**AI-powered** data mining with full transparency into every finding

Full visibility into every rule, policy, and flagged claim—combined with transparent tools and autonomous maintenance to keep your data mining program current and surface new, defensible opportunities

Reduce Vendor Opacity
Graphic of a healthcare platform interface titled "Inpatient DRG Clinical." The coding worksheet displays a paid amount of $17,215.56, with diagnosis codes and validation indicators. Callouts highlight "30% Improvement in provider efficiency" on the left and "8–9x Return on investment" on the right.

Upgrade your data mining program with Cohere Surface™

Most data mining solutions find errors and stop there - and most vendors are happy to keep it that way. Cohere Surface goes further - providing full transparency into why they happen and helping your team act on what's within your control, while continuously surfacing new opportunities. 

The result: a program that keeps getting smarter and stays current automatically — without growing headcount or IT dependency.

Key Features:

Self-service, low-code rules builder

Pre-configured, Cohere-maintained rule library across common overpayment categories

Policy catalog with automated monitoring and policy-to-rule linkage

Provider-level and cohort-level pattern detection

Autonomous rule maintenance

Flexible deployment and pricing models

Benefits

A data mining solution that puts you in control

Replace IT dependency and vendor opacity with a data mining solution built for the people who do the work every day

Full transparency into every finding

See exactly why a claim or provider was flagged, what rule logic drove the result, and what policy underpins it. This visibility transforms findings into actionable intelligence — enabling upstream intervention, provider education, and systematic remediation where it's within the plan's control.

Self-service rules and autonomous maintenance

Self-service tools and pre-configured rules reduce set-up time, improving speed and efficiency across in-house and services-led programs. Once deployed, rules are continuously maintained through automated monitoring of policy updates, CMS guidance, and reference data—ensuring accuracy and program integrity.

Agentic AI at scale

Error-category-specific agents detect patterns, share results, and autonomously update rules and supporting documentation. The result is a continuously improving data mining program that requires minimal human touch to maintain — and gets smarter each day.

Key Features

The tools to find more, understand more, and act where it countsm

Cohere Surface covers the full data mining lifecycle — from building rules to running them, understanding results, keeping everything current, and continuously surfacing new overpayment opportunities as patterns emerge.

Illustration of two large 3D arrows (orange and blue) encircling a pink heart shape, accompanied by three callouts: "Precision AI," "Best-in-class technology," and "Scale in-house PI."
Explore Cohere Surface

Ready to take your data mining program to the next level?

Join health plans building smarter, faster, more transparent data mining programs — without growing headcount or IT dependency. Schedule a discovery call to see Cohere Surface in action.

Illustration of two large 3D arrows (orange and blue) encircling a pink heart shape, accompanied by three callouts: "Precision AI," "Best-in-class technology," and "Scale in-house PI."
Explore Cohere Surface

Your questions, answered

Find answers to frequently asked questions about Cohere Surface and learn how to create smarter, faster, and more transparent data mining programs.

What types of reviews/audits are supported with this payment integrity suite?

Cohere Health offers comprehensive support for high-value prospective and retrospective reviews, including inpatient DRG (Diagnosis Related Group), HBA (Hospital Bill Audit), IBR (Itemized Bill Review), ASC (Ambulatory Surgical Center), APC (Ambulatory Payment Classification), and complex professional audits. Our structured AI-powered workflows empower your teams to manage complex reviews end-to-end with speed, accuracy, and transparency.

How does the AI technology validate clinical and coding evidence?

Our solution uses advanced small- and large-language models, NLP, and machine learning to analyze claims against medical records, cross-referencing diagnosis codes with supporting documentation while providing transparent output.

Can Cohere Validate be customized for our specific requirements?

Yes, while maintaining global rules for baseline compliance, our solution offers extensive client-specific configuration for unique policies and procedures, ensuring flexibility while maintaining consistency across your organization.

 How does the end-to-end audit solution improve auditor productivity?

By automating routine validation tasks, providing clear evidence-based outputs, and reducing manual review time, auditors can focus on complex cases while maintaining high-quality standards and processing more claims efficiently and consistently.

What reporting and analytics capabilities are included?

The solution includes built-in reporting mechanisms, real-time performance feedback, user performance evaluation tools, provider assessment capabilities, and continuous monitoring of output accuracy and relevance.