Ethermed provides AI-powered automation for the prior authorization workflow within existing healthcare systems. This intelligent automation minimizes manual processes, reduces turnaround time, and decreases authorization denials across prospective, concurrent, and retrospective requests. The platform ensures compliance by documenting the entire benefits verification and authorization process for an auditable trail.
Funding
Funding not disclosed
Founders
Product
Problem
Prior authorizations in healthcare require significant manual effort, involving skilled labor and communication across disparate systems. This administrative burden is costly, time-consuming, and can interrupt patient care for both providers and payers.
Solution
Ethermed offers an AI-powered solution that automates the prior authorization process directly within existing healthcare tools. The platform leverages artificial intelligence to automatically collect supporting information from clinical data, fill out necessary forms, and submit them without manual intervention. By reducing up to 90% of the manual work associated with prior authorizations, Ethermed aims to free healthcare teams from administrative tasks, allowing them to focus on patient care. The system integrates seamlessly without requiring changes to existing workflows or retraining of staff.
Target Audience
Ethermed targets both healthcare providers and payers seeking to reduce the administrative burden and costs associated with prior authorizations.
Features
- Automated prior authorization status determination
- AI-driven collection of supporting clinical data
- Automatic form filling and submission without manual intervention
- Real-time EHR updates
- Backend solution for easy AI adoption and technological change