Automate prior auth.
Accelerate approvals.
Reduce rework.
Ember automates the prior authorization process end to end, verifying medical necessity, assembling documentation, and submitting via ePA or payer portals, reducing manual work by up to 80% and helping providers turn multi-day prior auths into same-day approvals.
Trusted by specialty groups and health systems
Why Ember?
First-pass approvals
Medical necessity checks (NCD/LCD, plan policy) before submission.
Automated intake and packaging
Required docs: clinical notes, orders, imaging, and labs.
Real-time status and escalations
Alerts for deadlines, renewals, and expiring auths.
HIPAA-compliant and EHR-native
Audit-ready by design.
What Ember automates
01
Benefit and requirement check
Confirms coverage, PA requirement, and criteria source.
02
Case creation
Prefills payer portals and attaches evidence and accurate codes.
03
Submission and follow-through
ePA/API, portal, or auto-fax, with reference-number tracking.
04
Utilization management support
Flags P2P needs, schedules callbacks, and captures outcomes.
05
Renewals and changes
Monitors units and dates, and auto-preps extensions and mod requests.
Meet the agents behind it
Prior auth runs on Ember's AI orchestration layer, alongside agents for every adjacent workflow.
Prior Authorizations
Verifies requirements, assembles clinical documentation, and submits to payer portals and ePA systems.
Explore the agentBenefits Verification
Checks coverage, plan details, and patient responsibility across payer portals before the visit.
Explore the agentMedical Necessity
Evaluates orders against payer criteria, finds documentation gaps, and assembles clinical evidence.
Explore the agentHow it works
01
Connect to your EHR/PM
Reviews orders, diagnoses, notes, and imaging.
02
Validate and build the packet
Confirms medical necessity and assembles the authorization packet.
03
Submit and monitor status
Nudges next steps before deadlines.
04
Route exceptions to staff
Full context, with everything logged and traceable.
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.
Organization playbooks configurable by specialty, payer, and service type.