It’s not just about prior authorization.

Many solutions automate, or digitize, prior authorization steps. We do that too. But our solutions also do something the others don’t: improve the whole patient episode, or journey, instead of simply automating an administrative transaction.

We call it intelligent prior authorization.

NCQA utilization management accredited logo
HITRUST certified r2 logo

Intelligent prior authorization digitizes the process and improves care quality.

Cohere leverages an innovative blend of AI and machine learning, deep, evidence-based clinical expertise, and real-time analytics, not only to digitize the process, but to guide the best and fastest care across the entire patient journey.

So in addition to reducing administrative time, cost and abrasion, our solutions offer these unique capabilities:

  • Pre-submission influence, to help guide optimal care choices before requests are submitted

  • Episode-based authorization, to approve an entire set of services up front

  • Care path generation, to enable collaboration on a patient-specific treatment plan designed to produce the best and fastest outcome

NCQA utilization management accredited logo
HITRUST certified r2 logo

It’s not just about automating prior authorization.

Many solutions automate, or digitize, prior authorization steps. We do that too. But our solutions also do something the others don’t: improve the whole patient episode, or journey, instead of simply automating an administrative transaction.

We call it intelligent prior authorization.

Awards and Certifications

NCQA utilization management accredited logo
HITRUST certified r2 logo
KLAS payer provider points of light recognition award 2022
2021 CB Insights digital health list of most innovative digital health startups graphic
TripleTree iAward for innovative healthcare technology Logo

Our capabilities have driven these unique, actual results

70%

Faster Access to Appropriate Care

…driven by real-time clinical intelligence at the point of diagnosis

Pacific blue shield with gears on front

63%

Decrease in Denial Rates

…driven by evidence-based intelligence that guides clinically appropriate requests before submission

Royal purple laptop with uptrending graph on screen

18-43%

Decrease in complications & unnecessary procedures

…driven by AI/ML-based clinical suggestions (“nudges”) in the prior authorization workflow

Our capabilities have driven these unique, actual results

70%

Faster Access to Appropriate Care

…driven by real-time clinical intelligence at the point of diagnosis

Pacific blue shield with gears on front

63%

Decrease in Denial Rates

…driven by evidence-based intelligence that guides clinically appropriate requests before submission

Royal purple laptop with uptrending graph on screen

18-43%

Decrease in complications & unnecessary procedures

…driven by AI/ML-based clinical suggestions (”nudges”) in the prior authorization workflow

Tell me how it works 

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

Ready to learn more?