The Cohere Platform supports Cohere Unify™ and Cohere Complete™ with touchless and predictive technologies, evidence-based clinical content, and other advanced technical capabilities.
Our technologies reduce or eliminate manual steps toward creating an end-to-end fully automated prior authorization process.
Fax OCR Digitization
Clinical Decisioning Engine
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.
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
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
compliant with FHIR, 278, and other widely-accepted standards
rules configuration and deployment proven to scale over multi-million+ transactions
eliminates the need for proven single sign-on capabilities with Availity, NaviNet, and other common portal technologies
The Tech-Powered Shift from Transactional to Transformational Prior Authorization