Cohere Review Assist™: AI that works with your workflow—not against it

Review Assist enhances the reviewer experience without disrupting established processes. Here’s how each component contributes to faster, higher-quality decisions:

🧠 Case Summary
Automatically generates a high-level overview of foundational case details, giving reviewers immediate context and accelerating orientation.

📌 Primary condition identification
AI analyzes the clinical context to suggest the most likely primary condition(s), guiding reviewers toward the appropriate guideline or policy track.

🔍 Clinical indication validation
Condition-specific insights and patient-level indicators surface directly from clinical documentation and are linked to the source evidence, ensuring nothing is missed.

📂 Clinical attachment viewer
An intuitive interface enables reviewers to quickly navigate clinical attachments and verify supporting evidence without searching through hundreds of pages of documentation.

💬 Agentic AI chatbot agent
A conversational assistant helps reviewers identify additional insights, clarify case details, and answer specific clinical questions in real time.

🔗 Workflow integration
Reviewers can easily copy AI-surfaced insights into their system of record using familiar workflows, without needing new logins or training.

Why technical leaders should choose Review Assist

Built for user adoption
One of the most significant barriers to value realization is poor user engagement. Review Assist bypasses that risk. It acts as a copilot rather than a complex tool, providing an intuitive interface, context, and smart suggestions, without ever taking over the wheel.

High impact with low disruption
You don’t need to wait for a complete system modernization to improve medical necessity reviews. With Review Assist, you realize measurable decision quality and throughput gains from the get-go.

Improves inter-rater reliability
Review Assist helps drive more consistent and defensible decision-making across reviewers by constantly surfacing the same clinically relevant insights, cues, and supporting documentation. The result? Policy-aligned reviews that consistently reduce variation and risk.

Higher-quality reviews, powered by clinical AI
Review Assist surfaces key insights, flags policy-relevant documentation, and identifies common clinical gaps, empowering nurses to make better decisions more quickly.

From worrying about change to leading it

If you’re hesitant to introduce new technology into an already complex clinical workflow, you’re not alone. Many health plans worry that any new tool—even one promising real improvement—will create downstream complications for their teams. Review Assist was designed to address that concern head-on.

Change management can create a heavy lift, especially when workflows are tightly integrated and clinical reviewers work at full capacity. That’s why Review Assist doesn’t force a new system or process. Instead, it quietly integrates into your existing environment and supports reviewers within the systems they already use, providing an added layer of clinical intelligence with no overhaul required and little to no retraining necessary.

At the same time, the quality of medical reviews is under more scrutiny than ever. Whether addressing inter-reviewer variation or striving for better policy adherence, consistency is hard to achieve without adding more rules, checks, or staff. Review Assist flips that script by enhancing alignment with policy and clinical best practices, intelligently surfacing relevant information rather than increasing complexity. It lightens the cognitive load, helping reviewers make more consistent, accurate decisions with less effort.

For clinical teams under pressure, burnout and fatigue persist as significant risks. Manual document parsing, repetitive decision trees, and constant context switching drain productivity and morale. Review Assist was built with nurse usability at its core—reducing manual steps, automating information triage, and delivering decision support that feels like a natural extension of their thinking process, not a hurdle.

Upgrade the reviewer experience

You don’t need to overhaul your UM systems to see real gains. Review Assist provides a low-lift, high-impact way to enhance review outcomes and reduce administrative burden, with a clinical AI copilot that integrates seamlessly into your existing workflows and supports your nursing team from day one.

Learn more about how Review Assist can fit into your clinical review stack.