Ansera
Ansera is a private healthcare technology company that delivers a Salesforce-based cloud Decision Support System and clinical support services to optimize medical claims processing and prior authorization for health plans, providers, ACOs, employer groups, and reinsurers.
- Company typePrivate
- Founded2013
- HeadquartersNorth Augusta, United States
- Headcount—
- GTM typeB2B
- OfferingSoftware
What Ansera does
Ansera (formerly Avandé) is a privately held healthcare technology company headquartered in Evans, Georgia, that builds and operates a cloud-based Decision Support System (DSS) for medical claims processing and prior authorization. The platform is constructed natively on the Salesforce cloud and orchestrates integrated workflows across the full healthcare management cycle, from patient visits and clinical coding through authorizations, processing, and payment. It delivers real-time access to ICD codes, provider guidelines, Diagnosis Related Groups, and plan guidelines; automates business-rule-driven workflow; and enables simultaneous collaboration among doctors, coders, billers, and insurers via Salesforce Chatter. A complementary Clinical Support Services offering provides access to 70+ board-certified physicians for appeals defense, peer-to-peer discussions, and clinical, financial, regulatory, and legal review.
The company sells on a subscription basis with quote-based annual contracts, targeting five healthcare verticals: health plans and insurance carriers, self-insured employer groups and TPAs, healthcare providers, accountable care organizations, and reinsurers. Go-to-market is enterprise field sales with a consultative motion that includes free demos and clinical consulting services. The platform inherits HIPAA, ISO 27001, and SAS70 Type II/SOC 1 compliance from Salesforce and operates across three global data centers with 99.99% uptime. The company claims $3.5B in cumulative claims reviewed through its platform and 10+ healthcare ecosystem partners.
Ansera firmographics
Firmographics- Name
- Ansera
- Legal name
- Ansera
- Website
- https://anseracloud.com
- Company type
- Private
- Founded year
- 2013
- Operating status
- Operating
- Short description
- Ansera is a private healthcare technology company that delivers a Salesforce-based cloud Decision Support System and clinical support services to optimize medical claims processing and prior authorization for health plans, providers, ACOs, employer groups, and reinsurers.
- Ownership category
- akta.pro rank
Ansera industry classification
Industry- Product category
- Healthcare Decision Support Software
- NAICS
- Custom Computer Programming Services (541511), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518), Computer Systems Design and Related Services (54151)
- SIC
- Services-Health Services (8000), Services-Computer Programming, Data Processing, Etc. (7370), Services-Computer Processing & Data Preparation (7374)
- akta.pro primary industry
- Diagnostic & Triage Decision Support (HLACAGAA)
Keywords
Where Ansera is headquartered
LocationHeadquarters
- HQ city
- North Augusta
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Ansera business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Marketing or Sales, Operations, Infrastructure
Revenue model
- Healthcare Decision Support System Subscription: Cloud-based Decision Support System (DSS) provided as a subscription service built on Salesforce platform. Enables health care organizations to make better decisions and improve quality of healthcare outcomes through operational efficiency. Revenue likely derived from platform access fees and configuration services.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Enterprise healthcare organizations subscription model |
Go-to-market motion1 record
Distribution channels1 record
Marketing channels3 records
Ansera product offering
Product offeringCore offering
Ansera delivers a cloud-based Decision Support System (DSS) built on the Salesforce platform that helps healthcare organizations review medical claims, make prior authorization decisions, and orchestrate workflows across the management cycle from patient visit to payment. The company also provides Clinical Support Services staffed by 70+ board-certified physicians for appeals defense and peer-to-peer reviews.
Product overview
Ansera (also branded as Avandé) is a healthcare technology company offering a unified Decision Support System (DSS) built on Salesforce cloud platform. The core product is the interactive cloud-based Decision Support System (DSS) that helps healthcare organizations including health plans, employers, providers, ACOs, and reinsurers with medical claims processing, prior authorization decisions, and healthcare management workflows. The DSS orchestrates integrated workflows across the healthcare management cycle from patient visits and coding through authorizations, processing, and payment, enabling collaboration among doctors, coders, billers, and insurers. Ansera also offers Clinical Support Services as an add-on providing 70+ board-certified physicians for appeals defense and peer-to-peer discussions.
Differentiator
Problem solved
Functional benefit
Products and services
- Decision Support System (DSS) Interactive cloud-based platform built on Salesforce that helps healthcare decision makers compile information from raw data, documents, and clinical knowledge to identify problems and make decisions across the healthcare management cycle from patient visits through coding, authorizations, processing, and payment. Designed for health plans, providers, ACOs, employer groups, TPAs, and reinsurers.
- PriorAuth Decision Support Cloud-based prior authorization solution enabling healthcare organizations to make better and faster prior authorization decisions by providing real-time, insightful information about healthcare business operations and streamlining approvals through automated workflow.
