Purpose-Built for Healthcare

Developer APIOpenAI-Compatible Clinical Reasoning API

One API for all healthcare needs. Powered by advanced medical chain-of-thought reasoning, trained on peer-reviewed literature, and designed for evidence-based clinical decisions.

Stop using generic AI. EvidenceMD understands medicine.

View Documentation
  • OpenAI-compatible
  • Streaming + JSON mode
  • 30 languages
  • HIPAA compliant

Your first request

~2 minutes to first token
Quick start
curl https://evidencemd.ai/api/v1/chat/completions \
  -H "Content-Type: application/json" \
  -H "x-api-key: YOUR_API_KEY" \
  -d '{
    "model": "evidencemd-fast",
    "messages": [
      {"role": "user", "content": "What is metformin?"}
    ],
    "stream": true
  }'

94%

Medical reasoning

3

Models

60/min

Rate limit

Benchmarks

AI Reasoning Benchmarks

How EvidenceMD compares to leading AI models on specialized reasoning tasks

Medical Reasoning

EvidenceMD AI API94%
GPT 5.283%
Claude 4.5 Opus76%
Google AI70%

Medical / Insurance administrative Reasoning

EvidenceMD AI API90%
GPT 5.280%
Claude 4.5 Opus75%
Google AI70%

Side by side

See the Difference: Real Clinical Reasoning

EvidenceMD delivers structured, evidence-based responses with citations from peer-reviewed sources.

FeatureEvidenceMDOpenAIClaudeGemini
Citations & Sources
Peer-Reviewed Information
Clinical Reasoning
Biomedical Reasoning
EvidenceMD API Response

User Query:

"What's the treatment plan for aortic thoracic aneurysm 5.9cm in dialysis patient?"

EvidenceMD Response:

Executive Summary: Treatment Plan for 5.9 cm Thoracic Aortic Aneurysm in Dialysis Patient

The treatment plan requires a critical balance between the imminent risk of aortic rupture/dissection and the significantly elevated perioperative mortality associated with renal failure.

Immediate Recommendation:

A 5.9 cm TAA exceeds the standard intervention threshold of 5.5 cm established by the 2022 ACC/AHA Guidelines [1]. The management strategy must prioritize Thoracic Endovascular Aortic Repair (TEVAR) over open surgery if anatomically feasible.

1. Indication for Intervention:

  • Size Thresholds: Intervention at ≥5.5 cm per guidelines [1]
  • Critical Point: Sharp increase in dissection risk at 6.0 cm [26]
  • Dialysis Mortality: 30-day mortality ~17% for TEVAR [19]

2. Procedural Approach:

  • TEVAR preferred for descending TAA in high-risk patients [3]
  • Lower perioperative morbidity vs open repair [6]
  • 30-day survival 85.7% in dialysis patients [10]

Sources (8 peer-reviewed citations):

[1] ACC/AHA Guidelines 2022 - ahajournals.org

[3] SVS Guidelines - jvascsurg.org

[6] Ann Thorac Surg - annalsthoracicsurgery.org

[10] PMC Study - pmc.ncbi.nlm.nih.gov

[19] JTCVS - jtcvs.org

[26] PubMed Study - pubmed.ncbi.nlm.nih.gov

Real API response with inline citations and peer-reviewed sources

Use cases

One API for All Healthcare Needs

Built for developers building the future of healthcare

Digital Health Apps

Patient education, symptom checkers, telehealth platforms

Pharma & Life Sciences

Drug discovery, clinical trials, medical writing

Medical Scribe

Clinical documentation, SOAP notes, EHR integration

Wellness & Longevity

Diet, nutrition, fitness, preventive health apps

Example prompts

Steer the Same Endpoint With a System Prompt

Add a system message and one endpoint drafts an appeal, a prior authorization, a specialist answer, or a plain-language explanation. Every example here runs as-is in the dashboard playground.

Insurance denial appeal

Turn a denial into a formal, evidence-backed appeal letter.

Pro

system

Act as a medical necessity appeals specialist. Draft a formal appeal letter contesting an insurance denial. Lead with the clinical summary, then the guideline and peer-reviewed evidence establishing medical necessity, then a direct request for reconsideration. Support every clinical claim with a citation.

user

Draft an insurance denial appeal for a 54-year-old woman with HER2-positive metastatic breast cancer whose trastuzumab deruxtecan was denied as not medically necessary after progression on trastuzumab plus pertuzumab.

Clinical reasoning for all medical questions

Specialist-level answer for any medical question, written for a treating clinician.

