2025 at Casechek: Bill-Only Was the Breakthrough — Financial Control Is Next
2025 was a defining year for Bill-Only at Casechek. As health systems faced rising costs and tighter margins, they turned to us to scale and modernize one of the most complex areas of procedural operations. Together, we delivered meaningful automation, stronger oversight, measurable savings, and real operational scale.
But Bill-Only is not the final destination.
It is the breakthrough that accelerates what comes next: true financial control across all vendor-managed procedures. Every rep-driven transaction. Every supply touchpoint. Every workflow that impacts margin.
Turning Bill-Only Complexity into Scale
Over the course of 2025, our customers processed Bill-Only transactions at volumes we had never seen before. We supported over 124,000 Bill-Only cases, representing a 218% increase year-over-year, alongside 146,000 purchase orders, a 249% increase from 2024.
In 2025, Casechek also reached a defining milestone in our mission to streamline healthcare operations.
We are proud to share one key figure:
- • $1.5 billion in annualized purchase order spend currently supported across our customer base as of January 1, 2026. This reflects the recurring annual spend flowing through the platform today, before accounting for new customer wins or expansions.
We are now processing more volume in a single year than we did in our first three years combined.
In addition, Casechek maintained its market-leading position in our procurement solution (automated vendor case coordination), supporting over 380,000 cases and capturing 4.15M loaner tray scans in 2025 alone. At current volumes, Casechek processes more trays in a single month than many competitors process in an entire year.
Automation That Scales With Volume
As Bill-Only volume increases, automation becomes essential. Our NoTouchPO™ automation guides a bill from submission to PO without a human touch. For our customers, that translates to fewer manual touchpoints, faster cycle times, and significantly less time spent reconstructing case details after the procedure.
In 2025, we fully automated more than four times as many Bill-Only cases as we did in 2024. In Q4 2025, we saw customers exceed 80% NoTouchPO™ automation.
Protecting Revenue Throughout the Bill-Only Process
The Bill-Only process carries significant financial risk when documentation is incomplete or delayed. That’s where structure and visibility matter most.
In 2025, Casechek customers captured over $131,000,000 in misdocumented Bill-Only spend, which equates to over $500,000,000* in potential charge capture.
By ensuring Bill-Only usage is complete, accurate, and timely, we help hospitals bill appropriately and protect revenue that might otherwise be missed.
Growing Alongside Our Customers
Our momentum in 2025 was driven not only by increased volume but also by deeper, broader customer partnerships.
Over the course of the year:
• 74 new sites went live on Casechek
• 12 new customers adopted Casechek’s Payment and/or Procurement platforms
• 17 existing customers expanded their use of Casechek across additional facilities and teams
This growth reflects a broader shift toward treating the Bill-Only process as a core operational function rather than an after-the-fact problem.
Advancing Visibility and Control
In 2025, we delivered more than 35 product releases across the Casechek platform, reflecting a sustained focus on improving visibility, control, and reliability for vendor-supported procedures. Spanning major capability launches and incremental enhancements, these releases addressed both immediate customer needs and the foundation required for future innovation.
Casechek’s development in 2025 enabled teams to more effectively manage complex cases from procurement to payment. This strategic emphasis led to stronger governance and accountability, benefiting both internal teams and vendor partners.
Looking Ahead
The Bill-Only process is no longer a background task. It sits at the intersection of patient care, financial integrity, and supply chain performance.
As we move into 2026, our focus remains on delivering financial control across the procedural supply chain by bringing automation, oversight, and confidence to vendor-managed supplies and Bill-Only workflows at scale.
If your organization is still relying on manual workflows or disconnected systems to manage vendor-managed processes like Bill-Only, it is time to rethink what is possible and what you may be leaving on the table.
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