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Anterior

Clinical AI platform automating prior authorization for health plans

New York City, New York, United States
Est. 2023
11-50 employees
Verified
3+ Yrs
2 Certs

About Anterior

Anterior is an AI company founded by clinicians to transform healthcare administration for payers. The company was previously named Co:Helm and rebranded to Anterior in 2024. Founded by Dr. Abdel Mahmoud, a physician turned engineer with experience at Facebook and Google, Anterior focuses on reducing the administrative burden in healthcare through generative AI technology.

The company's platform, featuring an AI clinical co-pilot named Florence, targets prior authorization workflows for health plans. With half of its team composed of doctors and nurses, Anterior applies clinical expertise to AI development. The platform is designed for explainability, with all AI recommendations reviewed and approved by human clinicians. Anterior reports 99.24% clinical accuracy (KLAS-verified), 85% baseline admin cost elimination, and 56% reduced staff burden time.

Anterior raised a $20 million Series A led by New Enterprise Associates in June 2024, with participation from Sequoia Capital, Blue Lion Global, and Neo. The company works with health plans processing millions of prior authorizations annually, delivering ROI from implementation.

Best For

Anterior is best suited for health insurance companies and managed care organizations seeking to automate prior authorization workflows. The platform is designed for payers handling high volumes of medical necessity reviews who need to reduce clinician administrative burden while maintaining clinical accuracy and regulatory compliance.

Key Strengths

  • Team composed of 50% clinicians (doctors and nurses) who understand healthcare workflows firsthand
  • KLAS-verified 99.24% clinical accuracy with explainable AI showing reasoning and citations for each decision
  • Demonstrated results including 85% baseline admin cost elimination and 56% staff burden time reduction
  • Healthcare-native platform built specifically for payer workflows with HITRUST and HIPAA compliance
  • Strong venture backing from top-tier investors including NEA and Sequoia Capital
  • Reduces time for Medical Necessity Reviews from industry average 10.5 cases per nurse per day to approximately half

Why Choose Anterior

Choose Anterior when you need to rapidly reduce prior authorization administrative costs while maintaining high clinical accuracy standards. The platform is particularly strong for health plans experiencing nursing shortages or high clinician turnover, as it amplifies existing staff productivity rather than requiring additional headcount.

Expect a deployment-ready solution with day-one ROI potential, backed by clinical governance from nurses who participate in product development. The explainable AI architecture ensures audit trails and regulatory compliance, making it suitable for organizations with strict oversight requirements.

Healthcare Focus

Anterior is exclusively focused on healthcare payers, addressing the $950 billion annual administrative cost burden in U.S. healthcare. The company's platform specifically targets utilization management workflows including prior authorization, medical necessity reviews, and related payer operations. With HITRUST and HIPAA compliance built in, and a clinical team that includes nurses with health plan executive experience, Anterior understands payer regulatory requirements and operational constraints.

The platform is designed to work within existing payer systems and clinical guidelines, with nurses participating in product development standups to ensure workflows match real-world payer operations. Future applications are planned for risk adjustment, care management, and payment integrity workflows.

Ideal Client Profile

Health insurance companies, managed care organizations, and third-party administrators processing large volumes of prior authorizations (typically 1 million+ annually). Organizations experiencing high clinician administrative burden, facing nursing shortages, or seeking to improve turnaround times for authorization decisions while maintaining compliance and clinical quality standards.

Specializations

Prior authorization automation Clinical AI reasoning Generative AI for healthcare administration Medical necessity review automation Utilization management AI Healthcare payer workflow optimization

Client Types

Payers

Why Choose Anterior?

  • 3+ years of industry experience
  • 11-50 team members
  • 2 certifications verified
  • Select Partner on Curatrix
  • Verified on Curatrix

Quick Facts

Headquarters
New York City, New York, United States
Founded
2023
Company Size
11-50 employees

Certifications

hipaa hitrust

Profile last updated: Jan 26, 2026

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