# 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 and prior authorization review by specialty-matched, board-certified physicians. Finds or covers: procedures that do not meet evidence-based guidelines; treatments supported by outdated clinical assumptions; excessive or duplicative testing; high-cost interventions with no clinical outcome improvement.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, physician-led review of whether billed services were medically justified, accurately documented, and supported by the medical record. Finds or covers: 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, physician-overseen monitoring of claims activity for overutilization, inappropriate billing, and clinical outliers. Finds or covers: recurring patterns of overutilization; inappropriate billing; clinical outliers. Result: 20–35% savings.
- [Healthcare IT Services](https://anseracloud.com/#healthcare-it-services): Custom development, legacy modernization, HL7/FHIR/X12 EDI integration, and 24/7/365 support for healthcare organizations. Finds or covers: custom application development; legacy system modernization; HL7, FHIR, and X12 EDI integration; 24/7/365 support.

## Platform

- [Ansera Cloud platform](https://anseracloud.com/#platform): Clinical decision support system built on Salesforce, customized for medical review. Integrates via HL7, FHIR, X12 EDI, API, SSO, with a complete audit trail.

## Company

- [Who we serve](https://anseracloud.com/#who): Health plans & TPAs, Employers, Stop-loss & reinsurance, Providers & ACOs, Legal & compliance.
- [Why Ansera Cloud](https://anseracloud.com/#why): Physicians decide, AI assists; Purpose-built platform; Defensible decisions; 30+ years of results.
- [Security and compliance](https://anseracloud.com/#trust): SOC 2 Type II, HIPAA, PHI Protection, PII Safeguards. HITRUST certification in progress. AES-256 at rest · TLS 1.2+ in transit · MFA · role-based access · US data residency.
- [Contact and demo requests](https://anseracloud.com/#contact): Phone 1-833-328-2633; Wilmington, DE 19801. A member of the clinical team replies within one business day.

## FAQ

- [What is Ansera Cloud?](https://anseracloud.com/#faq-what-is): Physician-led utilization and claims review on a Salesforce-based clinical decision support platform; an Avandé company.
- [Do physicians or AI make the clinical decisions?](https://anseracloud.com/#faq-who-decides): Board-certified, specialty-matched physicians make every determination; the platform only prepares evidence.
- [How fast is prior authorization review?](https://anseracloud.com/#faq-prior-auth-speed): 24–48 hours (under 24 hours expedited), cut from 3–5 days.
- [What does forensic claims validation find that automated edits miss?](https://anseracloud.com/#faq-forensic-claims): Unsupported admissions, DRG miscoding, excessive services, misrepresented findings, inappropriate pathways and fraudulent billing; 41% average savings over other discounts.
- [Is Ansera Cloud HIPAA compliant and secure?](https://anseracloud.com/#faq-hipaa): Yes: SOC 2 Type II and HIPAA, BAA for client PHI, AES-256/TLS 1.2+, MFA, US data residency; HITRUST in progress.
- [Who uses Ansera Cloud?](https://anseracloud.com/#faq-who-uses): 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?](https://anseracloud.com/#faq-clinical-surveillance): Ongoing, physician-overseen claims monitoring for overutilization, inappropriate billing and clinical outliers; 20–35% savings.
- [What systems does the Ansera Cloud platform integrate with?](https://anseracloud.com/#faq-integrations): Built on Salesforce; connects through HL7, FHIR, X12 EDI, APIs and SSO, with a complete audit trail.

## Legal

- [Privacy Policy](https://anseracloud.com/privacy): How Ansera Cloud collects, uses and protects the information you share through anseracloud.com.
- [Terms of Service](https://anseracloud.com/terms): Terms that govern your use of anseracloud.com.
- [Cookie Policy](https://anseracloud.com/cookies): The cookies anseracloud.com uses and how to manage your choice.
- [Accessibility Statement](https://anseracloud.com/accessibility): Our commitment to making anseracloud.com usable by everyone.

## Optional

- [Full content for LLMs](https://anseracloud.com/llms-full.txt): Every section and legal page above, in full, as Markdown.

Last updated: 2026-10-08