The clinical AI platform built for health plans

Don’t trust your health plans to generic AI. Anterior’s AI platform is trusted by clinicians, loved by developers, and deployed with human experts.

The AI platform proven to transform your most complicated clinical workflows.

KLAS Research-Validated

99.24%accuracy
74%time reduction
92%user satisfaction

Healthcare is no place for generic AI

One-size-fits-none

Horizontal tools often fail at the last mile where clinical accuracy, regulatory compliance, and member outcomes are on the line. True performance, safety, and security require deep domain expertise.

Death by point solution

Health plans are driving full-scale AI transformation. Point solutions produce a patchwork of siloed tools connected by duct tape, and fail to scale as you scale.

Failure to integrate

General-purpose solutions underestimate the complexity of healthcare integration and fail to appreciate the importance of interoperability across the stack (EHRs, Portals, CAPs systems, and more).

Covering 50M+ Lives

Meet Anterior

Anterior has created a proprietary AI architecture that uniquely replicates human clinical reasoning and has overcome challenges traditionally faced by AI systems to give healthcare-ready reasoning at scale.
We talked to quite a few vendors and we realized that what Anterior offers is the real thing. It works, and it’s ahead of the game. 
Chief Strategy & Product Officer at Large Payer Enterprise
6M prior authorizations/year

Healthcare Native

Walk like an engineer, talk like an MD

Anterior’s platform understands complicated clinical processes, parses unstructured documentation, and speaks healthcare like a clinician (because it’s built by clinicians).
Walk like an engineer, talk like an MD

Versatile Application

Design for your unique workflows

Use our ready-to-go workflows that generate immediate impact, or fully customize our tools to fit your needs. Custom flows, easily operationalized.
Design for your unique workflows

Flexible Deployment

Find a partner, not a vendor

Anterior is built with enterprise IT in mind—with robust APIs, clean documentation, and secure infrastructure that fits with your existing stack. Our forward-deployed clinicians and engineers work side-by-side with your teams to ensure success. You stay in control, we help you move faster.
Find a partner, not a vendor

Add value out of the box

Anterior lets you automate any workflow
requiring labor-intensive clinical reasoning.

Utilization Management

Auto-reviews patient records and guidelines. Flags missing policy details clearly. Independently contacts providers to complete reviews.

Case Management

Identifies high-need members. Generates intelligent recommendations and alerts. Actions on next steps.

Risk Adjustment

Pinpoints gaps in reporting. Auto-generates faxes and letters. Collates complicated documentation.

Payment Integrity

Identifies patterns and detects fraud, waste, and abuse. Understands fees and schedules and proactively builds alerts.

Disease Management

Identifies opportunities for preventative screenings. Proactively identifies patterns in medication adherence. Collaborates cross-functionally.

Quality Improvement

Identifies gaps between performance and desired outcomes. Analyzes complex measures across member satisfaction, clinical quality measures, and operational efficiency. Informed by HEDIS and Star measures.

Member Services

Quickly gathers all past interactions with members into one, simple response. Enables customer advocates to respond quickly and thoroughly.

Population Health

Partners with health plan clinicians and scientists on pilot programs. Assesses health equity trends at any level of granularity. Adheres to non-bias policies and guardrails.

Frequently Asked Questions

Anterior is a clinical AI platform built for health plans. We’ve created a proprietary AI architecture that uniquely replicates human clinical reasoning and has overcome challenges traditionally faced by AI systems (e.g., temporal reasoning, consistency, hallucinations, etc.) to give healthcare-ready reasoning at scale. With this architecture, we build and scale AI-powered workflows for health plans to streamline administrative burden.