Provider satisfaction with authorization directly impacts your network. Cohere Health gives provider network leaders visibility into how authorization workflows affect provider experience, compliance standing, and burden reduction programs—so you can advocate for the experience your providers deserve.
Deliver a transparent, provider-friendly digital intake experience that minimizes disruption and supports faster responses where appropriate.
Align authorization workflows with state-specific regulations and federal interoperability requirements to help ensure consistent, compliant operations.
Reward high-performing providers with streamlined authorization pathways. Data-driven workflows identify which providers qualify for reduced requirements, giving you a tangible tool for network retention and recruitment.
Meet providers where they are—through EHR integrations, fax-to-digital conversion, and an intuitive portal. High digital adoption rates mean fewer manual follow-ups for your team and a better experience for your providers.
EXclusive Findings
Download our white paper, developed with Wakefield Research, to discover how AI can reduce the clinical and financial risks of slow, manual prior authorization processes — as told by 200 hospital leaders.
Guide
Every new point solution adds another data model, governance process, and integration point. This guide gives health plan executives a framework to evaluate, sequence, and scale enterprise AI so ROI compounds instead of resetting.
Case study
Humana partnered with Cohere Health® to transform prior authorization and improve patient care.
Providers won't use tools that slow them down. Cohere's all-channel intake and intuitive digital portal reduce the administrative burden placed on provider teams—driving digital adoption, cutting manual follow-ups, and strengthening long-term network partnerships.
Unclear medical policies and inconsistent review decisions are top drivers of provider abrasion. Cohere offers transparency and guidance directly in the digital workflow, gathering required clinical information BEFORE an auth is submitted and approving up to 85% of authorizations in real time. Fewer escalations mean less friction between your plan and your providers.
Compliance obligations around prior authorization are expanding across states and at the federal level. Cohere helps you meet provider-facing regulatory requirements—like response time mandates and transparency rules—so your network stays compliant without creating new friction for providers.
Answers to common questions from provider network leaders evaluating Cohere Health.
Yes. Cohere provides detailed analytical dashboards and transparent workflows. Medical leaders gain clear visibility into workflow performance, review activity, and the evidence-based criteria applied to each decision, ensuring a high degree of operational control.
Cohere uses AI to support clinical and operational workflows by surfacing relevant information, applying policy-specific logic, and supporting reviewer efficiency. AI is never used to deny care or replace clinical judgment; medical professionals remain responsible for reviews where clinical judgment is required.
Cohere helps health plans balance real-time approvals with patient safety and medical expense discipline. High-risk, low-evidence, and outlier cases are intentionally pended for clinician review, supporting a workflow where administrative speed is paired with clinical rigor.
Cohere supports provider-aware workflows designed to reduce unnecessary administrative friction. By integrating seamlessly with existing EHR systems, we enable smooth data flows, transparent decision support, and faster responses where appropriate.
