Cohere Health develops AI-powered clinical intelligence software for health plans and providers, focused on automating prior authorization decisions and payment integrity. The platform uses artificial intelligence trained specifically on clinical documentation to process authorization requests with both speed and clinical accuracy, rather than relying on generic text models.
The platform processes more than 12 million prior authorization requests annually across over 660,000 providers, approving up to 85% of authorizations in real-time. The system maintains clinician oversight and auditability of AI decisions, allowing human review where needed whilst reducing administrative burden. Beyond prior authorization, Cohere Health offers payment integrity solutions designed to reduce waste and streamline payer-provider collaboration.
The company emphasises responsible AI development with clinical training at its foundation. By automating routine authorization decisions and payment processes, Cohere Health aims to lower administrative costs for healthcare organisations whilst improving access to care for patients.
