Complete **Gastrointestinal** specialty management

Partner with the clinical automation experts to drive quality and savings.

Drive Clinical Quality
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Drive Clinical Quality

Turn high-volume services into quality outcomes and savings

Cohere health is your partner in identifying and acting on areas of opportunity in gastrointestinal (GI) services. Avoid waste from repeat services, guide care to more appropriate sites of service for colonoscopies, and address treatment options, such as surgery vs. GLP-1.

  • Measurable medex impact

    Cohere Complete helps plans meet or exceed their medical expense savings targets–learn how one customer exceeded their goals by 125%.

  • Transparent partnership

    Get rid of the black box. Cohere Complete comes with self-service dashboards drilling into every aspect of prior authorization management, with custom reports and close partnership to provide complete transparency.

  • Automation-based savings

    Lean on the experts in clinically-trained AI and automation to enjoy savings without sacrificing quality. Our LLMs are proven to drive greater accuracy than off-the-shelf models and even human reviewers.

Overview

Our approach rebuilds the provider experience

Illustration of collaborative agreement symbolizing delegated utilization management with clinical intelligence and peer-to-peer physician support

Targeted clinical innovation programs

Our advanced analytics platform and expert team will help identify targeted areas of opportunity to drive quality and save on medex–powering continued and increasing customer success.

Provider onboarding and training

The Cohere team excels at getting providers up to speed and onto our electronic intake portal. Providers love working with Cohere, as evidenced by our 94% portal adoption rate.

Illustration of collaborative agreement symbolizing delegated utilization management with clinical intelligence and peer-to-peer physician support
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Automated policy-based approvals

Cohere puts your policies into action with our codification logic and cutting-edge clinical AI, driving a 90% average auto-approval rate in GI.

Clinical case reviews and peer-to-peers

For cases that cannot be automatically approved, Cohere has a deep bench of clinical specialists who handle medical necessity review, peer-to-peers, and related review activities.

Illustration of collaborative agreement symbolizing delegated utilization management with clinical intelligence and peer-to-peer physician support
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Provider and member notifications

Cohere closes the loop on authorization decisions on behalf of health plans, informing providers and members with compliant notifications.

Customer Impact

Cohere in action

  • 90%

    auto-approvals with a quality focus

  • 93%

    provider satisfaction

  • Fewer

    appeals and overturns than traditional programs

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Drive Medex Savings

Ready to drive medical savings and **provider satisfaction?**

Cohere Complete Gastrointestinal delivers technology-forward, transparent, end-to-end specialty prior authorization support.

Illustration of two arrows circling a heart with labels for specialists, workflows, and non-denial approach
Drive Medex Savings