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.
EMR
integration
Fax OCR
digitization
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
enabling a holistic patient
clinical record
Simulation of next steps/next actions
to aid in manual decisions
to aid in manual decisions
AI, including machine learning,
to leverage consolidated data for automated guidance and decisioning
to leverage consolidated data for automated guidance and decisioning
Analytics layer
to present predictive and
other insights in real time
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:
SaaS-based
eliminates the need for
internal hosting
internal hosting
Security
fully HITRUST-certified
Interoperability
compliant with FHIR, 278, and other widely-accepted standards
Scalability
rules configuration and deployment proven to scale over multi-million+ transactions
SSO
proven single sign-on capabilities with Availity, NaviNet, and other common portal technologies
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.
