Prior auth is broken. Cohere fixes it.
Then, you can focus on improving outcomes.

Transform prior auth

from transaction

to care journey

management

The Problem

The prior auth maze can slow care access and hinder quality outcomes.

The Answer

Intelligent Prior Authorization

Our Solutions

Cohere Unify™ help health plans digitize the entire process, enabling regulatory compliance while also driving the best outcomes.

Intake
Cohere Unify™
Decisioning
Cohere Platform
Transformation
Cohere Complete™
Eliminates manual steps regardless of request source
Enables regulatory TAT and transparency compliance
Optional high-adoption portal can replace phone, fax, and other portals
Automates your preferred
clinical policies
Pre-processes requests that require clinician review
Enables shorter “green-light” path for qualifying providers
Suggests alternative care options before request submission
Consolidates authorizations for the entire episode
Develops patient cohort-specific care paths
Cohere Platform
Cohere
Unify™
Cohere
Complete™

Cohere Platform

The Cohere Platform incorporates AI/machine learning, rules, and advanced analytics engines, plus current integration/interoperability capabilities (including FHIR) to drive Cohere Unify’s innovative, end-to-end capabilities.
Cohere Platform

Cohere Complete™

For select medical specialties, Cohere Complete provides a fully outsourced, delegated service to manage your plan’s entire UM operations.
Cohere Complete

Our capabilities have driven these unique, actual results

Our capabilities have driven these unique, actual results

70%

Faster

access to patient care

Driven by real-time clinical intelligence at the point of diagnosis
63%

Decrease

in denial rates

Driven by evidence-based intelligence that guides clinically appropriate requests before submission
18-43%

Decrease

in adverse outcomes

Driven by AI/ML-based clinical suggestions (“nudges”) and analytic features in the prior authorization workflow

Get Started with Cohere

Accreditations

Awards

See a real story of how our approach to prior authorization improves patient outcomes while also saving time and cost.

Ready to Learn More?

Contact Us Today