Reduce provider friction and costs
with digital–first authorization intake

Enhance the provider submission experience while exceeding industry electronic prior authorization real-time approval rates

Enhance Provider Collaboration

Screenshot of a digital interface showing a "Request submitted!" confirmation screen with approval details for a medical procedure

Enhance Provider Collaboration

Flexible, Provider-Centered Intake Options
Instant Authorization & Eligibility Checks
Smart Prompts to Boost Approvals
Works Across Clinical & Specialized Settings

Drive efficiency & quality at the point of auth submission

Meet providers where they are, while driving digital adoption with a provider-loved intake application (not a static portal)

Our solution accepts prior authorization submissions via web-based unified provider application, EHR integration, or fax/phone; all powered with clinical-grade precision AI for maximum efficiency.

Prompt submitters for missing information during intake, enabling downstream benefits

AI/ML automatically extracts structured information from clinical records, reducing provider burden and back-and-forth requests for information.

Stop processing authorizations that aren’t required and reduce administrative overhead

Real-time requirement checks reduce unnecessary submissions by 15-20%, providing documented proof to providers while saving your team from unnecessary review work.

Cut fax intake work in half with advanced clinical automation

Automatically attach inbound faxes to existing auth requests, lean on AI to accelerate the manual steps on challenging fax cases, and unlock fully touchless auth creation for the rest.

Solve intake bottlenecks across clinical settings and nuanced workflows at any scale

Our intake solution has been battle-tested by more than 600K providers across multiple health plans, resulting in an industry benchmarking solution for inpatient, outpatient, and facility-based authorizations.

94%
digital adoption rate for electronic submissions
93%
provider satisfaction rate with intake experience
24%
reduction in missing information through user prompts
64%
lower call volume at health plan after switching to Cohere
40%
up to
reduction in administrative costs

Cohere Health integration network logos showcasing EHR and UM interoperability with partners like Epic, CMS, NaviNet, Rhyme, Availity, MCG, and others

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Integrations

Accommodates existing provider workflows from the EHR

Key information, such as provider details, patient data, and location, can be pre-populated directly from existing EHR systems, streamlining the submission process and reducing manual data entry.

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Ready to drive digital adoption while improving provider collaboration?

See how Cohere Intake can reduce administrative burden and increase electronic prior authorization approval rates for your organization.

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FAQ

Sounds easy, right?

If you still have questions about how Cohere Intake can reduce administrative burden and increase approval rates for your organization, explore below.

What happens if a procedure doesn't require prior authorization?

Our system instantly identifies procedures that don't require authorization and provides documented proof for your records. This prevents unnecessary submissions and saves time for both providers and health plans.

Can the AI really read and understand clinical documentation?

Yes, Cohere’s AI is precision-trained on large-scale clinical documentation. It extracts structured and unstructured information from clinical notes, imaging reports, and other medical documentation, reducing the reliance on manual questionnaire completion while maintaining high accuracy.

Without questionnaires, how does the solution handle missing information during initial authorization submission?

Intelligent in-workflow push notifications or “nudges” alert providers/auth submitters to missing attachments or information before submission, reducing back-and-forth communication and increasing the likelihood of auto-approval.

What channels can providers use to submit authorizations?

We support omni-channel intake, including our web-based, secure provider application, direct EHR integration, traditional fax, and phone submissions.

Can this solution help my health plan address recent prior authorization reform movements, such as the AHIP & CMS commitments?

Absolutely, automation is no longer a nice-to-have for health plans that are committed to meeting (or exceeding) these burgeoning industry commitments. Cohere is already delivering on or exceeding the standards laid out in these objectives for health plans and their members nationwide. Below are relevant results impacting provider collaboration and enhanced prior auth submission:

85% of prior authorization approvals in real time
9 million authorizations leveraging FHIR APIs in the last year
61% reduction in provider input time
50% faster medical necessity reviews with over 99% precision using artificial intelligence (AI)-enabled applications
93% provider satisfaction across more than 600,000 providers supported

Infographic of Cohere Clinical Intelligence Platform showing provider tasks (care planning, care delivery, reimbursement), central platform modules (decision engines, clinical models, data management, agents), and payer processes (prior authorization, payment integrity, appeals). Inputs: near real-time data and batch data. Outputs: real-time clinical decisions and insights.