Cohere Unify™ Platform

The Cohere Unify Platform supports all of our intelligent prior authorization solutions with touchless and predictive technologies, evidence-based clinical content, and other advanced capabilities.

Touchless technologies

Our technologies reduce or eliminate manual steps toward creating an end-to-end fully automated prior authorization process.



Clinical decisioning engine

Predictive technologies

These innovative technologies enable prediction of the “next likely step” or “next best action.”

This predictive capability enables health plans to virtually eliminate prior authorization workflow steps. Instead, the system can automatically craft specific care plans based on patient and population auth and claims data, including multiple services that can all be pre-approved up front before they are even requested.

Features include

Multiple source data consolidation
enabling a holistic patient
clinical record
Simulation of next steps/next actions
to aid in manual decisions
AI, including machine learning,
to leverage consolidated data for automated guidance and decisioning
Analytics layer
to present predictive and
other insights in real time

Clinical content

Evidence-based clinical criteria for select specialties that inform our touchless and predictive technologies.

Advanced technical specifications

The Cohere Platform includes the latest technological capabilities and standards, including:


eliminates the need for
internal hosting


fully HITRUST-certified


compliant with FHIR, 278, and other widely-accepted standards


rules configuration and deployment proven to scale over multi-million+ transactions


proven single sign-on capabilities with Availity, NaviNet, and other common portal technologies

White paper

The tech-powered shift from transactional to transformational prior authorization

Read the white paper

Unify’s unique value

Cohere Unify’s innovative combination of AI technology, real-time analytics, and evidence-based clinical intelligence enables unique value for your health plan - beyond typical prior authorization solutions where unnecessary manual activity remains.

The absolute minimum amount of manual effort

By consolidating all requests into a single digital workflow, automating the application of all clinical and business rules, and using AI and machine learning to pre-process cases that still require clinical staff review.

Timely, complete regulatory compliance

By leveraging innovative technologies to automate decisioning, case pre-processing and rules transparency - so that your plan can meet new state and federal regulatory requirements concerning turnaround times, policy/decision transparency and gold carding.

Better and faster patient outcomes

By adding unique capabilities such as influence on care decisions prior to request submission, triggers for episodic vs. individual service authorizations, and care path models to optimize the entire care journey.

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