Practice online, on your terms
Encounters that arrive ready for your clinical judgment, tooling that stays out of your way, and a rate you see before you accept, in the states you hold.
- enc_5a00weight_managementTXready for you
- enc_59d9hormone_therapyFLsigned
- enc_59b2dermatologyCAsigned
- enc_598bweight_managementNYsigned
- enc_5964menopause_careWAsigned
Three steps to your first encounter
Apply and credential
We verify your licenses and DEA registration where it applies, and handle credentialing with you once, not once per brand you serve.
Choose states and categories
Work the categories you want in the states you hold. Add licenses over time and your queue grows with them.
Review, sign, get paid
Encounters arrive complete. Review, decide and sign. The rate for each encounter is visible before you accept it.
The medicine, without the busywork
Hours you control
Async review is the core of the work. No shift minimums and no empty waiting rooms: open the queue when it suits you.
Work that arrives ready
Validated intake, the patient’s history and the specific request, with an AI-prepared chart, before it reaches you.
Prescribing without friction
EPCS-ready e-prescribing, pharmacy routing and refill management built in. Sign the decision and fulfillment follows.
Transparent pay
The rate for each encounter type is visible before you accept the work, and it doesn’t change after the fact.
Malpractice coverage included
Lithos carries malpractice insurance for every encounter you review through Lithos, and structured charting and audit trails back every decision.
Grow with your licenses
Providers licensed in more states see more volume, and we support licensure expansion for committed partners.
Questions providers ask
Anything else about working with Lithos? We’re happy to talk it through.
Who can apply?
Licensed MDs, DOs, NPs, PAs and RDs with at least one active, unrestricted US license. Multi-state licensure, compact participation and DEA registration open up more categories and volume.
What does the work actually look like?
Mostly asynchronous encounter review: intake and history evaluation, treatment decisions, prescriptions and follow-ups, with synchronous visits where state rules or your clinical judgment require them.
How is compensation structured?
Per encounter, with the rate shown up front for each encounter type. Specifics are shared during onboarding; what we commit to publicly is that you see the rate before you accept the work.
Do I need my own malpractice insurance?
Not for your work through Lithos. Lithos carries professional liability (malpractice) insurance that covers every provider for the encounters they review on Lithos. Practice outside Lithos needs its own coverage.
Am I an employee or a contractor?
Providers join the professional entities Lithos supports as independent practitioners. Structure and credentialing details are covered in onboarding.
Does AI make clinical decisions?
No. AI prepares the chart so your review is fast and thorough. You make every clinical call, and software never prescribes.
Want to run your own practice under your own brand instead? That’s a different path: read taking your practice direct.
Do the medicine. Skip the busywork.
Tell us your licenses and the categories you want to work, and we’ll take it from there.
MDs, DOs, NPs, PAs and RDsAsync-first