In-workflow integration will advance Cohere’s ability to automate authorization processes for health plans while improving care quality and reducing patient wait times

Boston (April 3, 2024) – Cohere Health, a recognized leader in clinical intelligence and prior authorization automation, today announced a new capability to enhance payer-provider collaboration via Epic’s Payer Platform.

Leveraging Cohere’s AI-driven prior authorization solutions, this capability simplifies and expedites prior authorization requests by enabling providers to submit directly in their EHR workflow.

“Our integration with Payer Platform is a huge step towards a truly end-to-end touchless authorization process. Initiating authorization requests directly from EHRs is the ‘last mile’ towards full automation, and greatly reduces provider staff time on authorizations by automating the initiation of a request,” said Brian Covino, MD, Chief Medical Officer, Cohere Health. “This capability will be available with Epic EHR instances nationwide.”

Cohere’s AI-driven prior authorization solutions use artificial intelligence combined with deep clinical expertise to accelerate care approval for providers and patients while reducing associated administrative expenses. Beyond getting to a faster “yes,” Cohere uniquely leverages the prior authorization process to improve the entire patient care episode or journey, using predictive models and proactive decision support to augment physician decision-making.

Currently processing 5.5 million prior authorization requests annually, Cohere positively impacts more than 15 million health plan members and 420,000 healthcare providers nationwide. This partnership with our health plans emphasizes a shared dedication to optimizing care access and delivery, demonstrating how innovative technology can transform healthcare operations at every stage.

Epic and Payer Platform are registered trademarks of Epic Systems Corporation.

Published On: April 3rd, 2024Categories: News, Press Release

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About the Author: Cohere Health

Cohere Health’s clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving collaboration between physicians and health plans. Cohere works with 600,000 providers and processes millions of prior authorization requests annually. Its AI auto-approves up to 90% of requests for millions of health plan members. Cohere has been recognized in the Gartner® Hype Cycle™ for U.S. Healthcare Payers in 2024 and 2025, named a Top 5 LinkedIn™ Startup in 2023 and 2024, and is a three-time KLAS Points of Light award recipient.