Cohere Unify™ connects intelligence across utilization management, payment integrity, appeals, care management, quality, and claims operations–helping health plans improve efficiency, quality, and financial performance while keeping humans in control.
Resources for Providers
Built for plans. Trusted by clinicians.
Proven at scale.
85%
prior authorizations approved in real-time
47%
admin-cost savings
70%
faster care access
9x
return on investment for payments
5x
return on investment for quality
18x
return on investment for UM
94%
provider satisfaction
Health plan functions often operate independently, creating fragmented workflows, duplicated effort, and lost context between utilization management, payment integrity, appeals, care management, quality, and claims operations.
Cohere Unify connects intelligence across workflows, enabling insights generated in one function to inform decisions in another–reducing friction, improving coordination, and compounding value over time.
Most AI solutions automate isolated tasks or workflows without the domain expertise, governance, or shared context needed to support complex health plan operations at scale.
Cohere combines domain-specific AI with human expertise, helping teams spend less time gathering information and more time applying clinical judgment. AI handles the administrative work while humans remain in control of critical decisions.
Digitize care requests within a single, streamlined workflow. With 85% real-time approvals*, Cohere Health accelerates patient access to care while reducing administrative burdens.
*The remaining prior authorization submissions are reviewed by a clinician before final determination.
Reduce burden with intelligent insights and guidance for 50% faster inpatient and outpatient reviews, and 30% more accurate decisions while improving care transition management.
Guide providers to patient and cost-optimized decisions, such as site-of-service changes, for 15% incremental medex savings.
Leverage AI-powered intelligence to identify inappropriate payments and automate audit decisioning, delivering 30% lift in auditor efficiency and 50% faster documentation.
Deploy transparent algorithms with root cause analysis, achieving 14% improvement in hit rate with full visibility into decision rationale.
Shift payment integrity upstream with pre-pay capabilities that prevent overpayments while reducing provider abrasion, generating 8-9x return on investment through streamlined processes.
