Cohere Health provides an AI-powered prior-authorization platform (Cohere Unify) for health plans. It automates a large share of prior-authorization decisions while stating that only human clinicians can deny care, and it integrates with provider EHR workflows.
Key features: Automated prior-authorization decisioning · Clinical intelligence and care-path guidance · Provider and EHR integrations · Utilization-management automation for payers
Pros: Specialized in health-plan prior authorization · High stated automation rates · Clinician-in-the-loop for denials
Cons: Enterprise health-plan focus, not for agencies · Pricing not publicly listed
Pricing: Quote-based, not publicly listed.
Best for: Health plans and payers
Audience: carrier
