AI Prescription Intelligence
AI that catches unsafe and wasteful prescriptions before they're paid. The independent clinical layer payers have never had.
Every prescription checked against the full clinical picture
EHR data, claims history, lab results, and medication profiles — analyzed in real time.
The Prescription Problem
What slips through today costs lives and billions.
Clinically Inappropriate Prescribing
Drug doesn't match diagnosis, dose outside guidelines, dangerous combinations, duplicate therapy, and unsafe substitutions in titration-dependent patients.
Wasteful Drug Spending
Expensive brands where equivalent generics exist, second-line drugs used too early, repeated prescriptions without reassessment, and early refills.
Fraud, Abuse & Corruption
Prescribers writing far more controlled substances than peers, doctor shopping, pharmacy collusion, and fake diagnoses to unlock high-cost drugs.
Prior Authorization Burden
39 prior auth requests per physician per week. Axeris reduces unnecessary PAs by catching problems earlier with better precision.
An independent clinical layer between prescribing and payment.
Axeris checks every prescription against the patient's full clinical picture before the claim is paid. If it's appropriate, it flows through. If it's unsafe or wasteful, it's flagged with a clear explanation for human review.
- ✓Doctor writes e-prescription, claim hits insurer environment as usual.
- ✓Axeris runs checks against EHR data, claims history, labs, and medication profiles.
- ✓Green flag: appropriate — let it pass. Yellow: safer or cheaper equivalent exists. Red: high risk, flagged for review.
Green — Appropriate
Matches diagnosis, safe dose, no interactions. Claim flows through automatically.
Yellow — Equivalent Exists
Likely okay, but a safer or cheaper equivalent exists with validated therapeutic equivalence.
Red — High Risk
Inconsistent, clinically inappropriate, or clearly wasteful. Flagged with evidence for human review.
Data Points
50+Accuracy
99.4%Three engines working together
Rules & Guideline Engine
Clinical guidelines, FDA drug labels, dose/duration standards, interaction databases, plan policies, titration safety checks, and polypharmacy risk scoring. Every flag includes the rule violated, explanation, and source link.
ML & Anomaly Detection
Learns normal prescribing patterns, identifies high-performer patterns, detects unusual refill intervals, flags known abuse patterns, and identifies polypharmacy clusters. Assigns risk scores and flags outliers.
Patient-Specific Reasoning
Combines EHR + claims to consider diagnoses, lab results, genetics, prior drug failures, allergies, adherence behavior, and active medication count. Prevents false positives and ensures safe alternatives.
What we analyze
Built for payers who want independent verification
Axeris integrates into your existing claims workflow. Zero risk — we take a percentage of verified savings. If we don't save money, you don't pay.
Self-Funded Employers
65% of commercially insured Americans. Directly bear the cost. No independent tool doing this today.
Health Insurers
Thin margins, regulatory pressure. Need transparent, evidence-backed utilization decisions.
Health Systems & Provider Groups
Reduce inappropriate prescribing, protect patients, and minimize liability.
We don't push cheap drugs. We stop unsafe ones.
Axeris is the independent clinical and financial intelligence layer that payers have never had. Aligned with patients and payers — not rebates.
Not a PBM
We don't make money on rebates or spread pricing. We're fully aligned with payer and patient value.
Not a denial tool
We flag for human review. Evidence-first, cost-second. Conservative thresholds. Clinically validated only.
Proactive, not retrospective
Unlike MTM programs that review after the fact, we catch problems before the claim clears.
True equivalence required
Equal potency, bioavailability, formulation, titration, and clinical effectiveness. FDA Orange Book backed.
Built by people who understand both sides
Catch the waste.
Protect the patient.
Performance-based pricing. If we don't save money, you don't pay. Zero risk, aligned incentives, measurable ROI.