AI that understands healthcare

Built for plans, trusted by clinicians.

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Cohere Health’s clinical-grade AI isn’t just a language model—it’s a precision solution built for high-stakes clinical decision making. It helps nurses, physicians, and UM teams make faster, more accurate decisions while preserving safety, oversight, and trust.

We take a minimum necessary approach. Instead of indiscriminately consuming EHR data, our AI focuses only on the essential clinical information needed to support better decisions—ensuring effectiveness, responsibility, and trust in every interaction.

Why health plans trust Cohere Health

Gears with a magnifying glass
Clinical-grade, precision AI

Trained on real clinical documentation, not generic text. Focused on only the data necessary to deliver safe, relevant, and policy-aligned decisions.

Built-in oversight

Transparent, auditable, and always clinician-reviewed. No black boxes — just clear, explainable decisions.

Tailored to your plan

Not a one-size-fits-all model. Designed around your unique guidelines and goals.

Cohere AI Other AI vendors
Training data Precision-trained on large-scale clinical documentations General-purpose AI trained on web or claims data
Oversight Built-in clinician review & auditability Often lacks transparency or review
Decision quality      Policy-aligned, traceable & trusted evidence Outputs require manual QA
Patient-Centric Centered around clinical context and patient’s medical necessity needs Designed for speed or automation, not optimized for patient context
Real-world proof  Proven in live UM workflows supporting over 600,000 number of providers daily Typically untested or piloted
Enterprise-ready        Fully integrated with payer systems; HITRUST, HIPAA, SOC 2 compliant; designed for auditability and scalability Limited healthcare-grade features, compliance, or integration capabilities
Cohere AI Other AI vendors
Training data
Precision-trained on
large-scale clinical
documentations
General-purpose AI
trained on web or
claims data
Oversight
Built-in clinician
review & auditability
Often lacks
transparency
or review
Decision quality     
Policy-aligned,
traceable &
trusted evidence
Outputs require
manual QA
Clinicians trust it. The numbers prove it.

Outperforms in the metrics that matter

AI Performance

Cohere’s AI models are developed in close partnership with clinicians, resulted from real-world observations of UM cases in the over 40M+ clinical records. Our fine-tuned models consistently outperform state-of-the-art LLMs and are as accurate, if not more accurate than, expert nurse reviewers.

Detecting lab value ranges & trends

Extracting lab value information can be challenging for LLMs due to the complexities associated with tracking and extracting longitudinal values and their contextual relationships (e.g., units, reference ranges). Additionally, shorthand, abbreviations, and inconsistent terminology can be difficult for LLMs to interpret unless they are extensively trained on in-distribution medical text.

Graphic showing the performance comparison for lab values
Graphic showing the performance comparison for conditions
Representing the patient’s health status

Fine-tuning models enables us to capture the specifics of a patient’s presenting condition. Otherwise, LLMs struggle with important condition modifiers such as severity, related human anatomy, and the ambiguity & variability that are common in clinical notation.

Understanding nuanced diagnosis

Accurate interpretation of diagnosis details requires high precision context about temporal (e.g., onset, progression) and clinical modifiers (e.g., disease types and stages). LLMs often struggle to extract these nuanced relationships, given the non-standard language common in physician-narrated texts.

Graphic showing the performance comparison for diagnosis
Graphic showing the performance comparison for procedures
Verifying treatment performed

Treatments often span a broad scope (e.g., “conservative care”) that requires correlation to specific types (e.g., “physical therapy,” “rest”). LLMs often struggle with specificity when explicit ontologies or mappings are not available. Additionally, rich relational information is necessary to extract actionable procedure information.

Nurses & MDs rating on AI-generated clinical content.

Our AI features are trusted by experienced clinicians

Review note generation

Auto-generation of clinical case summary that reviewers typically have to author manually
Clinician rating our AI
Do AI-generated notes save time? 87%
 Did you have to delete irrelevant info from the generated note? 29%
Did you have to delete incorrect info from the generated note? 4%
Review note generation
Auto-generation of
clinical case summary
that reviewers
typically have to
author manually
Clinician rating
our AI
Do AI-generated notes
save time?
87%
Did you have to delete
irrelevant info
from
the generated note?
 29%
Did you have to
delete incorrect
info
from the
generated note?
4%
Case review chatbot

An interactive chatbot to improve review accuracy and speed by surfacing relevant information
from clinical and admin data (with citations)

Clinician rating our AI
Did the chatbot help you understand the clinical documents better? 90%
Was the chatbot answer correct? 79%
Was the chatbot answer complete? 60%
Would you trust the answer without verification? 47%
Case review chatbot
An interactive chatbot
to improve review
accuracy and speed by
surfacing relevant information
from clinical
and admin data
(with citations)
Clinician rating
our AI
Did the chatbot help
you understand the
clinical documents better?
90%
Was the chatbot
answer correct?
79%
Was the chatbot
answer complete?
60%
Would you trust the
answer without verification?
47%

Want the strategy or the stack?

See how our clinically trained AI streamlines health plan-provider collaboration

Discover how AI and machine learning are addressing critical problems with the traditional prior authorization process in our latest white paper, How AI and Machine Learning are Transforming Prior Authorization Today.