Cohere Health provides AI-powered clinical intelligence solutions designed to automate prior authorization and improve payment integrity across healthcare systems. The platform uses artificial intelligence trained specifically on clinical documentation - rather than generic text - to enable health plans and providers to streamline utilization management whilst maintaining clinician oversight and auditability of automated decisions.
The platform processes more than 12 million prior authorization requests annually across a network of over 660,000 providers, with up to 85% of authorizations approved in real-time. This automation reduces administrative costs associated with utilization management whilst helping to improve patient access to care by accelerating approval decisions.
Beyond prior authorization, Cohere Health offers payment integrity solutions aimed at identifying and reducing waste in healthcare payments. These tools support payer-provider collaboration to ensure providers receive accurate and timely reimbursement, addressing a persistent source of friction in healthcare operations.
