Smarter Prior Authorization: Real-World AI Results

Prior authorization has long been a point of friction between providers, payers, and patients.

That’s why WNS-HealthHelp, Geisinger Health Plan, and Anterior came together to reimagine the process using AI-driven innovation. Watch our Fireside Chat where leaders from this partnership share first-hand insights on what’s possible when clinical expertise and AI unite.

WNS-HealthHelp, Geisinger, Anterior Case Study

  • 70% faster approval TAT 
  • Near real-time decisions
  • Stronger provider relationships 
  • Higher patient satisfaction

This collaboration is not just about technology—it’s about redefining patient outcomes, optimizing provider workflows and creating a more efficient healthcare ecosystem. Check out the amazing results of this partnership

GEISINGER CASE STUDY

About Geisinger

Geisinger Health Plan is a not-for-profit health insurance provider serving individuals, families, and employers primarily in Pennsylvania. Founded as part of the Geisinger health system, the plan is known for combining high-quality, affordable coverage with coordinated care that emphasizes prevention, innovation, and community health. Members benefit from access to a broad network of hospitals, physicians, and specialists, along with integrated programs designed to improve outcomes and reduce costs. Geisinger Health Plan offers a variety of products—including employer group plans, Medicare Advantage, CHIP, and Marketplace options—backed by the organization’s long-standing commitment to compassionate care and evidence-based medicine.
https://www.geisinger.org

 

About Anterior

Anterior is a pioneering AI healthcare technology company founded in 2023 and led by Dr. Abdel Mahmoud, a physician-engineer with former experience at Google and Meta.  The company is dedicated to transforming healthcare administration through advanced generative AI technology. Anterior has developed clinical AI agents designed to streamline administrative tasks, with a particular focus  on making prior authorization processes seamless and efficient.
https://www.anterior.com/

About WNS-HealthHelp

HealthHelp, a unit within WNS, is a trusted healthcare technology platform for health plans’ clinical programs for over 25 years. Our unified suite of Advanced AI powered technology platform-based solutions simplifies medical complexity and workforce challenges, and enhances provider relations and member journeys (i.e., customer experiences). Our uniquely designed UM and clinical solutions were developed to fit into health plans’ existing clinical programs to advance outcomes and success. We work in partnership to understand health plan commercial and Medicare clinical programs, and determine where our solutions can advance outcomes and lower cost. There is no one size fits all, and we know how to expediently deliver the best tailored solution for a specific health plan’s needs.

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