Anterior is a New York-based startup specializing in AI-driven solutions for healthcare administration. Founded in 2022, the company focuses on streamlining clinical workflows to enhance operational efficiency for health plans. Notably, Anterior is featured among The AI Furnace’s AI Hot 100 startups.
What does Anterior do?
Anterior offers an AI platform designed to automate complex clinical tasks within health plans, such as prior authorization, case management, and payment integrity. By integrating advanced AI capabilities, Anterior aims to reduce administrative burdens, accelerate decision-making processes, and improve overall member care experiences.
Key Capabilities
- Prior Authorization Automation: Automates the entire prior authorization process, increasing auto-approvals by 76% and reducing manual review time by over 70%.
- Clinical AI Assistant (Florence): Provides real-time decision support for complex cases, enhancing clinical accuracy to 96% and improving inter-rater reliability.
- WorkFlow Automation (WorkFlos): Customizes health plan-specific workflows to automate end-to-end processes like prior authorization, concurrent review, and retrospective review.
- Plan Intelligence: Structures unstructured medical policies into programmatic decision trees, ensuring consistent application of health plan guidelines at scale.
- Member Vault: Creates secure clinical profiles to enable personalized care management and proactive interventions while maintaining HIPAA compliance.
- Regulatory Compliance: Supports compliance with CMS-0057-F by implementing standardized APIs for electronic prior authorization and data exchange.
- Integration Capabilities: Seamlessly integrates with existing tech stacks, including portals, care management systems, and e-fax solutions, ensuring interoperability across platforms.
Why it stands out
Anterior distinguishes itself by developing an AI platform specifically tailored for health plans, addressing the unique challenges of healthcare administration. Its clinician-built solutions, such as Florence, replicate human clinical reasoning, ensuring high accuracy and reliability in decision-making processes. The company’s commitment to responsible AI governance and data security further enhances its appeal to healthcare organizations seeking efficient and compliant solutions.
Quick Facts
- Founded: 2022
- Headquarters: New York City, USA
- Website: anterior.com
- LinkedIn: Anterior
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