Home

" We spent hours ensuring that our documentation fits very specific criteria that's required by health insurance book.

And Bookend AI has been an absolute lifesaver for us and their team really listened to the amount of time it takes us to go through hundreds and hundreds of pages in charts of data.
‍
They listen to what we needed in terms of automation to save us time so that we can spend more time face to face with our clients.

Kat Geiger

Founder and CEO of Thrive Wellness Reno

Your staff didn’t go to medical school to fill out forms.

But where are they spending all their time?

❌ Higher denial rates and delayed reimbursements choke your cash flow

Payer rules change constantly, overloading your staff who spend weeks to months chasing appeals

❌Manual processes drain time and burn staff out

You’re constantly toggling between multiple systems from your EMR, RCM and payer portals, manually entering data – preventing you from delivering better patient outcomes and controlling the cost of care

❌ Yesterday’s tools can’t meet tomorrow’s challenges

Specialists from physicians to pharmacists waste hours on repetitive and unnecessary tasks: checking eligibility, gathering documentation, and on peer reviews – a costly and unsustainable burden

❌ Burned-out physicians, stressed out staff

The only way to keep up with growing admin workloads is to hire more people or outsource—both costly and unsustainable

Shift Left: Fix Issues Before They Become Work

What does “Shift Left” mean for healthcare organizations?

It means moving critical tasks upstream and eliminating a lot of the needless work that contributes to delays, denials and burnout.

Shifting Left can help you:

‍Eliminate redundant work: Flag and fix manual work across the revenue cycle from charge capture to prior authorization

‍Make cost-optimal decisions: Prescribe preferred drugs and step therapy requirements for each patient's insurance plan that give you the best margins

‍Deliver better patient care: Identify and correct missing and incomplete documentation before a physician closes a note

PHARMACY OPERATIONS

Turn specialty pharmacy from a cost center to a profit machine.

Give clinicians clarity and insight to make patient-centric, margin optimal choices at the point of care informed by critical coverage questions distilled from policies, patient history and inventory.

Maximize pharmacy margins.

Higher-buy-and-bill-margins – Surface optimal biosimilars and specialty medications

Improved patient experience – ensures that prescriptions meet payer formulary requirements upfront and eliminate needless burden on patients

Optimized drug spending – Identify cost-saving alternatives without compromising care

HOW IT WORKS

From prescriptions to payments—AI streamlines the process.

Automated medication prior auth

AI gathers all required documentation, pre-fills forms, and submits requests before treatment starts—cutting prior auth turnaround times.

Real-time formulary checks

Instantly verify drug coverage, tier restrictions, and alternative options for each payer, reducing claim denials and speeding up approvals.

Seamless specialty pharmacy coordination

AI Agents recommend payer-preferred biosimilars and cost-effective therapies, maximizing margins while maintaining clinical effectiveness.

Automated appeals

Combine payer preferences, cost and margin to match highest margin preference to payment models such as VBC and FFS.

REVENUE CYCLE MANAGEMENT

Stop fighting denials, and fast-track reimbursements.

Most revenue cycle teams operate reactively after it’s too late—fixing errors after claims are denied, manually resubmitting appeals, and waiting months for reimbursement. Bookend AI flips the script.

Predictable cash flow – Fewer denials mean faster, more consistent payments

90% first-pass approval rate – Less rework, fewer delays, faster revenue

80% reduction in manual admin work – No more wasted hours fixing claim errors

Optimize value-based care.

how it works

From eligibility to appeals–let AI handle it all.

Instant eligibility verification & prior auth checks

Verify patient coverage and authorization requirements in real time before scheduling.

Error-free claims submission

AI Agents cross-check every claim against payer policies, medical necessity rules, and state regulations before submission—eliminating avoidable denials.

Comprehensive denial prevention

No more surprise denials. Our AI continuously updates payer rules and flags potential issues before claims go out.

Automated appeals

When denials happen, Bookend AI instantly compiles a pre-filled appeals packet with supporting documentation—cutting resolution time in half.

VALUE BASED CARE

Achieve better patient outcomes while reducing the cost of care.

Value-based care models reward efficiency and quality of care, but most health systems lack the real-time insights and automation needed to succeed. Bookend AI helps you bridge the gap.

Fewer preventable readmissions – Address high-risk patients before they escalate

Better Star Ratings & HEDIS scores – Secure higher reimbursements with automated compliance

Stronger payer relationships – Prove quality outcomes and earn maximum reimbursement under VBC models

Get paid faster.

HOW IT WORKS

From patient risk to payer compliance—AI makes VBC effortless.

Predictive risk stratification

Identify high-risk patients early and prevent avoidable readmissions by integrating EHR, claims, and population health data.

Deliver instant answers

AI-driven automation captures and reports on HEDIS, Star Ratings, and CMS quality metrics without manual chart reviews.

Care coordination made easy

Our AI Agents surface proactive intervention alerts, ensuring patients receive the right care at the right time—reducing complications and hospital stays.

Seamless payer alignment

AI continuously updates and aligns documentation with evolving value-based contract requirements—so you never miss out on shared savings.

Bookend AI Agents work wherever your team works - so simple, it's seamless.

Enterprise software transitions don’t have to be painful— we make it effortless. Bookend AI integrates directly into your existing EHR, billing, and claims systems with zero disruption to your current workflows.

Let's get started

Get started today

1. Discovery Call

We start with a quick chat to understand where your team feels stuck. A technical expert will dive into your current workflows, challenges and inefficiencies that are costing time and money.

2. Customized Demo

Next, we build a demo tailored to your exact needs. We’ll show you exactly how Bookend AI seamlessly fits into your existing workflow.

3. Your Next Steps

Like what you see? We’ll help you set up a proof of concept to see measurable results in your workflows. From there, it’s all about rolling out the platform seamlessly with our full support.

Thank you! Your submission has been received!

Oops! Something went wrong while submitting the form.

Prevent denials.
Slash overhead.
Put patients first.

" We spent hours ensuring that our documentation fits very specific criteria that's required by health insurance book.

But where are they spending all their time?

Shift Left: Fix Issues Before They Become Work

Turn specialty pharmacy from a cost center to a profit machine.

From prescriptions to payments—AI streamlines the process.

Automated medication prior auth

Real-time formulary checks

Seamless specialty pharmacy coordination

Automated appeals

Stop fighting denials, and fast-track reimbursements.

From eligibility to appeals–let AI handle it all.

Instant eligibility verification & prior auth checks

Error-free claims submission

Comprehensive denial prevention

Automated appeals

Achieve better patient outcomes while reducing the cost of care.

From patient risk to payer compliance—AI makes VBC effortless.

Predictive risk stratification

Deliver instant answers

Care coordination made easy

Seamless payer alignment

Bookend AI Agents work wherever your team works - so simple, it's seamless.

Resources

The Shift Left Playbook: Crushing Prior Authorization with Bookend AI Agents

A Healthcare System's Journey to AI-Enabled Pharmacy Operations

Stop Reacting, Start Predicting: How Bookend AI is Shifting Healthcare Left

Get started today