.png)
Every year, millions of healthcare claims are delayed or denied due to prior authorization issues, leading to increased costs, administrative burdens, and, most importantly, delayed patient care. At Bookend AI, we believe there's a better way. We're applying the "Shift Left" principle – a concept borrowed from software development – to healthcare operations, using AI to solve problems before they even arise.
In software, "Shifting Left" means identifying and addressing potential issues early in the development process. This improves quality and reduces costly rework later on. In healthcare, it means proactively addressing potential roadblocks in the patient care journey, before they impact treatment.
Our AI Agents act as intelligent assistants, working alongside healthcare providers to streamline workflows. Imagine a gastroenterologist prescribing infliximab for a patient with severe Crohn's disease. Traditionally, the complex prior authorization process begins after the prescription is written, often leading to delays and denials.
Bookend AI shifts this process left. Our AI Agents analyze the patient's data and payer requirements at the moment of prescribing. The system will verify whether or not this particular drug is preferred by the patient’s insurance, and it might flag that this specific insurer requires documentation of a failed course of corticosteroids and a recent fecal calprotectin test before they will approve treatment. Instead of waiting for a rejection, the provider can address these requirements immediately, ordering tests or clarifying clinical documentation while the patient is still present. Our AI can even predict the likelihood of approval and suggest the most efficient path forward.
Think of it like this: Just as software developers use early testing to prevent bugs from reaching production, Bookend AI “tests” medication orders, prescriptions, and treatment plans against insurance policies to avoid downstream delays, rework, and rejections. Our system doesn't just automate tasks; it continuously learns from each interaction, refining processes and improving efficiency over time.
The benefits of shifting left extend far beyond cost reduction. A denied infliximab claim isn't just paperwork – it's weeks of unnecessary suffering for a patient who needs treatment now. Bookend AI's proactive workflows ensure that treatment proceeds smoothly, freeing up providers to focus on what matters most: treating their patients.
Bookend AI is transforming healthcare from a reactive system to a predictive one. By shifting left, we're empowering providers, improving patient outcomes, and creating a more efficient and effective healthcare system for everyone.
Ready to learn more about how Bookend AI can help your organization shift left? Contact us today to learn more at Bookend.ai.
