# Ansera Cloud

> Ansera Cloud, an Avandé company, provides physician-led utilization review and claims review for organizations that pay for healthcare: prior authorization (care assurance), forensic claims validation, clinical surveillance, and healthcare IT services, on a clinical decision support platform built on Salesforce.

Board-certified, specialty-matched physicians make every clinical determination; the software prepares evidence and speeds up the workflow but does not make decisions. Customers are US health plans, third-party administrators (TPAs), self-funded employers, stop-loss carriers and reinsurers, providers and ACOs, and legal and compliance teams. The site is a single homepage with anchored sections plus four legal pages. It is not intended to receive protected health information (PHI).

Key facts: 100% of claims scanned daily for billing errors; 0.5% of claims, at minimum, flagged for physician review; 62% of flagged claims generate measurable savings; 40% estimated average savings on flagged claims. Pre-service review turnaround is 24–48 hours (under 24 hours expedited). SOC 2 Type II and HIPAA; HITRUST certification is in progress (not yet certified).

## Services

### [Care Assurance](https://anseracloud.com/#care-assurance)

*Pre-service · Better patient care. Better patient outcomes.*

Inappropriate care isn't only futile; it's often harmful, so stopping it before it happens is critical. Specialty-matched, board-certified physicians perform pre-service and prior authorization review, with turnaround cut from 3–5 days to 24–48 hours.

Our pre-service review identifies:

- Procedures that do not meet evidence-based guidelines
- Treatments supported by outdated clinical assumptions
- Excessive or duplicative testing
- High-cost interventions with no clinical outcome improvement

Result: 24–48 hour turnaround (under 24 hours expedited), down from 3–5 days.

### [Forensic Claims Validation](https://anseracloud.com/#forensic-claims-validation)

*Post-service · Evaluating the clinical decisions behind the claim.*

Most claims reviews focus on coding and payment mechanics. We go deeper: physicians and certified coders analyze the complete clinical picture to determine whether billed services were medically justified, accurately documented, and supported by the medical record.

This process frequently uncovers:

- Unsupported admissions
- DRG miscoding
- Excessive services
- Misrepresented clinical findings
- Inappropriate treatment pathways
- Fraudulent billing practices

Result: 41% average savings over other discounts.

### [Clinical Surveillance](https://anseracloud.com/#clinical-surveillance)

*Ongoing · Finding harmful patterns in clinical claims data.*

Thousands of inappropriate small payments can be as damaging as one catastrophic claim. We continuously monitor claims activity, with physician oversight, to catch problems before they become major financial losses.

Continuous monitoring flags:

- Recurring patterns of overutilization
- Inappropriate billing
- Clinical outliers

Result: 20–35% savings.

### [Healthcare IT Services](https://anseracloud.com/#healthcare-it-services)

*Technology · Healthcare-native engineering, end to end.*

Our engineers build, modernize, and support the systems that health plans and payers depend on, with the same healthcare data standards our review platform runs on.

What we deliver:

- Custom application development
- Legacy system modernization
- HL7, FHIR, and X12 EDI integration
- 24/7/365 support

## Platform

### [Built on Salesforce. Built for healthcare.](https://anseracloud.com/#platform)

Ansera Cloud is a clinical decision support system built on Salesforce and fully customized for medical review. It brings raw data, documents, and clinical knowledge together in one place, so reviewers get the right information at the right time, from intake through determination and payment.

- **Prepares:** Real-time information for every decision.
- **Answers:** Evidence-based clinical decision support.
- **Standardizes:** Configurable, automated workflows.
- **Accelerates:** Faster, factual claims and care decisions.

Connects through: HL7, FHIR, X12 EDI, API, SSO, with a complete audit trail.

## Company

### [Overview](https://anseracloud.com/)

**Faster, defensible healthcare decisions.** Physician-led utilization and claims review on a purpose-built cloud platform, for care assurance, claims validation, and cost control.

- Physicians make the decisions.
- Ansera makes them faster.
- You get savings you can measure.

- **100%** of claims scanned daily for billing errors
- **0.5%** of claims, at minimum, flagged for physician review
- **62%** of flagged claims generate measurable savings
- **40%** estimated average savings on flagged claims

### [Who we serve](https://anseracloud.com/#who)

- **Health plans & TPAs:** Claims and utilization review that holds up on appeal.
- **Employers:** Lower self-funded plan costs, same networks.
- **Stop-loss & reinsurance:** Large-claim review and risk mitigation.
- **Providers & ACOs:** Clear, fast determinations.
- **Legal & compliance:** Expert medical record review.

### [Why Ansera Cloud](https://anseracloud.com/#why)

- **Physicians decide, AI assists.** Board-certified, specialty-matched physicians make every determination. The platform speeds the work up; it never replaces their judgment.
- **Purpose-built platform.** Built on Salesforce and fully customized for medical review. It is not a generic workflow tool.
- **Defensible decisions.** Evidence-based criteria and a complete audit trail on every case.
- **30+ years of results.** $500M+ in savings delivered and 98% client satisfaction.

### [Security and compliance](https://anseracloud.com/#trust)

Enterprise-grade security. Healthcare-specific compliance. Certifications and safeguards: SOC 2 Type II, HIPAA, PHI Protection, PII Safeguards. HITRUST certification in progress.

Technical controls: AES-256 at rest · TLS 1.2+ in transit · MFA · role-based access · US data residency.

### [Contact](https://anseracloud.com/#contact)

A few sentences are enough. A member of our clinical team reads every message, and we reply within one business day.

