AI-POWERED PRIOR AUTHORIZATION

Fewer Denials. Faster Decisions.
Prior Authorization Done Right.

Ethermed moves prior authorizations from order to approval with accurate, evidence-based automation.

Industry trusted

Prior Authorization Expertise Built Around the Way You Work
Reduce denials and boost efficiency with AI that seamlessly integrates into your workflow. Ethermed combines intelligent automation, deep expertise, and human oversight to improve accuracy and deliver defensible decisions at scale.
Dashboard interface showing weekly overview of performance metrics with increasing accuracy, reduced denials, decreasing turnaround time, and rising cases automated. Active queue section lists four items with statuses: Approved, In Review, and Needs Info. Labels indicate 'Defensible Decisions' as audit-ready and 'Human Oversight' reviewed by clinical team, with a live status indicator.

impact

Immediate impact with tangible results

Network or workflow icon with three connected nodes

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

Person with a checkmark icon representing approval or success

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

Document icon representing digital paperwork or files

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

Infinity loop icon symbolizing continuity or automation

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.

Hourglass icon symbolizing time efficiency or reduction

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

why ethermed

Decisions You Can Stand Behind

Prior authorization demands accuracy, clinical context, and efficiency. Ethermed brings all three together so you can deliver trusted prior authorization decisions at scale.
Deep Prior Auth Expertise
Designed for the complexity of prior authorization.
  • Built specifically for prior authorization
  • Validated by clinical and prior authorization experts
  • Covers medical and pharmacy across all specialties
Intelligent Automation
AI that gets the work done.
  • Proprietary MATCH technology
  • Audit-ready documentation
  • Decisions you can defend
Human-Centered Execution
Built to work with your teams, while preserving human judgment.
  • Rapid adoption, minimal disruption
  • Human oversight where the stakes are highest
  • Integration with your existing EHR

our technology

Meet Ethermed AI:
Intelligence Behind Every Decision
Our proprietary MATCH technology is more than an AI assistant.
It’s designed with prior authorization expertise, to fit the way you actually work.
Target or scanning icon representing capture or recognition

Catch

Intercepts the physician order from the EHR, then identifies payer authorization requirements and the forms needed for submission.
User interface with structured text elements and highlights
Interface design with linked elements, symbolizing data matching
Two overlapping rectangles with a split arrow, symbolizing matching

Match

Gathers the necessary clinical information, applies evidence-based justification, and matches the request against each payer’s medical necessity.
Clipboard icon representing form filling or data entry

Fill

Populates each payer’s specific forms and documentation while creating a complete, transparent audit trail.
Form-filling interface with highlighted sections
User interface showing a structured list with checkmarks
Paper airplane icon symbolizing sending or submission

Send

Sends the completed request to the payer for review and routes anything with missing or inaccurate information back to the provider, reducing manual work on both sides.

results

91%
of auths completed on first submission
50%
Decrease in turnaround time (payer adjudication time)
89%
Reduction in manual processing

testimonials

Two large turquoise quotation marks on a white background.
MedPOINT is committed to improving healthcare operations. Ethermed’s technology delivers significant cost and time savings, advancing our automation of prior authorization.
Alex Carey
VP of Strategy & Operations, MedPOINT
Prior authorization is a constant headache for our teams. Ethermed caught our attention because they’ve built something that fits into how health systems actually operate, and the traction they’ve gained with customers speaks for itself. We’re excited to support what comes next.
Steve West
MD, Healthliant Ventures
Ethermed’s technology directly addresses one of the most painful bottlenecks in healthcare. By combining deep clinical intelligence with scalable automation, Ethermed is redefining how prior authorization can work: fast, compliant, and patient-centered.
Todd Stern
CEO, Enfield Capital Partners

why ethermed

Built for Mission-Critical Workflows

Whether you're operating on the provider side or the payer side, Ethermed adapts to your workflows while improving speed, accuracy, and consistency.
Providers
Get Prior Authorization Right the First Time
Fewer denials and faster decisions, without disrupting the workflows your teams already use.
  • Built specifically for prior authorization
  • End-to-end automation with built-in oversightFewer errors and fewer denials
  • Seamless integration with existing workflows
  • AI built for prior authorization, not generic solutions
Payers
Better Medical Review. Better Decisions
Streamline complex reviews, improve decision consistency and deliver clearer, more actionable guidance.
  • 527+ payers nationwide
  • Preserves human oversight
  • Reduce provider abrasion
  • Clinically relevant data delivered with appropriate guardrails
  • Scalable across lines of business and specialties

resources

See What We’re Talking About

Stay ahead of what's shaping prior authorization, from best practices to policy.
PA Automation Moves Inside the EHR
Payers publicly disclose PA requirements for 14% of services. Most automation skips right past that problem. EHR integration is where the rest of it falls apart.
Read Post
The Turning Point for Prior Auth
CMS proposed extending electronic PA to drugs for the first time. Fifty health plans committed to standardized submissions by January 2027. The compliance window is getting shorter.
Read Post

integrations

Seamless Integration with the Systems You Already Use

Contact Us

Ready to Rethink Prior Authorization?

Infographic depicting how ethermed works between payors and providers.

Free your team from busywork.

See how Ethermed can transform your prior authorization workflows from order to approval.
Contact Us

Security

Secure, Compliant Prior Authorization

HIPAA-compliant infrastructure with audit-ready documentation on every decision.