.
  • Patient experience had to feel native to video from the very first visit — not a bolted-on Zoom link with a separate check-in email.

After S10.AI

  • CHEER deployed on day 2 with HD video, browser-based one-click patient join, digital consent capture, and a branded waiting-room flow — no app download required.
  • CRUSH scribed every visit end-to-end from day 3 onward, pushing structured SOAP notes and CPT-ready assessments straight into Elation.
  • BRAVO stood up scheduling, SMS reminders, and eligibility checks on a new business number in under 48 hours — English and Spanish from day one.

The measurable shift

14 days

Keys to first billed visit

Lease-signing on a Monday; first patient seen 10 business days later; claim submitted the same afternoon and paid within 21 days.

$0

Custom code shipped

The entire launch stack was configured, not built — no contractors, no engineering hires, no vendor build-out.

4.9 / 5

Launch-month patient CSAT

Across the first 84 completed visits — patients described it as 'the smoothest telehealth I've done' in post-visit surveys.

100%

First-pass clean-claim rate

First 30 days of claims cleared on first submission thanks to CRUSH-generated superbills and CPT capture.

3.2x

Runway extended

The launch-cost savings vs a traditional integration project stretched the founder's pre-revenue runway from 5 months to 16.

Apply to your practice

In a practice your size, this story is worth…

Based on Dr. Ethan Cole's outcome and conservative industry benchmarks (2h recovered / provider / day @ $220/hr opportunity cost).

Annual hours recovered

1,760

Across 4 providers · 220 clinic days

Estimated annual value

$387k

Conservative opportunity cost basis

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