Deep

system

Act as a clinical reasoning expert and answer any medical question. Write for a practicing clinician: precise terminology, relevant clinical context, guideline references, and an explicit statement of how strong the evidence is and where uncertainty remains.

user

For a patient with stage III unresectable NSCLC who has completed concurrent chemoradiation, what is the current evidence for consolidation durvalumab, and how should PD-L1 status change the decision?

Prior authorization request

Payer-ready request documenting medical necessity.

Pro

system

Act as a prior authorization specialist. Draft a concise prior authorization request that documents the diagnosis, the therapies already tried and their outcomes, the clinical rationale for the requested therapy, and the guideline basis. Include only what a payer reviewer needs to approve it.

user

Draft a prior authorization request for semaglutide for a 47-year-old man with type 2 diabetes, BMI 34, and HbA1c 8.6% on maximum-dose metformin who did not tolerate empagliflozin.

Patient-friendly explanation

Plain-language answer that keeps the evidence intact.

Fast

system

Act as patient friendly evidence based reasoning expert. Explain at roughly an eighth-grade reading level, define any term you cannot avoid, and keep every clinical fact accurate. Describe what the evidence shows in plain words and do not give individual medical advice.

user

Explain to a newly diagnosed patient what atrial fibrillation is, why blood thinners are usually recommended, and what the bleeding risk actually means for them.

Differential and workup

Ranked differential with the workup in order.

Deep

system

Act as medical reasoning expert and provide detailed response. Give a ranked differential diagnosis with the findings that discriminate between the leading possibilities, then the initial workup in the order you would order it, then the red flags that would change management.

user

A 32-year-old woman presents with three weeks of fatigue, migratory joint pain, and a photosensitive facial rash. CBC is normal apart from a mild anemia. What is the differential and the initial workup?

Default system prompt

Omit the system message and the API answers with its own clinical default. The playground starts from Act as medical reasoning expert and provide detailed response so you always have a known baseline to edit.

Advantages of EvidenceMD

Around 40% cheaper than rebuilding this on Opus 5 or GPT-5.6

Flat pricing per request, evidence retrieval included, no prompt engineering to maintain, and reasoning tuned for US insurance and utilization review — the parts a general model leaves to you.

Predictable unit cost

$0.20 flat per request on fast and pro, $0.25 on deep — no reasoning-token surprises.

Evidence, not recall

Live retrieval with peer-reviewed citations and a sources array you can store and audit.

No prompt engineering

Clinical structure and citation format are pre-tuned. Send the bare question and ship.

US payer logic built in

Prior authorization, medical necessity, two-midnight rule, and the Medicare appeals ladder.

See all advantages

Reference

API Documentation

OpenAI-compatible API. Drop-in replacement with medical superpowers.

Quick Start

Get started in under 2 minutes

1

Get your API Key

Sign in with Google to get your API key from the dashboard.

2

Make your first request

cURL
curl https://evidencemd.ai/api/v1/chat/completions \
  -H "Content-Type: application/json" \
  -H "x-api-key: YOUR_API_KEY" \
  -d '{
    "model": "evidencemd-fast",
    "messages": [
      {"role": "user", "content": "What is metformin?"}
    ],
    "stream": true
  }'
3

Receive evidence-based response

Response includes inline citations [1], [2] with source URLs and a References section — all embedded in the content. Every response includes an x-request-id header for tracing.

Three models available

evidencemd-fast — Quick answers, 4 credits

evidencemd-pro — Deep analysis, 4 credits

evidencemd-deep — Advanced clinical reasoning, 5 credits

Why EvidenceMD

Evidence-Based Clinical Reasoning

How EvidenceMD transforms clinical decision-making with AI-powered evidence synthesis

Chain-of-Thought Reasoning

Our model follows clinical reasoning patterns - from differential diagnosis to treatment planning, mimicking how physicians think through complex cases.

Real-Time Evidence Synthesis

Automatically retrieves and synthesizes evidence from peer-reviewed journals, clinical guidelines, and medical databases for every query.

Specialty-Aware Responses

Trained across 30+ medical specialties with understanding of specialty-specific guidelines, terminology, and treatment protocols.

Verifiable Citations

Every clinical claim is backed by inline citations from trusted sources - no hallucinations, no made-up references.

Enterprise API

HIPAA compliant, with zero retention of your prompts and responses and no training on your data. Talk to us about a BAA, raised rate limits, and volume pricing.

HIPAA compliantZero retentionNo training on your dataSOC 2 Type II in progress

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Compare EvidenceMD with general models
Developer API & Docs — Clinical Reasoning API | EvidenceMD