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Healthcare

~23% of claims are reworked due to administrative error. The problem is not clinical: it's operational.

The industry spends US$265B/year on administration that could be automated. But claim denials, loss ratios, and TISS/TUSS remain disconnected from care delivery. Bunker connects the patient journey, health plan, and credentialed network with the Bunker Protocol, Salesforce, and AI.

Healthcare by the numbers

US$935B/year

in waste in the US healthcare system; 25% of total spending

Shrank, Rogstad & Parekh / Humana-JAMA 2019
78%

of clinical data becomes unreadable when switching between systems from different vendors

Bernstam et al. / JAMIA 2022

physicians spend twice as much time on digital bureaucracy vs. patients (27% vs. 49%)

Sinsky et al. / AMA-AIM 2016
18,7%

reduction in hospital mortality with predictive AI for sepsis across 5 hospitals

Adams et al. / Johns Hopkins-Nature Medicine 2022

The silent risk in healthcare

US$ 935 billion wasted per year in the healthcare system. Can your operation identify where waste is accumulating before it compounds?

When care delivery, operations, and relationship management run on separate systems, every patient interaction happens without context. The result is rework, discontinuous handoffs, and costs that grow without any corresponding gain in quality.

The real picture

Four fractures that erode care margin with every claim denial

Claim denials eat into the margin. The patient repeats information at every touchpoint. The physician spends more time on the system than with the patient. And the loss ratio climbs with no one understanding why. Every reworked claim is revenue cycle cost that accumulates in silence.

01

Invisible systemic waste

US$ 935 billion per year in healthcare waste. Without integrated data, operations cannot identify where costs accumulate; and every administrative layer amplifies the problem.

Shrank, Rogstad & Parekh / JAMA 2019
02

Unreadable data between systems

78% of clinical data becomes unreadable when switching between systems from different vendors. Without interoperability, every handoff loses context; and the patient bears the cost.

Bernstam et al. / JAMIA 2022
03

Digital bureaucracy consumes twice the time

Physicians spend twice as much time on digital bureaucracy as they do with patients. Every minute lost to the system is a minute less of care and clinical productivity.

Sinsky et al. / AMA-AIM 2016
04

Care without continuity

The patient journey is fragmented across multiple touchpoints. Each clinical and administrative area operates without a full view of context, and the experience deteriorates at every transition.

Archi­tecture Health­care Inte­grated

Bunker

We speak "claim denial" and "loss ratio" without needing a glossary: and we know where the EMR disconnects from the CRM.

The loss ratio rises because vertical integration fails to connect data between health plan and provider. Authorizations stall in utilization management without visibility into the patient's history. Medical supplies have no end-to-end traceability. And the credentialed network operates as a parallel universe. The Bunker Protocol connects care delivery, operations, and relationship management in a single architecture: with journey governance, EMR-CRM integration, and traceability that reduces claim denials and cycle time.

We don't sell CRM. We design the operation that turns clinical data into traceable administrative decisions.

  • +300 CRM projects: including healthcare operations with patient journey
  • +120K users impacted, from triage to billing and post-discharge
  • Operational governance deployed in 8 countries with care compliance
  • Direct experience in hospitals, clinics, health plans, and healthtechs

Bunker Protocol applied to Healthcare

Four phases. One architecture. Auditable results.

Phase 01

Structural Diagnosis

The patient travels through triage, admission, discharge, and billing: and each stage belongs to a different department with different systems. We map where this fragmentation generates rework, claim denials, and drops in care NPS.

Outcomes
  • Diagnosis of the patient journey across clinical, administrative, and billing areas
  • Cost of claim denials, rework, and claims reprocessing per disconnection point
  • Roadmap prioritized by impact on operational efficiency and patient experience
Phase 02

Prioritization Architecture

Salesforce connects to the EMR, clinical systems, and billing platforms. Care teams gain a complete view of the patient: history, appointments, and pending items - without consulting three separate systems.

Outcomes
  • Salesforce integrated with EMR/medical record, billing, and care channels
  • Unified patient profile with journey, history, and active pending items
  • Automated workflows for scheduling, triage, follow-up, and post-discharge
Phase 03

Tailored Engagement

Agentforce prioritizes care queues by clinical criticality, automates request triage, and generates post-discharge follow-up alerts to reduce readmission. Care compliance embedded in every action.

Outcomes
  • Intelligent request triage by criticality and clinical context
  • Post-discharge follow-up alerts to reduce preventable readmission
  • Queue prioritization by criticality, wait time, and NPS impact
Phase 04

Outcomes and Transfer

Governance across clinical, operational, and administrative areas with metrics for efficiency, experience, and billing. The team internalizes the platform and scales operations autonomously.

Outcomes
  • Integrated dashboards for operational efficiency, NPS, and billing performance
  • Review cadence between clinical leadership, operations, and care delivery
  • Clinical and administrative team trained to operate and evolve the platform

Evidence

Auditable results in healthcare

US$ 265B

in potential annual administrative cost reduction through claims automation, process simplification, and payer-provider integration

McKinsey / JAMA: Sahni, Mishra, Carrus & Cutler 2021
+30%

in patient payments and 88% satisfaction with billing-payer integration and cost transparency in the patient journey

Cedar / McKinsey: "Consumer centricity in healthcare" 2023
~23%

of claims reworked: nearly 1 in 4: inflating revenue cycle costs and claim denial volume

Gartner: "Mitigate Critical Claims Denials Risks" 2023

Confiance: distributor of medical equipment for videosurgery, endoscopy and urology with commercial proposals scattered across templates and manual spreadsheets.

Bunker implemented Sales Cloud and Service Cloud with proposal templates specialized by medical specialty, dynamic forms and Slack–Salesforce integration for more than thirty active users.

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Transformation

From fragmented journey to traceable care operations

Without Bunker

Each department as a clinical-administrative silo

  • Care delivery without a complete view of the patient journey
  • Handoffs between clinical and administrative areas without context
  • Digital bureaucracy consuming twice the care time
  • Queues without intelligent prioritization by criticality
  • Unreadable data between systems from different vendors

With Bunker

EMR, CRM, and billing in an integrated flow

  • Unified view of patient and journey across care delivery, operations, and management
  • Handoffs connected to the CRM with context continuity
  • Process governance with traceability by area and workflow
  • Queues prioritized with AI and human oversight
  • AI applied to the daily routine with alerts, summaries, and action recommendations

Every untracked claim denial is care margin lost in the revenue cycle.

The first step is a structural diagnosis of care operations - without conflating patient with customer as if the journey were the same as retail. We map where your operation loses efficiency between authorization, care delivery, and billing.

Frequently asked questions

Answers for Healthcare

01 Do you understand care complexity or are you focused on IT? Expand

We are focused on operations - not on IT or clinical care. The protocol starts where the patient journey breaks down across departments and systems, and builds the connections that reduce claim denials, rework, and experience deterioration. The clinical team gains context; not another system.

02 Do you integrate with electronic medical records and clinical systems? Expand

We integrate Salesforce with the EMR, billing systems, and care channels. The goal is for triage, scheduling, and follow-up to operate with complete patient context - so the agent does not have to consult three systems to answer a single question.

03 What is the typical impact on claim denial reduction and rework? Expand

It varies by operational maturity and the complexity of the health plan portfolio. But the largest gains typically come from three fronts: reduction in claims reprocessing, elimination of manual follow-ups, and improved NPS through smoother care delivery.

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