Automate prior authorizations
end-to-end using AI
Ember reliably moves patient information from your EHR and submits directly into insurance portals and prior authorization systems — verifying requirements, assembling clinical documentation, and tracking every case to approval.
Trusted by specialty groups and health systems
Why Ember?
Requirement checks first
Confirms coverage, PA requirement, and criteria source before any work starts.
Complete packets
Assembles the notes, orders, imaging, and labs the payer expects.
Every submission channel
ePA, payer portal, or fax — with reference-number tracking.
Deadline aware
Monitors status and preps renewals before authorizations lapse.
What the prior authorizations agent does
01
Automate prior authorizations end-to-end using AI
Ember reliably moves patient information from your EHR and submits directly into insurance portals and prior authorization systems. No swivel-chair data entry, no missed fields, no cases waiting on staff time.
02
Export information to any authorization form
Ember recognizes information on insurance portals and automatically maps it to the right fields, getting smarter over time.
03
Human-in-the-loop verification
Staff review and approve each case before it goes to the payer. Peer-to-peer requests and unusual denials route to your team with full context, and every action is logged.
Explore more Ember agents
One orchestration layer, purpose-built agents for every step of the revenue cycle.
Benefits Verification
Checks coverage, plan details, and patient responsibility across payer portals before the visit.
Explore the agentMR Requests
Validates authorization, retrieves the right records from your EHR, and delivers them securely.
Explore the agentPayment Posting
Matches ERAs to claims, posts payments and adjustments, and reconciles against deposits.
Explore the agentAR Follow-Up
Checks claim status in payer portals, resolves holds, and drives outstanding claims to payment.
Explore the agentUnderpayments
Compares every remit against contracts and fee schedules, flags variances, and drives recovery.
Explore the agentDenials Management
Predictive denial scoring, clinical reasoning on root cause, and payer-specific appeals with cited evidence.
Explore the agentMedical Necessity
Evaluates orders against payer criteria, finds documentation gaps, and assembles clinical evidence.
Explore the agentRevenue Integrity
Validates coding and documentation before claims go out — catching undercoding and denial-prone errors.
Explore the agentDocumentation
Drafts compliant notes, letters, and forms from EHR data, ready for clinician review and sign-off.
Explore the agentHow it works
01
Read the order in your EHR
Ember picks up new orders and confirms whether an authorization is required.
02
Build and submit the case
Prefills the payer's form, attaches clinical evidence, and submits.
03
Monitor to decision
Checks status, answers payer follow-ups, and flags peer-to-peer needs.
04
Route exceptions to staff
Only true exceptions reach your team — with everything logged.
Numbers from live deployments.
Not projections. Not modeled estimates. Measured customer outcomes.
57%
Fewer denials
3.3x
ROI in month one
100+
FTE hours saved / month
+9.3%
Net revenue per appointment
Built for oversight
Compliance & oversight
Evidence citations (criteria, policy, clinical excerpts) in each case.
Versioned history of submissions, contacts, and determinations.
Playbooks configurable by specialty, payer, and service type.