Clinician-built AI to transform your health plan operations

Anterior’s all-in-one AI platform streamlines your toughest clinical tasks — including prior authorization, case management, and payment integrity — so your members experience faster, frictionless care.

Meet Florence

The AI clinician made to navigate health plans

Florence isn't just another healthcare AI—it's built specifically for health plans. Developed by clinicians with deep healthcare and health plan experience, Florence understands your medical policies, benefit structures, and network rules. It delivers expert clinical judgment with the consistency and scalability only AI can provide.

FloPilot

Clinician-driven intelligence from day one

Empower your clinical team with an intelligent clinical AI assistant that amplifies their expertise across use cases such as utilization management, case management, care coordination, and payment integrity.
Clinician-driven intelligence from day one

WorkFlos

Health plan-specific automations that adapt to your processes

Transform fragmented workflows into seamless operations that mirror your plan's unique requirements. Our health plan-specific WorkFlos automate end-to-end processes like prior authorization, concurrent review, and retrospective review according to your exact specifications.
Health plan-specific automations that adapt to your processes

Plan Intelligence

Your plan's rubric, applied at scale

End the inconsistency that plagues health plan decision-making. Florence learns your exact medical policies, benefit designs, and network rules, ensuring every determination follows your guidelines precisely.
Your plan's rubric, applied at scale

Member Vault

Secure member data driving exceptional member service

Transform how your health plan serves members while maintaining rigid security standards. The Member Vault creates a secure clinical profile that enables personalized care management, proactive intervention, and seamless authorization experiences.
Secure member data driving exceptional member service

AI that’s private, secure and safely developed by clinicians

Your enterprise will access healthcare-native AI from day one that meets industry-leading responsible AI standards. Built by clinicians and cybersecurity experts ensures all decisions made are safe and your member data never leaves your secure environment.

In-house clinical quality assurance

Our team is formed of physicians, experienced utilization management nurses and engineers — who monitor and improve Florence’s outputs.

Clinician customer service

100% of all cases flagged by our partner organizations are reviewed by an Anterior clinician

Member-first AI governance

Our AI Goverance Committee represents the member, and ensures AI-driven recommendations are safe, fair and compliant.

Secure architecture

Florence is contained within a secure HIPAA-compliant environment — PHI is encrypted at transit and at rest.

Opt-in training

We only train fine-tune models in close collaboration with customers who have opted-in. PHI is never used in model training.

Bias eliminated by design

We avoid bias by using representative datasets and responsible model selection. Any changes to our models must pass a series of bias detection dataset tests before they go live.

Built for today's health plan challenges — ready for tomorrow's

We speak your language. Whether you’re navigating the complexities of the CMS-0057 Final Rule, preparing for URAC accreditation, or implementing PAS, CRD, and DTR requirements — we get it. Our platform is built with the realities of enterprise health plans in mind, helping you stay compliant, efficient, and ahead of what’s next.

Grow membership and revenue

Florence enables plans to effectively attract and retain members while also capturing more revenue per member (HEDIS, Stars, risk adjustment etc.), driving future growth.

Satisfy your members and providers

Our AI-powered workflows enable faster, more accurate and transparent decision-making, improving member and provider experience

Meet and exceed regulatory requirements

Florence enables health plans to maintain high clinical quality, accuracy & greater inter-rater reliability and remain compliant in a rapidly changing regulatory landscape

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

AI to transform your health plan operations.