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.