- Clinical Support Services Service offering that provides clinical specialists with expertise in clinical, financial, regulatory, and legal review to handle business process functions for healthcare customers, including defense of appeals and peer-to-peer discussions, complementing the DSS platform.
Quantifiable outcome
- $3.5B claims reviewed through the platform
- +2 more outcomes
Companies that use Ansera
Customer profileNamed customers5 records
Segments5 records
Ideal customer profiles5 records
Ansera technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration2 records
AI capability5 records
Feature6 records
Ansera partnerships and signals
Strategic signalPartnerships
One partnership is on record.
- SalesforcecoreAnsera is built on Salesforce, the world's leading cloud platform. The Salesforce infrastructure provides HIPAA Security Rule compliance, SAS70 Type II, ISO27001, and AICPA SSAE16 certifications. Platform enables easy user configuration, workflows, task lists, security settings, data storage, reporting, and real-time collaboration via Salesforce Chatter.
Scale indicators5 records
Recent moves6 records
Expansion highlights3 records
Ansera competitors and assessment
Company assessmentEmerging players
- AKASA: Applies AI to revenue cycle operations for health systems and plans, including authorization and claims-related workflows. Competes with Ansera's automation and decision-support capabilities from a more AI-native product foundation.
- Olive AI: Healthcare automation vendor applying AI to revenue cycle, prior authorization, and supply chain workflows. Comparable in automating administrative decision-support tasks that Ansera's DSS addresses, though Olive has pivoted and restructured its offerings.
Direct peers
- Cohere Health: Provides AI-driven prior authorization and clinical decision support for health plans and providers. Directly comparable to Ansera's PriorAuth Decision Support product and serves the same payer buyer personas.
- Myndshft: Offers automated prior authorization and benefits determination using real-time FHIR-based data exchange. Competes head-to-head with Ansera's DSS for payer and provider prior-auth workflows.
- Infinx: Combines AI-enabled prior authorization, eligibility verification, and revenue cycle management for hospitals and physician practices. Overlaps Ansera's prior auth and claims review capabilities and shares the healthcare provider/plan customer base.
Broad incumbents
- Experian Health: Provides identity, eligibility, claims management, and prior authorization solutions to health plans and providers. Comparable to Ansera's payer-facing decision support and clinical review services, though positioned as part of a broader data-and-analytics portfolio.
- Waystar: End-to-end revenue cycle and claims management platform serving thousands of hospitals and payers. Broadly comparable to Ansera in addressing claims processing and prior auth, but as a much larger, diversified RCM portfolio rather than a focused DSS.
- Health Catalyst: Healthcare data and analytics platform offering decision support, population health, and operational improvement modules. Overlaps Ansera's analytics-driven decision support use cases for providers and ACOs, but with a much broader enterprise footprint.
- Change Healthcare (Optum): Operates one of the largest healthcare claims and clinical data exchange networks in the US. Overlaps Ansera's payer-provider data exchange and decision support use cases but at massive scale within the broader Optum portfolio.
Others
- Salesforce Health Cloud: Underlying cloud platform and adjacent industry solution for payers and providers. Not a direct competitor but a strategic ecosystem participant—Ansera's DSS is built on this platform, so any native Health Cloud decision-support features would directly threaten Ansera's differentiation.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks5 records
Key highlights6 records
Customer concentration
Ansera social profiles
Digital presenceAnsera compliance and trust
Trust signalCompliance3 records
Ansera financial estimates
Financial estimateRevenue estimate
Valuation estimate
Ansera leadership team
Management profileNumber of profiles
Ansera funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Ansera M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Ansera
What does Ansera do?
Ansera delivers a cloud-based Decision Support System (DSS) built on the Salesforce platform that helps healthcare organizations review medical claims, make prior authorization decisions, and orchestrate workflows across the management cycle from patient visit to payment. The company also provides Clinical Support Services staffed by 70+ board-certified physicians for appeals defense and peer-to-peer reviews.
Is Ansera a public or private company?
Ansera is a private company. It is classified as unknown and is currently operating.
When was Ansera founded?
Ansera was founded in 2013.
Where is Ansera based?
Ansera is headquartered in North Augusta, United States, in the North America region.
How does Ansera make money?
One revenue line is on record: healthcare Decision Support System Subscription.
Who are Ansera's main competitors?
Emerging players on record are AKASA and Olive AI. Direct peers are Cohere Health, Myndshft and Infinx. Broad incumbents are Experian Health, Waystar, Health Catalyst and Change Healthcare (Optum). Salesforce Health Cloud is listed as an others.
Does Ansera have an API?
No public API is recorded for Ansera.
What industry is Ansera in?
Ansera's product category is Healthcare Decision Support Software. Its primary akta.pro industry code is HLACAGAA, Diagnostic & Triage Decision Support. Its NAICS code is 541511 and its SIC code is 8000.