Faster prior authorizations
Reducing turnaround times to get patients the care they need sooner.
Cohere Health’s **Guiding Principles** of AI
AI can transform healthcare, but only when developed responsibly. At Cohere Health, our four guiding principles ensure that AI improves outcomes, builds trust, and centers the human experience across every prior authorization.
Better care journeys
Accountability
Grounded in clinical expertise and focused on getting to “yes” the right way
Our AI-powered solutions support-not replace-the expertise of physicians and nurses. A team of 150+ clinical experts ensures every decision is grounded in evidence-based knowledge, focusing on getting to “yes” through clinically sound choices that prioritize the patient’s best interest.
Transparency
Sharing the “why” behind every decision
When our AI approves or pends a request, we explain the clinical basis to the requesting provider. Models are continuously monitored for bias, drift, and accuracy, ensuring decisions remain fair, reliable, and aligned with the latest standards.
Privacy and security
Protecting patient data at every step
Our AI never uses explicit patient identifiers, such as names or locations, for care recommendations. We enforce best-in-class security and encryption while meeting HIPAA, CMS interoperability, and state-specific prior authorization requirements.
Inclusiveness and equity
Care decisions that serve everyone
Our models apply standards of care with fairness across all members, with pended requests reviewed by clinical experts. An AI Governance Board provides oversight to ensure equitable treatment regardless of background, demographics, or geography.
What responsible AI enables
Real benefits for patients, providers, and health plans.
Provider satisfaction
Less administrative burden and more collaboration across the care team.
Better patient access
Ensuring equitable and timely treatment for all members.
Regulatory confidence
Meeting and exceeding compliance requirements with transparency and security.
Ready to **learn more?**
See how our clinically trained AI streamlines health plan-provider collaboration.
