EthermedAI tackles prior authorization so your team can do healthcare

EthermedAI brings intelligent automation to your prior authorization workflow to minimize manual processes, improve operational efficiency, and reduce delays and denials - with no additional apps, portals, or software required.

Schedule a Demo ->

impact

Immediate impact with tangible results

Seamlessly integrates into your prior authorization workflow within your existing system of record.

Minimizes administrative hurdles, freeing your team to spend more time focused on delivering better patient experiences and health outcomes.

Documents the entire benefits verification and prior authorization process — creating a completely auditable trail of information on how the authorization request was created.

Works across all authorization types and lines of business, including retrospective, concurrent, and prospective authorizations and seamlessly navigates medical and pharmacy benefits.

Microchip with circuit lines, symbolizing AI or technology

Learns and adapts to constantly shifting payer rules and requirements.

Reduces time and effort for benefit checks, prior authorizations, and utilization management.

69%

Increase in auto-approvals

91%

of auths completed on first submission

50%

Decrease in turn around time

38%

Reduction in manual processing activities

value

Who benefits

Payors

Optimize Compliance and Reduce Costs

Providers

Improve Workflow Accuracy and Reduce Denials

Patients

Ensures Timely Access To Necessary Treatments

process

How ethermedAI works

EthermedAI is trained to operate to the exact specifications of YOUR specific workflow and operates just like your BEST employee, working independently in the background 24 hours a day, 365 days a year – reducing denials, increasing staff productivity, and ensuring patients get the care they need as quickly as possible.

EthermedAI enhances your productivity across the Prior Authorization workflow with 4 key steps:

Catch

EthermedAI intercepts the physician order from the EMR, intelligently analyzes it to determine authorization requirements, identifies necessary documentation, performs error validation, and ensures the PA is ready for submission.

User interface with structured text elements and highlights

Match

EthermedAI then gathers the needed documentation and/or information, along with evidence-based justifications to submit the authorization request – and compares payer guidelines.

Fill

EthermedAI then appends all the needed information into the necessary forms and documentation, while creating a complete and transparent audit trail.

User interface showing a structured list with checkmarks

Send

EthermedAI then sends the completed authorization request for approval. If the submission criteria was not met, the request will be re-routed into your team’s existing workflow and flagged for review.