Prior authorization that empowers providers

Reduce administrative burden and accelerate patient care with clinical-grade AI solutions, purpose-built with providers and for providers.

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Why providers love Cohere Health

Our intelligent prior authorization platform eliminates the administrative friction that keeps you from focusing on patient care. With automated clinical data extraction, real-time decision support, and streamlined submission processes, you'll spend less time on paperwork and more time with patients. Experience faster approvals, reduced phone calls, and a digital-first approach that works the way you do.

Easy-to-use digital intake solution (94% adoption)

Intuitive, user-friendly solution to submit and track authorizations, including real-time decisions for at least 80% of requests with clinical documentation.

Provider-first digital workflows

Industry-leading satisfaction scores (NPS Score of 67) prove our provider-first approach delivers on lifting burden and enhancing payer-provider collaboration.

Fewer clicks, less typing, more care

AI-powered workflows automatically source clinical information from attachments, reducing manual data entry and accelerating time to care.

We bridge health plan goals and provider needs

Our clinical-grade AI and innovation ensures we design solutions that deliver wins on both sides

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Programs that go beyond gold carding

Move beyond one-size-fits-all prior authorization with our provider-first solution that adapts to your network patterns and performance. We empower health plans to create customized experiences based on your clinical expertise and track record, providing streamlined processes or the right level of support when you need it.

Clinical intelligence that supports better decisions

Access evidence-based care recommendations and real-time clinical insights that ensure optimal patient outcomes. Our platform provides transparent, clinically-relevant decision support backed by decades of real-world clinical experience. Get the information you need to complete authorization submissions quickly, with full visibility into approval criteria and clinical guidelines.

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Responsible, precision AI that gets to care faster

Cohere Health’s clinical-grade AI is a precision solution purpose-built for high-stakes clinical decision making. It helps nurses, physicians, and UM teams make faster, more accurate decisions while preserving safety, oversight, and trust. Most importantly, Cohere never uses AI to deny care - only human clinical experts can make that call.

Seamless EHR workflows

Connect effortlessly with your EHR and practice management systems through our comprehensive API suite. Cohere's platform integrates with your existing workflows without disrupting your established processes. Submit authorizations directly from your EHR, receive real-time status updates, and maintain a complete audit trail—all within the systems you already use every day.

Quarterly Cohere Health provider survey results:

90%
of providers said they submit most or all of their requests through the Cohere portal
91%
said tasks are easier or much easier in Cohere compared to other portals
82%
said Cohere issues decisions faster or much faster than other vendors

Cohere Health integration network logos showcasing EHR and UM interoperability with partners like Epic, CMS, NaviNet, Rhyme, Availity, MCG, and others

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Integrations

Unmatched EHR connectivity and UM interoperability

Tap into hundreds of hospitals and health systems processing touchless prior authorizations through Cohere's integration network and maximize your existing system investments.

Frequently asked provider questions

Get answers to common questions about implementing and using Cohere's provider solutions.

Do I need to change my existing workflows to use Cohere Health for prior authorization submissions?

No. Cohere offers multiple solutions for receiving (and in many cases, automating) prior authorization submissions such as phone, fax, and our web-based intake solution. Additionally, Cohere integrates seamlessly with existing EHRs. You can submit authorizations directly from your current systems while benefiting from our intelligent automation and streamlined processes.

What types of prior authorizations does Cohere handle?

Cohere supports a comprehensive range of prior authorization types across medical services, procedures, and specialties. The specific services available depend on the health plan's agreements with Cohere (we are multi-plan).

How does Cohere's AI actually help reduce my administrative work?

Our clinical-grade precision AI automatically extracts clinical information from unstructured attachments, pre-populates forms with relevant patient data, and provides real-time decision support. This eliminates manual data entry and reduces the back-and-forth typically required for authorization approvals.

What support is available if I have questions or technical issues?

Cohere Health provides comprehensive provider support including a dedicated help desk, online training resources, and direct access to clinical and technical support teams. Our provider-focused approach means you'll get knowledgeable help from people who understand healthcare workflows.

What happens if a request pends for review? What is your clinical review process?

When the Cohere portal can’t auto-approve your authorization, our clinical team of physicians and nurses will review your request against our guidelines.

Prior authorization that **empowers providers**