We’re excited to introduce Cohere Connect™—a proven, scalable solution that helps health plans close CMS-0057-F compliance gaps and reduce provider administrative burden. The solution is built on our FHIR® APIs–which facilitate clinical data exchange for health plans today–and is augmented by our medical policy digitization and UM system integration expertise.
💡How it works: Cohere Connect provides the required CRD, DTR, and PAS APIs that fully align with HL7® Da Vinci Project implementation guides. It also includes a SMART on FHIR app and medical policy digitization and management services, essential for collecting medical necessity documentation from an EMR or plan portal.
🤝 Why it matters: Aligning with the requirements of CMS-0057-F is more complex than simply implementing APIs. Plans must address system integration, policy digitization, user needs, and evolving standards. Cohere Connect offers a complete approach, leveraging our experience in prior authorization and clinical workflows. With insights from our platform, supporting 600,000 providers, we streamline medical necessity data collection and reduce provider workload.
đź“Š The impact: Cohere APIs are already in production and have supported six million prior authorization submissions.
🚀 The bottom line: Cohere Connect helps your plan meet and exceed CMS-0057-F requirements. Learn more about how Cohere Connect can accelerate your compliance today!
Go deeper: Read more about Cohere Connect and CMS-0057-F compliance
đź“Ł Press announcement
đź“š Using tech to comply with new prior auth regulations (Cohere blog)
🎥 How to Leverage CMS Interoperability Rules for Prior Auth Innovation (WEDI webinar)
⚖️ Regulatory Hub
