Fewer delays. More
first-pass approvals.
Ember AI handles intelligent prior authorization (PA) end-to-end—reviewing medical necessity, assembling documentation, prefilling payer forms, submitting via ePA/portal, and monitoring status—so teams stop doing portal ping-pong.
First-pass approvals with medical-necessity checks (NCD/LCD, plan policy) before submission
Automated intake & packaging of required docs (clinical notes, orders, imaging, labs)
Real-time status & escalations; alerts for deadlines, renewals, and expiring auths
HIPAA-compliant, audit-ready, EHR-native
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Ember AI transformed our revenue cycle management.
Ember AI transformed our revenue cycle management.
Ember AI transformed our revenue cycle management.
Ember AI transformed our revenue cycle management.
Ember AI transformed our revenue cycle management.
Ember AI transformed our revenue cycle management.
Ember AI transformed our revenue cycle management.
Ember AI transformed our revenue cycle management.
Ember AI transformed our revenue cycle management.
Ember AI transformed our revenue cycle management.
How it works?
50–75% fewer staff hours on PA admin workflows
Higher first-pass approval rate and fewer resubmits
Clear visibility into where each case stands—no more manual chasing
Evidence citations (criteria, policy, clinical excerpts) in each case
Versioned history of submissions, contacts, and determinations
Organization policies configurable by specialty, payer, and service type
What’s the main outcome?
Fewer delays and higher first-pass approvals.
Who still gets involved?
Staff handle edge cases; the system does intake, packaging, submission, and follow-through.
How do we start?
Begin with one service line; expand after baseline gains.
What do we measure?
Approval rates, turnaround time, resubmits avoided, and hours saved.
How do we stay compliant?
Complete packets, clear rationale, and versioned history for every case.
