anterior

JSON twin: https://www.healthaidb.com/software/anterior.json

Company Name

Anterior

Product URL

https://www.anterior.com/solutions/prior-authorization

Company URL

https://www.anterior.com/

Categories

Summary

Anterior is a clinical AI platform that automates complex administrative workflows for health plans, including prior authorization, utilization management, risk adjustment, and member services.

Description

Anterior provides a healthcare-native AI architecture designed to replicate clinical reasoning at scale for payer organizations. The platform ingests unstructured records, applies domain-aware models and clinician-in-the-loop workflows to automate reviews, identify care gaps, detect payment integrity issues, and surface operational and quality insights. Deployed via APIs and customizable workflows, it emphasizes enterprise security, interoperability, and partnership with customers for implementation.

Api Available

unknown

Certifications

Company Founding

2022

Company Offices

Compliance

Customers

Data Residency

US-based (data may be transferred to the United States and other countries)

Data Standards

Deployment Model

Features

Id

P0118

Integration Partners

Integrations

Languages Supported

Last Updated

2025-09-07

License

commercial / proprietary

Links

Market Segment

Optional Modules

Os Platforms

Pricing Details

Contact vendor for pricing; enterprise deployments and demos available.

Pricing Model

enterprise_quote

Privacy Features

Ratings

Regions Available

Release Year

2022

Security Features

Specialties

Support Channels

System Requirements

Target Users

Training Options

Type

product

User Reviews

Version

1.0

Canonical JSON

{
  "company_name": "Anterior",
  "company_url": "https://www.anterior.com/",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2022",
  "product_url": "https://www.anterior.com/solutions/prior-authorization",
  "categories": [
    "clinical",
    "administrative",
    "prior authorization",
    "utilization management",
    "risk adjustment",
    "payment integrity",
    "population health",
    "patient-facing"
  ],
  "market_segment": [
    "enterprise"
  ],
  "links": [
    "https://www.anterior.com/",
    "https://www.anterior.com/solutions/prior-authorization",
    "https://www.anterior.com/mission",
    "https://www.anterior.com/privacy",
    "https://www.anterior.com/insights",
    "https://techcrunch.com/2024/06/08/anterior-grabs-20m-from-nea-at-95m-valuation-to-expedite-health-insurance-approvals-with-ai/",
    "https://www.businesswire.com/news/home/20240610719247/en/Anterior-Secures-%2420-Million-Series-A-to-Unlock-Administrative-Efficiencies-for-Healthcare-Payers",
    "https://www.linkedin.com/company/anteriorai",
    "https://www.nea.com/portfolio/anterior"
  ],
  "summary": "Anterior is a clinical AI platform that automates complex administrative workflows for health plans, including prior authorization, utilization management, risk adjustment, and member services.",
  "description": "Anterior provides a healthcare-native AI architecture designed to replicate clinical reasoning at scale for payer organizations. The platform ingests unstructured records, applies domain-aware models and clinician-in-the-loop workflows to automate reviews, identify care gaps, detect payment integrity issues, and surface operational and quality insights. Deployed via APIs and customizable workflows, it emphasizes enterprise security, interoperability, and partnership with customers for implementation.",
  "target_users": [
    "health plan clinicians",
    "utilization management nurses",
    "case managers",
    "payers",
    "health plan operations leaders",
    "quality improvement teams",
    "risk adjustment teams",
    "engineering/IT teams"
  ],
  "specialties": [
    "prior authorization",
    "utilization management",
    "case management",
    "risk adjustment",
    "payment integrity / fraud waste abuse",
    "disease management",
    "quality improvement (HEDIS/Stars)",
    "member services",
    "population health"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "enterprise_quote",
  "pricing_details": "Contact vendor for pricing; enterprise deployments and demos available.",
  "license": "commercial / proprietary",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "End-to-end prior authorization automation",
    "AI-driven clinical determination and reasoning (Florence)",
    "Auto-approval and auto-decisioning",
    "Triage and queue management for reviews",
    "Clinical review assistance for nurses/reviewers",
    "Workflow orchestration for prior auth processes",
    "Reporting and operational analytics",
    "Document aggregation/packaging for requests",
    "Throughput and time-to-decision optimization",
    "Inter-rater reliability and quality validation"
  ],
  "optional_modules": [],
  "integrations": [],
  "data_standards": [],
  "api_available": "unknown",
  "system_requirements": "",
  "compliance": [
    "HIPAA"
  ],
  "certifications": [],
  "security_features": [
    "Technical, organizational and physical safeguards"
  ],
  "privacy_features": [
    "Processes PHI on behalf of customers under contractual agreements (BAA implied)",
    "Data minimization and de-identification for analytics"
  ],
  "data_residency": "US-based (data may be transferred to the United States and other countries)",
  "customers": [],
  "user_reviews": [],
  "ratings": [],
  "support_channels": [],
  "training_options": [],
  "release_year": "2022",
  "integration_partners": [],
  "id": "P0118",
  "slug": "anterior",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-09-07",
  "links_json": {
    "self": "https://www.healthaidb.com/software/anterior.json"
  }
}