Ethermed AI Prior Authorization

Ethermed is a Philadelphia-based company offering AI-powered prior authorization that moves requests from order to approval with automation, clinical expertise and human oversight. It announced an 8.5 million USD Series A in April 2026.

Ethermed AI is built on MATCH technology: Catch intercepts physician orders from the EHR, Match checks clinical data against payer medical necessity criteria, Fill populates payer-specific forms with an audit trail, and Send submits requests and routes incomplete ones back to providers. Customers include PharMerica, MedPOINT Management and Tanner Health.

• Catch: intercepts orders from the EHR and identifies payer requirements.
• Match: checks clinical data against each payer's medical necessity criteria.
• Fill: populates payer-specific forms and documentation with an audit trail.
• Send: submits requests and routes incomplete ones back to providers.
• EHR integration: Cerner, eClinicalWorks, Athena Health and Epic.
• Interoperability: HIPAA compliant with HL7 FHIR support.

Private hospitals in Vietnam could automate pre-approval requests to insurers for imaging and procedures. Specialty pharmacies could speed up approval of high-cost drugs.

Company site reports 91% of authorizations completed on first submission, a 69% increase in auto-approvals and a 50% decrease in turnaround time. Audit trails document each form submitted. Integrations with major EHRs limit workflow disruption.

Prior authorization automation is a fast-growing healthtech category as providers look to cut administrative work. Vietnamese hospitals and insurers dealing with pre-approval for inpatient treatment face similar paperwork delays.

Philadelphia headquarters per funding news. Series A 8.5 million USD co-led by Blue Marlin Partners and Enfield Capital Partners, with Gaingels, Healthliant Ventures, JumpStart Ventures and Woodard Family Office.