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Cohere Health

Intelligent Prior Authorization.

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Overview

Cohere Health aims to transform the prior authorization process from a barrier to a collaborative tool. Their platform uses AI and clinical evidence to accelerate approvals for high-value care, reduce administrative burden, and improve patient outcomes by focusing on the entire care journey.

✨ Key Features

  • AI-driven Prior Authorization
  • Care Path Recommendations
  • Automated Clinical Reviews
  • Payer-Provider Collaboration Tools
  • Real-time Analytics

🎯 Key Differentiators

  • Focus on AI-driven clinical decisioning
  • Collaborative platform for providers and payers
  • Care path guidance to improve outcomes

Unique Value: Reduces authorization friction and delays through intelligent automation and a collaborative provider-payer interface.

🎯 Use Cases (3)

Automating prior authorization for complex care paths (e.g., musculoskeletal, cardiology) Reducing peer-to-peer reviews through evidence-based recommendations Improving transparency between payers and providers during the authorization process

✅ Best For

  • Intelligent authorization for specific care domains
  • Reduction in authorization turnaround times

💡 Check With Vendor

Verify these considerations match your specific requirements:

  • Simple, single-service eligibility checks

🏆 Alternatives

Waystar CoverMyMeds Rhyme

Offers deeper clinical intelligence and care path recommendations compared to purely transactional authorization platforms.

💻 Platforms

Web API

🔌 Integrations

EHR systems Payer systems API

🛟 Support Options

  • ✓ Email Support
  • ✓ Live Chat
  • ✓ Phone Support
  • ✓ Dedicated Support (Enterprise tier)

🔒 Compliance & Security

✓ SOC 2 ✓ HIPAA ✓ BAA Available ✓ ISO 27001 ✓ SSO ✓ SOC 2 Type 2 ✓ ISO 27001 ✓ HITRUST

💰 Pricing

Contact for pricing
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