Ethermed
Product Overview
Customers Served
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Company Info
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Vendor’s Notes
Use Cases
Ethermed is processing 3.2 million Prior Auths per year (at an avergae of 3.9 seconds per PA), completely automating 89% and achieving 91% first pass approvals. Customers use Ethermed to streamline the most time-consuming parts of the prior authorization process. Common workflows include automatically extracting clinical and claims data, completing required forms based on payer-specific criteria, and submitting authorizations directly from within the EHR or payer portal. Teams also use Ethermed to track submission status, identify missing documentation, and reduce back-and-forth between departments. By handling the clerical work in real time, Ethermed helps reduce delays, lower first-pass denial rates, and free up staff for higher-value tasks. The result is a smoother, faster process that supports compliance with CMS-0057 and improves coordination between clinical, administrative, and payer teams.
Core Differentiators
Ethermed is an AI-enabled tool that automates the paperwork behind prior authorizations for providers, payors and technology partners. For providers, we extract structured and unstructured data from the internal systems (such as EHR), makes a determination as to whether the PA will be approved by the associated payor (and if not, provides a summary of missing artifacts back to a human to review), completes appropriate payor forms, and submits the PA to the payors. For Payors, Ethermed recoves the inbound PA and suppoorting documentation, and makes a determination/recommendation, eliminating 90%+ of the labor involved in PAs. We process PAs invisibly in the backgorund; no new workflows to learn, no portals, no logins, no popups, no outsourced labor, and no disruption to existing operations. By eliminating manual work and accelerating submissions, Ethermed gives decision-makers clean, complete information right when they need it. The platform is live today, supports compliance with CMS-0057, and doesn’t require a heavy integration lift. We streamline the administrative side so care teams can make faster, better-informed decisions.