**One platform.** Connected intelligence across health plan operations.

Health plans don't need more AI point solutions—they need an intelligence platform that connects clinical and operational workflows across the enterprise. Cohere Unify™ brings together proven clinical intelligence, responsible AI, and real-time workflow execution to help health plans modernize operations and redesign from within.

Four gray interlocked gears with a magnifying glass highlighting sections beside labels of AI governance and ROI.

Up to

9

x

ROI

27

M

unique patient profiles

770,000

providers supported

15

M

clinical decisions annually

100

K

clinical indications

Why Cohere Health

Health plan modernization requires more than fragmented AI point solutions stuck in pilots.

Technology leaders are tasked with delivering performance gains, governing AI responsibly, and supporting clinical and operational teams, often while managing legacy infrastructure and an expanding set of point solutions. Generic AI and disconnected tools rarely meet the clinical, regulatory, and operational standards health plans require, creating security exposure, integration friction, and limited cross-functional value.

Fragmented point solutions
Duplicated work
Unproven ROI
Failed or stalled pilots
AI governance concerns
Generic AI Vendors
Enterprise platform
Fragmented point solutions
Domain-specific clinical intelligence
Generic AI
Shared intelligence across workflows
Separate AI for every workflow
Humans work at the top of their license
Automation and AI for everything
Proven at enterprise scale
Failed pilots that never scale

Modernization requires more than another application.

It requires a shared intelligence layer that connects people, workflows, and decisions across the enterprise.

Connected intelligence

Unlike standalone AI tools, Cohere Unify shares intelligence across utilization management, appeals, care management, quality, claims operations, and payment integrity. Every workflow builds on the same clinical context, creating compounding value across the enterprise.

Built for healthcare

Our platform combines domain-specific AI, clinician expertise, and evidence-based policy guidance to support the complexity of payer operations—not generic automation built on public language models with no healthcare expertise.

Enterprise-ready

Break down data silos to improve collaboration across clinical, payment integrity, and operational teams through a unified platform approach with flexible integration models while maintaining governance, security, auditability, and human oversight.

One platform powering every stage of health plan operations

Every solution shares the same:
Clinical context layer
AI governance
Workflow engine
Integration architecture
Data foundation

Explore resources

Responsible AI built for healthcare—not generic automation

Explore resources designed to help health plans build governed, compliant, and scalable AI that moves from experimentation to measurable operational results.

Integrate clinical AI without disrupting existing infrastructure

Platform modernization should not require abandoning your current technology investments. The Cohere Unify Platform offers modular, AI solutions that integrate securely within your existing workflows, supporting faster deployment and measurable performance improvements across clinical operations, without requiring infrastructure overhauls.

Ensure enterprise-grade data governance and AI safety

Healthcare AI isn't measured by how quickly it generates an answer. It's measured by whether clinicians, auditors, regulators, and technology leaders can trust it. Cohere Unify combines clinician-trained AI with governance, transparency, and continuous evaluation to deliver intelligence that's ready for enterprise healthcare.

Drive cross-functional efficiency and clear ROI

Technology investments must deliver measurable value across the enterprise. By connecting data and workflows across utilization management, payment integrity, and care management, the Cohere Unify Platform helps IT leaders eliminate duplicate processes, optimize resources, and achieve a stronger return on technology investments.

See how connected intelligence scales beyond a single workflow.

Discover how Cohere Unify helps health plans modernize operations with connected intelligence, responsible AI, and one enterprise platform supporting clinical and administrative workflows from utilization management through payment integrity.

Frequently asked questions

Answers to common questions from technology leaders evaluating Cohere Health.

How will the platform integrate with our current infrastructure?

We offer modular, flexible deployment options that range from an end-to-end clinical AI platform to use-case-specific solutions, fitting seamlessly into your existing tech stack with minimal disruption.

How does Cohere Health ensure data governance and safe AI adoption?

Our AI is precision-trained on clinical documentation and guided by established medical policies. It provides transparent audit trails and operates within your compliance frameworks to surface relevant clinical information without independently making clinical decisions.

Can you demonstrate the expected ROI of this technology investment?

We share documented evidence from real-world implementations to help health plans evaluate expected returns. Cohere's work with health plans has supported up to 9x ROI alongside reduced administrative burden and stronger provider collaboration. Specific outcomes depend on deployment scope, baseline performance, and operational priorities.

How does the platform support cross-functional collaboration?

The Cohere Unify Platform connects intelligence across utilization management, payment integrity, and related operations. This shared visibility reduces duplicate work, aligns clinical and operational teams, and optimizes overall enterprise performance.

Why is Cohere talking about a platform instead of individual AI solutions?

Because health plan operations don't (or realistically, shouldn't) happen in silos. Information generated during utilization management influences appeals, care management, quality, claims, and payment integrity. Cohere Unify connects these workflows through a shared clinical intelligence platform, allowing organizations to build an enterprise AI strategy instead of investing in disconnected point solutions. The result is connected intelligence that becomes more valuable with every workflow added.

What makes Cohere Unify different from other healthcare AI platforms?

Most AI vendors automate individual tasks or workflows. Cohere Unify provides a shared clinical intelligence platform that connects workflows across utilization management, appeals, care management, quality, claims operations, payment integrity, and future use cases. Because every solution operates on the same intelligence layer, data foundation, and governance framework, insights and context can be shared across the enterprise rather than remaining siloed within individual applications.

How does Cohere Health approach responsible AI?

Responsible AI is built into the platform from the ground up. Cohere's domain-specific AI is developed using clinician expertise, evidence-based medical policies, and continuous evaluation. Human oversight remains central to high-impact clinical workflows, with transparent audit trails, explainable outputs, and governance controls that help health plans deploy AI confidently while meeting regulatory and organizational requirements.

How is customer data protected?

Cohere Unify supports flexible deployment and data residency options designed to align with your organization's security and governance requirements. Customer data remains within approved environments and is protected through enterprise-grade security controls, helping health plans meet HIPAA, HITRUST, and other applicable compliance standards while maintaining control over their information.

Can we start with one solution and expand later?

Yes. Cohere Unify is designed for modular adoption. Many organizations begin with a single workflow—such as utilization management or appeals—and expand into additional clinical and operational functions over time. Because every application is built on the same platform, each new deployment leverages the same integration framework, governance model, and shared clinical intelligence foundation.

How does Cohere help us avoid another AI pilot that never scales?

Many AI initiatives fail because they are introduced as disconnected point solutions. Cohere Unify is built as an enterprise platform with reusable intelligence, shared governance, and integration across clinical and operational workflows. Organizations can prove value in one area while creating the foundation for broader enterprise adoption—without managing multiple AI vendors or separate technology stacks.

Which health plan functions does Cohere Unify support?

Cohere Unify powers connected intelligence across the health plan enterprise—from utilization management to payment integrity, including appeals, care management, quality, claims operations, and other clinical and administrative workflows. Every solution shares the same platform architecture, allowing organizations to modernize incrementally while building toward a unified operating model.