Cohere Health is a healthcare technology company that develops AI-powered clinical intelligence solutions. Its primary focus is automating prior authorization and improving payment integrity for health plans and providers. The company's platform uses clinically trained artificial intelligence to streamline utilization management, a process historically burdened by administrative delays.
The company's AI-powered prior authorization platform is designed to automate authorization decisions. According to the company, up to 85% of authorizations are approved in real-time through this system. This approach aims to reduce administrative costs for payers and improve timely access to care for patients. Cohere Health also offers payment integrity solutions intended to reduce waste and ensure providers are paid accurately and promptly.
Cohere Health's technology operates at a significant scale within the American healthcare system. The company reports supporting over 660,000 providers and processing more than 12 million prior authorization requests annually. Its solutions are deployed across the healthcare industry, serving health plans and provider organizations.
