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™

digitizes requests from all sources and consolidates them into an automated workflow.

Eliminates manual steps regardless of request source

Enables regulatory TAT and transparency compliance

Optional high-adoption portal can replace phone, fax, and other portals

dramatically improves TAT and provider experience using AI and other advanced technology.

Automates your preferred
clinical policies

Pre-processes requests that require clinician review

Enables shorter “green-light” path for qualifying providers

triggers interventions to improve outcomes across the entire care journey.

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™

drives Cohere Unify’s advanced capabilities with innovative technology and design

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

leverages Cohere Unify plus intake and clinical staff to provide fully outsourced & delegated specialty UM services.

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

Cohere Complete

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

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

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

Cohere Unify Intake

digitizes requests from all sources and consolidates them into an automated workflow.

Cohere Unify Decisioning

dramatically improves TAT and provider experience using AI and other advanced technology.

Cohere Unify Transformation

triggers interventions to improve outcomes across the entire care journey.

Cohere Platform

drives Cohere Unify’s advanced capabilities with innovative technology and design

Cohere Complete™

leverages Cohere Unify plus intake and clinical staff to provide fully outsourced & delegated specialty UM services.

Our capabilities have driven these unique, actual results

Our capabilities have driven these unique, actual results

Faster

access to patient care

Decrease

in denial rates

Decrease

in adverse outcomes

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?

Solutions

Resources

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Company

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