- Phone: 1-833-328-2633
- Location: Wilmington, DE 19801
- LinkedIn: https://www.linkedin.com/company/avande
- Parent company: Avandé (https://avande.net)
- Please do not send protected health information (PHI) through the website.

## FAQ

### What is Ansera Cloud?

Ansera Cloud, an Avandé company, is a physician-led utilization and claims review service for organizations that pay for healthcare. Board-certified physicians work on a clinical decision support platform built on Salesforce and fully customized for medical review, covering prior authorization (Care Assurance), forensic claims validation, clinical surveillance, and healthcare IT services.

### Do physicians or AI make the clinical decisions?

Physicians do. Board-certified, specialty-matched physicians make every determination. The platform prepares the evidence, applies evidence-based criteria, and keeps a complete audit trail, but it never replaces clinical judgment.

### How fast is prior authorization review?

Pre-service and prior authorization reviews are completed in 24 to 48 hours, cut from 3 to 5 days. Expedited cases are completed in under 24 hours.

### What does forensic claims validation find that automated edits miss?

Automated edits check coding and payment mechanics. Our physicians and certified coders review the full medical record to decide whether billed services were medically justified, and frequently uncover unsupported admissions, DRG miscoding, excessive services, misrepresented clinical findings, inappropriate treatment pathways, and fraudulent billing. Clients see 41% average savings over other discounts.

### Is Ansera Cloud HIPAA compliant and secure?

Yes. Ansera Cloud is SOC 2 Type II and HIPAA compliant, with PHI and PII safeguards, AES-256 encryption at rest, TLS 1.2+ in transit, multi-factor authentication, role-based access, and US data residency. Client PHI is covered by a Business Associate Agreement. HITRUST certification is in progress.

### Who uses Ansera Cloud?

Organizations that pay for healthcare: health plans and TPAs, self-funded employers, stop-loss carriers and reinsurers, providers and ACOs, and legal and compliance teams.

### What is clinical surveillance and how much does it save?

Ongoing, physician-overseen monitoring of claims activity that flags recurring overutilization, inappropriate billing, and clinical outliers before they become major financial losses. Clients see 20–35% savings.

### What systems does the Ansera Cloud platform integrate with?

The platform is built on Salesforce and connects through HL7, FHIR, X12 EDI, APIs and SSO, with a complete audit trail on every case.

## Legal

### [Privacy Policy](https://anseracloud.com/privacy)

Last updated October 2026.

#### What we collect

When you contact us, we collect the details you give us: your name, work email, organization, and message. We also collect basic, non-identifying usage data about how this site is used.

#### How we use it

We use your details only to reply to your request and, if you ask, to arrange a demo. We do not sell your information or share it with third parties for their own marketing.

#### Protected health information

This website is not intended to receive protected health information (PHI). Please do not include patient details in the contact form. Client PHI handled within the Ansera Cloud platform is governed by a separate Business Associate Agreement.

#### Security and retention

Submissions are encrypted in transit and stored on access-controlled systems in the United States. We keep contact records only as long as needed to respond and maintain our business relationship.

#### Your choices

You may ask us to correct or delete your contact information at any time by emailing info@avande.net.

### [Terms of Service](https://anseracloud.com/terms)

Last updated October 2026.

#### Use of this site

This website is provided by Avandé for informational purposes about Ansera Cloud. By using it you agree to these terms. Use of the Ansera Cloud platform itself is governed by a separate client agreement.

#### No medical or legal advice

Content on this site describes our services and does not constitute medical, legal, or coverage advice. Clinical determinations within our services are made by licensed, board-certified physicians under the applicable client agreement.

#### Intellectual property

The Ansera Cloud and Avandé names, logos, and site content are the property of Avandé and may not be reproduced without written permission.

#### Results and statements

Figures such as savings and turnaround times reflect past client engagements and are not a guarantee of future results.

#### Limitation of liability

This site is provided "as is." To the extent permitted by law, Avandé is not liable for damages arising from use of, or inability to use, this website.

#### Governing law

These terms are governed by the laws of the State of Florida, United States.

### [Cookie Policy](https://anseracloud.com/cookies)

Last updated October 2026.

#### What cookies are

Cookies are small text files stored by your browser. They help a website remember your choices and understand how it is used.

#### Strictly necessary

We use a small number of essential cookies to run the site, and local-storage entries in your browser to remember your cookie choice and, if you pause them, your animation preference. Our contact form uses hCaptcha to block spam, and hCaptcha may set cookies needed for that check. These cannot be switched off.

#### Analytics

We use Cloudflare Web Analytics, a privacy-first service that counts visits and measures page speed without cookies and without tracking you across other sites. The data is aggregated and never used for advertising. We do not currently use optional analytics cookies; if we add them, they will load only after you accept them in the banner.

#### No advertising cookies

We do not use advertising, retargeting, or cross-site tracking cookies, and we do not sell cookie data.

#### Managing your choice

You can accept or reject non-essential cookies in the banner, and change your mind any time with "Cookie settings" in the footer. You can also clear cookies in your browser settings.

### [Accessibility Statement](https://anseracloud.com/accessibility)

Last updated October 2026.

#### Our commitment

Avandé is committed to making anseracloud.com usable by everyone. We aim to meet WCAG 2.2 Level AA.

#### What we have done

The site uses semantic headings and landmarks, visible keyboard focus, sufficient color contrast, text alternatives for images, touch targets of at least 44 pixels, and respects reduced-motion preferences.

#### Known limitations

Some third-party content, such as embedded fonts, may not be fully accessible. We review the site regularly and fix issues as we find them.

#### Feedback

If you have difficulty using any part of this site, email info@avande.net or call 1-833-328-2633. We aim to respond within two business days.

Last updated: 2026-10-08