Explore how Cohere Health helps health plans build AI that is governed, compliant, and proven to deliver real results at scale.
Health plan leaders are shifting their focus from how much AI they have to how well it performs under real-world constraints. Cohere Health helps health plan technology leaders move beyond AI experimentation toward governed, compliant, and scalable AI.
Responsible AI best practices
Performance-driven retraining
30K daily transactions
Feedback from
in-house PA experts
Trained on real clinical documentation, not generic text. Focused on only the data necessary to deliver safe, relevant, and policy-aligned decisions.
Transparent, auditable, and always clinician-reviewed. Full visibility into AI decision-making with meaningful insights.
Not a one-size-fits-all model. Designed around your unique guidelines and goals.
Training data
Oversight
Decision quality
Patient-centric
Real-world proof
Enterprise-ready
Precision-trained on large-scale clinical documentation
Built-in clinician review & auditability
Policy-aligned, traceable & trusted evidence
Centered around clinical context and patient’s medical necessity needs
Proven in live UM workflows supporting over 660,000 providers daily
Fully integrated with payer systems; HITRUST, HIPAA, SOC 2 compliant; designed for auditability and scalability
General-purpose AI trained on web or claims data
Often lacks transparency or review
Outputs require manual QA
Designed for speed or automation, not optimized for patient context
Typically untested or piloted
Limited healthcare-grade features, compliance, or integration capabilities
Training data
Oversight
Decision quality
Patient-centric
Real-world proof
Enterprise-ready
Precision-trained on large-scale clinical documentation
Built-in clinician review & auditability
Policy-aligned, traceable & trusted evidence
Centered around clinical context and patient’s medical necessity needs
Proven in live UM workflows supporting over 660,000 providers daily
Fully integrated with payer systems; HITRUST, HIPAA, SOC 2 compliant; designed for auditability and scalability
Training data
Oversight
Decision quality
Patient-centric
Real-world proof
Enterprise-ready
General-purpose AI trained on web or claims data
Often lacks transparency or review
Outputs require manual QA
Designed for speed or automation, not optimized for patient context
Typically untested or piloted
Limited healthcare-grade features, compliance, or integration capabilities
AI Performance
Cohere’s AI models are developed in close partnership with clinicians, resulting from real-world observations of UM cases in over 40M+ clinical records. Our fine-tuned models consistently outperform state-of-the-art LLMs and are as accurate, if not more accurate than, expert nurse reviewers.
Nurses & MDs rating on AI-generated clinical content
Case review chatbot
An interactive chatbot to improve review accuracy and speed by surfacing relevant information from clinical and admin data (with citations)
Clinician rating our AI
Did the chatbot help you understand the clinical documents better?
90%
Was the chatbot answer correct?
79%
Was the chatbot answer complete?
60%
Would you trust the answer without verification?
47%
