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ease
features
design
support

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Description

Cohere assists health plans in transforming their processes by integrating clinical intelligence, which facilitates comprehensive automation of prior authorization internally. Health plans can license Cohere's PaaS for intelligent prior authorization directly, allowing their utilization management teams to utilize it seamlessly. Consequently, client health plans experience notable improvements in administrative efficiency, alongside enhanced patient outcomes that are both quicker and more effective. Cohere offers a customized, modular solution suite specifically designed for health plans, streamlining all prior authorization requests into a cohesive, automated workflow. The platform automates decisions regarding prior authorizations based on the policies preferred by the health plans and accelerates the manual review process. It also aids clinical reviewers in handling complex requests with the help of responsible AI/ML and its automated features. By harnessing clinical intelligence through AI/ML and sophisticated analytics, Cohere enhances the performance of utilization management. Furthermore, it contributes to improved patient and population health outcomes through innovative programs tailored to specific specialties. This comprehensive approach positions Cohere as a leader in the health technology space, ensuring that health plans can meet their operational goals effectively.

Description

Intelligent Automation allows for the comprehensive management of enterprise transformation by integrating process activities across various operational areas, leading to an organization that is highly automated and focused on client needs without traditional boundaries. In contrast to RPA, which mainly offers straightforward rule-based methods and basic machine learning models, employing a platform driven by AI for process automation yields results that are both more precise and scalable. A hybrid automation strategy, which leverages various tools such as RPA and AI/ML, enhances the level of automation achievable for diverse processes. By utilizing AI/ML algorithms, this approach eliminates the need to write custom automation rules, enabling the algorithm to discern patterns from existing data and apply these insights to streamline future processes. Consequently, this method automates segments of the workflow while still retaining characteristics reminiscent of manual operations, thereby striking a balance between efficiency and familiarity. Ultimately, this evolution in automation leads to a more adaptive and intelligent operational framework.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

No price information available.
Free Trial
Free Version

Pricing Details

No price information available.
Free Trial
Free Version

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Vendor Details

Company Name

Cohere Health

Country

United States

Website

coherehealth.com/paas

Vendor Details

Company Name

Predictly

Founded

2015

Country

India

Website

predictly.co

Product Features

Product Features

Data Analysis

Data Discovery
Data Visualization
High Volume Processing
Predictive Analytics
Regression Analysis
Sentiment Analysis
Statistical Modeling
Text Analytics

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