solutions

The most clinically accurate AI solutions

Anterior unlocks faster approvals and financial savings without adding risk or complexity.

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ENTERPRISE-GRADE AI

See ROI on day one

99.24%

End-to-end clinical accuracy, KLAS-verified

76%

increase in auto-approvals

182s

average time-to-approval

END-TO-END TRANSFORMATION

Real-time decisioning at the point of care

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Ready to deploy

90% accuracy out of the box, adjusted to your thresholds

Secure by design

Auditable and configurable at every single step

Interoperable

Integrated directly into existing technology stacks

Gather

With faster intake, experience lowered admin costs

Case intake

Fax-to-case matching

Triage

NSI chart retrieval

Real-time retrieval via EMR integration

Verify

With reduced error rates, garner fewer disputes and call center escalations

Member eligibility

Policy cross-check

HIPAA verification

Clinical Document Verification

Prepare

Prepare for CMS interoperability and prior auth mandates

Policy digitization (FHIR-compliant)

Policy selection

Clinical data extraction & document parsing

DTR questionnaire generation

FHIR conversions

Reason

With increase of auto-approvals, clinicians can focus on higher value work

Medical necessity review (Including inpatient, home health, pharmacy, etc.)

Unit allocation

Provider gold carding

Summarize

With faster review time, provider abrasion and care delays reduced Example tasks:

Customized clinical record summarization

Customized determination notes

Real-time adjudication of decision via integrated EMR

DECISION THRESHOLDS

Never a black box

From fully automated workflows to human-guided interactions, our prior auth solution can be adapted to various levels of automation.

Affirmative decision-making

Designed to evaluate all clinical pathways for approval and is never authorized to deny, delay, or modify patient care.

Escalated for clinician review

If a definitive path to approval is not found with the provided evidence, the decision is always escalated to a clinician for review.

Full explainability and auditability

Every micro-decision has a full chain of reasoning and cited evidence.

Case Study

Anterior transformed prior authorizations for a large payer enterprise.

prior authorizations a year

99.24%

clinical accuracy (KLAS-verified)

clinician CSAT score

Need more proof to build a business case?

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