**Go beyond** gold carding

Transform from one-size-fits-all to personalized prior authorization.

Boost PA efficiency and provider satisfaction with guided workflows, smart nudges, and tailored messaging to gain behavior insights and meet health plan goals–without raising costs.

Learn to Personalize PA
Isometric illustration of a clipboard with colorful strategy icons—arrows, crosses, and dots—symbolizing personalized healthcare workflows, guided decision-making, and smarter prior authorization processes.
Learn to Personalize PA
Illustration of a user interface for identifying provider cohorts, showing standard and custom cohort filters, detailed parameters like appeal rate and approval threshold, and summary stats for providers and authorizations. Represents targeted provider segmentation using data.

Step 1

Identify

Use Cohere's suggested provider cohorts, or leverage detailed performance data to build custom cohorts to accomplish your goals.

Step 2

Engage

Configure the workflow and touchpoints for the provider cohort to accomplish your program goals.

Illustration of a settings interface for configuring provider workflows and alerts. Options include toggles for attachments, clinical questions, banner notifications, and auto-approval, as well as alert settings and a threshold selector. Represents how users can tailor engagement touchpoints by cohort.
Screenshot of a monitoring alert showing a provider’s utilization increase and offering three actionable buttons: "Remove provider from cohort", "Adjust cohort settings", and "Adjust engagement program". Designed to prompt real-time program optimization.

Step 3

Monitor

Track provider performance as the program unfolds to optimize cohorts or program parameters. No waiting for claims data to make actionable changes.

Illustration of a provider walking toward a heart, representing personalized prior authorization with Cohere Align — streamlining provider experience beyond traditional gold carding
Illustration of a provider walking toward a heart, representing personalized prior authorization with Cohere Align — streamlining provider experience beyond traditional gold cardingIllustration of a provider walking toward a heart, representing personalized prior authorization with Cohere Align — streamlining provider experience beyond traditional gold carding

Achieve more than gold carding

Personalize the provider experience to streamline, improve, and save.

Unlike traditional gold carding programs that bypass PA measures entirely, Cohere Align™ delivers control and security, with finely tuned monitoring to understand changes in provider behavior, reduce risk, and optimize accordingly. Cohere Align’s advanced analytics and curated provider touchpoints enable you to deliver tailored PA experiences that:

  • Streamline. Reduce administrative burden and provider abrasion.
  • Improve. Drive clinically appropriate authorizations.
  • Save. Improve efficiency and reduce manual reviews to achieve savings.
See Align in Action
See Align in Action

Validated impact

Cohere in action

Real results from payers and providers.

  • 55%

    reduction in provider submission times

  • 92%

    improvement in clinical attachment rates

  • 98%

    provider satisfaction rate

Graphic promoting personalized provider experience with Cohere Align, showing curated prior auth touchpoints, education for outlier providers, and detailed behavior analytics
Graphic promoting personalized provider experience with Cohere Align, showing curated prior auth touchpoints, education for outlier providers, and detailed behavior analytics

Ready to learn more about **personalizing** your provider experience?

See how Cohere Align goes beyond gold carding.

See a Tailored Program
See a Tailored Program

Got your wheels turning?

Review answers to FAQs

My state has no gold carding requirement. Can I still use Cohere Align to personalize the provider experience?

Yes! Reducing the burden for gold-carded providers is just one of many ways Cohere Align personalizes the provider experience. We help your team identify high-performing providers and relevant clinical areas to streamline the submission experience, with or without state-level gold card programs.

I’m having trouble getting providers to attach clinical information to certain requests. Can Cohere Align help?

Absolutely. Cohere Align is designed to build customized provider engagements that support various health plan goals. We’ve implemented provider touchpoints to inform, guide, and educate providers, driving up to a 92% increase in clinical attachment rates.

I’m interested in relaxing provider authorization requirements for certain high-volume services with low denial rates, but not for an entire clinical specialty. Can Cohere help with that?

Yes! As part of the Identify step of our solution, we partner closely with plans and leverage detailed provider analytics to precisely pinpoint clinical codes that should be included in the program. We can provide detailed estimates of the generated impact.

Should I be worried about a potential significant increase in utilization and medical expenses for green-lit providers?

Cohere Align is built on deep provider behavior analytics that identify appropriate provider cohorts to include in the program. Ongoing monitoring—a unique program feature—can also quickly identify variance in provider behavior in real time, making it easy for plans to respond and make adjustments. This can be done within weeks, compared to claims-based six-month or annual lookbacks typical to gold card programs.

I’ve implemented provider burden reduction programs in the past, but keeping providers informed has been challenging, leaving some frustrated or confused. How does Cohere Align address this issue?

Provider engagement is a key functionality for Cohere Align. Programs can include direct communications (e.g., email) and in-platform touchpoints, such as banners or messages that trigger at targeted points in the provider workflow. These are highly customizable to ensure your providers are informed. Cohere also provides detailed reports, which can be shared with provider network partners at your discretion to keep them apprised of their status and progress.