ethermed

JSON twin: https://www.healthaidb.com/software/ethermed.json

Company Name

Ethermed

Product URL

https://www.ethermed.ai

Company URL

https://www.ethermed.ai

Categories

Summary

AI-driven prior authorization automation platform that intercepts orders, gathers documentation, auto-fills authorization requests, and submits them to payers to reduce manual work and denials.

Description

EthermedAI automates the end-to-end prior authorization workflow using AI/NLP to detect authorization needs from EMRs, collect evidence, validate and populate required forms, maintain auditable trails, and submit requests across medical and pharmacy benefits; integrates with major EHRs and supports retrospective, concurrent and prospective authorizations and appeals workflows.

Api Available

yes

Certifications

Company Founding

2021

Company Offices

Compliance

Customers

Data Residency

Data Standards

Deployment Model

Features

Id

P0560

Integration Partners

Integrations

Languages Supported

Last Updated

2025-09-07

License

commercial proprietary

Links

Market Segment

Optional Modules

Os Platforms

Pricing Details

Contact vendor for pricing; demo and request-a-demo available.

Pricing Model

enterprise_quote

Privacy Features

Ratings

Regions Available

Release Year

2021

Security Features

Specialties

Support Channels

System Requirements

Target Users

Training Options

Type

product

User Reviews

Version

1.0

Canonical JSON

{
  "company_name": "Ethermed",
  "company_url": "https://www.ethermed.ai",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2021",
  "product_url": "https://www.ethermed.ai",
  "categories": [
    "clinical",
    "administrative",
    "automation",
    "AI",
    "interoperability",
    "prior authorization"
  ],
  "market_segment": [
    "enterprise",
    "smb",
    "providers",
    "payers"
  ],
  "links": [
    "https://www.ethermed.ai",
    "https://www.ethermed.ai/about-us",
    "https://www.ethermed.ai/faq",
    "https://docs.ethermed.ai",
    "https://www.ethermed.ai/privacy-policy",
    "https://ethermed.atlassian.net/servicedesk/customer/portals",
    "https://elion.health/products/ethermed",
    "https://www.linkedin.com/company/ethermed-ai",
    "https://www.crunchbase.com/organization/ethermed"
  ],
  "summary": "AI-driven prior authorization automation platform that intercepts orders, gathers documentation, auto-fills authorization requests, and submits them to payers to reduce manual work and denials.",
  "description": "EthermedAI automates the end-to-end prior authorization workflow using AI/NLP to detect authorization needs from EMRs, collect evidence, validate and populate required forms, maintain auditable trails, and submit requests across medical and pharmacy benefits; integrates with major EHRs and supports retrospective, concurrent and prospective authorizations and appeals workflows.",
  "target_users": [
    "providers",
    "clinicians",
    "practice administrators",
    "revenue cycle teams",
    "payers",
    "utilization management teams",
    "patients"
  ],
  "specialties": [
    "radiology",
    "cardiology",
    "oncology",
    "pharmacy/medication management",
    "primary care",
    "surgical specialties"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "enterprise_quote",
  "pricing_details": "Contact vendor for pricing; demo and request-a-demo available.",
  "license": "commercial proprietary",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Automated prior authorization (real-time ePA)",
    "Payer policy matching and form logic",
    "Document ingestion (fax, upload, EHR)",
    "Autofill and submission of payer forms",
    "Appeals and denial management (automated appeals, peer-review summaries)",
    "Audit trail and submission history",
    "Payer question pre-fill and portal interaction",
    "Policy & form repository with daily monitoring",
    "Clinical review workflow for exceptions",
    "Tracking and resubmission workflows for denials",
    "Specialty drug multi-step workflow support",
    "Analytics / performance metrics (automation rate, turnaround time)"
  ],
  "optional_modules": [
    "Direct payer API/EDI connections",
    "CoverMyMeds / Surescripts connectivity",
    "CRM/HUB integrations (e.g., Salesforce)",
    "Custom payer policy tuning / Clinical Policy Team support"
  ],
  "integrations": [
    "Epic",
    "Cerner",
    "eClinicalWorks",
    "AthenaHealth",
    "TopDoc",
    "iKnowMed",
    "CoverMyMeds",
    "Surescripts",
    "Payer APIs / EDI (direct connections to 186 payers)",
    "PMS / Claims platforms",
    "CRMs (e.g., Salesforce)"
  ],
  "data_standards": [
    "FHIR",
    "HL7",
    "EDI"
  ],
  "api_available": "yes",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "SOC 2 (in process)"
  ],
  "certifications": [
    "HIPAA compliance"
  ],
  "security_features": [
    "Encryption in transit",
    "Encryption at rest",
    "Tenant isolation (separate client tenants)",
    "Audit logs / auditable trail"
  ],
  "privacy_features": [
    "De-identification used for product improvement",
    "Client tenant data separation"
  ],
  "data_residency": "",
  "customers": [
    "MedPOINT Management"
  ],
  "user_reviews": [],
  "ratings": [],
  "support_channels": [
    "documentation",
    "ticketing",
    "email"
  ],
  "training_options": [
    "documentation",
    "live_online"
  ],
  "release_year": "2021",
  "integration_partners": [
    "Cerner",
    "TopDoc",
    "iKnowMed",
    "eClinicalWorks",
    "Athena Health",
    "Epic",
    "MedPOINT Management"
  ],
  "id": "P0560",
  "slug": "ethermed",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-09-07",
  "links_json": {
    "self": "https://www.healthaidb.com/software/ethermed.json"
  }
}