Cohere Health develops AI-powered clinical intelligence solutions for the prior authorization and payment integrity workflows that connect health plans and providers. The company's platform automates prior authorization decisions using machine learning precision-trained on clinical documentation, enabling real-time approval of up to 85% of authorization requests while maintaining clinician oversight and auditability.
The platform processes more than 12 million prior authorization requests annually and supports over 660,000 providers. Beyond prior authorization, Cohere Health offers payment integrity solutions designed to reduce waste and improve collaboration between payers and providers, ensuring accurate and timely payment.
The company specialises in natural language processing applied to clinical documentation, responsible AI implementation, and automation of utilization management processes. Its technology stack emphasises machine learning and artificial intelligence applied to the administrative friction points in healthcare payment and clinical decision-making.
