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Description
The Cohere Unify platform enhances all of our intelligent prior authorization solutions through the integration of touchless and predictive technologies, clinical content grounded in evidence, and various advanced features. By leveraging these technologies, we significantly minimize or completely remove the manual processes involved in achieving a comprehensive, fully automated prior authorization workflow. This predictive functionality allows health plans to nearly eradicate the traditional steps associated with prior authorization processes. Consequently, the system can autonomously generate tailored care plans utilizing patient and population authorization and claims data, which includes the ability to pre-approve multiple services before any requests are made. We employ evidence-based clinical criteria for specific specialties that complement our touchless and predictive technologies. Additionally, our platform features reliable single sign-on capabilities with widely used portals such as Availity and NaviNet. Furthermore, the configuration and implementation of rules have been validated to effectively manage transactions involving millions of cases, showcasing the scalability of our system. Ultimately, this innovative approach streamlines healthcare operations while enhancing efficiency and accuracy.
Description
MedArise serves as an AI-driven back office solution tailored for medical practices, managing and overseeing AI workflows that comprehensively address specific administrative tasks from beginning to end. This includes handling prior authorizations, verifying insurance eligibility, processing referrals and faxes, following up on claims status, and overseeing revenue cycle operations. By integrating seamlessly with a practice’s existing systems, MedArise ensures that exceptions are directed to human staff for resolution rather than being obscured. Importantly, clinical judgment, assessments of medical necessity, coding decisions, financial authority, and deviations from practice policies are entrusted to qualified personnel. Practices have the flexibility to initiate with a single, well-defined workflow, assess its performance and supporting evidence, and only expand once they have confirmed that the workflow is functioning reliably and efficiently. This approach not only enhances operational efficiency but also maintains the high standards of care that patients expect.
API Access
Has API
API Access
Has API
Screenshots View All
No images available
Integrations
Availity
NaviNet Open
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/unify-platform
Vendor Details
Company Name
MedArise
Website
medarise.com